{
    "annotations": [
        {
            "image_id": "162_1",
            "caption": "Based on the x-ray image, the heart size is normal and the lungs appear clear. The presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses has been ruled out. The finding indicates everything is normal. In other words, the overall impression is that of a normal chest. Do you have any questions or concerns about this x-ray result?"
        },
        {
            "image_id": "162_2",
            "caption": "Based on the x-ray image, the heart size is normal and the lungs appear clear. The presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses has been ruled out. The finding indicates everything is normal. In other words, the overall impression is that of a normal chest. Do you have any questions or concerns about this x-ray result?"
        },
        {
            "image_id": "1390_1",
            "caption": "According to the findings, the heart size and pulmonary vascularity are normal, and the lungs are free from any focal airspace disease. No pleural effusion or pneumothorax is observed. In addition, the VP shunt tubing is detected, and the bony structures look unremarkable. The overall impression is that there is no evidence of active disease. This indicates a healthy chest x-ray image with no concerning issues."
        },
        {
            "image_id": "1390_2",
            "caption": "According to the findings, the heart size and pulmonary vascularity are normal, and the lungs are free from any focal airspace disease. No pleural effusion or pneumothorax is observed. In addition, the VP shunt tubing is detected, and the bony structures look unremarkable. The overall impression is that there is no evidence of active disease. This indicates a healthy chest x-ray image with no concerning issues."
        },
        {
            "image_id": "604_1",
            "caption": "The findings from the X-ray image are normal, with no signs of active disease. The heart and lungs appear healthy, with no abnormalities detected. There are no signs of pleural effusion or pneumothorax, indicating that the patient's respiratory system is functioning properly. The PICC line is in place and the tip is located in the upper right atrium of the heart. Overall, the image suggests that the patient is in good health, with no immediate concerns."
        },
        {
            "image_id": "604_2",
            "caption": "The findings from the X-ray image are normal, with no signs of active disease. The heart and lungs appear healthy, with no abnormalities detected. There are no signs of pleural effusion or pneumothorax, indicating that the patient's respiratory system is functioning properly. The PICC line is in place and the tip is located in the upper right atrium of the heart. Overall, the image suggests that the patient is in good health, with no immediate concerns."
        },
        {
            "image_id": "2699_1",
            "caption": "The x-ray finding showed a normal-sized and shaped heart and clear lungs without any signs of infection or fluid buildup. However, multiple punctate round objects were observed on the abdomen in the lateral view. It is uncertain whether these objects exist inside or outside the patient. The impression indicates no evidence of acute cardiopulmonary disease, which is a positive result."
        },
        {
            "image_id": "2699_2",
            "caption": "The x-ray finding showed a normal-sized and shaped heart and clear lungs without any signs of infection or fluid buildup. However, multiple punctate round objects were observed on the abdomen in the lateral view. It is uncertain whether these objects exist inside or outside the patient. The impression indicates no evidence of acute cardiopulmonary disease, which is a positive result."
        },
        {
            "image_id": "2841_1",
            "caption": "Great news! The x-ray of the chest revealed that the heart is normal in size and shape, and the lungs appear clear without any signs of infiltration, pneumothorax or effusion. Based on these findings, there is no present acute cardiopulmonary disease detected."
        },
        {
            "image_id": "3587_1",
            "caption": "The patient's chest x-ray shows clear lungs and a normal-sized cardiomediastinal silhouette without evidence of pneumothorax or pleural effusion. The impression of the x-ray is negative, indicating no signs of acute cardiopulmonary disease. Overall, the results suggest that the patient has a healthy chest and lungs."
        },
        {
            "image_id": "3587_2",
            "caption": "The patient's chest x-ray shows clear lungs and a normal-sized cardiomediastinal silhouette without evidence of pneumothorax or pleural effusion. The impression of the x-ray is negative, indicating no signs of acute cardiopulmonary disease. Overall, the results suggest that the patient has a healthy chest and lungs."
        },
        {
            "image_id": "2855_1",
            "caption": "Upon the examination of the x-ray image, it is evident that the lungs are clear on both sides. There is no indication of any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal and the osseous structures of the thorax are without any acute abnormality. Overall, the impression drawn indicates that there are no acute cardiopulmonary abnormalities present in the patient."
        },
        {
            "image_id": "2855_2",
            "caption": "Upon the examination of the x-ray image, it is evident that the lungs are clear on both sides. There is no indication of any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal and the osseous structures of the thorax are without any acute abnormality. Overall, the impression drawn indicates that there are no acute cardiopulmonary abnormalities present in the patient."
        },
        {
            "image_id": "3593_1",
            "caption": "According to the X-ray findings, the individual's heart and lungs appear normal, without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression drawn from these results is that the chest is normal. This information indicates that the individual's lungs and heart are functioning properly without any acute abnormalities."
        },
        {
            "image_id": "3593_2",
            "caption": "According to the X-ray findings, the individual's heart and lungs appear normal, without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression drawn from these results is that the chest is normal. This information indicates that the individual's lungs and heart are functioning properly without any acute abnormalities."
        },
        {
            "image_id": "88_1",
            "caption": "The X-ray shows that the heart is mildly enlarged, but the mediastinal contour is normal. There is also a mild diffuse interstitial prominence suggesting of edema, but no focal airspace consolidation or pleural effusion. Additionally, degenerative changes of the spine is visible. The impression based on these findings is consistent with mild congestive heart failure."
        },
        {
            "image_id": "1384_1",
            "caption": "Based on the x-ray image, the lungs appear to be clear with no signs of consolidation, pleural effusion, or pneumothorax. The heart and mediastinum also appear to be of normal size and shape. The X-ray does not show any abnormalities in the bones and soft tissues. Overall, the impression from the image suggests that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "1384_2",
            "caption": "Based on the x-ray image, the lungs appear to be clear with no signs of consolidation, pleural effusion, or pneumothorax. The heart and mediastinum also appear to be of normal size and shape. The X-ray does not show any abnormalities in the bones and soft tissues. Overall, the impression from the image suggests that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "176_1",
            "caption": "The x-ray image reveals that the cardiac and mediastinal contours are within normal limits, and the lungs are clear with intact bony structures. There are no acute findings, suggesting that there is no evidence of any significant abnormalities in the chest. This X-ray provides valuable information about the health of the patient's cardiopulmonary system and can help inform further medical treatment, if necessary."
        },
        {
            "image_id": "176_2",
            "caption": "The x-ray image reveals that the cardiac and mediastinal contours are within normal limits, and the lungs are clear with intact bony structures. There are no acute findings, suggesting that there is no evidence of any significant abnormalities in the chest. This X-ray provides valuable information about the health of the patient's cardiopulmonary system and can help inform further medical treatment, if necessary."
        },
        {
            "image_id": "1435_1",
            "caption": "Upon examination of the chest x-ray image, it was found that there were no significant abnormalities in the heart or mediastinum area. The lungs were also found to be clear without any signs of infiltrate, effusion or pneumothorax. The overall impression based on these findings shows no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1435_2",
            "caption": "Upon examination of the chest x-ray image, it was found that there were no significant abnormalities in the heart or mediastinum area. The lungs were also found to be clear without any signs of infiltrate, effusion or pneumothorax. The overall impression based on these findings shows no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3222_1",
            "caption": "Upon reviewing the x-ray image, it is evident that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Additionally, the lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. Furthermore, there are no acute bony findings. As per the impression, there are no acute cardiopulmonary findings observed in the x-ray image."
        },
        {
            "image_id": "3222_2",
            "caption": "Upon reviewing the x-ray image, it is evident that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. Additionally, the lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. Furthermore, there are no acute bony findings. As per the impression, there are no acute cardiopulmonary findings observed in the x-ray image."
        },
        {
            "image_id": "2882_1",
            "caption": "The x-ray image shows no areas of consolidation, suspicious bony opacities or pleural effusions. The heart size is mildly enlarged, but stable. Additionally, there is no evidence of pneumothorax, and degenerative changes of the thoracic spine are present. Overall, the x-ray indicates no acute cardiopulmonary abnormality, but mild cardiomegaly is noted."
        },
        {
            "image_id": "2882_2",
            "caption": "The x-ray image shows no areas of consolidation, suspicious bony opacities or pleural effusions. The heart size is mildly enlarged, but stable. Additionally, there is no evidence of pneumothorax, and degenerative changes of the thoracic spine are present. Overall, the x-ray indicates no acute cardiopulmonary abnormality, but mild cardiomegaly is noted."
        },
        {
            "image_id": "3544_1",
            "caption": "The x-ray image shows that the cardiac and mediastinal silhouettes are normal, and the pulmonary vasculature is normal, without any signs of pneumothorax or pleural effusion. There is no acute bony abnormality detected. However, there are some opacities in the right lung base that could either result from bronchovascular crowding or atelectasis. The impression states that bronchovascular crowding versus atelectasis is noticed in the right lung base, but there is no acute cardiopulmonary disease observed in the x-ray."
        },
        {
            "image_id": "3544_2",
            "caption": "The x-ray image shows that the cardiac and mediastinal silhouettes are normal, and the pulmonary vasculature is normal, without any signs of pneumothorax or pleural effusion. There is no acute bony abnormality detected. However, there are some opacities in the right lung base that could either result from bronchovascular crowding or atelectasis. The impression states that bronchovascular crowding versus atelectasis is noticed in the right lung base, but there is no acute cardiopulmonary disease observed in the x-ray."
        },
        {
            "image_id": "1353_1",
            "caption": "The finding shows that there is diffuse right-sided airspace disease, along with dense consolidation in the right base. However, there is no pneumothorax or large effusions. The heart size is within normal limits. In the impression, it is stated that the patient has multifocal right-sided pneumonia. This suggests that the patient may be experiencing respiratory distress and requires immediate medical attention."
        },
        {
            "image_id": "1353_2",
            "caption": "The finding shows that there is diffuse right-sided airspace disease, along with dense consolidation in the right base. However, there is no pneumothorax or large effusions. The heart size is within normal limits. In the impression, it is stated that the patient has multifocal right-sided pneumonia. This suggests that the patient may be experiencing respiratory distress and requires immediate medical attention."
        },
        {
            "image_id": "1347_1",
            "caption": "The chest x-ray image shows a normal-sized and shaped cardiomediastinal silhouette. There are no signs of focal consolidation, pneumothorax or large pleural effusion present in the image. Additionally, there are no acute displaced rib fractures visible. Overall, the x-ray image is negative for acute abnormality."
        },
        {
            "image_id": "1347_2",
            "caption": "The chest x-ray image shows a normal-sized and shaped cardiomediastinal silhouette. There are no signs of focal consolidation, pneumothorax or large pleural effusion present in the image. Additionally, there are no acute displaced rib fractures visible. Overall, the x-ray image is negative for acute abnormality."
        },
        {
            "image_id": "3550_1",
            "caption": "The x-ray image shows a normal heart size and mediastinal contours. However, there is a prominent contour of the ascending aorta, consistent with ectasia. Moreover, there are no focal airspace consolidations, pleural effusions, or pneumothorax observed. The finding shows minimal degenerative changes in the thoracic spine. Overall, the impression emphasizes on finding no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3236_1",
            "caption": "According to the X-ray image, the lungs and pleural spaces appear normal with no acute abnormality detected, and the heart size and pulmonary vascularity are within normal limits. The impression of the X-ray shows that there is no acute pulmonary abnormality. Overall, the X-ray results indicate that the patient's lungs and heart are functioning normally."
        },
        {
            "image_id": "3236_2",
            "caption": "According to the X-ray image, the lungs and pleural spaces appear normal with no acute abnormality detected, and the heart size and pulmonary vascularity are within normal limits. The impression of the X-ray shows that there is no acute pulmonary abnormality. Overall, the X-ray results indicate that the patient's lungs and heart are functioning normally."
        },
        {
            "image_id": "1421_1",
            "caption": "The x-ray image shows a healthy heart, normal pulmonary function, and a stable appearing right apical scarring. There are also minimal degenerative changes in the spine. There is no sign of pleural effusion, pneumothorax, or pneumonia. The impression suggests that there is chronic lung disease, but no acute superimposed diseases were identified."
        },
        {
            "image_id": "2100_1",
            "caption": "On the X-ray image, the heart and mediastinum appear normal. The aorta shows signs of atherosclerotic calcification. There are no signs of consolidation, pleural effusions, or pneumothorax, except for a questionable thin-walled cavitary lesion in the right lower lobe, which may only be an artifact. No acute bony abnormalities were noted. Overall, there are no acute cardiopulmonary findings, but the aorta shows evidence of calcification."
        },
        {
            "image_id": "2100_2",
            "caption": "On the X-ray image, the heart and mediastinum appear normal. The aorta shows signs of atherosclerotic calcification. There are no signs of consolidation, pleural effusions, or pneumothorax, except for a questionable thin-walled cavitary lesion in the right lower lobe, which may only be an artifact. No acute bony abnormalities were noted. Overall, there are no acute cardiopulmonary findings, but the aorta shows evidence of calcification."
        },
        {
            "image_id": "1409_1",
            "caption": "The chest x-ray shows no signs of focal consolidation or pneumothorax. The heart and cardiomediastinal silhouette appear normal and there are no large pleural effusions. Based on these findings, there are no acute cardiopulmonary abnormalities detected in this x-ray image."
        },
        {
            "image_id": "1409_2",
            "caption": "The chest x-ray shows no signs of focal consolidation or pneumothorax. The heart and cardiomediastinal silhouette appear normal and there are no large pleural effusions. Based on these findings, there are no acute cardiopulmonary abnormalities detected in this x-ray image."
        },
        {
            "image_id": "63_1",
            "caption": "The x-ray shows stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. The cardiomediastinal silhouette is stable with normal heart size and aortic ectasia/tortuosity, and mediastinal contours are normal as well. No definite pleural effusion is seen and there are no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes are again noted. The impression is chronic changes as described, and no acute findings are present. Overall, the x-ray indicates a stable condition without any immediate concerns."
        },
        {
            "image_id": "63_2",
            "caption": "The x-ray shows stable flattening of the posterior diaphragm and scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation. The cardiomediastinal silhouette is stable with normal heart size and aortic ectasia/tortuosity, and mediastinal contours are normal as well. No definite pleural effusion is seen and there are no typical findings of pulmonary edema. Following spine ossifications and marginal osteophytes are again noted. The impression is chronic changes as described, and no acute findings are present. Overall, the x-ray indicates a stable condition without any immediate concerns."
        },
        {
            "image_id": "3578_1",
            "caption": "The heart and lungs appear normal in the interval. Both lungs are clear, expanded and there are no signs of active disease. The mediastinum and heart also appear normal. Book your appointment today to get your X-Ray done and ensure your heart and lungs are healthy!"
        },
        {
            "image_id": "3578_2",
            "caption": "The heart and lungs appear normal in the interval. Both lungs are clear, expanded and there are no signs of active disease. The mediastinum and heart also appear normal. Book your appointment today to get your X-Ray done and ensure your heart and lungs are healthy!"
        },
        {
            "image_id": "2672_1",
            "caption": "According to the X-ray, the heart and mediastinum look normal, while the lungs are clear without any signs of infiltration, effusion or pneumothorax. The conclusion drawn from the observations is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2672_2",
            "caption": "According to the X-ray, the heart and mediastinum look normal, while the lungs are clear without any signs of infiltration, effusion or pneumothorax. The conclusion drawn from the observations is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "837_1",
            "caption": "The x-ray image shows that the heart and mediastinum are of normal size and shape. The lungs are clear and there is no focal consolidation. However, there are right hilar calcifications which may be a sequela of prior granulomatous disease. There is no evidence of pneumothorax or large pleural effusion, and there is no acute bone abnormality. Overall, there is no acute cardiopulmonary process detected on the x-ray."
        },
        {
            "image_id": "837_2",
            "caption": "The x-ray image shows that the heart and mediastinum are of normal size and shape. The lungs are clear and there is no focal consolidation. However, there are right hilar calcifications which may be a sequela of prior granulomatous disease. There is no evidence of pneumothorax or large pleural effusion, and there is no acute bone abnormality. Overall, there is no acute cardiopulmonary process detected on the x-ray."
        },
        {
            "image_id": "189_1",
            "caption": "The radiographic examination reports that the cardiac, pulmonary and mediastinal regions appear normal. There are no indications of pleural effusion or pneumothorax, and no signs of pneumonia. However, there is a focal opacity in the right lung apex, which is not fully evaluated in this exam. Additionally, there is a minimal left basilar opacity, which could be scarring or atelectasis. Furthermore, degenerative changes are noted in the spine. The impression recommends a noncontrast imaging for better characterization of the apical opacity, which could be a nodule or scarring. The report also emphasizes that the critical results have been notified through Primordial."
        },
        {
            "image_id": "189_2",
            "caption": "The radiographic examination reports that the cardiac, pulmonary and mediastinal regions appear normal. There are no indications of pleural effusion or pneumothorax, and no signs of pneumonia. However, there is a focal opacity in the right lung apex, which is not fully evaluated in this exam. Additionally, there is a minimal left basilar opacity, which could be scarring or atelectasis. Furthermore, degenerative changes are noted in the spine. The impression recommends a noncontrast imaging for better characterization of the apical opacity, which could be a nodule or scarring. The report also emphasizes that the critical results have been notified through Primordial."
        },
        {
            "image_id": "3785_1",
            "caption": "The chest x-ray reveals no signs of pneumothorax or pleural effusion. Mildly prominent perihilar opacities are observed, possibly due to bronchovascular crowding. The heart size is within normal limits and the cardiomediastinal silhouette is normal. The bony structures appear intact. Overall, no acute cardiopulmonary disease is detected."
        },
        {
            "image_id": "3785_2",
            "caption": "The chest x-ray reveals no signs of pneumothorax or pleural effusion. Mildly prominent perihilar opacities are observed, possibly due to bronchovascular crowding. The heart size is within normal limits and the cardiomediastinal silhouette is normal. The bony structures appear intact. Overall, no acute cardiopulmonary disease is detected."
        },
        {
            "image_id": "406_1",
            "caption": "The patient's chest x-ray shows no signs of acute cardiopulmonary abnormality. The heart size is normal and there are no indications of pneumothorax, large pleural effusion, or focal airspace disease. The bony structures appear intact, and there are calcified right hilar nodules consistent with chronic granulomatous disease. Based on these findings, the patient's overall health status is promising."
        },
        {
            "image_id": "406_2",
            "caption": "The patient's chest x-ray shows no signs of acute cardiopulmonary abnormality. The heart size is normal and there are no indications of pneumothorax, large pleural effusion, or focal airspace disease. The bony structures appear intact, and there are calcified right hilar nodules consistent with chronic granulomatous disease. Based on these findings, the patient's overall health status is promising."
        },
        {
            "image_id": "1192_1",
            "caption": "Upon review of the x-ray image, it is found that the heart size and mediastinal contours are within normal limits. The pulmonary vascularity is also within normal range with no evidence of focal consolidation or suspicious pulmonary opacity. The osseous structures appear intact with no apparent pneumothorax or pleural effusion. The impression of the image reveals no acute cardiopulmonary abnormality. Overall, the x-ray image shows no major concerns for the patient's cardiopulmonary health."
        },
        {
            "image_id": "1192_2",
            "caption": "Upon review of the x-ray image, it is found that the heart size and mediastinal contours are within normal limits. The pulmonary vascularity is also within normal range with no evidence of focal consolidation or suspicious pulmonary opacity. The osseous structures appear intact with no apparent pneumothorax or pleural effusion. The impression of the image reveals no acute cardiopulmonary abnormality. Overall, the x-ray image shows no major concerns for the patient's cardiopulmonary health."
        },
        {
            "image_id": "1838_1",
            "caption": "Upon examination of the x-ray image, it appears that the right hemidiaphragm is slightly elevated, but remains stable. The cardiomediastinal silhouette is also stable and free from any focal airspace disease or pneumothorax. Additionally, there is no evidence of large effusion present. Based on these findings, it can be concluded that there is no acute cardiopulmonary abnormality to report at this time."
        },
        {
            "image_id": "412_1",
            "caption": "The x-r+C76ay revealed stable postsurgical changes of the chest including CABG procedure, and a stable valve artifact. There were no focal areas of consolidation, large pleural effusions or evidence of pneumothorax. Degenerative changes were noted of the visualized thoracic spine. The nodular right lower lobe opacity was observed with nipple elevation. The contour abnormality of the posterior aspect of the right 7th rib was again noted as stable. The impression was that there was no acute cardiopulmonary abnormality, rather stable bilateral emphysematous and lower lobe fibrotic changes were identified."
        },
        {
            "image_id": "412_2",
            "caption": "The x-r+C76ay revealed stable postsurgical changes of the chest including CABG procedure, and a stable valve artifact. There were no focal areas of consolidation, large pleural effusions or evidence of pneumothorax. Degenerative changes were noted of the visualized thoracic spine. The nodular right lower lobe opacity was observed with nipple elevation. The contour abnormality of the posterior aspect of the right 7th rib was again noted as stable. The impression was that there was no acute cardiopulmonary abnormality, rather stable bilateral emphysematous and lower lobe fibrotic changes were identified."
        },
        {
            "image_id": "3949_1",
            "caption": "The X-ray image shows an apical lordotic frontal view of the chest. Despite differences in technical factors, the cardiomediastinal silhouette appears stable with mild cardiomegaly. No focal alveolar consolidation or definite pleural effusion is seen. However, a dense nodule is observed in the left lower lung, suggesting a previous granulomatous process. Overall, there are no acute findings on this X-ray."
        },
        {
            "image_id": "3949_2",
            "caption": "The X-ray image shows an apical lordotic frontal view of the chest. Despite differences in technical factors, the cardiomediastinal silhouette appears stable with mild cardiomegaly. No focal alveolar consolidation or definite pleural effusion is seen. However, a dense nodule is observed in the left lower lung, suggesting a previous granulomatous process. Overall, there are no acute findings on this X-ray."
        },
        {
            "image_id": "3961_1",
            "caption": "The x-ray shows a normal heart size and mediastinal contour. However, there is a streaky opacity present within the right upper lobe indicating pneumonia. There are no visible nodules, masses, pneumothorax, or pleural fluid. The lungs appear grossly normal and there is no evidence of free intraperitoneal air under the diaphragm. Based on the findings, the impression is consistent with a right upper lobe infiltrate caused by pneumonia."
        },
        {
            "image_id": "3961_2",
            "caption": "The x-ray shows a normal heart size and mediastinal contour. However, there is a streaky opacity present within the right upper lobe indicating pneumonia. There are no visible nodules, masses, pneumothorax, or pleural fluid. The lungs appear grossly normal and there is no evidence of free intraperitoneal air under the diaphragm. Based on the findings, the impression is consistent with a right upper lobe infiltrate caused by pneumonia."
        },
        {
            "image_id": "1810_1",
            "caption": "The findings from the x-ray show that the heart is a normal size and the mediastinum looks normal. There are no signs of pleural effusion, pneumothorax or focal airspace disease. Based on these findings, the impression is that there is no acute cardiopulmonary abnormality present. It is important to note that this information should be discussed and interpreted by a medical professional."
        },
        {
            "image_id": "1810_2",
            "caption": "The findings from the x-ray show that the heart is a normal size and the mediastinum looks normal. There are no signs of pleural effusion, pneumothorax or focal airspace disease. Based on these findings, the impression is that there is no acute cardiopulmonary abnormality present. It is important to note that this information should be discussed and interpreted by a medical professional."
        },
        {
            "image_id": "1804_1",
            "caption": "The finding on the x-ray image shows that the heart size, mediastinal contour, and pulmonary vascularity are all normal. However, a right chest tube with central venous catheter tip overlying the high SVC is present. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax can be observed, and the visualized osseous structures appear to be intact. Based on these findings, the impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1804_2",
            "caption": "The finding on the x-ray image shows that the heart size, mediastinal contour, and pulmonary vascularity are all normal. However, a right chest tube with central venous catheter tip overlying the high SVC is present. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax can be observed, and the visualized osseous structures appear to be intact. Based on these findings, the impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "348_1",
            "caption": "The findings indicate a normal heart size and mediastinal contour, clear lungs with normal pulmonary vascularity, and no pleural effusions or pneumothoraces. Additionally, minimal degenerative changes in the thoracic spine were observed. As per the impression, there is no sign of acute cardiopulmonary abnormality. Based on these results, the patient's overall condition appears to be optimal."
        },
        {
            "image_id": "348_2",
            "caption": "The findings indicate a normal heart size and mediastinal contour, clear lungs with normal pulmonary vascularity, and no pleural effusions or pneumothoraces. Additionally, minimal degenerative changes in the thoracic spine were observed. As per the impression, there is no sign of acute cardiopulmonary abnormality. Based on these results, the patient's overall condition appears to be optimal."
        },
        {
            "image_id": "3975_1",
            "caption": "The x-ray image shows no signs of focal consolidation or pneumothorax, and there are no large pleural effusions. The heart size and cardiomediastinal silhouette appear normal. Based on these findings, there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "3975_2",
            "caption": "The x-ray image shows no signs of focal consolidation or pneumothorax, and there are no large pleural effusions. The heart size and cardiomediastinal silhouette appear normal. Based on these findings, there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "1151_1",
            "caption": "The chest x-ray reveals a normal cardiomediastinal silhouette and a clear distribution of the pulmonary vascularity. There are no signs of effusion, consolidation, or pneumothorax present in the lungs. Based on these findings, the x-ray is considered stable without any acute cardiopulmonary issues."
        },
        {
            "image_id": "1151_2",
            "caption": "The chest x-ray reveals a normal cardiomediastinal silhouette and a clear distribution of the pulmonary vascularity. There are no signs of effusion, consolidation, or pneumothorax present in the lungs. Based on these findings, the x-ray is considered stable without any acute cardiopulmonary issues."
        },
        {
            "image_id": "2458_1",
            "caption": "The x-ray image of the chest shows a normal heart size and no focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild degenerative changes in the thoracic spine are observed. The overall impression is that there is no acute abnormality detected in the x-ray. It is important to follow up with a healthcare professional for any further concerns or questions about the results."
        },
        {
            "image_id": "2458_2",
            "caption": "The x-ray image of the chest shows a normal heart size and no focal pulmonary consolidation, pleural effusion, or pneumothorax. Mild degenerative changes in the thoracic spine are observed. The overall impression is that there is no acute abnormality detected in the x-ray. It is important to follow up with a healthcare professional for any further concerns or questions about the results."
        },
        {
            "image_id": "3746_1",
            "caption": "According to the findings, the previously placed stent has been removed and the cardiomediastinal silhouette appears normal. Mild atherosclerotic calcifications were observed in the aortic area, but there are no signs of focal consolidation, pneumothorax or effusion. The lung volumes are mildly low, however, there are no acute bony abnormalities. In the impression, it is mentioned that there are no cardiopulmonary abnormalities observed and the stent removal took place without any adverse developments."
        },
        {
            "image_id": "3746_2",
            "caption": "According to the findings, the previously placed stent has been removed and the cardiomediastinal silhouette appears normal. Mild atherosclerotic calcifications were observed in the aortic area, but there are no signs of focal consolidation, pneumothorax or effusion. The lung volumes are mildly low, however, there are no acute bony abnormalities. In the impression, it is mentioned that there are no cardiopulmonary abnormalities observed and the stent removal took place without any adverse developments."
        },
        {
            "image_id": "3020_1",
            "caption": "This x-ray image displays normal heart size and mediastinal contours, and visualized osseous structures appear intact without any acute bony abnormality. There are no consolidative airspace opacities, radiographic evidence of pleural effusion, or pneumothorax noticed. The impression indicates that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3020_2",
            "caption": "This x-ray image displays normal heart size and mediastinal contours, and visualized osseous structures appear intact without any acute bony abnormality. There are no consolidative airspace opacities, radiographic evidence of pleural effusion, or pneumothorax noticed. The impression indicates that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1637_1",
            "caption": "Upon examining the x-ray image, it was found that there were no acute osseous abnormalities present. However, there were mild degenerative changes in the thoracic spine. The heart was found to be enlarged, but it is stable. There were no signs of consolidation, pleural effusion or pneumothorax in the lungs. The impression derived from the image showed no acute radiographic cardiopulmonary process, which is a positive sign for the patient's health."
        },
        {
            "image_id": "1623_1",
            "caption": "According to the x-ray image, the cardiomediastinal contours appear normal and there is no evidence of pneumothorax, pleural effusions, or focal lung consolidation. The impression is that there is no acute abnormality present in the cardiopulmonary region. This indicates that the patient's heart and lungs are functioning within normal parameters."
        },
        {
            "image_id": "1623_2",
            "caption": "According to the x-ray image, the cardiomediastinal contours appear normal and there is no evidence of pneumothorax, pleural effusions, or focal lung consolidation. The impression is that there is no acute abnormality present in the cardiopulmonary region. This indicates that the patient's heart and lungs are functioning within normal parameters."
        },
        {
            "image_id": "3034_1",
            "caption": "The x-ray image shows that the cardiac and mediastinal contours are normal and the lungs are clear. Multilevel cervical arthritis is present. Despite this, there are no acute findings indicating any immediate abnormality."
        },
        {
            "image_id": "3034_2",
            "caption": "The x-ray image shows that the cardiac and mediastinal contours are normal and the lungs are clear. Multilevel cervical arthritis is present. Despite this, there are no acute findings indicating any immediate abnormality."
        },
        {
            "image_id": "1145_1",
            "caption": "According to the X-ray image, there is no evidence of any suspicious pulmonary mass or nodule, pleural effusion or pneumothorax. The heart size and mediastinal contour appear normal. The lungs, however, are hyperexpanded, which is suggestive of emphysema. Additionally, there is no focal air space consolidation. These findings indicate a possibility of underlying respiratory conditions and further evaluation by a healthcare professional is recommended."
        },
        {
            "image_id": "1145_2",
            "caption": "According to the X-ray image, there is no evidence of any suspicious pulmonary mass or nodule, pleural effusion or pneumothorax. The heart size and mediastinal contour appear normal. The lungs, however, are hyperexpanded, which is suggestive of emphysema. Additionally, there is no focal air space consolidation. These findings indicate a possibility of underlying respiratory conditions and further evaluation by a healthcare professional is recommended."
        },
        {
            "image_id": "2464_1",
            "caption": "According to the findings, the x-ray image indicates clear lungs with no evidence of pneumonia, suspicious nodules, or masses. The heart and pulmonary areas appear normal, and there are no abnormalities in the pleural spaces or mediastinal contours. The impression derived from the x-ray suggests no presence of acute cardiopulmonary disease. Thus, the x-ray results indicate a healthy image of the lungs and heart."
        },
        {
            "image_id": "2464_2",
            "caption": "According to the findings, the x-ray image indicates clear lungs with no evidence of pneumonia, suspicious nodules, or masses. The heart and pulmonary areas appear normal, and there are no abnormalities in the pleural spaces or mediastinal contours. The impression derived from the x-ray suggests no presence of acute cardiopulmonary disease. Thus, the x-ray results indicate a healthy image of the lungs and heart."
        },
        {
            "image_id": "2302_1",
            "caption": "The findings from the x-ray image indicate that the heart and mediastinal contours are normal in size and shape. The lungs are properly inflated with no signs of any focal airspace disease, pleural effusion, or pneumothorax. Furthermore, there is no evidence of acute osseous abnormality observed. Based on these findings, the impression from the x-ray indicates no signs of acute cardiopulmonary disease, including tuberculosis. Overall, the x-ray results suggest healthy cardiopulmonary function."
        },
        {
            "image_id": "2316_1",
            "caption": "Based on the findings, the x-ray image shows that the lungs are clear and the size and shape of the cardiomediastinal silhouette is normal. There is no evidence of pneumothorax or pleural effusion. The overall impression is negative, suggesting no signs of any chest-related issues. This indicates that the individual's chest is free from any acute pulmonary or cardiac process."
        },
        {
            "image_id": "2316_2",
            "caption": "Based on the findings, the x-ray image shows that the lungs are clear and the size and shape of the cardiomediastinal silhouette is normal. There is no evidence of pneumothorax or pleural effusion. The overall impression is negative, suggesting no signs of any chest-related issues. This indicates that the individual's chest is free from any acute pulmonary or cardiac process."
        },
        {
            "image_id": "1179_1",
            "caption": "Based on the x-ray image, the heart and pulmonary vascularity are normal. The lungs do not show any focal airspace disease, pleural effusion, or pneumothorax. Some bandlike opacities are visible on the lateral view, which indicate small areas of scarring. There are surgical clips present in the right upper quadrant of the abdomen, and degenerative changes are found in the spine. Overall, the impression is that there is no evidence of active disease. Take charge of your health by scheduling regular check-ups with your primary care physician and discussing any concerns you may have."
        },
        {
            "image_id": "1179_2",
            "caption": "Based on the x-ray image, the heart and pulmonary vascularity are normal. The lungs do not show any focal airspace disease, pleural effusion, or pneumothorax. Some bandlike opacities are visible on the lateral view, which indicate small areas of scarring. There are surgical clips present in the right upper quadrant of the abdomen, and degenerative changes are found in the spine. Overall, the impression is that there is no evidence of active disease. Take charge of your health by scheduling regular check-ups with your primary care physician and discussing any concerns you may have."
        },
        {
            "image_id": "2470_1",
            "caption": "The x-ray showed a normal size and shape heart with no widening in the mediastinal area. There is no evidence of focal airspace disease or large pleural effusion or pneumothorax. The chest structure is intact, and no acute abnormality was found. Overall, the x-ray showed a healthy chest with no urgent medical concerns."
        },
        {
            "image_id": "2470_2",
            "caption": "The x-ray showed a normal size and shape heart with no widening in the mediastinal area. There is no evidence of focal airspace disease or large pleural effusion or pneumothorax. The chest structure is intact, and no acute abnormality was found. Overall, the x-ray showed a healthy chest with no urgent medical concerns."
        },
        {
            "image_id": "2470_3",
            "caption": "The x-ray showed a normal size and shape heart with no widening in the mediastinal area. There is no evidence of focal airspace disease or large pleural effusion or pneumothorax. The chest structure is intact, and no acute abnormality was found. Overall, the x-ray showed a healthy chest with no urgent medical concerns."
        },
        {
            "image_id": "3829_1",
            "caption": "The x-ray image shows that there is stable moderate cardiomegaly with prominent central pulmonary vasculature. The mediastinal contours remain unchanged and there is improved left basilar atelectasis or infiltrate. Coarse central interstitial markings suggest stable prominence of central pulmonary vasculature. There is no visible pleural effusion or pneumothorax. Overall, the impression is of no acute abnormality but the stable cardiomegaly and pulmonary findings should be monitored by a healthcare professional."
        },
        {
            "image_id": "3829_2",
            "caption": "The x-ray image shows that there is stable moderate cardiomegaly with prominent central pulmonary vasculature. The mediastinal contours remain unchanged and there is improved left basilar atelectasis or infiltrate. Coarse central interstitial markings suggest stable prominence of central pulmonary vasculature. There is no visible pleural effusion or pneumothorax. Overall, the impression is of no acute abnormality but the stable cardiomegaly and pulmonary findings should be monitored by a healthcare professional."
        },
        {
            "image_id": "572_1",
            "caption": "Great news! According to the X-ray, both lungs are clear and expanded, with a normal heart and mediastinum. The impression indicates there is no active disease present. This X-ray shows a healthy and normal result."
        },
        {
            "image_id": "572_2",
            "caption": "Great news! According to the X-ray, both lungs are clear and expanded, with a normal heart and mediastinum. The impression indicates there is no active disease present. This X-ray shows a healthy and normal result."
        },
        {
            "image_id": "1780_1",
            "caption": "According to the finding, the lungs appear clear on both sides without any signs of focal infiltrates, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette also seems normal. As per the impression, there is no acute cardiopulmonary abnormality detected in the x-ray image. Overall, this suggests a healthy state of the lungs and heart."
        },
        {
            "image_id": "1780_2",
            "caption": "According to the finding, the lungs appear clear on both sides without any signs of focal infiltrates, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette also seems normal. As per the impression, there is no acute cardiopulmonary abnormality detected in the x-ray image. Overall, this suggests a healthy state of the lungs and heart."
        },
        {
            "image_id": "1958_1",
            "caption": "Based on the findings of the x-ray image, the lungs appear hyperaerated indicating the presence of chronic obstructive pulmonary disease. However, there is no sign of focal lung consolidation, pleural effusion or pneumothorax, and the heart is not enlarged. Postsurgical changes with mediastinal clips are evident, but otherwise, soft tissue appears unremarkable. The impression drawn from this is that there is no acute abnormality, but the presence of COPD warrants further attention and treatment."
        },
        {
            "image_id": "1958_2",
            "caption": "Based on the findings of the x-ray image, the lungs appear hyperaerated indicating the presence of chronic obstructive pulmonary disease. However, there is no sign of focal lung consolidation, pleural effusion or pneumothorax, and the heart is not enlarged. Postsurgical changes with mediastinal clips are evident, but otherwise, soft tissue appears unremarkable. The impression drawn from this is that there is no acute abnormality, but the presence of COPD warrants further attention and treatment."
        },
        {
            "image_id": "2289_1",
            "caption": "According to the findings on the x-ray, the lungs are clear except for the blunting of the left costophrenic which indicates a small left pleural effusion and associated airspace disease. The right lung is clear, but there are sequelae of old granulomatous disease. The heart size is at the upper limits of normal, and there are degenerative changes in the spine. The impression derived from these findings suggests that there is a small left pleural effusion with associated airspace disease, and the heart size is at the upper limits of normal. Further evaluation and treatment may be necessary for a complete recovery."
        },
        {
            "image_id": "2289_2",
            "caption": "According to the findings on the x-ray, the lungs are clear except for the blunting of the left costophrenic which indicates a small left pleural effusion and associated airspace disease. The right lung is clear, but there are sequelae of old granulomatous disease. The heart size is at the upper limits of normal, and there are degenerative changes in the spine. The impression derived from these findings suggests that there is a small left pleural effusion with associated airspace disease, and the heart size is at the upper limits of normal. Further evaluation and treatment may be necessary for a complete recovery."
        },
        {
            "image_id": "3183_1",
            "caption": "The x-ray image shows no acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs are clear, indicating a healthy respiratory system. Overall, the x-ray suggests no serious health issues."
        },
        {
            "image_id": "3183_2",
            "caption": "The x-ray image shows no acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs are clear, indicating a healthy respiratory system. Overall, the x-ray suggests no serious health issues."
        },
        {
            "image_id": "1794_1",
            "caption": "The x-ray shows no signs of focal lung consolidation, pneumothorax or pleural effusion. The heart size and pulmonary vascularity are normal, and the osseous structures appear intact. The impression is that there is no acute cardiopulmonary process detected. Overall, the findings suggest a healthy state of the chest and lungs."
        },
        {
            "image_id": "1794_2",
            "caption": "The x-ray shows no signs of focal lung consolidation, pneumothorax or pleural effusion. The heart size and pulmonary vascularity are normal, and the osseous structures appear intact. The impression is that there is no acute cardiopulmonary process detected. Overall, the findings suggest a healthy state of the chest and lungs."
        },
        {
            "image_id": "200_1",
            "caption": "Based on the findings from the X-ray image, the heart size and pulmonary vascularity are normal, with clear lung fields and no visible pleural effusion or pneumothorax. The impression drawn from the X-ray indicates no evidence of active disease, promoting a healthy cardiopulmonary system."
        },
        {
            "image_id": "200_2",
            "caption": "Based on the findings from the X-ray image, the heart size and pulmonary vascularity are normal, with clear lung fields and no visible pleural effusion or pneumothorax. The impression drawn from the X-ray indicates no evidence of active disease, promoting a healthy cardiopulmonary system."
        },
        {
            "image_id": "228_1",
            "caption": "The X-ray shows that there is no evidence of acute cardiopulmonary abnormality. The heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax detected, and visualized osseous structures appear to be intact. However, surgical intervention is noted in the right upper quadrant of the body. Additionally, subcutaneous emphysema is seen along the neck bilaterally, right lateral upper abdomen, and left chest. It is important to monitor the subcutaneous emphysema in these areas to avoid any potential complications."
        },
        {
            "image_id": "228_2",
            "caption": "The X-ray shows that there is no evidence of acute cardiopulmonary abnormality. The heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax detected, and visualized osseous structures appear to be intact. However, surgical intervention is noted in the right upper quadrant of the body. Additionally, subcutaneous emphysema is seen along the neck bilaterally, right lateral upper abdomen, and left chest. It is important to monitor the subcutaneous emphysema in these areas to avoid any potential complications."
        },
        {
            "image_id": "1964_1",
            "caption": "As per the findings of the x-ray, the heart size and mediastinal contours are normal, and the pulmonary vascularity is also within the normal range. Additionally, no signs of unusual pulmonary opacity, pneumonia, or pleural effusion are identified. The osseous structures appear intact as well. Based on the above observations, there are no signs of any acute cardiopulmonary abnormality in the x-ray image. This indicates the person's overall health is in good condition."
        },
        {
            "image_id": "1964_2",
            "caption": "As per the findings of the x-ray, the heart size and mediastinal contours are normal, and the pulmonary vascularity is also within the normal range. Additionally, no signs of unusual pulmonary opacity, pneumonia, or pleural effusion are identified. The osseous structures appear intact as well. Based on the above observations, there are no signs of any acute cardiopulmonary abnormality in the x-ray image. This indicates the person's overall health is in good condition."
        },
        {
            "image_id": "1970_1",
            "caption": "The x-ray shows borderline cardiomegaly without heart failure. There is no evidence of focal consolidation, pneumothorax or large pleural effusion. The right base calcified granuloma and stable right infrahilar nodular density (lateral view) are noted. There is also no acute bone abnormality found."
        },
        {
            "image_id": "1970_2",
            "caption": "The x-ray shows borderline cardiomegaly without heart failure. There is no evidence of focal consolidation, pneumothorax or large pleural effusion. The right base calcified granuloma and stable right infrahilar nodular density (lateral view) are noted. There is also no acute bone abnormality found."
        },
        {
            "image_id": "3801_1",
            "caption": "The chest X-ray shows midline sternotomy and mediastinal clips, indicating prior coronary artery bypass grafting. The heart is enlarged with unfolding of the aorta, suggesting cardiomegaly. Interstitial markings are prominent with fluid in the fissures, indicating interstitial pulmonary edema. However, there are no signs of focal airspace opacity, large pleural effusion, or pneumothorax. Multilevel degenerative spine changes are also present. Based on these findings, the impression is borderline heart failure with interstitial pulmonary edema. A follow-up evaluation is recommended to monitor the patient's condition."
        },
        {
            "image_id": "1025_1",
            "caption": "Upon examination of the x-ray image, it is noted that the cardiomediastinal silhouette is within normal size and contour. No focal consolidation, pneumothorax or large pleural effusion were observed, except for a calcified granuloma on the right base. As confirmed by the impression, the x-ray was negative for acute abnormality."
        },
        {
            "image_id": "1025_2",
            "caption": "Upon examination of the x-ray image, it is noted that the cardiomediastinal silhouette is within normal size and contour. No focal consolidation, pneumothorax or large pleural effusion were observed, except for a calcified granuloma on the right base. As confirmed by the impression, the x-ray was negative for acute abnormality."
        },
        {
            "image_id": "3632_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours. There is a calcified aortic area and opacities in the left lung base with accompanying atelectasis. A lateral view reveals a small left pleural effusion. There is no evidence of focal airspace consolidation or pneumothorax, and the bilateral apical pleural capping is stable. The overall impression from the x-ray is of a small left pleural effusion."
        },
        {
            "image_id": "3632_2",
            "caption": "The x-ray shows normal heart size and mediastinal contours. There is a calcified aortic area and opacities in the left lung base with accompanying atelectasis. A lateral view reveals a small left pleural effusion. There is no evidence of focal airspace consolidation or pneumothorax, and the bilateral apical pleural capping is stable. The overall impression from the x-ray is of a small left pleural effusion."
        },
        {
            "image_id": "3154_1",
            "caption": "This x-ray image shows severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs appear chronically hypoinflated and there is limited visualization of the hemidiaphragms, possibly due to mild bibasilar airspace disease/atelectasis. However, there is no evidence of pneumothorax or large pleural effusion. The impression suggests low lung volumes with a markedly limited exam but without any significant interval change."
        },
        {
            "image_id": "3154_2",
            "caption": "This x-ray image shows severe dextroscoliosis of the thoracic spine with chronic deformity of the bilateral ribs. The lungs appear chronically hypoinflated and there is limited visualization of the hemidiaphragms, possibly due to mild bibasilar airspace disease/atelectasis. However, there is no evidence of pneumothorax or large pleural effusion. The impression suggests low lung volumes with a markedly limited exam but without any significant interval change."
        },
        {
            "image_id": "1743_1",
            "caption": "Upon evaluation of the x-ray image, it has been found that there are no acute findings present. Although, there is bronchovascular crowding without typical findings of pulmonary edema. In addition, the technical factors have shown stable cardiomegaly and stable mediastinal contours. Moreover, there is no focal alveolar consolidation and definite pleural effusion seen."
        },
        {
            "image_id": "1743_2",
            "caption": "Upon evaluation of the x-ray image, it has been found that there are no acute findings present. Although, there is bronchovascular crowding without typical findings of pulmonary edema. In addition, the technical factors have shown stable cardiomegaly and stable mediastinal contours. Moreover, there is no focal alveolar consolidation and definite pleural effusion seen."
        },
        {
            "image_id": "1757_1",
            "caption": "The x-ray shows a normal heart size and mediastinal contour, with clear lungs that have no nodules or masses, nor any visible pneumothorax or pleural fluid. The abdominal organs are also normal, with no visible free intraperitoneal air. The impression is that there is no acute radiographic cardiopulmonary process, which is good news for the patient's health. Overall, this x-ray image indicates a healthy state for the patient."
        },
        {
            "image_id": "2538_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours, and no abnormal airspace opacities or large cavitary lung lesions. The osseous structures appear unremarkable. The radiographic findings indicate no evidence of tuberculosis."
        },
        {
            "image_id": "2538_2",
            "caption": "The x-ray shows normal heart size and mediastinal contours, and no abnormal airspace opacities or large cavitary lung lesions. The osseous structures appear unremarkable. The radiographic findings indicate no evidence of tuberculosis."
        },
        {
            "image_id": "2510_1",
            "caption": "Based on the X-ray image, the lungs appear clear with no signs of pleural effusions or pneumothoraces. The heart and mediastinum are normal in size and contour, while the thoracic spine shows some degenerative changes. The overall impression is that the lungs are clear, which is a positive result."
        },
        {
            "image_id": "2510_2",
            "caption": "Based on the X-ray image, the lungs appear clear with no signs of pleural effusions or pneumothoraces. The heart and mediastinum are normal in size and contour, while the thoracic spine shows some degenerative changes. The overall impression is that the lungs are clear, which is a positive result."
        },
        {
            "image_id": "1019_1",
            "caption": "The x-ray findings show that the heart size and mediastinal contours are normal. However, there is a blunting of the right lateral costophrenic sulcus which could be due to a small effusion or scarring. Thankfully, there is no focal airspace consolidation or pneumothorax. The impression of the x-ray indicates that there is no acute bony abnormality and the blunting of the right costophrenic sulcus may require further investigation."
        },
        {
            "image_id": "1019_2",
            "caption": "The x-ray findings show that the heart size and mediastinal contours are normal. However, there is a blunting of the right lateral costophrenic sulcus which could be due to a small effusion or scarring. Thankfully, there is no focal airspace consolidation or pneumothorax. The impression of the x-ray indicates that there is no acute bony abnormality and the blunting of the right costophrenic sulcus may require further investigation."
        },
        {
            "image_id": "2276_1",
            "caption": "The radiograph was reviewed and showed low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature were within normal limits, and there was no evidence of pneumothorax or pleural effusion. Additionally, there were no focal areas of consolidation, and the impression concluded that there were no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2276_2",
            "caption": "The radiograph was reviewed and showed low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis. The cardiomediastinal silhouette and pulmonary vasculature were within normal limits, and there was no evidence of pneumothorax or pleural effusion. Additionally, there were no focal areas of consolidation, and the impression concluded that there were no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3168_1",
            "caption": "The x-ray showed a normal heart size and mediastinal contours. There was no focal airspace consolidation, pleural effusion or pneumothorax. However, there were chronic appearing left lateral rib deformities and interval development of healing left sided rib fractures. The impression suggested no acute cardiopulmonary abnormality but the development of the healing fractures. Overall, the x-ray revealed no significant cardiopulmonary issues but did indicate a prior injury requiring attention."
        },
        {
            "image_id": "3168_2",
            "caption": "The x-ray showed a normal heart size and mediastinal contours. There was no focal airspace consolidation, pleural effusion or pneumothorax. However, there were chronic appearing left lateral rib deformities and interval development of healing left sided rib fractures. The impression suggested no acute cardiopulmonary abnormality but the development of the healing fractures. Overall, the x-ray revealed no significant cardiopulmonary issues but did indicate a prior injury requiring attention."
        },
        {
            "image_id": "2262_1",
            "caption": "The x-ray shows a right basilar airspace opacity, but the heart size and mediastinal silhouette are normal. There are no signs of pneumothorax or pleural effusions, and the ribs are intact. Based on these findings, the impression is that there is a right basilar airspace opacity present. Further evaluation may be necessary to determine the cause of this opacity."
        },
        {
            "image_id": "2262_2",
            "caption": "The x-ray shows a right basilar airspace opacity, but the heart size and mediastinal silhouette are normal. There are no signs of pneumothorax or pleural effusions, and the ribs are intact. Based on these findings, the impression is that there is a right basilar airspace opacity present. Further evaluation may be necessary to determine the cause of this opacity."
        },
        {
            "image_id": "2504_1",
            "caption": "The chest x-ray shows no concerning areas of consolidation or suspicious bony opacities. The heart size appears normal and there are no signs of pleural effusions or pneumothorax. Overall, the interpretation of the x-ray is that there are no acute cardiopulmonary abnormalities to report."
        },
        {
            "image_id": "2504_2",
            "caption": "The chest x-ray shows no concerning areas of consolidation or suspicious bony opacities. The heart size appears normal and there are no signs of pleural effusions or pneumothorax. Overall, the interpretation of the x-ray is that there are no acute cardiopulmonary abnormalities to report."
        },
        {
            "image_id": "1582_1",
            "caption": "The x-ray image shows that both lungs are clear and expanded, and the heart and mediastinum are normal. There is no active disease present. This is a positive indication of normal cardiopulmonary health."
        },
        {
            "image_id": "1582_2",
            "caption": "The x-ray image shows that both lungs are clear and expanded, and the heart and mediastinum are normal. There is no active disease present. This is a positive indication of normal cardiopulmonary health."
        },
        {
            "image_id": "770_1",
            "caption": "The patient's chest X-ray shows a normal cardiac size, mediastinal contour, and pulmonary vascularity. There are no signs of focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax, and the osseous structures appear intact. Based on these findings, there are no acute cardiopulmonary abnormalities detected. Overall, the X-ray suggests that the patient's respiratory and cardiovascular systems are functioning well."
        },
        {
            "image_id": "770_2",
            "caption": "The patient's chest X-ray shows a normal cardiac size, mediastinal contour, and pulmonary vascularity. There are no signs of focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax, and the osseous structures appear intact. Based on these findings, there are no acute cardiopulmonary abnormalities detected. Overall, the X-ray suggests that the patient's respiratory and cardiovascular systems are functioning well."
        },
        {
            "image_id": "2935_1",
            "caption": "Upon review of the given X-ray image, scoliosis and focal eventration of the posterior left hemidiaphragm were observed. There were no signs of focal alveolar consolidation or definite pleural effusion. Although the image appeared to be in a rotated position, considering technical factors, the heart size was within normal limits. The left bronchovascular crowding was present, without typical findings of pulmonary edema. Additionally, an exaggerated kyphosis with increased AP dimension of the thorax was noticed. The impression derived from this image suggests no acute cardiopulmonary findings."
        },
        {
            "image_id": "2935_2",
            "caption": "Upon review of the given X-ray image, scoliosis and focal eventration of the posterior left hemidiaphragm were observed. There were no signs of focal alveolar consolidation or definite pleural effusion. Although the image appeared to be in a rotated position, considering technical factors, the heart size was within normal limits. The left bronchovascular crowding was present, without typical findings of pulmonary edema. Additionally, an exaggerated kyphosis with increased AP dimension of the thorax was noticed. The impression derived from this image suggests no acute cardiopulmonary findings."
        },
        {
            "image_id": "2921_1",
            "caption": "According to the finding, there are minimal signs of left costophrenic airspace disease and/or pleural effusion on the x-ray image. However, the lungs are otherwise clear, with no pneumothorax detected, and the heart and mediastinum appear stable with a normal sized heart. Additionally, there is tortuosity and ectasia of the aorta, as well as degenerative changes in the spine. The impression further confirms the presence of minimal left costophrenic airspace disease and/or pleural effusion."
        },
        {
            "image_id": "764_1",
            "caption": "The x-ray image shows a normal sized and shaped cardiomediastinal silhouette with no signs of focal consolidation, pneumothorax or large pleural effusion. The radiologist's impression is negative for any acute abnormality. This indicates that the patient's chest x-ray is within normal limits and does not show any concerning findings. It is important for the patient to continue with regular check-ups to ensure optimal health."
        },
        {
            "image_id": "764_2",
            "caption": "The x-ray image shows a normal sized and shaped cardiomediastinal silhouette with no signs of focal consolidation, pneumothorax or large pleural effusion. The radiologist's impression is negative for any acute abnormality. This indicates that the patient's chest x-ray is within normal limits and does not show any concerning findings. It is important for the patient to continue with regular check-ups to ensure optimal health."
        },
        {
            "image_id": "1596_1",
            "caption": "The chest x-ray shows a normal heart and clear lungs with no evidence of pneumothorax or pleural effusion. A stable calcified granuloma is present in the left midlung. The midline trachea is intact. Overall, a normal chest exam is found."
        },
        {
            "image_id": "1596_2",
            "caption": "The chest x-ray shows a normal heart and clear lungs with no evidence of pneumothorax or pleural effusion. A stable calcified granuloma is present in the left midlung. The midline trachea is intact. Overall, a normal chest exam is found."
        },
        {
            "image_id": "2909_1",
            "caption": "The x-ray shows patchy airspace disease in the left lung, specifically in the lingula, but the right lung is clear. The heart size is normal, and there are granulomatous mediastinal calcifications present. No significant effusion is observed. The impression suggests that pneumonia is in the potential diagnosis, so follow-up in 4 to 6 weeks should be considered to ensure resolution. This finding and impression highlight the importance of regular x-ray monitoring for any changes in lung health."
        },
        {
            "image_id": "2909_2",
            "caption": "The x-ray shows patchy airspace disease in the left lung, specifically in the lingula, but the right lung is clear. The heart size is normal, and there are granulomatous mediastinal calcifications present. No significant effusion is observed. The impression suggests that pneumonia is in the potential diagnosis, so follow-up in 4 to 6 weeks should be considered to ensure resolution. This finding and impression highlight the importance of regular x-ray monitoring for any changes in lung health."
        },
        {
            "image_id": "994_1",
            "caption": "Great news! The x-ray image shows clear lungs and a normal cardiomediastinal silhouette, with no evidence of pneumothorax or pleural effusion. The impression is negative, indicating that there are no abnormalities detected in the chest. This is a promising result and should provide peace of mind."
        },
        {
            "image_id": "994_2",
            "caption": "Great news! The x-ray image shows clear lungs and a normal cardiomediastinal silhouette, with no evidence of pneumothorax or pleural effusion. The impression is negative, indicating that there are no abnormalities detected in the chest. This is a promising result and should provide peace of mind."
        },
        {
            "image_id": "758_1",
            "caption": "According to the findings of the X-ray, the heart size is normal and the lungs are clear with no signs of large pleural effusion or pneumothorax. Overall, there is no evidence of acute cardiopulmonary abnormality. This suggests a healthy state of the chest and lungs."
        },
        {
            "image_id": "758_2",
            "caption": "According to the findings of the X-ray, the heart size is normal and the lungs are clear with no signs of large pleural effusion or pneumothorax. Overall, there is no evidence of acute cardiopulmonary abnormality. This suggests a healthy state of the chest and lungs."
        },
        {
            "image_id": "980_1",
            "caption": "According to the x-ray findings, the heart size and mediastinal contours appear normal and the pulmonary vascularity is within normal limits. There is no sign of focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Additionally, the visualized osseous structures appear intact. Based on these findings, there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "980_2",
            "caption": "According to the x-ray findings, the heart size and mediastinal contours appear normal and the pulmonary vascularity is within normal limits. There is no sign of focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. Additionally, the visualized osseous structures appear intact. Based on these findings, there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "3356_1",
            "caption": "The lungs are clear bilaterally, and a calcified granuloma is noted in the right midlung. The heart size is within normal limits, and no acute bony abnormality is identified. Overall, there is no acute cardiopulmonary abnormality present on the x-ray image."
        },
        {
            "image_id": "2048_1",
            "caption": "Based on the x-ray image, it has been found that the lungs and pleural spaces appear normal without any acute abnormality. There are stable calcified granulomas in the right lower lobe, and a thin scar in the lingular region which remains unchanged. The size of the heart and the pulmonary vascularity is within normal range. Additionally, surgical clips in the right upper quadrant are also visible. Overall, it has been concluded that there is no acute pulmonary abnormality detected in the x-ray image."
        },
        {
            "image_id": "2048_2",
            "caption": "Based on the x-ray image, it has been found that the lungs and pleural spaces appear normal without any acute abnormality. There are stable calcified granulomas in the right lower lobe, and a thin scar in the lingular region which remains unchanged. The size of the heart and the pulmonary vascularity is within normal range. Additionally, surgical clips in the right upper quadrant are also visible. Overall, it has been concluded that there is no acute pulmonary abnormality detected in the x-ray image."
        },
        {
            "image_id": "3430_1",
            "caption": "Upon review of the x-ray image, the heart appeared mildly to moderately enlarged, accompanied by vascular cephalization. No significant interstitial changes of pulmonary edema or focal alveolar consolidation were observed. However, a dual-lumen catheter was present near the caval atrial junction, and no pleural effusion was demonstrated. Based on these findings, the impression was a diagnosis of mild to moderate cardiomegaly with vascular redistribution without definite indications of pulmonary edema."
        },
        {
            "image_id": "3430_2",
            "caption": "Upon review of the x-ray image, the heart appeared mildly to moderately enlarged, accompanied by vascular cephalization. No significant interstitial changes of pulmonary edema or focal alveolar consolidation were observed. However, a dual-lumen catheter was present near the caval atrial junction, and no pleural effusion was demonstrated. Based on these findings, the impression was a diagnosis of mild to moderate cardiomegaly with vascular redistribution without definite indications of pulmonary edema."
        },
        {
            "image_id": "1233_1",
            "caption": "The x-ray image reveals an enlarged cardiomediastinal silhouette and low lung volumes. This is accompanied by a relative elevation of the right hemidiaphragm without any acute bone abnormality. Furthermore, there is minimal left basilar scarring/atelectasis present. Focal consolidation, pneumothorax, or large pleural effusion have been ruled out. Cardiomegaly without heart failure is also observed."
        },
        {
            "image_id": "1233_2",
            "caption": "The x-ray image reveals an enlarged cardiomediastinal silhouette and low lung volumes. This is accompanied by a relative elevation of the right hemidiaphragm without any acute bone abnormality. Furthermore, there is minimal left basilar scarring/atelectasis present. Focal consolidation, pneumothorax, or large pleural effusion have been ruled out. Cardiomegaly without heart failure is also observed."
        },
        {
            "image_id": "3424_1",
            "caption": "The results of the radiographic cardiopulmonary assessment demonstrate a normal heart size and mediastinal contour. However, multiple calcified granulomas are observed within the left lower lobe, but no focal infiltrates, nodules, or masses are present. Additionally, there is no visible pneumothorax or pleural fluid, and the lungs. There is also no indication of free intraperitoneal air under the diaphragm. Overall, the imaging findings indicate the absence of an acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3424_2",
            "caption": "The results of the radiographic cardiopulmonary assessment demonstrate a normal heart size and mediastinal contour. However, multiple calcified granulomas are observed within the left lower lobe, but no focal infiltrates, nodules, or masses are present. Additionally, there is no visible pneumothorax or pleural fluid, and the lungs. There is also no indication of free intraperitoneal air under the diaphragm. Overall, the imaging findings indicate the absence of an acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3342_1",
            "caption": "The x-ray shows patchy interstitial infiltrates in both the right and left lower lobes that have remained stable. There are no other infiltrates visible. The heart remains enlarged and a tracheostomy tube is in place. The tip of the right central line is located at the superior vena cava. Overall, the x-ray indicates persistent cardiomegaly and patchy bibasilar interstitial disease."
        },
        {
            "image_id": "3342_2",
            "caption": "The x-ray shows patchy interstitial infiltrates in both the right and left lower lobes that have remained stable. There are no other infiltrates visible. The heart remains enlarged and a tracheostomy tube is in place. The tip of the right central line is located at the superior vena cava. Overall, the x-ray indicates persistent cardiomegaly and patchy bibasilar interstitial disease."
        },
        {
            "image_id": "1555_1",
            "caption": "A chest x-ray was taken and showed no signs of enlarged heart or mediastinal contours. The lungs also appeared normal with no effusion or pneumothorax. The right hemidiaphragm was elevated with evidence of a right upper lobectomy, but no acute cardiopulmonary disease was present."
        },
        {
            "image_id": "1555_2",
            "caption": "A chest x-ray was taken and showed no signs of enlarged heart or mediastinal contours. The lungs also appeared normal with no effusion or pneumothorax. The right hemidiaphragm was elevated with evidence of a right upper lobectomy, but no acute cardiopulmonary disease was present."
        },
        {
            "image_id": "2074_1",
            "caption": "The x-ray image shows low lung volumes with stable ectasia of the thoracic aorta. Bilateral small pleural effusions and bibasilar airspace opacities are evident, but there is no pneumothorax. The heart size and mediastinal silhouette are within normal limits for contour while stable wedging of the anterior thoracic vertebral bodies is observed. The impression suggests bilateral small pleural effusions and associated atelectasis, and a stable right upper mediastinal opacity consistent with thyromegaly, commonly known as a goiter. Overall, this x-ray indicates the presence of some respiratory issues, but no acute cardiopulmonary disease is noted."
        },
        {
            "image_id": "2074_2",
            "caption": "The x-ray image shows low lung volumes with stable ectasia of the thoracic aorta. Bilateral small pleural effusions and bibasilar airspace opacities are evident, but there is no pneumothorax. The heart size and mediastinal silhouette are within normal limits for contour while stable wedging of the anterior thoracic vertebral bodies is observed. The impression suggests bilateral small pleural effusions and associated atelectasis, and a stable right upper mediastinal opacity consistent with thyromegaly, commonly known as a goiter. Overall, this x-ray indicates the presence of some respiratory issues, but no acute cardiopulmonary disease is noted."
        },
        {
            "image_id": "957_1",
            "caption": "The x-ray image shows a normal-sized heart and clear lungs without any focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures appear intact, but there are degenerative changes observed in the bilateral hips and left acromioclavicular joint. Moreover, there is soft tissue opacity in the right upper extremity, suggesting possible inflammation or injury in that area. Overall, no acute cardiopulmonary findings are present."
        },
        {
            "image_id": "957_2",
            "caption": "The x-ray image shows a normal-sized heart and clear lungs without any focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures appear intact, but there are degenerative changes observed in the bilateral hips and left acromioclavicular joint. Moreover, there is soft tissue opacity in the right upper extremity, suggesting possible inflammation or injury in that area. Overall, no acute cardiopulmonary findings are present."
        },
        {
            "image_id": "2706_1",
            "caption": "Based on the X-ray image, the lungs are clear with no signs of pleural effusion, and the heart and mediastinum are normal. However, the spine and both joints show arthritic changes. Overall, there are no indications of active disease. It's important to continue monitoring these arthritic changes and seek medical advice for appropriate management."
        },
        {
            "image_id": "2706_2",
            "caption": "Based on the X-ray image, the lungs are clear with no signs of pleural effusion, and the heart and mediastinum are normal. However, the spine and both joints show arthritic changes. Overall, there are no indications of active disease. It's important to continue monitoring these arthritic changes and seek medical advice for appropriate management."
        },
        {
            "image_id": "3418_1",
            "caption": "The x-ray image shows prominent interstitial markings, which may represent bronchiolitis. Fortunately, there are no focal areas of consolidation or suspicious pulmonary opacities. The heart is within normal limits, and there is no evidence of pneumothorax or pleural effusions. The overall impression is that there is no active disease to be concerned about."
        },
        {
            "image_id": "3418_2",
            "caption": "The x-ray image shows prominent interstitial markings, which may represent bronchiolitis. Fortunately, there are no focal areas of consolidation or suspicious pulmonary opacities. The heart is within normal limits, and there is no evidence of pneumothorax or pleural effusions. The overall impression is that there is no active disease to be concerned about."
        },
        {
            "image_id": "943_1",
            "caption": "According to the x-ray image, the heart size, cardiomediastinal silhouette, and pulmonary vasculature all appear to be within normal limits. Additionally, there are no infiltrates, effusions, or pneumothorax observed. Based on these findings, there is no evidence of an acute cardiopulmonary process present in the individual."
        },
        {
            "image_id": "943_2",
            "caption": "According to the x-ray image, the heart size, cardiomediastinal silhouette, and pulmonary vasculature all appear to be within normal limits. Additionally, there are no infiltrates, effusions, or pneumothorax observed. Based on these findings, there is no evidence of an acute cardiopulmonary process present in the individual."
        },
        {
            "image_id": "1569_1",
            "caption": "On examination of the x-ray, the lungs are found to be clear with no signs of pleural effusion. The heart and mediastinum appear normal, and the skeletal structures show arthritic changes. Based on the findings, there is no acute pulmonary disease observed. This indicates a healthy cardiopulmonary system with only minor age-related changes in the skeletal structures."
        },
        {
            "image_id": "1569_2",
            "caption": "On examination of the x-ray, the lungs are found to be clear with no signs of pleural effusion. The heart and mediastinum appear normal, and the skeletal structures show arthritic changes. Based on the findings, there is no acute pulmonary disease observed. This indicates a healthy cardiopulmonary system with only minor age-related changes in the skeletal structures."
        },
        {
            "image_id": "2060_1",
            "caption": "The chest X-ray reveals a prominence of the left hilum, which could be due to adenopathy or engorged pulmonary vasculature. However, the cardiac silhouette is normal and there is no evidence of pneumothorax or pleural effusion. The X-ray also shows no acute bone abnormality. As per the impression, a chest CT with contrast may be helpful to further investigate and clarify the condition. It is important to consult with a medical professional to determine the appropriate course of action."
        },
        {
            "image_id": "2060_2",
            "caption": "The chest X-ray reveals a prominence of the left hilum, which could be due to adenopathy or engorged pulmonary vasculature. However, the cardiac silhouette is normal and there is no evidence of pneumothorax or pleural effusion. The X-ray also shows no acute bone abnormality. As per the impression, a chest CT with contrast may be helpful to further investigate and clarify the condition. It is important to consult with a medical professional to determine the appropriate course of action."
        },
        {
            "image_id": "942_1",
            "caption": "On the x-ray image, the heart size and pulmonary vascularity were found to be well within normal range, and there were no signs of focal airspace disease, pleural effusion or pneumothorax. Vascular calcification was noticed, but no adenopathy was seen. The impression states that there is no evidence of active disease. Overall, the x-ray appears to be normal with no significant abnormalities."
        },
        {
            "image_id": "942_2",
            "caption": "On the x-ray image, the heart size and pulmonary vascularity were found to be well within normal range, and there were no signs of focal airspace disease, pleural effusion or pneumothorax. Vascular calcification was noticed, but no adenopathy was seen. The impression states that there is no evidence of active disease. Overall, the x-ray appears to be normal with no significant abnormalities."
        },
        {
            "image_id": "2061_1",
            "caption": "Upon examination of the x-ray image, it was found that the heart and mediastinum appeared normal and the lungs were clear without any signs of infiltrate, effusion or pneumothorax. The impression drawn from these findings is that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "2061_2",
            "caption": "Upon examination of the x-ray image, it was found that the heart and mediastinum appeared normal and the lungs were clear without any signs of infiltrate, effusion or pneumothorax. The impression drawn from these findings is that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "1568_1",
            "caption": "Upon examining the x-ray image, it was found that the heart is of regular size, and the mediastinum appears normal. The lungs, while hypoinflated, are still clear of any abnormalities. The impression made by this analysis is that there is no immediate presence of disease or illness. It is important to continue to monitor and maintain the patient's health to prevent any potential risks."
        },
        {
            "image_id": "1568_2",
            "caption": "Upon examining the x-ray image, it was found that the heart is of regular size, and the mediastinum appears normal. The lungs, while hypoinflated, are still clear of any abnormalities. The impression made by this analysis is that there is no immediate presence of disease or illness. It is important to continue to monitor and maintain the patient's health to prevent any potential risks."
        },
        {
            "image_id": "2075_1",
            "caption": "Based on the examination of the chest X-ray, the cardiomediastinal silhouette is within normal limits in terms of size and shape. There are no signs of focal consolidation, pneumothorax, or significant pleural effusion. Therefore, the impression is negative for acute abnormalities. Overall, the chest X-ray appears to be normal and indicates that there is no acute disease present."
        },
        {
            "image_id": "2075_2",
            "caption": "Based on the examination of the chest X-ray, the cardiomediastinal silhouette is within normal limits in terms of size and shape. There are no signs of focal consolidation, pneumothorax, or significant pleural effusion. Therefore, the impression is negative for acute abnormalities. Overall, the chest X-ray appears to be normal and indicates that there is no acute disease present."
        },
        {
            "image_id": "2713_1",
            "caption": "The findings indicate that the heart is normal in size and contour, but the aorta appears calcified and tortuous. The lung volumes are low, with minimal streaky opacities in the lung bases and subsegmental atelectasis present. The right hemidiaphragm is elevated, but there is no pleural effusion or pneumothorax observed. The impression notes a low lung volume study with stable chest and minimal bibasilar atelectasis. This suggests that there are no acute abnormalities, but the patient may require further monitoring or treatment for the identified issues in their cardiovascular and respiratory systems."
        },
        {
            "image_id": "2713_2",
            "caption": "The findings indicate that the heart is normal in size and contour, but the aorta appears calcified and tortuous. The lung volumes are low, with minimal streaky opacities in the lung bases and subsegmental atelectasis present. The right hemidiaphragm is elevated, but there is no pleural effusion or pneumothorax observed. The impression notes a low lung volume study with stable chest and minimal bibasilar atelectasis. This suggests that there are no acute abnormalities, but the patient may require further monitoring or treatment for the identified issues in their cardiovascular and respiratory systems."
        },
        {
            "image_id": "956_1",
            "caption": "The x-ray shows a stable mild cardiomegaly and increased lung vascularity, but clear lungs. Overall, the x-ray reveals no significant abnormalities and indicates stable chest health."
        },
        {
            "image_id": "1232_1",
            "caption": "The X-ray shows a stable left chest cardiac generator with 2 distal leads in the right atrium and right ventricle, and a normal heart size. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease. Emphysema and stable calcified granulomas are present, and bony structures appear intact. The overall impression is that there are no acute cardiopulmonary findings, but there is evidence of emphysema. If you have any concerns about your lung health, it is recommended that you speak with your healthcare provider."
        },
        {
            "image_id": "1232_2",
            "caption": "The X-ray shows a stable left chest cardiac generator with 2 distal leads in the right atrium and right ventricle, and a normal heart size. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease. Emphysema and stable calcified granulomas are present, and bony structures appear intact. The overall impression is that there are no acute cardiopulmonary findings, but there is evidence of emphysema. If you have any concerns about your lung health, it is recommended that you speak with your healthcare provider."
        },
        {
            "image_id": "1554_1",
            "caption": "Based on the findings of the X-ray image, the heart appears to be of normal size and the mediastinum is unremarkable, indicating no abnormalities in the chest area. The lungs also appear clear with no signs of pneumothorax or pleural effusion. However, multilevel degenerative changes in the thoracic spine are observed. Despite this, the impression suggests that there is no acute disease present in the patient's condition. It is recommended to consult with a doctor, though, if any discomfort or pain is being experienced."
        },
        {
            "image_id": "1554_2",
            "caption": "Based on the findings of the X-ray image, the heart appears to be of normal size and the mediastinum is unremarkable, indicating no abnormalities in the chest area. The lungs also appear clear with no signs of pneumothorax or pleural effusion. However, multilevel degenerative changes in the thoracic spine are observed. Despite this, the impression suggests that there is no acute disease present in the patient's condition. It is recommended to consult with a doctor, though, if any discomfort or pain is being experienced."
        },
        {
            "image_id": "3343_1",
            "caption": "The findings of the X-ray image show that both the heart and the mediastinum are of normal size and appearance. The lungs are clear and properly inflated, indicating the absence of any focal airspace disease, pleural effusion or pneumothorax. Additionally, there are no acute bone abnormalities detected in the thoracic area. Overall, the impression is that no acute cardiopulmonary process is present."
        },
        {
            "image_id": "3357_1",
            "caption": "Upon analyzing the X-ray image, it was observed that the heart and lungs appear to have no abnormalities in the interval. Both lungs were found to be clear and fully expanded with a normal heart and mediastinum. Further, the impression drawn from this observation suggests that there are no signs of active disease. Overall, the X-ray image displays normal cardiopulmonary health."
        },
        {
            "image_id": "3357_2",
            "caption": "Upon analyzing the X-ray image, it was observed that the heart and lungs appear to have no abnormalities in the interval. Both lungs were found to be clear and fully expanded with a normal heart and mediastinum. Further, the impression drawn from this observation suggests that there are no signs of active disease. Overall, the X-ray image displays normal cardiopulmonary health."
        },
        {
            "image_id": "1540_1",
            "caption": "According to the findings, the heart and lungs appear to be normal with clear lungs and no signs of pneumothorax or pleural effusion. Additionally, there are no acute skeletal findings. The impression suggests that there are no immediate concerns in regards to the heart or lungs."
        },
        {
            "image_id": "1540_2",
            "caption": "According to the findings, the heart and lungs appear to be normal with clear lungs and no signs of pneumothorax or pleural effusion. Additionally, there are no acute skeletal findings. The impression suggests that there are no immediate concerns in regards to the heart or lungs."
        },
        {
            "image_id": "1226_1",
            "caption": "According to the X-ray image, the heart size is within normal limits and the trachea is midline with no pleural effusions or pneumothorax present. The cardiomediastinal contours appear normal, however, there is focal consolidation in the posterior segment of the right lower lobe indicating a right lower lobe pneumonia. No bony or soft tissue abnormalities were observed. Overall, it is suggested to seek medical attention for further evaluation and treatment."
        },
        {
            "image_id": "1226_2",
            "caption": "According to the X-ray image, the heart size is within normal limits and the trachea is midline with no pleural effusions or pneumothorax present. The cardiomediastinal contours appear normal, however, there is focal consolidation in the posterior segment of the right lower lobe indicating a right lower lobe pneumonia. No bony or soft tissue abnormalities were observed. Overall, it is suggested to seek medical attention for further evaluation and treatment."
        },
        {
            "image_id": "3431_1",
            "caption": "Upon review of the X-ray image, the heart appears to be of normal size and there are no indications of pneumothorax, pleural effusion, or focal airspace disease. Additionally, the bony structures appear to be grossly intact. Based on these findings, the impression is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3431_2",
            "caption": "Upon review of the X-ray image, the heart appears to be of normal size and there are no indications of pneumothorax, pleural effusion, or focal airspace disease. Additionally, the bony structures appear to be grossly intact. Based on these findings, the impression is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "759_1",
            "caption": "After reviewing the x-ray, it has been determined that the lungs are clear and the cardiomediastinal silhouette is within normal limits. While there is some ectasia of the thoracic aorta, no pleural effusion is identified, leading to the impression of a normal chest film. This information suggests that there are no acute cardiopulmonary abnormalities present in the patient's x-ray image."
        },
        {
            "image_id": "759_2",
            "caption": "After reviewing the x-ray, it has been determined that the lungs are clear and the cardiomediastinal silhouette is within normal limits. While there is some ectasia of the thoracic aorta, no pleural effusion is identified, leading to the impression of a normal chest film. This information suggests that there are no acute cardiopulmonary abnormalities present in the patient's x-ray image."
        },
        {
            "image_id": "995_1",
            "caption": "After an interval, sternotomy sutures and bypass grafts had been placed. The X-ray shows both lungs are clear and expanded with no infiltrates, and the pulmonary functions are normal. There is no acute disease, indicating a successful postoperative chest."
        },
        {
            "image_id": "995_2",
            "caption": "After an interval, sternotomy sutures and bypass grafts had been placed. The X-ray shows both lungs are clear and expanded with no infiltrates, and the pulmonary functions are normal. There is no acute disease, indicating a successful postoperative chest."
        },
        {
            "image_id": "2908_1",
            "caption": "Upon examination of the chest x-ray, the heart appears to be slightly enlarged but stable. The mediastinal contours are within the normal range. There are no signs of acute radiographic cardiopulmonary illness, such as focal airspace consolidation, pleural effusion, or pneumothorax. However, there are some chronic interstitial markings as well as degenerative changes of the spine visible in the image. Overall, the x-ray shows no immediate cause for concern regarding cardiac or pulmonary health."
        },
        {
            "image_id": "2908_2",
            "caption": "Upon examination of the chest x-ray, the heart appears to be slightly enlarged but stable. The mediastinal contours are within the normal range. There are no signs of acute radiographic cardiopulmonary illness, such as focal airspace consolidation, pleural effusion, or pneumothorax. However, there are some chronic interstitial markings as well as degenerative changes of the spine visible in the image. Overall, the x-ray shows no immediate cause for concern regarding cardiac or pulmonary health."
        },
        {
            "image_id": "765_1",
            "caption": "Upon examination of the x-ray image, it was found that the heart size and pulmonary vascularity are normal, and the lungs do not show any focal airspace disease, pleural effusion or pneumothorax. The doctor's impression is that there is no evidence of active disease. Based on these findings, the patient's cardiopulmonary health appears stable and healthy."
        },
        {
            "image_id": "765_2",
            "caption": "Upon examination of the x-ray image, it was found that the heart size and pulmonary vascularity are normal, and the lungs do not show any focal airspace disease, pleural effusion or pneumothorax. The doctor's impression is that there is no evidence of active disease. Based on these findings, the patient's cardiopulmonary health appears stable and healthy."
        },
        {
            "image_id": "2920_1",
            "caption": "The x-ray image shows clear lungs, no pleural effusion, normal heart and mediastinum, as well as normal skeletal structures and soft tissues. Overall, there is no evidence of active disease, indicating a healthy state of the patient."
        },
        {
            "image_id": "2920_2",
            "caption": "The x-ray image shows clear lungs, no pleural effusion, normal heart and mediastinum, as well as normal skeletal structures and soft tissues. Overall, there is no evidence of active disease, indicating a healthy state of the patient."
        },
        {
            "image_id": "3380_1",
            "caption": "The findings reveal that the heart, pulmonary system, and mediastinum are all within normal limits. There are no signs of pleural effusion or pneumothorax, and there is no indication of pneumonia. Minor degenerative changes of the spine are noted. As per the impression, there is no acute cardiopulmonary disease present. Overall, the x-ray shows a healthy and normal result."
        },
        {
            "image_id": "3380_2",
            "caption": "The findings reveal that the heart, pulmonary system, and mediastinum are all within normal limits. There are no signs of pleural effusion or pneumothorax, and there is no indication of pneumonia. Minor degenerative changes of the spine are noted. As per the impression, there is no acute cardiopulmonary disease present. Overall, the x-ray shows a healthy and normal result."
        },
        {
            "image_id": "1597_1",
            "caption": "According to the x-ray image, the heart and mediastinum appear to be within normal limits. There is no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax present. Overall, there is no indication of any acute abnormality present in the image."
        },
        {
            "image_id": "1597_2",
            "caption": "According to the x-ray image, the heart and mediastinum appear to be within normal limits. There is no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax present. Overall, there is no indication of any acute abnormality present in the image."
        },
        {
            "image_id": "1583_1",
            "caption": "The x-ray image shows that the heart size is within normal limits and there is no focal alveolar consolidation seen. The radiological study also reveals that there are no definite pleural effusion or typical findings of pulmonary edema. A mild spine curvature is noted. Overall, the impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1583_2",
            "caption": "The x-ray image shows that the heart size is within normal limits and there is no focal alveolar consolidation seen. The radiological study also reveals that there are no definite pleural effusion or typical findings of pulmonary edema. A mild spine curvature is noted. Overall, the impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3394_1",
            "caption": "The x-ray image shows that the heart and lungs appear normal. However, there is scarring at the left base and thoracic spondylosis. The impression is that there are no acute preoperative processes. It is important to discuss these findings with a medical professional for proper diagnosis and treatment options."
        },
        {
            "image_id": "3394_2",
            "caption": "The x-ray image shows that the heart and lungs appear normal. However, there is scarring at the left base and thoracic spondylosis. The impression is that there are no acute preoperative processes. It is important to discuss these findings with a medical professional for proper diagnosis and treatment options."
        },
        {
            "image_id": "2934_1",
            "caption": "The x-ray shows that the heart is normal in size and the mediastinum appears unremarkable. The lungs are mildly hyperlucent but are clear of any obstructions. Additionally, there is denser lumbar scoliosis present. However, the impression of the image shows that there is currently no acute disease present. It is important to continue monitoring for any changes in the patient's condition."
        },
        {
            "image_id": "2934_2",
            "caption": "The x-ray shows that the heart is normal in size and the mediastinum appears unremarkable. The lungs are mildly hyperlucent but are clear of any obstructions. Additionally, there is denser lumbar scoliosis present. However, the impression of the image shows that there is currently no acute disease present. It is important to continue monitoring for any changes in the patient's condition."
        },
        {
            "image_id": "771_1",
            "caption": "Upon examination of the x-ray image, it was found that the heart is of normal size and the pulmonary vascularity is within normal limits. No focal infiltrate, pneumothorax, or pleural effusion was identified. Furthermore, the impression of the image indicates that no acute cardiopulmonary disease was found, providing reassurance of the patient's overall health."
        },
        {
            "image_id": "771_2",
            "caption": "Upon examination of the x-ray image, it was found that the heart is of normal size and the pulmonary vascularity is within normal limits. No focal infiltrate, pneumothorax, or pleural effusion was identified. Furthermore, the impression of the image indicates that no acute cardiopulmonary disease was found, providing reassurance of the patient's overall health."
        },
        {
            "image_id": "771_3",
            "caption": "Upon examination of the x-ray image, it was found that the heart is of normal size and the pulmonary vascularity is within normal limits. No focal infiltrate, pneumothorax, or pleural effusion was identified. Furthermore, the impression of the image indicates that no acute cardiopulmonary disease was found, providing reassurance of the patient's overall health."
        },
        {
            "image_id": "2505_1",
            "caption": "The x-ray reveals a normal heart size and mediastinal contours. No focal airspace consolidation, pleural effusion or pneumothorax is observed. The visualized osseous structures appear unremarkable. The impression suggests no acute or pulmonary abnormality found. It is important to discuss the findings with a healthcare provider for proper evaluation and interpretation."
        },
        {
            "image_id": "2505_2",
            "caption": "The x-ray reveals a normal heart size and mediastinal contours. No focal airspace consolidation, pleural effusion or pneumothorax is observed. The visualized osseous structures appear unremarkable. The impression suggests no acute or pulmonary abnormality found. It is important to discuss the findings with a healthcare provider for proper evaluation and interpretation."
        },
        {
            "image_id": "1018_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette and pulmonary vasculature. There is no presence of pneumothorax or pleural effusion. Moreover, there is no focal area of consolidation visible except for small calcified granulomata in the right lateral lung. Thus, the overall impression concludes that there is no acute cardiopulmonary abnormality observed in the findings."
        },
        {
            "image_id": "1018_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette and pulmonary vasculature. There is no presence of pneumothorax or pleural effusion. Moreover, there is no focal area of consolidation visible except for small calcified granulomata in the right lateral lung. Thus, the overall impression concludes that there is no acute cardiopulmonary abnormality observed in the findings."
        },
        {
            "image_id": "2511_1",
            "caption": "The x-ray shows sternotomy clip and suture material overlying the left upper lobe. However, the heart size is normal and there is no evidence of any focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring is noted in the left costophrenic region and there are calcified granulomas. Overall, no acute abnormality is seen in the x-ray."
        },
        {
            "image_id": "2511_2",
            "caption": "The x-ray shows sternotomy clip and suture material overlying the left upper lobe. However, the heart size is normal and there is no evidence of any focal pulmonary consolidation, pleural effusion or pneumothorax. Scarring is noted in the left costophrenic region and there are calcified granulomas. Overall, no acute abnormality is seen in the x-ray."
        },
        {
            "image_id": "3169_1",
            "caption": "The chest x-ray shows hyperlucent hyperinflated lungs with flattened diaphragms, along with the presence of granulomas. The heart is small in size and there is minimal apical capping, which appears slightly greater at the left. The impression suggests emphysema and recommends follow-up chest x-ray films after approximately 4 months to confirm stability. It is important to compare with prior films for accurate diagnosis. The results have been documented through Primordial for critical result notification."
        },
        {
            "image_id": "3169_2",
            "caption": "The chest x-ray shows hyperlucent hyperinflated lungs with flattened diaphragms, along with the presence of granulomas. The heart is small in size and there is minimal apical capping, which appears slightly greater at the left. The impression suggests emphysema and recommends follow-up chest x-ray films after approximately 4 months to confirm stability. It is important to compare with prior films for accurate diagnosis. The results have been documented through Primordial for critical result notification."
        },
        {
            "image_id": "2277_1",
            "caption": "The chest x-ray shows clear lungs without any focal airspace disease. There is no pneumothorax or pleural effusion detected. The cardiac and mediastinal contours are normal. Overall, the x-ray does not indicate any acute cardiopulmonary disease."
        },
        {
            "image_id": "2277_2",
            "caption": "The chest x-ray shows clear lungs without any focal airspace disease. There is no pneumothorax or pleural effusion detected. The cardiac and mediastinal contours are normal. Overall, the x-ray does not indicate any acute cardiopulmonary disease."
        },
        {
            "image_id": "3141_1",
            "caption": "The chest X-ray shows clear lungs and a normal cardiac silhouette with no signs of pleural effusion. The impression is that the chest radiograph is normal. This indicates that the patient doesn't have any acute cardiopulmonary disease."
        },
        {
            "image_id": "3141_2",
            "caption": "The chest X-ray shows clear lungs and a normal cardiac silhouette with no signs of pleural effusion. The impression is that the chest radiograph is normal. This indicates that the patient doesn't have any acute cardiopulmonary disease."
        },
        {
            "image_id": "1030_1",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and no evidence of focal consolidation, pneumothorax, or large pleural effusion. Additionally, there are no acute bony abnormalities and only mild degenerative changes of the spine are noted. The impression is that there is no radiographic evidence of acute cardiopulmonary disease. Overall, the image indicates a healthy chest without any concerning findings."
        },
        {
            "image_id": "1030_2",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and no evidence of focal consolidation, pneumothorax, or large pleural effusion. Additionally, there are no acute bony abnormalities and only mild degenerative changes of the spine are noted. The impression is that there is no radiographic evidence of acute cardiopulmonary disease. Overall, the image indicates a healthy chest without any concerning findings."
        },
        {
            "image_id": "2539_1",
            "caption": "Based on the chest radiograph, it appears that the cardiomediastinal area is normal without any noticeable contours. There are also no signs of pneumothorax or pleural effusions. Additionally, there is no focal lung consolidation visible. Overall, the impression is that there are no acute cardiopulmonary abnormalities present in the x-ray image."
        },
        {
            "image_id": "2539_2",
            "caption": "Based on the chest radiograph, it appears that the cardiomediastinal area is normal without any noticeable contours. There are also no signs of pneumothorax or pleural effusions. Additionally, there is no focal lung consolidation visible. Overall, the impression is that there are no acute cardiopulmonary abnormalities present in the x-ray image."
        },
        {
            "image_id": "2539_3",
            "caption": "Based on the chest radiograph, it appears that the cardiomediastinal area is normal without any noticeable contours. There are also no signs of pneumothorax or pleural effusions. Additionally, there is no focal lung consolidation visible. Overall, the impression is that there are no acute cardiopulmonary abnormalities present in the x-ray image."
        },
        {
            "image_id": "3627_1",
            "caption": "The chest X-ray shows no acute abnormalities in the bones or soft tissues. There are scattered degenerative changes in the thoracic spine, but the heart size is normal. The right hemidiaphragm is stably elevated compared to a previous exam. Bilateral hilar lymph nodes are present, but there are no focal areas of consolidation or effusion. Additionally, there is no pneumothorax. Bibasilar atelectasis is present, but overall there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3633_1",
            "caption": "During the assessment of the chest X-ray, degenerative changes of the thoracic spine were noticed, however, the heart size was normal and the lungs were clear with no signs of pneumothorax or pleural effusion. The lung volumes appear to be low. Overall, the examination of the chest was unremarkable."
        },
        {
            "image_id": "3633_2",
            "caption": "During the assessment of the chest X-ray, degenerative changes of the thoracic spine were noticed, however, the heart size was normal and the lungs were clear with no signs of pneumothorax or pleural effusion. The lung volumes appear to be low. Overall, the examination of the chest was unremarkable."
        },
        {
            "image_id": "1024_1",
            "caption": "The x-ray examination showed that the heart size was normal and the lungs were clear. There were no focal air space consolidations, pleural effusions, or pneumothoraces observed. Additionally, the hilar and mediastinal contours appeared normal and pulmonary vascularity was normal. Overall, no acute abnormality was found during the examination."
        },
        {
            "image_id": "1742_1",
            "caption": "During the examination of the chest x-ray, mild enlargement of the heart was noted. However, there were no findings indicating alveolar consolidation, pleural effusion, or pulmonary edema, and no indication of pneumothorax was present. The finding of an S-shaped curvature of the spine was also noted. The impression derived from the results of the exam indicates cardiomegaly, but no acute pulmonary findings."
        },
        {
            "image_id": "1742_2",
            "caption": "During the examination of the chest x-ray, mild enlargement of the heart was noted. However, there were no findings indicating alveolar consolidation, pleural effusion, or pulmonary edema, and no indication of pneumothorax was present. The finding of an S-shaped curvature of the spine was also noted. The impression derived from the results of the exam indicates cardiomegaly, but no acute pulmonary findings."
        },
        {
            "image_id": "3155_1",
            "caption": "Upon examination of the X-ray image, it was found that the heart size is mildly enlarged with an enlarged right atrium. No focal alveolar consolidation, pleural effusion or pneumothorax was detected. The impression indicated cardiomegaly without any acute pulmonary abnormalities. It is essential to follow up with a healthcare professional to develop an appropriate treatment plan."
        },
        {
            "image_id": "3155_2",
            "caption": "Upon examination of the X-ray image, it was found that the heart size is mildly enlarged with an enlarged right atrium. No focal alveolar consolidation, pleural effusion or pneumothorax was detected. The impression indicated cardiomegaly without any acute pulmonary abnormalities. It is essential to follow up with a healthcare professional to develop an appropriate treatment plan."
        },
        {
            "image_id": "3814_1",
            "caption": "The x-ray image shows no signs of focal consolidation, pneumothorax, or pleural effusion. The heart size appears normal, and there is no mediastinal widening that would suggest vascular injury. Additionally, there are no acute osseous injuries detected. The impression recommends further imaging if clinically indicated and cautions that fractures may not always be visible on the x-ray."
        },
        {
            "image_id": "3814_2",
            "caption": "The x-ray image shows no signs of focal consolidation, pneumothorax, or pleural effusion. The heart size appears normal, and there is no mediastinal widening that would suggest vascular injury. Additionally, there are no acute osseous injuries detected. The impression recommends further imaging if clinically indicated and cautions that fractures may not always be visible on the x-ray."
        },
        {
            "image_id": "229_1",
            "caption": "The x-ray image doesn't show any acute cardiopulmonary findings. The heart size is normal and there's no alveolar consolidation or pleural effusion seen. There are no typical findings of pulmonary edema. However, there's mediastinal calcification and a dense nodule in the right upper lung indicating a previous granulomatous process."
        },
        {
            "image_id": "229_2",
            "caption": "The x-ray image doesn't show any acute cardiopulmonary findings. The heart size is normal and there's no alveolar consolidation or pleural effusion seen. There are no typical findings of pulmonary edema. However, there's mediastinal calcification and a dense nodule in the right upper lung indicating a previous granulomatous process."
        },
        {
            "image_id": "201_1",
            "caption": "The heart, mediastinal silhouette, and pulmonary vasculature appear normal. Minimal airspace opacity is noted in the right middle lobe, suggestive of atelectasis. Otherwise, the lungs are clear without any focal airspace disease, pneumothorax, or pleural effusion. The aortic arch shows mild tortuosity and atherosclerotic calcification. The thoracic spine shows moderate degenerative changes. Overall, there are no acute cardiopulmonary findings on the X-ray."
        },
        {
            "image_id": "201_2",
            "caption": "The heart, mediastinal silhouette, and pulmonary vasculature appear normal. Minimal airspace opacity is noted in the right middle lobe, suggestive of atelectasis. Otherwise, the lungs are clear without any focal airspace disease, pneumothorax, or pleural effusion. The aortic arch shows mild tortuosity and atherosclerotic calcification. The thoracic spine shows moderate degenerative changes. Overall, there are no acute cardiopulmonary findings on the X-ray."
        },
        {
            "image_id": "1795_1",
            "caption": "The x-ray reveals moderate cardiomegaly without interstitial edema or pleural effusion, and no focal airspace consolidation or pneumothorax. Additionally, there is mild degenerative disc disease of the thoracic spine. The impression suggests that there are no acute cardiopulmonary abnormalities with cardiomegaly present but without radiographic evidence of heart failure."
        },
        {
            "image_id": "1795_2",
            "caption": "The x-ray reveals moderate cardiomegaly without interstitial edema or pleural effusion, and no focal airspace consolidation or pneumothorax. Additionally, there is mild degenerative disc disease of the thoracic spine. The impression suggests that there are no acute cardiopulmonary abnormalities with cardiomegaly present but without radiographic evidence of heart failure."
        },
        {
            "image_id": "3182_1",
            "caption": "The x-ray shows a moderate amount of retained contrast in the distal esophagus but no evidence of aspiration. A 3.0 cm nodule is present within the right hilum, and there are no notable pleural effusion or pneumothorax. The cardiomediastinal silhouette and pulmonary vasculature look normal. The impression indicates that the retained contrast in the distal esophagus and the right hilar mass remain unchanged. Overall, it's important to follow up with your healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "3182_2",
            "caption": "The x-ray shows a moderate amount of retained contrast in the distal esophagus but no evidence of aspiration. A 3.0 cm nodule is present within the right hilum, and there are no notable pleural effusion or pneumothorax. The cardiomediastinal silhouette and pulmonary vasculature look normal. The impression indicates that the retained contrast in the distal esophagus and the right hilar mass remain unchanged. Overall, it's important to follow up with your healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "567_1",
            "caption": "The heart size is upper normal but stable, and the mediastinal contours are within normal limits. There is minimal atelectasis in the right middle lobe, and no focal airspace consolidation, pleural effusion, or pneumothorax is identified. Additionally, degenerative endplate changes are observed in the spine. Based on the findings, there is no acute radiographic cardiopulmonary process observed."
        },
        {
            "image_id": "567_2",
            "caption": "The heart size is upper normal but stable, and the mediastinal contours are within normal limits. There is minimal atelectasis in the right middle lobe, and no focal airspace consolidation, pleural effusion, or pneumothorax is identified. Additionally, degenerative endplate changes are observed in the spine. Based on the findings, there is no acute radiographic cardiopulmonary process observed."
        },
        {
            "image_id": "573_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary disease or significant interval change. The sternotomy wires and surgical clips are visible, and there are prominent findings of centrilobular emphysema. Streaky opacities in the lung bases may indicate atelectasis or scarring. However, there is no presence of consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "573_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary disease or significant interval change. The sternotomy wires and surgical clips are visible, and there are prominent findings of centrilobular emphysema. Streaky opacities in the lung bases may indicate atelectasis or scarring. However, there is no presence of consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "573_3",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary disease or significant interval change. The sternotomy wires and surgical clips are visible, and there are prominent findings of centrilobular emphysema. Streaky opacities in the lung bases may indicate atelectasis or scarring. However, there is no presence of consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "3828_1",
            "caption": "The heart appears normal in size and shape and there is no widening of the mediastinal area. The lungs are clear bilaterally and there are no significant changes in the pulmonary vasculature. The chest X-ray shows no evidence of large pleural effusion or pneumothorax. Additionally, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3828_2",
            "caption": "The heart appears normal in size and shape and there is no widening of the mediastinal area. The lungs are clear bilaterally and there are no significant changes in the pulmonary vasculature. The chest X-ray shows no evidence of large pleural effusion or pneumothorax. Additionally, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2288_1",
            "caption": "The chest X-ray reveals unremarkable cardiac and mediastinal contours with clear pulmonary vascularity. There are no notable focal opacities or fluid accumulation in the pleural space or lungs. Additionally, there are no cavitary lesions or abnormalities in the gross appearance of the lungs. The impression is clear lungs with no evidence of active tuberculosis on the radiograph."
        },
        {
            "image_id": "2288_2",
            "caption": "The chest X-ray reveals unremarkable cardiac and mediastinal contours with clear pulmonary vascularity. There are no notable focal opacities or fluid accumulation in the pleural space or lungs. Additionally, there are no cavitary lesions or abnormalities in the gross appearance of the lungs. The impression is clear lungs with no evidence of active tuberculosis on the radiograph."
        },
        {
            "image_id": "3196_1",
            "caption": "The x-ray shows clear and expanded lungs, with a normal heart and mediastinum. There is no evidence of active disease."
        },
        {
            "image_id": "3196_2",
            "caption": "The x-ray shows clear and expanded lungs, with a normal heart and mediastinum. There is no evidence of active disease."
        },
        {
            "image_id": "1959_1",
            "caption": "The chest x-ray reveals a normal heart size with no abnormalities in the mediastinal silhouette. There is no evidence of pneumothorax or pleural effusion, and no suspicious focal air space opacity. Prior granulomatous disease appears stable. The overall exam is stable and without acute abnormality."
        },
        {
            "image_id": "1959_2",
            "caption": "The chest x-ray reveals a normal heart size with no abnormalities in the mediastinal silhouette. There is no evidence of pneumothorax or pleural effusion, and no suspicious focal air space opacity. Prior granulomatous disease appears stable. The overall exam is stable and without acute abnormality."
        },
        {
            "image_id": "1781_1",
            "caption": "The x-ray image shows that the heart size and mediastinal contours are normal, and there is no evidence of focal airspace consolidation, pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine are observed. The overall impression is that there are no acute cardiopulmonary abnormalities found in the exam."
        },
        {
            "image_id": "1781_2",
            "caption": "The x-ray image shows that the heart size and mediastinal contours are normal, and there is no evidence of focal airspace consolidation, pleural effusion or pneumothorax. Mild degenerative changes of the thoracic spine are observed. The overall impression is that there are no acute cardiopulmonary abnormalities found in the exam."
        },
        {
            "image_id": "215_1",
            "caption": "The x-ray image shows stable cardiomegaly with no focal airspace disease. Additionally, there is stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis present. The sternotomy sites are intact and there is no evidence of pneumothorax or pleural effusion. A calcific density in the left mid to upper lung is present but represents old granulomatous disease. Overall, this x-ray exam shows no acute abnormalities and the radiological findings are stable."
        },
        {
            "image_id": "215_2",
            "caption": "The x-ray image shows stable cardiomegaly with no focal airspace disease. Additionally, there is stable moderate thoracic levoscoliosis and mild thoracolumbar dextroscoliosis present. The sternotomy sites are intact and there is no evidence of pneumothorax or pleural effusion. A calcific density in the left mid to upper lung is present but represents old granulomatous disease. Overall, this x-ray exam shows no acute abnormalities and the radiological findings are stable."
        },
        {
            "image_id": "2317_1",
            "caption": "A calcified granuloma is present in the right costophrenic area. Lungs are otherwise clear, and heart size normal. The x-ray reveals no active disease, but a calcified granuloma is present in the right costophrenic area."
        },
        {
            "image_id": "2317_2",
            "caption": "A calcified granuloma is present in the right costophrenic area. Lungs are otherwise clear, and heart size normal. The x-ray reveals no active disease, but a calcified granuloma is present in the right costophrenic area."
        },
        {
            "image_id": "3009_1",
            "caption": "The chest x-ray reveals no active cardiopulmonary abnormalities. There are no focal areas of consolidation or pleural effusions, and the heart size is within normal limits. Mild degenerative changes of the thoracic spine, along with evidence of previous cholecystectomy are noted. This overall indicates a normal chest x-ray exam with no acute findings."
        },
        {
            "image_id": "2471_1",
            "caption": "The X-ray demonstrates a normal trachea and cardiomediastinal silhouette, with clear lungs and no acute abnormalities in the bony structures. There is no evidence of acute infiltrate or effusion, and no pneumothorax is present. Based on these findings, there are no signs of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2471_2",
            "caption": "The X-ray demonstrates a normal trachea and cardiomediastinal silhouette, with clear lungs and no acute abnormalities in the bony structures. There is no evidence of acute infiltrate or effusion, and no pneumothorax is present. Based on these findings, there are no signs of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1178_1",
            "caption": "The finding suggests that the trachea is in the center, the heart is normal, and the lungs are clear with no signs of pneumothorax or pleural effusion. The impression is that the chest exam is normal. Overall, the x-ray shows no underlying health issues or abnormalities in the chest area."
        },
        {
            "image_id": "1178_2",
            "caption": "The finding suggests that the trachea is in the center, the heart is normal, and the lungs are clear with no signs of pneumothorax or pleural effusion. The impression is that the chest exam is normal. Overall, the x-ray shows no underlying health issues or abnormalities in the chest area."
        },
        {
            "image_id": "2465_1",
            "caption": "During the examination, the patient's heart size was found to be mildly enlarged but stable. However, the lungs appeared normal without any signs of focal airspace disease, pleural effusion, or pneumothorax. The osseous structures were also within normal limits according to the patient's age. Based on these findings, there was no evidence of acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2465_2",
            "caption": "During the examination, the patient's heart size was found to be mildly enlarged but stable. However, the lungs appeared normal without any signs of focal airspace disease, pleural effusion, or pneumothorax. The osseous structures were also within normal limits according to the patient's age. Based on these findings, there was no evidence of acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1622_1",
            "caption": "Based on the X-ray image taken, the cardiomediastinal silhouette appears to be within normal limits for size and shape. The lungs also seem to be normally inflated without any indication of focal airspace disease, pleural effusion, or pneumothorax. Additionally, no acute osseous abnormality was observed during the examination. As per the finding, there is no indication of any acute cardiopulmonary process."
        },
        {
            "image_id": "1622_2",
            "caption": "Based on the X-ray image taken, the cardiomediastinal silhouette appears to be within normal limits for size and shape. The lungs also seem to be normally inflated without any indication of focal airspace disease, pleural effusion, or pneumothorax. Additionally, no acute osseous abnormality was observed during the examination. As per the finding, there is no indication of any acute cardiopulmonary process."
        },
        {
            "image_id": "1144_1",
            "caption": "Based on the X-ray image, the heart, lungs, and bones appear to be normal. There are no signs of any acute abnormalities such as pneumonia or collapsed lung. The cardiopulmonary system appears to be healthy and functioning properly."
        },
        {
            "image_id": "1144_2",
            "caption": "Based on the X-ray image, the heart, lungs, and bones appear to be normal. There are no signs of any acute abnormalities such as pneumonia or collapsed lung. The cardiopulmonary system appears to be healthy and functioning properly."
        },
        {
            "image_id": "3753_1",
            "caption": "Upon examination of the x-ray image, the cardiac silhouette, upper mediastinum, and pulmonary vasculature appear within normal limits. No acute pulmonary consolidation, large effusion, or pneumothorax are present, although there is minimal left basilar atelectasis. Small bilateral pulmonary nodules measuring approximately 5 mm in size are detected in the right midlung and left upper lung. These nodules may indicate a sequela of infection or a neoplastic process. Further evaluation and correlation with the patient's history of primary malignancy is recommended, and additional thoracic imaging may be necessary if clinically indicated."
        },
        {
            "image_id": "3753_2",
            "caption": "Upon examination of the x-ray image, the cardiac silhouette, upper mediastinum, and pulmonary vasculature appear within normal limits. No acute pulmonary consolidation, large effusion, or pneumothorax are present, although there is minimal left basilar atelectasis. Small bilateral pulmonary nodules measuring approximately 5 mm in size are detected in the right midlung and left upper lung. These nodules may indicate a sequela of infection or a neoplastic process. Further evaluation and correlation with the patient's history of primary malignancy is recommended, and additional thoracic imaging may be necessary if clinically indicated."
        },
        {
            "image_id": "3747_1",
            "caption": "Heart size is normal and the lungs are clear without any evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Overall, the chest x-ray is normal without any significant findings."
        },
        {
            "image_id": "3747_2",
            "caption": "Heart size is normal and the lungs are clear without any evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. Overall, the chest x-ray is normal without any significant findings."
        },
        {
            "image_id": "2459_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and the lungs are clear without any infiltrate, pneumothorax, or effusion. There is no acute cardiopulmonary disease detected in this x-ray image."
        },
        {
            "image_id": "2459_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and the lungs are clear without any infiltrate, pneumothorax, or effusion. There is no acute cardiopulmonary disease detected in this x-ray image."
        },
        {
            "image_id": "1150_1",
            "caption": "This x-ray image shows no signs of any acute or chronic cardiopulmonary disease. The heart and mediastinum are within normal limits, and both lungs are clear and fully expanded. The radiologist has confirmed that there are no significant changes in the interval. Overall, this x-ray suggests that there is no active disease present."
        },
        {
            "image_id": "1636_1",
            "caption": "The x-ray shows clear lungs with no evidence of pleural effusions, pneumothoraces or abnormalities in the heart and mediastinum, which are of normal size and contour. In other words, the patient has a healthy chest and there are no signs of active disease."
        },
        {
            "image_id": "1636_2",
            "caption": "The x-ray shows clear lungs with no evidence of pleural effusions, pneumothoraces or abnormalities in the heart and mediastinum, which are of normal size and contour. In other words, the patient has a healthy chest and there are no signs of active disease."
        },
        {
            "image_id": "349_1",
            "caption": "Upon examination, the x-ray reveals an enlarged heart and tortuous aorta, but with normal pulmonary vasculature. Bilaterally, the lungs are clear without any effusions or pneumothorax. No bony abnormalities are observed. The impression drawn from these findings is suggestive of cardiomegaly requiring further evaluation and management."
        },
        {
            "image_id": "349_2",
            "caption": "Upon examination, the x-ray reveals an enlarged heart and tortuous aorta, but with normal pulmonary vasculature. Bilaterally, the lungs are clear without any effusions or pneumothorax. No bony abnormalities are observed. The impression drawn from these findings is suggestive of cardiomegaly requiring further evaluation and management."
        },
        {
            "image_id": "3974_1",
            "caption": "The chest x-ray finding reveals hyperexpanded lungs, indicative of emphysema. There are no signs of pleural effusion or pneumothorax. Patchy airspace disease is present in the right middle lobe, possibly due to pneumonia. The heart size and pulmonary vascularity appear normal. Degenerative changes are evident in the spine. The impression suggests follow-up examination after treatment to ensure the opacities clear completely. A 4 to 6-month post-treatment interval film is advisable."
        },
        {
            "image_id": "3974_2",
            "caption": "The chest x-ray finding reveals hyperexpanded lungs, indicative of emphysema. There are no signs of pleural effusion or pneumothorax. Patchy airspace disease is present in the right middle lobe, possibly due to pneumonia. The heart size and pulmonary vascularity appear normal. Degenerative changes are evident in the spine. The impression suggests follow-up examination after treatment to ensure the opacities clear completely. A 4 to 6-month post-treatment interval film is advisable."
        },
        {
            "image_id": "3960_1",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. However, there is spondylosis of the midthoracic spine with large anterior osteophyte formations observed. It is recommended to seek further medical advice for appropriate management."
        },
        {
            "image_id": "3960_2",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. However, there is spondylosis of the midthoracic spine with large anterior osteophyte formations observed. It is recommended to seek further medical advice for appropriate management."
        },
        {
            "image_id": "1811_1",
            "caption": "The chest x-ray showed a mildly enlarged heart and tortuous aorta, along with mildly low lung volumes. There were no signs of focal consolidation, pleural effusion, or pneumothorax. Mild degenerative changes were observed in the thoracic spine. Overall, the radiograph did not reveal any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "375_1",
            "caption": "Based on the chest X-ray, the cardiac silhouette, upper mediastinum, and pulmonary vasculature appear normal. There are no signs of acute air space infiltrate, pleural effusion, or pneumothorax. The impression suggests that there is no acute process present."
        },
        {
            "image_id": "375_2",
            "caption": "Based on the chest X-ray, the cardiac silhouette, upper mediastinum, and pulmonary vasculature appear normal. There are no signs of acute air space infiltrate, pleural effusion, or pneumothorax. The impression suggests that there is no acute process present."
        },
        {
            "image_id": "1839_1",
            "caption": "The x-ray image shows that the heart is of normal size and the mediastinum is stable. Some granulomatous sequelae are observed, while the previously identified nodular density in the right upper lobe is not clearly visible. However, there is no presence of acute infiltrate or pleural effusion, indicating no acute illness at the moment."
        },
        {
            "image_id": "1839_2",
            "caption": "The x-ray image shows that the heart is of normal size and the mediastinum is stable. Some granulomatous sequelae are observed, while the previously identified nodular density in the right upper lobe is not clearly visible. However, there is no presence of acute infiltrate or pleural effusion, indicating no acute illness at the moment."
        },
        {
            "image_id": "3948_1",
            "caption": "The findings on the x-ray are normal. The heart and mediastinum appear normal in size and shape. The lungs are clear without signs of any focal disease or fluid buildup. The bones also appear normal. The radiologist's impression is that there are no acute issues with the heart or lungs. Overall, the x-ray suggests no cause for concern."
        },
        {
            "image_id": "3948_2",
            "caption": "The findings on the x-ray are normal. The heart and mediastinum appear normal in size and shape. The lungs are clear without signs of any focal disease or fluid buildup. The bones also appear normal. The radiologist's impression is that there are no acute issues with the heart or lungs. Overall, the x-ray suggests no cause for concern."
        },
        {
            "image_id": "3790_1",
            "caption": "The chest X-ray reveals low lung volumes, elevation of the right hemidiaphragm, and patchy opacities in the right base. However, the left lung is without any abnormality. The heart size is normal, but aortic calcification and granulomas are present. There is no evidence of pneumothorax. The X-ray also observes the blunting of bilateral costophrenic angles and degenerative changes of the thoracic spine. The impression suggests right lower lobe airspace disease."
        },
        {
            "image_id": "3790_2",
            "caption": "The chest X-ray reveals low lung volumes, elevation of the right hemidiaphragm, and patchy opacities in the right base. However, the left lung is without any abnormality. The heart size is normal, but aortic calcification and granulomas are present. There is no evidence of pneumothorax. The X-ray also observes the blunting of bilateral costophrenic angles and degenerative changes of the thoracic spine. The impression suggests right lower lobe airspace disease."
        },
        {
            "image_id": "1187_1",
            "caption": "The chest x-ray shows minimally increased airspace opacities bilaterally, most prominently in the lung bases. The heart size appears normal, and there is no evidence of pneumothorax or pleural effusion. Osseous structures appear intact. These findings are nonspecific but could indicate subsegmental atelectasis, mild interstitial edema, or an atypical infectious process. Further evaluation may be necessary to determine the underlying cause of these findings."
        },
        {
            "image_id": "1187_2",
            "caption": "The chest x-ray shows minimally increased airspace opacities bilaterally, most prominently in the lung bases. The heart size appears normal, and there is no evidence of pneumothorax or pleural effusion. Osseous structures appear intact. These findings are nonspecific but could indicate subsegmental atelectasis, mild interstitial edema, or an atypical infectious process. Further evaluation may be necessary to determine the underlying cause of these findings."
        },
        {
            "image_id": "1193_1",
            "caption": "The findings reveal a stable enlarged cardiac silhouette and persistent bilateral lower lobe airspace disease that is not significantly changed from the previous examination. There is no presence of pleural effusion, pneumothorax or acute bony abnormality. The impression indicates that the bibasilar airspace disease may represent either mild edema or infection. Further evaluation is recommended to accurately diagnose the cause of the findings."
        },
        {
            "image_id": "1193_2",
            "caption": "The findings reveal a stable enlarged cardiac silhouette and persistent bilateral lower lobe airspace disease that is not significantly changed from the previous examination. There is no presence of pleural effusion, pneumothorax or acute bony abnormality. The impression indicates that the bibasilar airspace disease may represent either mild edema or infection. Further evaluation is recommended to accurately diagnose the cause of the findings."
        },
        {
            "image_id": "407_1",
            "caption": "The x-ray shows clear lungs with no signs of pleural effusions or pneumothoraces, and the heart and mediastinum are of normal size and contour. This is a great result as it indicates no respiratory issues or abnormalities."
        },
        {
            "image_id": "407_2",
            "caption": "The x-ray shows clear lungs with no signs of pleural effusions or pneumothoraces, and the heart and mediastinum are of normal size and contour. This is a great result as it indicates no respiratory issues or abnormalities."
        },
        {
            "image_id": "3784_1",
            "caption": "The patient underwent an AP view X-ray which revealed low volume lungs, with no focal lung consolidation, no enlargement of the heart, and no pleural effusion. The impression is that there is no acute abnormality."
        },
        {
            "image_id": "3784_2",
            "caption": "The patient underwent an AP view X-ray which revealed low volume lungs, with no focal lung consolidation, no enlargement of the heart, and no pleural effusion. The impression is that there is no acute abnormality."
        },
        {
            "image_id": "361_1",
            "caption": "The x-ray image shows clear and expanded lungs with a normal heart and mediastinum. The impression is that there is no active disease present."
        },
        {
            "image_id": "361_2",
            "caption": "The x-ray image shows clear and expanded lungs with a normal heart and mediastinum. The impression is that there is no active disease present."
        },
        {
            "image_id": "836_1",
            "caption": "The x-ray shows clear lungs and normal heart and mediastinum contours. A calcified granuloma is observed at the base of the left lung. There are no signs of acute thoracic abnormality, but a follow-up x-ray is recommended if the suspected condition is not ruled out. Overall, the x-ray indicates no active disease."
        },
        {
            "image_id": "836_2",
            "caption": "The x-ray shows clear lungs and normal heart and mediastinum contours. A calcified granuloma is observed at the base of the left lung. There are no signs of acute thoracic abnormality, but a follow-up x-ray is recommended if the suspected condition is not ruled out. Overall, the x-ray indicates no active disease."
        },
        {
            "image_id": "76_1",
            "caption": "The chest X-ray reveals no pleural effusions or pneumothoraces and the heart and mediastinum are of normal size and contour. However, scarring is apparent within the lingula. The overall impression is that the X-ray is unremarkable except for the apparent scarring within the lingula."
        },
        {
            "image_id": "76_2",
            "caption": "The chest X-ray reveals no pleural effusions or pneumothoraces and the heart and mediastinum are of normal size and contour. However, scarring is apparent within the lingula. The overall impression is that the X-ray is unremarkable except for the apparent scarring within the lingula."
        },
        {
            "image_id": "2673_1",
            "caption": "The finding shows that there is an enlarged heart, along with the development of pulmonary venous engorgement and bibasilar interstitial infiltrates. The impression suggests that this condition may indicate developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema. It is important to consult a healthcare professional for further evaluation and treatment."
        },
        {
            "image_id": "2673_2",
            "caption": "The finding shows that there is an enlarged heart, along with the development of pulmonary venous engorgement and bibasilar interstitial infiltrates. The impression suggests that this condition may indicate developing heart failure with pulmonary venous engorgement and bibasilar pulmonary interstitial edema. It is important to consult a healthcare professional for further evaluation and treatment."
        },
        {
            "image_id": "1408_1",
            "caption": "The x-ray examination showed a stable calcified granuloma in the right upper lobe of the lung with no signs of pneumothorax, pleural effusion, or airspace consolidation. The heart size and pulmonary vasculature were within normal limits, and the thoracic spine was grossly intact. Overall, the x-ray did not reveal any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2667_1",
            "caption": "The X-ray shows a normal sized heart with no focal airspace disease, pneumothorax, effusions, or bony abnormalities. The overall impression is that there are no acute cardiopulmonary findings to report."
        },
        {
            "image_id": "2667_2",
            "caption": "The X-ray shows a normal sized heart with no focal airspace disease, pneumothorax, effusions, or bony abnormalities. The overall impression is that there are no acute cardiopulmonary findings to report."
        },
        {
            "image_id": "3579_1",
            "caption": "The X-ray shows that there is no evidence of any acute cardiopulmonary abnormality. The left pleural effusion has resolved, and the lungs are clear. Postsurgical changes are observed from CABG, but there are no other noteworthy observations, such as pneumothorax or pleural effusion. Additionally, no bony abnormalities were detected."
        },
        {
            "image_id": "3579_2",
            "caption": "The X-ray shows that there is no evidence of any acute cardiopulmonary abnormality. The left pleural effusion has resolved, and the lungs are clear. Postsurgical changes are observed from CABG, but there are no other noteworthy observations, such as pneumothorax or pleural effusion. Additionally, no bony abnormalities were detected."
        },
        {
            "image_id": "822_1",
            "caption": "The patient has hyperexpanded lungs and persistent bilateral lower lobe opacities, as well as subsegmental atelectasis and scarring. No focal infiltrate, pleural effusion or pneumothorax is identified. The heart size is normal, and minimal degenerative changes of the spine are noted. Overall, there are no acute findings, but bibasilar subsegmental atelectasis or scarring and emphysema are present."
        },
        {
            "image_id": "822_2",
            "caption": "The patient has hyperexpanded lungs and persistent bilateral lower lobe opacities, as well as subsegmental atelectasis and scarring. No focal infiltrate, pleural effusion or pneumothorax is identified. The heart size is normal, and minimal degenerative changes of the spine are noted. Overall, there are no acute findings, but bibasilar subsegmental atelectasis or scarring and emphysema are present."
        },
        {
            "image_id": "62_1",
            "caption": "This X-ray report reveals that the patient has undergone sternotomy and coronary artery bypass surgery previously. The heart size appears normal and there is a coronary vascular stent in place. The lungs are clear with no focal consolidation or effusions. The mediastinal contours are stable, and there is calcification of mediastinal lymph nodes. No acute abnormality is found in this X-ray. The degenerative changes in the spine are noted for reference."
        },
        {
            "image_id": "62_2",
            "caption": "This X-ray report reveals that the patient has undergone sternotomy and coronary artery bypass surgery previously. The heart size appears normal and there is a coronary vascular stent in place. The lungs are clear with no focal consolidation or effusions. The mediastinal contours are stable, and there is calcification of mediastinal lymph nodes. No acute abnormality is found in this X-ray. The degenerative changes in the spine are noted for reference."
        },
        {
            "image_id": "62_3",
            "caption": "This X-ray report reveals that the patient has undergone sternotomy and coronary artery bypass surgery previously. The heart size appears normal and there is a coronary vascular stent in place. The lungs are clear with no focal consolidation or effusions. The mediastinal contours are stable, and there is calcification of mediastinal lymph nodes. No acute abnormality is found in this X-ray. The degenerative changes in the spine are noted for reference."
        },
        {
            "image_id": "3551_1",
            "caption": "The x-ray showed that heart size is within normal limits, and there were no signs of pulmonary edema or pleural effusion. There were also no focal alveolar consolidations observed. However, a dense nodule was seen in the left lower lobe, which may indicate a previous granulomatous process. Overall, the impression is that there are no acute findings."
        },
        {
            "image_id": "3551_2",
            "caption": "The x-ray showed that heart size is within normal limits, and there were no signs of pulmonary edema or pleural effusion. There were also no focal alveolar consolidations observed. However, a dense nodule was seen in the left lower lobe, which may indicate a previous granulomatous process. Overall, the impression is that there are no acute findings."
        },
        {
            "image_id": "3551_3",
            "caption": "The x-ray showed that heart size is within normal limits, and there were no signs of pulmonary edema or pleural effusion. There were also no focal alveolar consolidations observed. However, a dense nodule was seen in the left lower lobe, which may indicate a previous granulomatous process. Overall, the impression is that there are no acute findings."
        },
        {
            "image_id": "2897_1",
            "caption": "The heart and lungs show no significant change in the interval. Both lungs appear clear and expanded, and the heart and mediastinum appear normal. The impression suggests no active disease in the image."
        },
        {
            "image_id": "2897_2",
            "caption": "The heart and lungs show no significant change in the interval. Both lungs appear clear and expanded, and the heart and mediastinum appear normal. The impression suggests no active disease in the image."
        },
        {
            "image_id": "1346_1",
            "caption": "The finding reveals a right chest catheter with the tip placed at the cavoatrial junction and an upper limit of normal heart size. The lungs appear grossly clear with no signs of pleural effusion or pneumothorax. Additionally, diffuse degenerative changes are observed in the spine. The impression notes the presence of a right chest catheter with clear lungs."
        },
        {
            "image_id": "1346_2",
            "caption": "The finding reveals a right chest catheter with the tip placed at the cavoatrial junction and an upper limit of normal heart size. The lungs appear grossly clear with no signs of pleural effusion or pneumothorax. Additionally, diffuse degenerative changes are observed in the spine. The impression notes the presence of a right chest catheter with clear lungs."
        },
        {
            "image_id": "1346_3",
            "caption": "The finding reveals a right chest catheter with the tip placed at the cavoatrial junction and an upper limit of normal heart size. The lungs appear grossly clear with no signs of pleural effusion or pneumothorax. Additionally, diffuse degenerative changes are observed in the spine. The impression notes the presence of a right chest catheter with clear lungs."
        },
        {
            "image_id": "3237_1",
            "caption": "The X-ray image shows an enlarged heart with normal pulmonary vascularity. A cardiac defibrillator generator is seen projecting over the left mid-lateral lung area. No pneumothorax or pleural effusion is visible. However, there are minimal streaky airspace opacities in the lower lobes. The impression drawn from these observations is cardiomegaly without pulmonary edema and minimal bibasilar opacities that may indicate atelectasis or infiltrate."
        },
        {
            "image_id": "2129_1",
            "caption": "The finding shows that the heart is normal in size and contour and the lungs are clear with no signs of infiltrate, pneumothorax, or effusion. The impression suggests no acute cardiopulmonary disease. Overall, the x-ray image indicates a healthy cardiopulmonary system with no immediate concerns."
        },
        {
            "image_id": "2129_2",
            "caption": "The finding shows that the heart is normal in size and contour and the lungs are clear with no signs of infiltrate, pneumothorax, or effusion. The impression suggests no acute cardiopulmonary disease. Overall, the x-ray image indicates a healthy cardiopulmonary system with no immediate concerns."
        },
        {
            "image_id": "3223_1",
            "caption": "The x-ray shows that the heart and mediastinal contours are normal and the lungs are clear, with no visible abnormalities in the bony structures. The impression is that there are no acute preoperative findings, indicating that the patient is likely in good condition for surgery."
        },
        {
            "image_id": "3223_2",
            "caption": "The x-ray shows that the heart and mediastinal contours are normal and the lungs are clear, with no visible abnormalities in the bony structures. The impression is that there are no acute preoperative findings, indicating that the patient is likely in good condition for surgery."
        },
        {
            "image_id": "1434_1",
            "caption": "The X-ray shows that both lungs are clear and expanded and the heart and mediastinum are normal. The impression is that there is no active disease present. This X-ray image indicates that the patient is in good health and does not require any immediate medical intervention. However, it is important for them to continue with regular check-ups to ensure their ongoing health and wellbeing."
        },
        {
            "image_id": "1434_2",
            "caption": "The X-ray shows that both lungs are clear and expanded and the heart and mediastinum are normal. The impression is that there is no active disease present. This X-ray image indicates that the patient is in good health and does not require any immediate medical intervention. However, it is important for them to continue with regular check-ups to ensure their ongoing health and wellbeing."
        },
        {
            "image_id": "1352_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette and pulmonary vasculature are in normal size. Although there is a stable scarring in the right upper lobe, the lungs are clear with no other focal airspace disease, pneumothorax, or pleural effusion. Moreover, there are no acute bony findings. The impression of the x-ray shows no acute cardiopulmonary findings, which overall indicates normal cardiopulmonary health."
        },
        {
            "image_id": "1352_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette and pulmonary vasculature are in normal size. Although there is a stable scarring in the right upper lobe, the lungs are clear with no other focal airspace disease, pneumothorax, or pleural effusion. Moreover, there are no acute bony findings. The impression of the x-ray shows no acute cardiopulmonary findings, which overall indicates normal cardiopulmonary health."
        },
        {
            "image_id": "3545_1",
            "caption": "The x-ray shows some worsening bibasilar subpleural interstitial opacities in the lung bases, which may indicate interstitial lung disease. High-resolution imaging is recommended to further evaluate these findings. However, there is no evidence of acute pneumonia. The lung volumes are low, and the patient has undergone a previous sternotomy. Additionally, there are calcifications of the thoracic aorta. Despite these findings, there is normal size of the heart and pulmonary vasculature. It is important to consult with a healthcare professional to determine the best course of action."
        },
        {
            "image_id": "3545_2",
            "caption": "The x-ray shows some worsening bibasilar subpleural interstitial opacities in the lung bases, which may indicate interstitial lung disease. High-resolution imaging is recommended to further evaluate these findings. However, there is no evidence of acute pneumonia. The lung volumes are low, and the patient has undergone a previous sternotomy. Additionally, there are calcifications of the thoracic aorta. Despite these findings, there is normal size of the heart and pulmonary vasculature. It is important to consult with a healthcare professional to determine the best course of action."
        },
        {
            "image_id": "2868_1",
            "caption": "The radiograph reveals no acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity appear normal. No focal consolidation, large pleural effusion or pneumothorax is identified. Only minimal thoracic spondylosis is present."
        },
        {
            "image_id": "2868_2",
            "caption": "The radiograph reveals no acute cardiopulmonary abnormality. Heart size, mediastinal contour, and pulmonary vascularity appear normal. No focal consolidation, large pleural effusion or pneumothorax is identified. Only minimal thoracic spondylosis is present."
        },
        {
            "image_id": "639_1",
            "caption": "Upon examination of the x-ray, the heart size and pulmonary vascularity are normal and there are no signs of focal airspace disease, pleural effusion, or pneumothorax. The impression is that there is no evidence of active disease present in the x-ray image."
        },
        {
            "image_id": "639_2",
            "caption": "Upon examination of the x-ray, the heart size and pulmonary vascularity are normal and there are no signs of focal airspace disease, pleural effusion, or pneumothorax. The impression is that there is no evidence of active disease present in the x-ray image."
        },
        {
            "image_id": "1385_1",
            "caption": "During the chest X-ray, both frontal and lateral radiographs were taken, and the results show that the heart and mediastinal contours are normal. The pulmonary vascularity is also within normal limits. No signs of focal consolidation, pleural effusion, or pneumothorax were identified. The patient has old, healed fractures on the left 5th and 6th ribs observed laterally. Based on the findings, there are no indications of any active cardiopulmonary conditions."
        },
        {
            "image_id": "1385_2",
            "caption": "During the chest X-ray, both frontal and lateral radiographs were taken, and the results show that the heart and mediastinal contours are normal. The pulmonary vascularity is also within normal limits. No signs of focal consolidation, pleural effusion, or pneumothorax were identified. The patient has old, healed fractures on the left 5th and 6th ribs observed laterally. Based on the findings, there are no indications of any active cardiopulmonary conditions."
        },
        {
            "image_id": "611_1",
            "caption": "The chest X-ray shows a normal cardiomediastinal silhouette but with pulmonary hypoinflation and bronchovascular crowding. There are no focal areas of pulmonary consolidation, pneumothorax or pleural effusion. The thoracic spine appears intact with no acute displaced rib fractures. Based on the findings, the impression is there is no acute intrathoracic abnormality, except for pulmonary hypoinflation."
        },
        {
            "image_id": "611_2",
            "caption": "The chest X-ray shows a normal cardiomediastinal silhouette but with pulmonary hypoinflation and bronchovascular crowding. There are no focal areas of pulmonary consolidation, pneumothorax or pleural effusion. The thoracic spine appears intact with no acute displaced rib fractures. Based on the findings, the impression is there is no acute intrathoracic abnormality, except for pulmonary hypoinflation."
        },
        {
            "image_id": "89_1",
            "caption": "The X-ray shows that the heart size and mediastinal silhouette are within normal limits of contour. The lungs are clear, and there are no signs of pneumothorax or pleural effusions. Overall, there are no signs of acute cardiopulmonary abnormalities present in the X-ray image."
        },
        {
            "image_id": "89_2",
            "caption": "The X-ray shows that the heart size and mediastinal silhouette are within normal limits of contour. The lungs are clear, and there are no signs of pneumothorax or pleural effusions. Overall, there are no signs of acute cardiopulmonary abnormalities present in the X-ray image."
        },
        {
            "image_id": "2854_1",
            "caption": "According to the x-ray result, the lungs appear clear and the cardiac and mediastinal shapes are normal. Additionally, there is no pneumothorax or pleural effusion, and there are no acute bone issues. As per the impression, there is no evidence of acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "2854_2",
            "caption": "According to the x-ray result, the lungs appear clear and the cardiac and mediastinal shapes are normal. Additionally, there is no pneumothorax or pleural effusion, and there are no acute bone issues. As per the impression, there is no evidence of acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "177_1",
            "caption": "The heart appears enlarged on the x-ray, while the mediastinal contour is within normal limits. There is calcification observed within the aortic area. Additionally, bilateral interstitial opacities are visible with no nodules or masses present. This is suggestive of stable appearing right perihilar calcified granulomas. However, bilateral costophrenic blunting is observed, with the left worse than the right. The X-rays reveal no visible pneumothorax or any abnormality in the diaphragm. The impression derived from the x-ray suggests cardiomegaly with bilateral interstitial opacities and bilateral effusions and/or atelectasis, where the right side is worse than the left."
        },
        {
            "image_id": "177_2",
            "caption": "The heart appears enlarged on the x-ray, while the mediastinal contour is within normal limits. There is calcification observed within the aortic area. Additionally, bilateral interstitial opacities are visible with no nodules or masses present. This is suggestive of stable appearing right perihilar calcified granulomas. However, bilateral costophrenic blunting is observed, with the left worse than the right. The X-rays reveal no visible pneumothorax or any abnormality in the diaphragm. The impression derived from the x-ray suggests cardiomegaly with bilateral interstitial opacities and bilateral effusions and/or atelectasis, where the right side is worse than the left."
        },
        {
            "image_id": "163_1",
            "caption": "On examination of the chest x-ray, there are no signs of pneumonia or abnormal cardiac and pulmonary structure. However, there is a questionable nodular opacity measuring 1.2cm in the right midlung projected through the posterior ribs 7th and 8th. This requires confirmation with chest fluoroscopy. Additionally, calcified lymph nodes in subcarinal and right hilar region were seen. But further information from an outside source was studied and it indicates that no nodules are present within the lungs."
        },
        {
            "image_id": "163_2",
            "caption": "On examination of the chest x-ray, there are no signs of pneumonia or abnormal cardiac and pulmonary structure. However, there is a questionable nodular opacity measuring 1.2cm in the right midlung projected through the posterior ribs 7th and 8th. This requires confirmation with chest fluoroscopy. Additionally, calcified lymph nodes in subcarinal and right hilar region were seen. But further information from an outside source was studied and it indicates that no nodules are present within the lungs."
        },
        {
            "image_id": "163_3",
            "caption": "On examination of the chest x-ray, there are no signs of pneumonia or abnormal cardiac and pulmonary structure. However, there is a questionable nodular opacity measuring 1.2cm in the right midlung projected through the posterior ribs 7th and 8th. This requires confirmation with chest fluoroscopy. Additionally, calcified lymph nodes in subcarinal and right hilar region were seen. But further information from an outside source was studied and it indicates that no nodules are present within the lungs."
        },
        {
            "image_id": "3586_1",
            "caption": "Upon examination of the chest x-ray, it was found that the heart is slightly enlarged, although it is stable. Additionally, both lungs were found to be clear. Based on these findings, the impression is that there is mild and stable cardiomegaly, but no acute disease was detected."
        },
        {
            "image_id": "3586_2",
            "caption": "Upon examination of the chest x-ray, it was found that the heart is slightly enlarged, although it is stable. Additionally, both lungs were found to be clear. Based on these findings, the impression is that there is mild and stable cardiomegaly, but no acute disease was detected."
        },
        {
            "image_id": "2840_1",
            "caption": "The patient's body habitus provided limited view in the x-ray image, but there is no evidence of acute pulmonary disease found. Lungs are clear and there are no pleural effusion or pneumothorax observed. The heart, mediastinum, and skeletal structures are normal."
        },
        {
            "image_id": "2840_2",
            "caption": "The patient's body habitus provided limited view in the x-ray image, but there is no evidence of acute pulmonary disease found. Lungs are clear and there are no pleural effusion or pneumothorax observed. The heart, mediastinum, and skeletal structures are normal."
        },
        {
            "image_id": "2840_3",
            "caption": "The patient's body habitus provided limited view in the x-ray image, but there is no evidence of acute pulmonary disease found. Lungs are clear and there are no pleural effusion or pneumothorax observed. The heart, mediastinum, and skeletal structures are normal."
        },
        {
            "image_id": "2698_1",
            "caption": "During the examination, the lungs showed clear and the mediastinal contours along with the pleural spaces, appeared normal. Additionally, the heart and pulmonary function showed no signs of any acute diseases. In conclusion, the patient's x-ray reports were clear and showed no evidence of cardiopulmonary diseases."
        },
        {
            "image_id": "2698_2",
            "caption": "During the examination, the lungs showed clear and the mediastinal contours along with the pleural spaces, appeared normal. Additionally, the heart and pulmonary function showed no signs of any acute diseases. In conclusion, the patient's x-ray reports were clear and showed no evidence of cardiopulmonary diseases."
        },
        {
            "image_id": "605_1",
            "caption": "According to the X-ray findings, the heart and mediastinum appear normal, and there is no pleural effusion. However, a small nodular opacity in the left upper lung is detected, which could indicate early infiltrate or be due to superimposed structures. The recommendation is to follow up with another evaluation in two weeks to monitor any changes. Overall, the X-ray image suggests the need for cautious observation and further assessment to ensure early detection of any underlying conditions."
        },
        {
            "image_id": "605_2",
            "caption": "According to the X-ray findings, the heart and mediastinum appear normal, and there is no pleural effusion. However, a small nodular opacity in the left upper lung is detected, which could indicate early infiltrate or be due to superimposed structures. The recommendation is to follow up with another evaluation in two weeks to monitor any changes. Overall, the X-ray image suggests the need for cautious observation and further assessment to ensure early detection of any underlying conditions."
        },
        {
            "image_id": "1391_1",
            "caption": "The patient's x-ray shows a stable cardiomediastinal silhouette with low lung volumes. There is no indication of focal consolidation, pneumothorax, or pleural effusion. Although the lateral view was limited, the x-ray was negative for acute bone abnormality. Therefore, the impression is that the patient has low lung volumes, but is otherwise clear."
        },
        {
            "image_id": "1391_2",
            "caption": "The patient's x-ray shows a stable cardiomediastinal silhouette with low lung volumes. There is no indication of focal consolidation, pneumothorax, or pleural effusion. Although the lateral view was limited, the x-ray was negative for acute bone abnormality. Therefore, the impression is that the patient has low lung volumes, but is otherwise clear."
        },
        {
            "image_id": "175_1",
            "caption": "The X-ray findings suggest mild cardiomegaly and an unchanged superior mediastinal contour. The pulmonary vascularity appears normal. There are slight changes to the right hemidiaphragm, which remains elevated with minimal right base subsegmental atelectasis, and there is minimal opacity in the left basal airspace. There are no signs of pneumothorax, but a blunting of the right lateral costophrenic  is noted, possibly indicative of scarring or effusion. Overall, the exam appears stable, with the exception of the minimal left base atelectasis/infiltrate. Follow-up evaluation in 2 weeks may be helpful."
        },
        {
            "image_id": "2856_1",
            "caption": "On examination, the x-ray reveals no acute abnormalities. The heart is normal in size and there is no evidence of focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. Additionally, there are no focal bony abnormalities. Overall, the impression is that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "2856_2",
            "caption": "On examination, the x-ray reveals no acute abnormalities. The heart is normal in size and there is no evidence of focal airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. Additionally, there are no focal bony abnormalities. Overall, the impression is that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "3590_1",
            "caption": "The chest x-ray appears normal. The heart size is within normal limits and the mediastinal and hilar contours are stable. No focal alveolar consolidation or pleural effusion was seen. There were no typical findings of pulmonary edema or pneumothorax. In summary, there were no acute findings in the image."
        },
        {
            "image_id": "3590_2",
            "caption": "The chest x-ray appears normal. The heart size is within normal limits and the mediastinal and hilar contours are stable. No focal alveolar consolidation or pleural effusion was seen. There were no typical findings of pulmonary edema or pneumothorax. In summary, there were no acute findings in the image."
        },
        {
            "image_id": "613_1",
            "caption": "The x-ray shows no significant changes in the heart or lungs since the last examination. Both lungs appear clear and adequately expanded with a normal looking heart and mediastinum. The impression states that there is no active disease. Overall, it seems that the patient's condition is stable."
        },
        {
            "image_id": "613_2",
            "caption": "The x-ray shows no significant changes in the heart or lungs since the last examination. Both lungs appear clear and adequately expanded with a normal looking heart and mediastinum. The impression states that there is no active disease. Overall, it seems that the patient's condition is stable."
        },
        {
            "image_id": "1387_1",
            "caption": "The x-ray shows that the heart and lungs are normal in size and clear of any focal disease, pneumothorax, or pleural effusion. However, there is a single cardiac projection seen over the right ventricle, which requires further examination to confirm the absence of acute complications. Overall, the impression suggests no immediate concern for acute cardiopulmonary disease, but follow-up may be necessary to better understand the cardiac projection."
        },
        {
            "image_id": "1393_1",
            "caption": "After removing a right central venous line, the x-ray indicates the heart and pulmonary vascularity are normal in size, without any focal airspace disease, pneumothorax, or pleural effusion. However, a few band-like opacities are noted at the lateral left base, suggesting scarring or atelectasis. The impression raises concern for potential atelectasis, which is a condition characterized by collapsed lung tissue. A physician should be consulted to further evaluate the patient's condition."
        },
        {
            "image_id": "1393_2",
            "caption": "After removing a right central venous line, the x-ray indicates the heart and pulmonary vascularity are normal in size, without any focal airspace disease, pneumothorax, or pleural effusion. However, a few band-like opacities are noted at the lateral left base, suggesting scarring or atelectasis. The impression raises concern for potential atelectasis, which is a condition characterized by collapsed lung tissue. A physician should be consulted to further evaluate the patient's condition."
        },
        {
            "image_id": "607_1",
            "caption": "The x-ray image shows that the heart and lungs are normal, without any significant abnormalities. A few calcified nodules are present in the lungs, but they do not indicate any acute cardiopulmonary process. The patient's bones also appear to be normal. Overall, the x-ray does not reveal any active disease or health concerns."
        },
        {
            "image_id": "607_2",
            "caption": "The x-ray image shows that the heart and lungs are normal, without any significant abnormalities. A few calcified nodules are present in the lungs, but they do not indicate any acute cardiopulmonary process. The patient's bones also appear to be normal. Overall, the x-ray does not reveal any active disease or health concerns."
        },
        {
            "image_id": "2842_1",
            "caption": "The patient's chest X-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear bilaterally, without any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is within normal limits, and the visualized osseous structures of the thorax are without acute abnormality. This indicates that the patient's heart and lungs are functioning normally without any signs of distress."
        },
        {
            "image_id": "2842_2",
            "caption": "The patient's chest X-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear bilaterally, without any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is within normal limits, and the visualized osseous structures of the thorax are without acute abnormality. This indicates that the patient's heart and lungs are functioning normally without any signs of distress."
        },
        {
            "image_id": "161_1",
            "caption": "The patient has low lung volumes and scattered left base atelectasis. However, there was no evidence of pleural effusion or pneumothorax. The heart and pulmonary vascularity appeared normal. The results suggest that the patient may require further evaluation for the atelectasis, but otherwise, the findings are clear."
        },
        {
            "image_id": "161_2",
            "caption": "The patient has low lung volumes and scattered left base atelectasis. However, there was no evidence of pleural effusion or pneumothorax. The heart and pulmonary vascularity appeared normal. The results suggest that the patient may require further evaluation for the atelectasis, but otherwise, the findings are clear."
        },
        {
            "image_id": "3235_1",
            "caption": "The heart is normal in size and the lungs are clear, with no visible signs of pneumothorax or pleural effusion. Overall, the chest exam appears normal."
        },
        {
            "image_id": "3235_2",
            "caption": "The heart is normal in size and the lungs are clear, with no visible signs of pneumothorax or pleural effusion. Overall, the chest exam appears normal."
        },
        {
            "image_id": "1422_1",
            "caption": "The x-ray images show that the heart is of normal size and the pulmonary vascularity is within the normal range. There are no signs of pneumothorax or pleural effusion. However, there is a wedge-shaped opacity identified in the right upper lobe and some patchy opacification in the left upper lobe. The impression suggests the possibility of pneumonia, and follow-up imaging is recommended to track the resolution of the condition."
        },
        {
            "image_id": "1422_2",
            "caption": "The x-ray images show that the heart is of normal size and the pulmonary vascularity is within the normal range. There are no signs of pneumothorax or pleural effusion. However, there is a wedge-shaped opacity identified in the right upper lobe and some patchy opacification in the left upper lobe. The impression suggests the possibility of pneumonia, and follow-up imaging is recommended to track the resolution of the condition."
        },
        {
            "image_id": "48_1",
            "caption": "The chest x-ray findings showed normal cardiac and mediastinal contours, clear lungs, and no signs of pneumothorax or effusion. However, an 8mm nodule was detected in the left lower lobe, which was revealed to be a calcified granuloma. There were also signs of minimal early degenerative change in the bony structures of the thorax. The impression suggests that there is no evidence of an acute cardiopulmonary process, but follow-up imaging may be needed to ensure that the nodule has not changed."
        },
        {
            "image_id": "48_2",
            "caption": "The chest x-ray findings showed normal cardiac and mediastinal contours, clear lungs, and no signs of pneumothorax or effusion. However, an 8mm nodule was detected in the left lower lobe, which was revealed to be a calcified granuloma. There were also signs of minimal early degenerative change in the bony structures of the thorax. The impression suggests that there is no evidence of an acute cardiopulmonary process, but follow-up imaging may be needed to ensure that the nodule has not changed."
        },
        {
            "image_id": "1344_1",
            "caption": "The chest x-ray shows normal mediastinal contours, clear lungs, and no pneumothorax or large pleural effusion. The impression is that there is no acute cardiopulmonary abnormality. Overall, the x-ray appears to be a normal finding."
        },
        {
            "image_id": "1344_2",
            "caption": "The chest x-ray shows normal mediastinal contours, clear lungs, and no pneumothorax or large pleural effusion. The impression is that there is no acute cardiopulmonary abnormality. Overall, the x-ray appears to be a normal finding."
        },
        {
            "image_id": "808_1",
            "caption": "The x-ray image shows overall low lung lines with some abnormalities. There is scarring or subsegmental atelectasis at the right lung base which is not serious. However, in the left lower lobe, there is airspace disease present which is consistent with pneumonia. On the brighter side, there is no pneumothorax identified on the x-ray image, and the heart and mediastinum are stable. The x-ray report also shows some degenerative changes in the spine. The impression of the test is Left lower lobe pneumonia and minimal scarring or subsegmental atelectasis in the right lung base. Your healthcare provider may recommend further testing or treatment based on this x-ray report."
        },
        {
            "image_id": "808_2",
            "caption": "The x-ray image shows overall low lung lines with some abnormalities. There is scarring or subsegmental atelectasis at the right lung base which is not serious. However, in the left lower lobe, there is airspace disease present which is consistent with pneumonia. On the brighter side, there is no pneumothorax identified on the x-ray image, and the heart and mediastinum are stable. The x-ray report also shows some degenerative changes in the spine. The impression of the test is Left lower lobe pneumonia and minimal scarring or subsegmental atelectasis in the right lung base. Your healthcare provider may recommend further testing or treatment based on this x-ray report."
        },
        {
            "image_id": "3547_1",
            "caption": "The x-ray shows normal heart size and mediastinal contour, with clear lungs and normal pulmonary vascularity. There are no pleural effusions or pneumothoraces, but degenerative changes are present in the thoracic spine. The impression is that there is no acute cardiopulmonary process detected in the x-ray image."
        },
        {
            "image_id": "3547_2",
            "caption": "The x-ray shows normal heart size and mediastinal contour, with clear lungs and normal pulmonary vascularity. There are no pleural effusions or pneumothoraces, but degenerative changes are present in the thoracic spine. The impression is that there is no acute cardiopulmonary process detected in the x-ray image."
        },
        {
            "image_id": "2659_1",
            "caption": "Upon thorough examination of the x-ray image, it has been determined that there is no evidence of any acute abnormalities in the patient's cardiopulmonary system. The lungs appear to be clear with no focal consolidation, pneumothorax or large pleural effusion. The heart size and pulmonary vascularity are also found to be normal. Additionally, the osseous structures seem to be in good condition."
        },
        {
            "image_id": "2659_2",
            "caption": "Upon thorough examination of the x-ray image, it has been determined that there is no evidence of any acute abnormalities in the patient's cardiopulmonary system. The lungs appear to be clear with no focal consolidation, pneumothorax or large pleural effusion. The heart size and pulmonary vascularity are also found to be normal. Additionally, the osseous structures seem to be in good condition."
        },
        {
            "image_id": "1350_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormalities, with no consolidation, pneumothorax, or large effusions present. The heart size and vascularity are normal, and there are no focal bony findings in the thorax. The hand x-ray demonstrates a minimally displaced fracture through the scaphoid, as well as a lucency through the base of the fourth metacarpal which could be a vascular structure or a fracture. Further evaluation may be necessary if tenderness exists over this region."
        },
        {
            "image_id": "1350_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormalities, with no consolidation, pneumothorax, or large effusions present. The heart size and vascularity are normal, and there are no focal bony findings in the thorax. The hand x-ray demonstrates a minimally displaced fracture through the scaphoid, as well as a lucency through the base of the fourth metacarpal which could be a vascular structure or a fracture. Further evaluation may be necessary if tenderness exists over this region."
        },
        {
            "image_id": "1436_1",
            "caption": "The finding of the x-ray shows that the cardiac and mediastinal contours are normal, but there are calcifications of the aortic wall. The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There are mild degenerative changes in the spine. However, there is haziness in the right lung apex and a nodular density in the medial right lung base which may be due to overlapping structures. Further evaluation by the doctor is needed to confirm these findings. The impression is suggestive of emphysematous changes. If you have any concerns regarding these findings, consult with your doctor for proper diagnosis and treatment."
        },
        {
            "image_id": "1436_2",
            "caption": "The finding of the x-ray shows that the cardiac and mediastinal contours are normal, but there are calcifications of the aortic wall. The lungs are hyperinflated with increased retrosternal airspace and flattening of hemidiaphragms. There are mild degenerative changes in the spine. However, there is haziness in the right lung apex and a nodular density in the medial right lung base which may be due to overlapping structures. Further evaluation by the doctor is needed to confirm these findings. The impression is suggestive of emphysematous changes. If you have any concerns regarding these findings, consult with your doctor for proper diagnosis and treatment."
        },
        {
            "image_id": "3221_1",
            "caption": "The chest x-ray image reveals clear lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette also appears normal, and no acute abnormalities were observed in the visualized thoracic bones. Based on the finding, the impression is that there is no acute cardiopulmonary abnormality found in the x-ray image."
        },
        {
            "image_id": "3221_2",
            "caption": "The chest x-ray image reveals clear lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette also appears normal, and no acute abnormalities were observed in the visualized thoracic bones. Based on the finding, the impression is that there is no acute cardiopulmonary abnormality found in the x-ray image."
        },
        {
            "image_id": "2117_1",
            "caption": "The chest x-ray shows a stable appearance without any signs of disease progression. There is a stable configuration of the heart and mediastinum with a minimal spondylosis of the lower thoracic spine. Lungs are clear of consolidation, pneumothorax or pleural effusion. Bony thorax appears intact. The impression suggests that the chest is stable without any active process or evidence of the progression of the disease."
        },
        {
            "image_id": "2117_2",
            "caption": "The chest x-ray shows a stable appearance without any signs of disease progression. There is a stable configuration of the heart and mediastinum with a minimal spondylosis of the lower thoracic spine. Lungs are clear of consolidation, pneumothorax or pleural effusion. Bony thorax appears intact. The impression suggests that the chest is stable without any active process or evidence of the progression of the disease."
        },
        {
            "image_id": "3209_1",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and lung inflation. There is no evidence of disease or abnormality in the lungs or bones. The impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "3209_2",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and lung inflation. There is no evidence of disease or abnormality in the lungs or bones. The impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "74_1",
            "caption": "The x-ray indicates that there is a calcified granuloma on the left lung, atherosclerotic changes of the aorta, increased kyphosis of the thoracic spine, and multiple deformities due to osteoporosis. However, there is no acute pulmonary disease found. It is recommended to consult with a medical specialist for proper diagnosis and treatment."
        },
        {
            "image_id": "1378_1",
            "caption": "According to the chest X-ray findings, the heart and lungs appear to be normal with no signs of disease or abnormalities. All bony structures are intact without any acute abnormality. This indicates a healthy status of the patient's cardiopulmonary system."
        },
        {
            "image_id": "1378_2",
            "caption": "According to the chest X-ray findings, the heart and lungs appear to be normal with no signs of disease or abnormalities. All bony structures are intact without any acute abnormality. This indicates a healthy status of the patient's cardiopulmonary system."
        },
        {
            "image_id": "834_1",
            "caption": "The cardiac silhouette and pulmonary vascularity are normal, and the lungs are clear without any evidence of pleural effusion or pneumothorax. Mild degenerative changes are present in the spine, but there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "834_2",
            "caption": "The cardiac silhouette and pulmonary vascularity are normal, and the lungs are clear without any evidence of pleural effusion or pneumothorax. Mild degenerative changes are present in the spine, but there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "60_1",
            "caption": "The X-ray shows a stable appearance of hiatal hernia and clear right lung. However, there is a suspicious round area of density measuring 1.9 x 1.8 cm in the left superior lower lobe, which has increased in size compared to the previous chest radiograph. Further evaluation is recommended, and the physician has been notified of this critical result. The report suggests a recommended follow-up, which is a chest, abdomen, and pelvis with contrast. There is no evidence of pneumothorax or pleural effusion, and the cardiac contour is normal."
        },
        {
            "image_id": "820_1",
            "caption": "The x-ray reveals the presence of T-spine osteophytes and a small calcified granuloma near the left heart. The cardiomediastinal silhouette and pulmonary vasculature appear normal with no evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation. The impression concludes that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "820_2",
            "caption": "The x-ray reveals the presence of T-spine osteophytes and a small calcified granuloma near the left heart. The cardiomediastinal silhouette and pulmonary vasculature appear normal with no evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation. The impression concludes that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2665_1",
            "caption": "The X-ray findings show no acute abnormalities in the cardiopulmonary system. There is no evidence of lung consolidation, pneumothorax, or pleural effusion. The heart size and pulmonary vasculature are normal, and the osseous structures appear intact. It is a healthy image, and there is nothing to suggest any acute cardiopulmonary process."
        },
        {
            "image_id": "2665_2",
            "caption": "The X-ray findings show no acute abnormalities in the cardiopulmonary system. There is no evidence of lung consolidation, pneumothorax, or pleural effusion. The heart size and pulmonary vasculature are normal, and the osseous structures appear intact. It is a healthy image, and there is nothing to suggest any acute cardiopulmonary process."
        },
        {
            "image_id": "2103_1",
            "caption": "The x-ray findings indicate that the heart size and pulmonary vascularity are normal and there is no presence of any focal airspace disease, pneumothorax or pleural effusion. Based on these findings, there is no evidence of active disease."
        },
        {
            "image_id": "2103_2",
            "caption": "The x-ray findings indicate that the heart size and pulmonary vascularity are normal and there is no presence of any focal airspace disease, pneumothorax or pleural effusion. Based on these findings, there is no evidence of active disease."
        },
        {
            "image_id": "411_1",
            "caption": "The x-ray shows minimal patchy opacity in the left base, which may indicate either atelectasis or chronic scarring. The lungs are clear besides this finding, and the heart and mediastinum look normal for the patient's age. The skeletal structures show some signs of arthritis, and the patient has had previous rotator cuff repair on the right."
        },
        {
            "image_id": "411_2",
            "caption": "The x-ray shows minimal patchy opacity in the left base, which may indicate either atelectasis or chronic scarring. The lungs are clear besides this finding, and the heart and mediastinum look normal for the patient's age. The skeletal structures show some signs of arthritis, and the patient has had previous rotator cuff repair on the right."
        },
        {
            "image_id": "3792_1",
            "caption": "The x-ray image shows clear lungs bilaterally with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears unremarkable and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3792_2",
            "caption": "The x-ray image shows clear lungs bilaterally with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears unremarkable and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "377_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal, indicating that there is no active disease in the cardiopulmonary system. The lungs do not have any focal airspace disease, pleural effusion, or pneumothorax. However, degenerative changes are present in the spine. Overall, the x-ray suggests no evidence of active disease."
        },
        {
            "image_id": "377_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal, indicating that there is no active disease in the cardiopulmonary system. The lungs do not have any focal airspace disease, pleural effusion, or pneumothorax. However, degenerative changes are present in the spine. Overall, the x-ray suggests no evidence of active disease."
        },
        {
            "image_id": "363_1",
            "caption": "After reviewing the x-ray image, it has been determined that there are no acute cardiopulmonary abnormalities present. The cardiomediastinal contours appear normal, and there is no evidence of focal consolidation, pleural effusions, or pneumothorax. This indicates that the individual does not currently have any significant pulmonary or cardiac issues."
        },
        {
            "image_id": "363_2",
            "caption": "After reviewing the x-ray image, it has been determined that there are no acute cardiopulmonary abnormalities present. The cardiomediastinal contours appear normal, and there is no evidence of focal consolidation, pleural effusions, or pneumothorax. This indicates that the individual does not currently have any significant pulmonary or cardiac issues."
        },
        {
            "image_id": "3786_1",
            "caption": "The X-ray indicates that the patient has developed consolidations in the left upper lobe and both lower lobes. Although heart size is slightly large, the pulmonary appearance is normal. The impression suggests that the patient is likely suffering from multifocal pneumonia. Immediate medical intervention is necessary for effective treatment."
        },
        {
            "image_id": "405_1",
            "caption": "On examination of the x-ray, the image appears rotated with low lung volumes but there is no acute bony abnormality seen. Although there are no focal consolidations, there is a question of left atrial enlargement that is appreciated on the lateral view. Additionally, there are no signs of large pleural effusion or pneumothorax. The impression of the x-ray shows a clear lung without any evidence of active disease."
        },
        {
            "image_id": "405_2",
            "caption": "On examination of the x-ray, the image appears rotated with low lung volumes but there is no acute bony abnormality seen. Although there are no focal consolidations, there is a question of left atrial enlargement that is appreciated on the lateral view. Additionally, there are no signs of large pleural effusion or pneumothorax. The impression of the x-ray shows a clear lung without any evidence of active disease."
        },
        {
            "image_id": "1191_1",
            "caption": "The x-ray image is normal, showing no acute abnormalities in the heart or lungs. The heart size and pulmonary vascular contour are normal, and there is no evidence of focal consolidation, pleural effusion, or pneumothorax. Overall, the x-ray indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1191_2",
            "caption": "The x-ray image is normal, showing no acute abnormalities in the heart or lungs. The heart size and pulmonary vascular contour are normal, and there is no evidence of focal consolidation, pleural effusion, or pneumothorax. Overall, the x-ray indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3976_1",
            "caption": "The x-ray evaluation shows that the heart size and mediastinal contour are normal, pulmonary vascularity is normal, and lungs are clear with no pleural effusions or pneumothoraces. The impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "3976_2",
            "caption": "The x-ray evaluation shows that the heart size and mediastinal contour are normal, pulmonary vascularity is normal, and lungs are clear with no pleural effusions or pneumothoraces. The impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "1807_1",
            "caption": "The heart is mildly enlarged and there is accentuated central pulmonary vascularity. Mild increased interstitial markings are seen without any focal consolidation or pleural effusion. There is mild stable cardiomegaly with mild central pulmonary vascular congestion and interstitial accentuation. These findings may indicate early stages of pulmonary edema. Further evaluation and treatment may be required."
        },
        {
            "image_id": "1807_2",
            "caption": "The heart is mildly enlarged and there is accentuated central pulmonary vascularity. Mild increased interstitial markings are seen without any focal consolidation or pleural effusion. There is mild stable cardiomegaly with mild central pulmonary vascular congestion and interstitial accentuation. These findings may indicate early stages of pulmonary edema. Further evaluation and treatment may be required."
        },
        {
            "image_id": "1813_1",
            "caption": "The results of the x-ray image show that the size of the heart and mediastinal contour are normal with clear lungs, no pleural effusions or pneumothoraces, and no acute bony changes. The pulmonary vasculature is also within normal limits in size, and there are no focal airspace diseases. Additionally, lung volumes are low normal. Based on these findings, there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "1813_2",
            "caption": "The results of the x-ray image show that the size of the heart and mediastinal contour are normal with clear lungs, no pleural effusions or pneumothoraces, and no acute bony changes. The pulmonary vasculature is also within normal limits in size, and there are no focal airspace diseases. Additionally, lung volumes are low normal. Based on these findings, there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3962_1",
            "caption": "Upon reviewing the X-ray image, it was found that the heart size is within normal range and the lungs are clear without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The overall impression of the X-ray image shows a normal chest."
        },
        {
            "image_id": "3962_2",
            "caption": "Upon reviewing the X-ray image, it was found that the heart size is within normal range and the lungs are clear without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The overall impression of the X-ray image shows a normal chest."
        },
        {
            "image_id": "3989_1",
            "caption": "On the X-ray, the heart size was observed to be normal. The right hemidiaphragm eventration was noted, but there were no signs of alveolar consolidation or pleural effusion. Furthermore, there were no typical findings of pulmonary edema. Overall, the impression was no acute cardiopulmonary findings."
        },
        {
            "image_id": "3989_2",
            "caption": "On the X-ray, the heart size was observed to be normal. The right hemidiaphragm eventration was noted, but there were no signs of alveolar consolidation or pleural effusion. Furthermore, there were no typical findings of pulmonary edema. Overall, the impression was no acute cardiopulmonary findings."
        },
        {
            "image_id": "3751_1",
            "caption": "The x-ray image shows normal cardiopulmonary findings with no indication of acute disease. The lungs are clear, without any evidence of airspace disease. The cardiac and mediastinal contours are within normal limits. There is no detectable pneumothorax or pleural effusion. In summary, No radiographic evidence of acute cardiopulmonary disease is present in this x-ray."
        },
        {
            "image_id": "3751_2",
            "caption": "The x-ray image shows normal cardiopulmonary findings with no indication of acute disease. The lungs are clear, without any evidence of airspace disease. The cardiac and mediastinal contours are within normal limits. There is no detectable pneumothorax or pleural effusion. In summary, No radiographic evidence of acute cardiopulmonary disease is present in this x-ray."
        },
        {
            "image_id": "1146_1",
            "caption": "The X-ray examination reveals no acute abnormality. The heart size is normal and the lungs are clear with no evidence of focal air space consolidations, pleural effusions, or pneumothoraces. The hilar and mediastinal contours are also normal. However, a calcified lingular pulmonary granuloma is observed. Pulmonary vascularity appears normal."
        },
        {
            "image_id": "1146_2",
            "caption": "The X-ray examination reveals no acute abnormality. The heart size is normal and the lungs are clear with no evidence of focal air space consolidations, pleural effusions, or pneumothoraces. The hilar and mediastinal contours are also normal. However, a calcified lingular pulmonary granuloma is observed. Pulmonary vascularity appears normal."
        },
        {
            "image_id": "1620_1",
            "caption": "The x-ray shows that the cardiomediastinal silhouette is normal and the lungs are clear without areas of focal consolidation. However, there is a possibility of free intraperitoneal air represented by a lucency under the right hemidiaphragm. A left lateral decubitus film is recommended to confirm the diagnosis. Overall, the lungs appear to be clear without any acute abnormality."
        },
        {
            "image_id": "1620_2",
            "caption": "The x-ray shows that the cardiomediastinal silhouette is normal and the lungs are clear without areas of focal consolidation. However, there is a possibility of free intraperitoneal air represented by a lucency under the right hemidiaphragm. A left lateral decubitus film is recommended to confirm the diagnosis. Overall, the lungs appear to be clear without any acute abnormality."
        },
        {
            "image_id": "3037_1",
            "caption": "The chest X-ray shows a normal heart size and clear lungs without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The findings of the X-ray are indicative of a normal chest."
        },
        {
            "image_id": "3037_2",
            "caption": "The chest X-ray shows a normal heart size and clear lungs without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The findings of the X-ray are indicative of a normal chest."
        },
        {
            "image_id": "2329_1",
            "caption": "The X-ray image shows a normal heart and mediastinal contours, with clear lung parenchyma and normal pulmonary vasculature. No pleural effusions or pneumothorax are seen, and the bony structures appear unremarkable. The impression indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3023_1",
            "caption": "The chest X-ray shows that the heart is of normal size and the mediastinum is unremarkable. The lungs appear clear with the exception of a small calcified granuloma in the left upper lung. Based on these findings, there is no evidence of acute disease."
        },
        {
            "image_id": "1634_1",
            "caption": "The x-ray shows calcified granulomas and hilar calcifications, as well as hyperexpanded lung and prominent substernal air space. Aortic calcifications and degenerative changes in the thoracic spine are also present. The heart size is within normal limits, and there is no evidence of pleural effusions or pneumothorax. The impression suggests hyperexpanded lung consistent with COPD and no signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1634_2",
            "caption": "The x-ray shows calcified granulomas and hilar calcifications, as well as hyperexpanded lung and prominent substernal air space. Aortic calcifications and degenerative changes in the thoracic spine are also present. The heart size is within normal limits, and there is no evidence of pleural effusions or pneumothorax. The impression suggests hyperexpanded lung consistent with COPD and no signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1152_1",
            "caption": "The x-ray shows an enlarged heart with a normal mediastinum. Atherosclerotic calcifications are observed in the thoracic aorta, while there is no presence of pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine. The impression suggests cardiomegaly without acute cardiopulmonary abnormality. It is important to seek further medical evaluation and follow-up on this finding."
        },
        {
            "image_id": "1152_2",
            "caption": "The x-ray shows an enlarged heart with a normal mediastinum. Atherosclerotic calcifications are observed in the thoracic aorta, while there is no presence of pleural effusion, pneumothorax, or focal airspace disease. Chronic degenerative changes are noted within the spine. The impression suggests cardiomegaly without acute cardiopulmonary abnormality. It is important to seek further medical evaluation and follow-up on this finding."
        },
        {
            "image_id": "3745_1",
            "caption": "The x-ray shows no acute osseous findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits, and there is no evidence of pneumothorax or pleural effusion. Lungs appear clear, and no acute cardiopulmonary abnormalities were found."
        },
        {
            "image_id": "3745_2",
            "caption": "The x-ray shows no acute osseous findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits, and there is no evidence of pneumothorax or pleural effusion. Lungs appear clear, and no acute cardiopulmonary abnormalities were found."
        },
        {
            "image_id": "2473_1",
            "caption": "The x-ray image shows a normal-sized heart with an unremarkable mediastinum. The lungs appear hypoinflated but clear without any acute disease."
        },
        {
            "image_id": "2473_2",
            "caption": "The x-ray image shows a normal-sized heart with an unremarkable mediastinum. The lungs appear hypoinflated but clear without any acute disease."
        },
        {
            "image_id": "2315_1",
            "caption": "On evaluation of the x-ray, it is observed that the heart is of normal size and the mediastinal contour is within normal limits. The lungs appear clear without any focal infiltrates or visible nodules or masses. However, a calcified granuloma is observed in the left lingula. No pneumothorax or pleural fluid is visible. Based on the above observations, there is no evidence of any acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2315_2",
            "caption": "On evaluation of the x-ray, it is observed that the heart is of normal size and the mediastinal contour is within normal limits. The lungs appear clear without any focal infiltrates or visible nodules or masses. However, a calcified granuloma is observed in the left lingula. No pneumothorax or pleural fluid is visible. Based on the above observations, there is no evidence of any acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "388_1",
            "caption": "The x-ray shows stable cardiomegaly and superior mediastinal contour, with a tortuous calcified aorta. Pulmonary vascularity is normal, and there is no evidence of focal air space consolidation, pleural effusion or pneumothorax. The bone structure appears normal, but changes from a prior right mastectomy are visible. Overall, the chest appears stable and no acute cardiopulmonary findings were observed."
        },
        {
            "image_id": "388_2",
            "caption": "The x-ray shows stable cardiomegaly and superior mediastinal contour, with a tortuous calcified aorta. Pulmonary vascularity is normal, and there is no evidence of focal air space consolidation, pleural effusion or pneumothorax. The bone structure appears normal, but changes from a prior right mastectomy are visible. Overall, the chest appears stable and no acute cardiopulmonary findings were observed."
        },
        {
            "image_id": "1608_1",
            "caption": "The x-ray image reveals that the cardiac silhouette, upper mediastinum and pulmonary vasculature are all within normal limits. Furthermore, there are no signs of acute air space infiltrate, pleural effusion or pneumothorax. It is also noted that there are no pulmonary nodules identified. Overall, there is no acute process detected, however, if necessary, further evaluation can be performed with CT of the thorax. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule."
        },
        {
            "image_id": "1608_2",
            "caption": "The x-ray image reveals that the cardiac silhouette, upper mediastinum and pulmonary vasculature are all within normal limits. Furthermore, there are no signs of acute air space infiltrate, pleural effusion or pneumothorax. It is also noted that there are no pulmonary nodules identified. Overall, there is no acute process detected, however, if necessary, further evaluation can be performed with CT of the thorax. Correlation with prior radiographs would be helpful to identify the location of the previously described nodule."
        },
        {
            "image_id": "2301_1",
            "caption": "The lungs are clear and expanded, however, the heart is large and detail is obscured by radiographic attenuation. Pulmonary structures appear normal. The patient has stable cardiomegaly without any gross evidence of heart failure or pneumonia. It is recommended to continue monitoring the patient's condition."
        },
        {
            "image_id": "2301_2",
            "caption": "The lungs are clear and expanded, however, the heart is large and detail is obscured by radiographic attenuation. Pulmonary structures appear normal. The patient has stable cardiomegaly without any gross evidence of heart failure or pneumonia. It is recommended to continue monitoring the patient's condition."
        },
        {
            "image_id": "2467_1",
            "caption": "The chest x-ray shows no signs of cardiac enlargement or vascular congestion. However, there are multiple small circular opacities, some with central lucency, in the right upper lung, measuring up to 7mm. The exact cause of these opacities is unclear and may require further evaluation. No bony abnormalities were identified."
        },
        {
            "image_id": "2467_2",
            "caption": "The chest x-ray shows no signs of cardiac enlargement or vascular congestion. However, there are multiple small circular opacities, some with central lucency, in the right upper lung, measuring up to 7mm. The exact cause of these opacities is unclear and may require further evaluation. No bony abnormalities were identified."
        },
        {
            "image_id": "3779_1",
            "caption": "The x-ray shows normal results with no acute cardiopulmonary abnormalities. The heart is of normal size and shape, and there is no widening of the mediastinum. The lungs are clear on both sides, and there is no evidence of pleural effusion or pneumothorax. "
        },
        {
            "image_id": "3779_2",
            "caption": "The x-ray shows normal results with no acute cardiopulmonary abnormalities. The heart is of normal size and shape, and there is no widening of the mediastinum. The lungs are clear on both sides, and there is no evidence of pleural effusion or pneumothorax. "
        },
        {
            "image_id": "565_1",
            "caption": "Based on the X-ray image, the lungs are clear without any sign of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette and visualized osseous structures of the thorax are unremarkable, indicating no acute abnormalities. Overall, there is no evidence of cardiopulmonary abnormality on the X-ray."
        },
        {
            "image_id": "565_2",
            "caption": "Based on the X-ray image, the lungs are clear without any sign of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette and visualized osseous structures of the thorax are unremarkable, indicating no acute abnormalities. Overall, there is no evidence of cardiopulmonary abnormality on the X-ray."
        },
        {
            "image_id": "3180_1",
            "caption": "The radiograph shows a normal-sized and shaped heart, as well as clear lungs without any signs of infiltrate, pneumothorax, or effusion. The impression suggests that there is no acute cardiopulmonary disease present in the patient. Overall, the X-ray indicates a healthy cardiopulmonary system."
        },
        {
            "image_id": "3180_2",
            "caption": "The radiograph shows a normal-sized and shaped heart, as well as clear lungs without any signs of infiltrate, pneumothorax, or effusion. The impression suggests that there is no acute cardiopulmonary disease present in the patient. Overall, the X-ray indicates a healthy cardiopulmonary system."
        },
        {
            "image_id": "1797_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette and pulmonary vasculature. No pneumothorax or pleural effusion is present, and no focal areas of consolidation are seen. Small T-spine osteophytes are noted. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1797_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette and pulmonary vasculature. No pneumothorax or pleural effusion is present, and no focal areas of consolidation are seen. Small T-spine osteophytes are noted. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "203_1",
            "caption": "The x-ray image shows that the heart is of normal size and the mediastinum is unremarkable. Moreover, there is no evidence of disease in the lungs. The overall impression is that there is no acute abnormality found in this x-ray examination."
        },
        {
            "image_id": "3194_1",
            "caption": "During the X-ray examination, the heart and mediastinal silhouette appeared normal and within expected contour and size. The lungs were found clear, and there was no evidence of pneumothorax or pleural effusions. After analyzing the findings, no acute cardiopulmonary abnormalities were detected."
        },
        {
            "image_id": "3194_2",
            "caption": "During the X-ray examination, the heart and mediastinal silhouette appeared normal and within expected contour and size. The lungs were found clear, and there was no evidence of pneumothorax or pleural effusions. After analyzing the findings, no acute cardiopulmonary abnormalities were detected."
        },
        {
            "image_id": "571_1",
            "caption": "Based on the X-ray findings, the lungs are clear and there are no signs of pleural effusions or pneumothoraces. The heart and mediastinum are also of normal size and contour. The overall impression is that there are no suspicious pulmonary nodules or masses detected on the X-ray."
        },
        {
            "image_id": "571_2",
            "caption": "Based on the X-ray findings, the lungs are clear and there are no signs of pleural effusions or pneumothoraces. The heart and mediastinum are also of normal size and contour. The overall impression is that there are no suspicious pulmonary nodules or masses detected on the X-ray."
        },
        {
            "image_id": "3802_1",
            "caption": "The x-ray shows that the heart and mediastinum are of normal size and shape. The aorta is tortuous with atherosclerotic calcification, while the pulmonary vasculature is normal. Lungs are clear with no pneumothorax, pleural effusion, or focal consolidation. However, there are multiple leads and overlying material in the left lower chest, which is thought to cause mild increased density in the left lung base. In addition, there is a degenerative spine. The overall impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "3802_2",
            "caption": "The x-ray shows that the heart and mediastinum are of normal size and shape. The aorta is tortuous with atherosclerotic calcification, while the pulmonary vasculature is normal. Lungs are clear with no pneumothorax, pleural effusion, or focal consolidation. However, there are multiple leads and overlying material in the left lower chest, which is thought to cause mild increased density in the left lung base. In addition, there is a degenerative spine. The overall impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1973_1",
            "caption": "The x-ray indicates that the heart and mediastinum are of normal size and shape. The lungs are clear and there's no sign of consolidation, effusion, or pneumothorax. The diaphragm appears stable compared to the previous examination. Additionally, there's no acute osseous abnormality found except multilevel degenerative disc disease in the thoracolumbar spine. Based on these findings, there's no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "1973_2",
            "caption": "The x-ray indicates that the heart and mediastinum are of normal size and shape. The lungs are clear and there's no sign of consolidation, effusion, or pneumothorax. The diaphragm appears stable compared to the previous examination. Additionally, there's no acute osseous abnormality found except multilevel degenerative disc disease in the thoracolumbar spine. Based on these findings, there's no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "1967_1",
            "caption": "The findings indicate that the heart and pulmonary vascularity are normal, and the lungs are clear without any focal airspace disease, pneumothorax, or pleural effusion. However, there are some newly developed bandlike opacities in the left base, specifically in the lingula. These could be indicative of scarring or atelectasis. It is recommended to further evaluate the area of the lingula to determine the cause of the opacities."
        },
        {
            "image_id": "1967_2",
            "caption": "The findings indicate that the heart and pulmonary vascularity are normal, and the lungs are clear without any focal airspace disease, pneumothorax, or pleural effusion. However, there are some newly developed bandlike opacities in the left base, specifically in the lingula. These could be indicative of scarring or atelectasis. It is recommended to further evaluate the area of the lingula to determine the cause of the opacities."
        },
        {
            "image_id": "3816_1",
            "caption": "The finding shows that the heart is slightly enlarged, but the lungs and pulmonary vascularity are normal with no visible focal disease or effusion. Additionally, degenerative changes are present in the spine but no non-calcified nodules were found. The overall impression is that there is no evidence of active disease."
        },
        {
            "image_id": "3816_2",
            "caption": "The finding shows that the heart is slightly enlarged, but the lungs and pulmonary vascularity are normal with no visible focal disease or effusion. Additionally, degenerative changes are present in the spine but no non-calcified nodules were found. The overall impression is that there is no evidence of active disease."
        },
        {
            "image_id": "3625_1",
            "caption": "On the chest x-ray, the lungs are clear with no suspicious nodules or masses detected. The heart and pulmonary regions appear normal and the mediastinal contours are within normal limits. There is no evidence of a pneumothorax. Overall, there is no acute cardiopulmonary disease identified in this assessment."
        },
        {
            "image_id": "3625_2",
            "caption": "On the chest x-ray, the lungs are clear with no suspicious nodules or masses detected. The heart and pulmonary regions appear normal and the mediastinal contours are within normal limits. There is no evidence of a pneumothorax. Overall, there is no acute cardiopulmonary disease identified in this assessment."
        },
        {
            "image_id": "1032_1",
            "caption": "The X-ray image shows no acute abnormalities in the cardiopulmonary region. The cardiomediastinal silhouette and pulmonary vasculature are normal, with no pneumothorax or pleural effusion observed. Although there are unchanged calcifications on the left midlung, this is a sequela of previous granulomatous disease. Additionally, there are small T-spine osteophytes present. Overall, the X-ray report indicates no current cardiopulmonary concerns, and further evaluation may be needed only for the previously identified granulomatous disease."
        },
        {
            "image_id": "1032_2",
            "caption": "The X-ray image shows no acute abnormalities in the cardiopulmonary region. The cardiomediastinal silhouette and pulmonary vasculature are normal, with no pneumothorax or pleural effusion observed. Although there are unchanged calcifications on the left midlung, this is a sequela of previous granulomatous disease. Additionally, there are small T-spine osteophytes present. Overall, the X-ray report indicates no current cardiopulmonary concerns, and further evaluation may be needed only for the previously identified granulomatous disease."
        },
        {
            "image_id": "3143_1",
            "caption": "A recent chest X-ray was obtained and shows no signs of acute cardiopulmonary abnormalities. Both the heart and aortic areas appear normal, and there is no evidence of pulmonary effusion or pneumothorax present. The lungs show no acute findings. The overall impression is that there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "3143_2",
            "caption": "A recent chest X-ray was obtained and shows no signs of acute cardiopulmonary abnormalities. Both the heart and aortic areas appear normal, and there is no evidence of pulmonary effusion or pneumothorax present. The lungs show no acute findings. The overall impression is that there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "3157_1",
            "caption": "Based on the chest X-ray image, the heart is of normal size and the lungs appear clear. The X-ray did not show any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The overall impression of the X-ray is a normal chest."
        },
        {
            "image_id": "3157_2",
            "caption": "Based on the chest X-ray image, the heart is of normal size and the lungs appear clear. The X-ray did not show any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The overall impression of the X-ray is a normal chest."
        },
        {
            "image_id": "1740_1",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette. However, there is an area of opacification in the mid right lung extending from the right hilum to the pleura, and bordered inferiorly by the fissures. Additionally, there is patchy airspace opacity in right base, which is likely due to scarring. The impression is suggestive of right upper lobe airspace consolidation that could be due to pneumonia. Clinical correlation is recommended."
        },
        {
            "image_id": "1740_2",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette. However, there is an area of opacification in the mid right lung extending from the right hilum to the pleura, and bordered inferiorly by the fissures. Additionally, there is patchy airspace opacity in right base, which is likely due to scarring. The impression is suggestive of right upper lobe airspace consolidation that could be due to pneumonia. Clinical correlation is recommended."
        },
        {
            "image_id": "1026_1",
            "caption": "The x-ray shows that lungs, heart, and pulmonary all look normal. No acute cardiopulmonary disease is found and the pleural spaces are clear. The mediastinal contours are normal. Overall, the x-ray image looks good and there seems to be no cause for concern."
        },
        {
            "image_id": "3619_1",
            "caption": "The x-ray shows no visible cardiopulmonary abnormalities such as pneumothorax, focal airspace opacity, or pleural effusion. The cardiac and mediastinal areas appear normal, and there is no visible free air under the diaphragm. Additionally, the osseous structures appear intact. Overall, there is no acute radiographic cardiopulmonary process identified in the x-ray."
        },
        {
            "image_id": "3619_2",
            "caption": "The x-ray shows no visible cardiopulmonary abnormalities such as pneumothorax, focal airspace opacity, or pleural effusion. The cardiac and mediastinal areas appear normal, and there is no visible free air under the diaphragm. Additionally, the osseous structures appear intact. Overall, there is no acute radiographic cardiopulmonary process identified in the x-ray."
        },
        {
            "image_id": "2507_1",
            "caption": "The x-ray shows bibasilar airspace disease with stable cardiac silhouette. The right costophrenic appears blunted, potentially due to scarring. There is no pneumothorax present. The impression is bibasilar airspace disease. Further clinical correlation is recommended for proper diagnosis and treatment."
        },
        {
            "image_id": "2507_2",
            "caption": "The x-ray shows bibasilar airspace disease with stable cardiac silhouette. The right costophrenic appears blunted, potentially due to scarring. There is no pneumothorax present. The impression is bibasilar airspace disease. Further clinical correlation is recommended for proper diagnosis and treatment."
        },
        {
            "image_id": "2261_1",
            "caption": "The chest x-ray shows normal size and configuration of the cardiac silhouette, central airways and pulmonary vasculature. There is no focal airspace consolidation or pleural effusion. An incidental note of an azygos fissure is seen, and surgical clips are observed in the right upper quadrant, possibly from cholecystectomy. Based on these findings, no acute or active cardiac, pulmonary or pleural disease is present."
        },
        {
            "image_id": "2261_2",
            "caption": "The chest x-ray shows normal size and configuration of the cardiac silhouette, central airways and pulmonary vasculature. There is no focal airspace consolidation or pleural effusion. An incidental note of an azygos fissure is seen, and surgical clips are observed in the right upper quadrant, possibly from cholecystectomy. Based on these findings, no acute or active cardiac, pulmonary or pleural disease is present."
        },
        {
            "image_id": "1768_1",
            "caption": "The x-ray image reveals minimal scarring in the lung apices and dextrocurvature within the spine. Heart size is normal and there is no evidence of acute cardiopulmonary abnormality, such as pneumothorax or focal airspace consolidation. Overall, the findings suggest a healthy cardiopulmonary system."
        },
        {
            "image_id": "1768_2",
            "caption": "The x-ray image reveals minimal scarring in the lung apices and dextrocurvature within the spine. Heart size is normal and there is no evidence of acute cardiopulmonary abnormality, such as pneumothorax or focal airspace consolidation. Overall, the findings suggest a healthy cardiopulmonary system."
        },
        {
            "image_id": "1768_3",
            "caption": "The x-ray image reveals minimal scarring in the lung apices and dextrocurvature within the spine. Heart size is normal and there is no evidence of acute cardiopulmonary abnormality, such as pneumothorax or focal airspace consolidation. Overall, the findings suggest a healthy cardiopulmonary system."
        },
        {
            "image_id": "2275_1",
            "caption": "The x-ray shows a normal size and contour of the cardiomediastinal silhouette without any acute radiographic cardiopulmonary process. There is a denser right middle lobe nodule, which appears to be calcified. The lungs are normally inflated, and there is no evidence of any focal airspace disease, pleural effusion or pneumothorax. Additionally, there are degenerative endplate changes observed in the spine."
        },
        {
            "image_id": "2275_2",
            "caption": "The x-ray shows a normal size and contour of the cardiomediastinal silhouette without any acute radiographic cardiopulmonary process. There is a denser right middle lobe nodule, which appears to be calcified. The lungs are normally inflated, and there is no evidence of any focal airspace disease, pleural effusion or pneumothorax. Additionally, there are degenerative endplate changes observed in the spine."
        },
        {
            "image_id": "2513_1",
            "caption": "The heart and pulmonary vascularity are normal, but a large hiatal hernia is present in the retrocardiac region. Atelectasis is observed in the left lung base with no signs of pleural effusion or pneumothorax. The patient has a previously diagnosed hiatal hernia that is more visible in this examination. The findings indicate a significant hiatal hernia and atelectasis in the left lung base. Consultation with a healthcare professional is recommended."
        },
        {
            "image_id": "1595_1",
            "caption": "The x-ray image shows that the heart is enlarged, and the lung volumes are abnormal. A scar can be seen in the middle of the right lung. However, there are no signs of acute failure or pneumonia. This suggests that the patient has persistent cardiomegaly and a right midlung scar, which require further evaluation and monitoring. It is important to consult a healthcare professional for proper diagnosis and treatment."
        },
        {
            "image_id": "1595_2",
            "caption": "The x-ray image shows that the heart is enlarged, and the lung volumes are abnormal. A scar can be seen in the middle of the right lung. However, there are no signs of acute failure or pneumonia. This suggests that the patient has persistent cardiomegaly and a right midlung scar, which require further evaluation and monitoring. It is important to consult a healthcare professional for proper diagnosis and treatment."
        },
        {
            "image_id": "3382_1",
            "caption": "Upon examination of the chest x-ray, there are prominent interstitial markings and small bilateral pleural effusions present; however, there is no evidence of pneumothorax or focal consolidation. The heart appears to be of normal size, and catheter tubing is present in the upper midabdomen. In addition to these findings, the patient shows signs of bilateral acromioclavicular degenerative joint disease, with the right side being more affected than the left. Based on the x-ray results, the impression is small bilateral pleural effusions with no other acute findings."
        },
        {
            "image_id": "3382_2",
            "caption": "Upon examination of the chest x-ray, there are prominent interstitial markings and small bilateral pleural effusions present; however, there is no evidence of pneumothorax or focal consolidation. The heart appears to be of normal size, and catheter tubing is present in the upper midabdomen. In addition to these findings, the patient shows signs of bilateral acromioclavicular degenerative joint disease, with the right side being more affected than the left. Based on the x-ray results, the impression is small bilateral pleural effusions with no other acute findings."
        },
        {
            "image_id": "2922_1",
            "caption": "The report shows that the lungs are hyperinflated with a flattened diaphragm and increased retrosternal airspace. There is no alveolar consolidation, pleural effusion, or pulmonary edema observed. The size of the heart is within normal limits. The presence of right hilar calcification indicates a previous granulomatous process. The impression suggests the possibility of air trapping versus inspiratory problem."
        },
        {
            "image_id": "2922_2",
            "caption": "The report shows that the lungs are hyperinflated with a flattened diaphragm and increased retrosternal airspace. There is no alveolar consolidation, pleural effusion, or pulmonary edema observed. The size of the heart is within normal limits. The presence of right hilar calcification indicates a previous granulomatous process. The impression suggests the possibility of air trapping versus inspiratory problem."
        },
        {
            "image_id": "2922_3",
            "caption": "The report shows that the lungs are hyperinflated with a flattened diaphragm and increased retrosternal airspace. There is no alveolar consolidation, pleural effusion, or pulmonary edema observed. The size of the heart is within normal limits. The presence of right hilar calcification indicates a previous granulomatous process. The impression suggests the possibility of air trapping versus inspiratory problem."
        },
        {
            "image_id": "767_1",
            "caption": "The X-ray image shows no signs of acute abnormalities or diseases. The examination is unremarkable, indicating a healthy condition of the heart, mediastinum, and lungs. There are no visible focal pulmonary consolidation, pleural effusion, pneumothorax or lymphadenopathy. Additionally, there is no evidence of acute bony abnormality, ensuring normal skeletal health."
        },
        {
            "image_id": "767_2",
            "caption": "The X-ray image shows no signs of acute abnormalities or diseases. The examination is unremarkable, indicating a healthy condition of the heart, mediastinum, and lungs. There are no visible focal pulmonary consolidation, pleural effusion, pneumothorax or lymphadenopathy. Additionally, there is no evidence of acute bony abnormality, ensuring normal skeletal health."
        },
        {
            "image_id": "773_1",
            "caption": "The X-ray shows a normal size and contour of the cardiomediastinal silhouette. There is the presence of a right suprahilar calcified lymph node and right lung base calcified granuloma. Additionally, the lungs are mildly hyperexpanded. However, there is no focal consolidation, pneumothorax, or large pleural effusion observed in the X-ray. The impression indicates prior granulomatous disease and no acute abnormality in the examination."
        },
        {
            "image_id": "773_2",
            "caption": "The X-ray shows a normal size and contour of the cardiomediastinal silhouette. There is the presence of a right suprahilar calcified lymph node and right lung base calcified granuloma. Additionally, the lungs are mildly hyperexpanded. However, there is no focal consolidation, pneumothorax, or large pleural effusion observed in the X-ray. The impression indicates prior granulomatous disease and no acute abnormality in the examination."
        },
        {
            "image_id": "2936_1",
            "caption": "The x-ray image shows a mildly enlarged heart and a moderate sized hiatal hernia. The pulmonary and mediastinum are within normal limits, and no pleural effusion or pneumothorax is present. Although there are mild degenerative changes of the spine, no acute abnormality was identified. Overall, the finding suggests cardiomegaly, and the impression indicates the presence of a hiatal hernia, but no other significant abnormalities."
        },
        {
            "image_id": "2936_2",
            "caption": "The x-ray image shows a mildly enlarged heart and a moderate sized hiatal hernia. The pulmonary and mediastinum are within normal limits, and no pleural effusion or pneumothorax is present. Although there are mild degenerative changes of the spine, no acute abnormality was identified. Overall, the finding suggests cardiomegaly, and the impression indicates the presence of a hiatal hernia, but no other significant abnormalities."
        },
        {
            "image_id": "2936_3",
            "caption": "The x-ray image shows a mildly enlarged heart and a moderate sized hiatal hernia. The pulmonary and mediastinum are within normal limits, and no pleural effusion or pneumothorax is present. Although there are mild degenerative changes of the spine, no acute abnormality was identified. Overall, the finding suggests cardiomegaly, and the impression indicates the presence of a hiatal hernia, but no other significant abnormalities."
        },
        {
            "image_id": "2088_1",
            "caption": "This x-ray shows stable cardiomegaly and mild thoracolumbar dextroscoliosis. Compared to a previous examination, there has been extubation, removal of central line and enteric tube, indicating progress in health. The left basilar opacity displays chronic fibrosis and scarring, but there is no focal consolidation, pneumothorax, or effusion present. Additionally, no acute osseous abnormality was identified. In general, stable cardiomegaly is observed without any acute cardiopulmonary abnormality in this x-ray examination."
        },
        {
            "image_id": "2088_2",
            "caption": "This x-ray shows stable cardiomegaly and mild thoracolumbar dextroscoliosis. Compared to a previous examination, there has been extubation, removal of central line and enteric tube, indicating progress in health. The left basilar opacity displays chronic fibrosis and scarring, but there is no focal consolidation, pneumothorax, or effusion present. Additionally, no acute osseous abnormality was identified. In general, stable cardiomegaly is observed without any acute cardiopulmonary abnormality in this x-ray examination."
        },
        {
            "image_id": "1581_1",
            "caption": "Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable. Based on the findings, right upper lobe lung nodules are detected and further evaluation is recommended for proper diagnosis and treatment. It is important to consult with a specialist for appropriate management."
        },
        {
            "image_id": "1581_2",
            "caption": "Cardiomediastinal silhouettes are within normal limits. There are 2 right upper lobe lung nodules, the largest measuring approximately 12 mm. Lungs are without focal consolidation, pneumothorax, or pleural effusion. Bony thorax is unremarkable. Based on the findings, right upper lobe lung nodules are detected and further evaluation is recommended for proper diagnosis and treatment. It is important to consult with a specialist for appropriate management."
        },
        {
            "image_id": "983_1",
            "caption": "The patient's heart and mediastinal contours appear within normal limits. However, there are reticular opacities present in the medial right middle lobe, which is causing tubular airway ectasia and obscuring the right heart. This is most likely due to bronchiectasis, as it was previously present. There are no signs of focal airspace disease, pleural effusion, or pneumothorax. Overall, there are no acute cardiopulmonary processes, but the patient does have stable right middle lobe bronchiectasis, which indicates a postinfectious or postinflammatory condition."
        },
        {
            "image_id": "983_2",
            "caption": "The patient's heart and mediastinal contours appear within normal limits. However, there are reticular opacities present in the medial right middle lobe, which is causing tubular airway ectasia and obscuring the right heart. This is most likely due to bronchiectasis, as it was previously present. There are no signs of focal airspace disease, pleural effusion, or pneumothorax. Overall, there are no acute cardiopulmonary processes, but the patient does have stable right middle lobe bronchiectasis, which indicates a postinfectious or postinflammatory condition."
        },
        {
            "image_id": "997_1",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality. The heart size is normal and there are no pleural effusions. Additionally, there is no evidence of pneumothorax. The mediastinal calcification is the only abnormality detected. The thoracic spine also shows degenerative changes."
        },
        {
            "image_id": "997_2",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality. The heart size is normal and there are no pleural effusions. Additionally, there is no evidence of pneumothorax. The mediastinal calcification is the only abnormality detected. The thoracic spine also shows degenerative changes."
        },
        {
            "image_id": "3341_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression suggests a normal chest."
        },
        {
            "image_id": "3341_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression suggests a normal chest."
        },
        {
            "image_id": "1556_1",
            "caption": "The x-ray shows that the heart size is at the upper limits of normal and there is a tortuous aorta. However, the mediastinum appears normal, and there are no visible nodules or masses. Additionally, there is a mixed interstitial and alveolar infiltrate in the left base, indicating a possible respiratory issue. The recommendation is to follow up on the infiltrate until it has resolved. There is also no visible free intraperitoneal air under the diaphragm, which is a good sign."
        },
        {
            "image_id": "1556_2",
            "caption": "The x-ray shows that the heart size is at the upper limits of normal and there is a tortuous aorta. However, the mediastinum appears normal, and there are no visible nodules or masses. Additionally, there is a mixed interstitial and alveolar infiltrate in the left base, indicating a possible respiratory issue. The recommendation is to follow up on the infiltrate until it has resolved. There is also no visible free intraperitoneal air under the diaphragm, which is a good sign."
        },
        {
            "image_id": "2739_1",
            "caption": "The x-ray revealed that the heart size is normal and there is no focal airspace disease, pneumothorax or effusions. The impression was that there were no acute cardiopulmonary findings. Overall, the results show a normal cardiopulmonary status with no significant issues."
        },
        {
            "image_id": "2739_2",
            "caption": "The x-ray revealed that the heart size is normal and there is no focal airspace disease, pneumothorax or effusions. The impression was that there were no acute cardiopulmonary findings. Overall, the results show a normal cardiopulmonary status with no significant issues."
        },
        {
            "image_id": "3427_1",
            "caption": "The radiograph shows a normal cardiothoracic ratio with no evidence of pulmonary edema, consolidation, pleural effusion, or pneumothorax. The impression suggests that there is no acute cardiopulmonary disease or active tuberculosis."
        },
        {
            "image_id": "3427_2",
            "caption": "The radiograph shows a normal cardiothoracic ratio with no evidence of pulmonary edema, consolidation, pleural effusion, or pneumothorax. The impression suggests that there is no acute cardiopulmonary disease or active tuberculosis."
        },
        {
            "image_id": "3433_1",
            "caption": "The X-ray shows normal findings with no acute cardiopulmonary abnormality. The heart size is within normal limits and bony structures are intact. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease."
        },
        {
            "image_id": "3433_2",
            "caption": "The X-ray shows normal findings with no acute cardiopulmonary abnormality. The heart size is within normal limits and bony structures are intact. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease."
        },
        {
            "image_id": "968_1",
            "caption": "The findings on the x-ray image indicate that the heart size is normal and there are no signs of pneumonia, pleural effusion, or pneumothorax. Additionally, there are no typical findings of pulmonary edema. Taken together, these findings suggest that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "968_2",
            "caption": "The findings on the x-ray image indicate that the heart size is normal and there are no signs of pneumonia, pleural effusion, or pneumothorax. Additionally, there are no typical findings of pulmonary edema. Taken together, these findings suggest that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "1224_1",
            "caption": "The heart and lungs appear unchanged from prior. Both lungs are clear and fully expanded. The heart and mediastinum are normal, showing no signs of acute disease."
        },
        {
            "image_id": "1542_1",
            "caption": "The X-ray image reveals that the heart is normal in size and the mediastinum is stable. There are some chronic changes in the aorta with atherosclerosis, and some scarring or atelectasis in the lung bases. However, there is no sign of acute infiltrate or pleural effusion, indicating that there is no current disease. This X-ray provides a useful baseline for monitoring any changes in the future."
        },
        {
            "image_id": "1542_2",
            "caption": "The X-ray image reveals that the heart is normal in size and the mediastinum is stable. There are some chronic changes in the aorta with atherosclerosis, and some scarring or atelectasis in the lung bases. However, there is no sign of acute infiltrate or pleural effusion, indicating that there is no current disease. This X-ray provides a useful baseline for monitoring any changes in the future."
        },
        {
            "image_id": "3355_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouettes are normal in size. The lungs are hyperexpanded and clear without any focal consolidation, pneumothorax, or pleural effusion. The bony thorax appears unremarkable. Based on these findings, there are no signs of any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3355_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouettes are normal in size. The lungs are hyperexpanded and clear without any focal consolidation, pneumothorax, or pleural effusion. The bony thorax appears unremarkable. Based on these findings, there are no signs of any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "940_1",
            "caption": "The x-ray images show that there are no signs of acute abnormalities in the lungs and pleural spaces, with the heart size and pulmonary vascularity remaining within normal limits. Additionally, no displaced rib fractures were observed in the images. Therefore, as per the medical impression, there is no acute pulmonary abnormality to be worried about."
        },
        {
            "image_id": "940_2",
            "caption": "The x-ray images show that there are no signs of acute abnormalities in the lungs and pleural spaces, with the heart size and pulmonary vascularity remaining within normal limits. Additionally, no displaced rib fractures were observed in the images. Therefore, as per the medical impression, there is no acute pulmonary abnormality to be worried about."
        },
        {
            "image_id": "798_1",
            "caption": "The x-ray image shows no acute abnormality. The heart is not enlarged and the lungs are clear with no pleural effusion. The impression suggests that everything looks normal in the x-ray image."
        },
        {
            "image_id": "798_2",
            "caption": "The x-ray image shows no acute abnormality. The heart is not enlarged and the lungs are clear with no pleural effusion. The impression suggests that everything looks normal in the x-ray image."
        },
        {
            "image_id": "1218_1",
            "caption": "The X-ray images show clear lungs without any focal infiltrate, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits, and there are no acute bony or soft tissue abnormalities. As per the impression, there is no acute cardiopulmonary abnormality found. Overall, the X-ray of the patient's chest indicates that the cardiopulmonary system is functioning as expected."
        },
        {
            "image_id": "1218_2",
            "caption": "The X-ray images show clear lungs without any focal infiltrate, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits, and there are no acute bony or soft tissue abnormalities. As per the impression, there is no acute cardiopulmonary abnormality found. Overall, the X-ray of the patient's chest indicates that the cardiopulmonary system is functioning as expected."
        },
        {
            "image_id": "2711_1",
            "caption": "The chest X-ray shows a central venous line in the right chest with the tip in the mid SVC. There are no signs of pneumothorax or large pleural effusions. The heart size is normal and there is no focal airspace opacification. The impression is that there are no acute cardiopulmonary abnormalities. Overall, the findings indicate a good cardiopulmonary health status."
        },
        {
            "image_id": "2711_2",
            "caption": "The chest X-ray shows a central venous line in the right chest with the tip in the mid SVC. There are no signs of pneumothorax or large pleural effusions. The heart size is normal and there is no focal airspace opacification. The impression is that there are no acute cardiopulmonary abnormalities. Overall, the findings indicate a good cardiopulmonary health status."
        },
        {
            "image_id": "3369_1",
            "caption": "The X-ray image shows a significant condition where air has accumulated in the right side of the chest causing the mediastinum to shift towards the left. It has resulted in the complete opacification of the right lower lobe. This condition is indicative of a large right-sided pneumothorax. The severity of the condition emphasizes the importance of medical attention to ensure effective treatment."
        },
        {
            "image_id": "3369_2",
            "caption": "The X-ray image shows a significant condition where air has accumulated in the right side of the chest causing the mediastinum to shift towards the left. It has resulted in the complete opacification of the right lower lobe. This condition is indicative of a large right-sided pneumothorax. The severity of the condition emphasizes the importance of medical attention to ensure effective treatment."
        },
        {
            "image_id": "2077_1",
            "caption": "The X-ray image shows the presence of a right jugular catheter, and a curvilinear density projecting over the upper chest which may need further clinical examination. There is a subsegmental atelectasis in the lingula and mild degenerative changes of the spine. However, there are no signs of acute cardiopulmonary abnormalities such as airspace consolidation, pleural effusion or pneumothorax. Overall, the findings indicate a relatively normal heart and mediastinal contour, and pulmonary vascularity."
        },
        {
            "image_id": "2077_2",
            "caption": "The X-ray image shows the presence of a right jugular catheter, and a curvilinear density projecting over the upper chest which may need further clinical examination. There is a subsegmental atelectasis in the lingula and mild degenerative changes of the spine. However, there are no signs of acute cardiopulmonary abnormalities such as airspace consolidation, pleural effusion or pneumothorax. Overall, the findings indicate a relatively normal heart and mediastinal contour, and pulmonary vascularity."
        },
        {
            "image_id": "2710_1",
            "caption": "On examination, the heart appears to be of normal size, and the mediastinal contour is normal as well. The lungs are clear without any visible abnormalities such as nodules or masses, and no signs of pneumothorax or pleural fluid. Additionally, no free intraperitoneal air is visible under the diaphragm. Overall, the X-ray does not show any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2710_2",
            "caption": "On examination, the heart appears to be of normal size, and the mediastinal contour is normal as well. The lungs are clear without any visible abnormalities such as nodules or masses, and no signs of pneumothorax or pleural fluid. Additionally, no free intraperitoneal air is visible under the diaphragm. Overall, the X-ray does not show any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1219_1",
            "caption": "The patient's heart size and mediastinal contours appear normal, and there are no consolidative airspace opacities. The X-ray shows no radiographic evidence of pleural effusion or pneumothorax, and the patient's visualized osseous structures appear intact. Based on the X-ray, there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1219_2",
            "caption": "The patient's heart size and mediastinal contours appear normal, and there are no consolidative airspace opacities. The X-ray shows no radiographic evidence of pleural effusion or pneumothorax, and the patient's visualized osseous structures appear intact. Based on the X-ray, there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "955_1",
            "caption": "On the chest X-ray, the right central venous catheter is in a stable position and nasogastric tube has been removed. The heart size appears normal and the hilar and mediastinal contours are unchanged. There is a persistent prominent interstitial markings of the right upper lobe, but no visible focal airspace consolidations, pleural effusions, or pneumothoraces. Overall, the chest X-ray indicates no acute abnormality and a stable chest."
        },
        {
            "image_id": "955_2",
            "caption": "On the chest X-ray, the right central venous catheter is in a stable position and nasogastric tube has been removed. The heart size appears normal and the hilar and mediastinal contours are unchanged. There is a persistent prominent interstitial markings of the right upper lobe, but no visible focal airspace consolidations, pleural effusions, or pneumothoraces. Overall, the chest X-ray indicates no acute abnormality and a stable chest."
        },
        {
            "image_id": "2062_1",
            "caption": "The chest X-ray shows a right subclavian catheter with its distal tip located in the subclavian vein. Lung volumes are low with left lower lung atelectasis. No visible pleural effusion is present. The cardiomediastinal size is within normal limits, and pulmonary vasculature appears normal. The left lower lobe airspace disease indicates atelectasis. The visualized osseous structures appear intact. The impression suggests the presence of a subclavian catheter and low lung volumes with left lower lung atelectasis. It is recommended to consult a specialist for further evaluation of the findings."
        },
        {
            "image_id": "2062_2",
            "caption": "The chest X-ray shows a right subclavian catheter with its distal tip located in the subclavian vein. Lung volumes are low with left lower lung atelectasis. No visible pleural effusion is present. The cardiomediastinal size is within normal limits, and pulmonary vasculature appears normal. The left lower lobe airspace disease indicates atelectasis. The visualized osseous structures appear intact. The impression suggests the presence of a subclavian catheter and low lung volumes with left lower lung atelectasis. It is recommended to consult a specialist for further evaluation of the findings."
        },
        {
            "image_id": "799_1",
            "caption": "The x-ray shows that the heart size and mediastinal contours are within normal limits, and there is no evidence of acute osseous abnormality. No focal airspace consolidations are seen, and there is also no evidence of pleural effusion or pneumothorax. The impression is that there is no evidence of active cardiopulmonary disease, and no suspicious pulmonary nodules or masses are detected."
        },
        {
            "image_id": "799_2",
            "caption": "The x-ray shows that the heart size and mediastinal contours are within normal limits, and there is no evidence of acute osseous abnormality. No focal airspace consolidations are seen, and there is also no evidence of pleural effusion or pneumothorax. The impression is that there is no evidence of active cardiopulmonary disease, and no suspicious pulmonary nodules or masses are detected."
        },
        {
            "image_id": "941_1",
            "caption": "There is a surgical anomaly at the distal left clavicle. There is no acute abnormality in the bones. The soft tissue structures are normal. The heart and mediastinum appear normal with unremarkable hilar structures. The lungs are adequately inflated without any focal airspace disease, pleural effusion, or pneumothorax. The X-ray image does not indicate any acute cardiopulmonary disease."
        },
        {
            "image_id": "941_2",
            "caption": "There is a surgical anomaly at the distal left clavicle. There is no acute abnormality in the bones. The soft tissue structures are normal. The heart and mediastinum appear normal with unremarkable hilar structures. The lungs are adequately inflated without any focal airspace disease, pleural effusion, or pneumothorax. The X-ray image does not indicate any acute cardiopulmonary disease."
        },
        {
            "image_id": "2704_1",
            "caption": "The chest x-ray shows an unchanged cardiomediastinal silhouette with an unfolded aorta. There is left base streaky opacity due to scarring or discoid atelectasis and a mid-right lung small calcified granuloma. There are also small nodular opacities projecting over the right base in the right costophrenic sulcus, posterior right 9th rib and the anterior T10 vertebral body. The impression notes the presence of indeterminate small nodular opacities, which may be granulomas or bone islands. However, further evaluation is recommended. Overall, there is no evidence of acute cardiac or pulmonary disease process identified."
        },
        {
            "image_id": "2704_2",
            "caption": "The chest x-ray shows an unchanged cardiomediastinal silhouette with an unfolded aorta. There is left base streaky opacity due to scarring or discoid atelectasis and a mid-right lung small calcified granuloma. There are also small nodular opacities projecting over the right base in the right costophrenic sulcus, posterior right 9th rib and the anterior T10 vertebral body. The impression notes the presence of indeterminate small nodular opacities, which may be granulomas or bone islands. However, further evaluation is recommended. Overall, there is no evidence of acute cardiac or pulmonary disease process identified."
        },
        {
            "image_id": "1225_1",
            "caption": "The chest x-ray examination reveals normal heart size and mild tortuosity of the thoracic aorta. No consolidating airspace disease, pleural effusion or pneumothorax is seen. The impression is no acute abnormality identified, indicating a healthy cardiopulmonary status of the patient."
        },
        {
            "image_id": "1225_2",
            "caption": "The chest x-ray examination reveals normal heart size and mild tortuosity of the thoracic aorta. No consolidating airspace disease, pleural effusion or pneumothorax is seen. The impression is no acute abnormality identified, indicating a healthy cardiopulmonary status of the patient."
        },
        {
            "image_id": "969_1",
            "caption": "The X-ray shows that the heart size is within the upper limits of normal but stable, and the aorta is tortuous. The lungs appear to be functioning properly with no signs of focal airspace disease, pleural effusion, or pneumothorax. The osseous structures are also within the normal limits for the patient's age. Overall, there is no acute radiographic cardiopulmonary process identified."
        },
        {
            "image_id": "969_2",
            "caption": "The X-ray shows that the heart size is within the upper limits of normal but stable, and the aorta is tortuous. The lungs appear to be functioning properly with no signs of focal airspace disease, pleural effusion, or pneumothorax. The osseous structures are also within the normal limits for the patient's age. Overall, there is no acute radiographic cardiopulmonary process identified."
        },
        {
            "image_id": "3432_1",
            "caption": "Based on the x-ray image, cardiomegaly was observed but there were no pleural effusions or pneumothorax. Additionally, perihilar prominence and interstitial opacification were noted. The impression suggests that there is stable cardiomegaly with prominent perihilar opacities that may be due to scarring or edema. It is important to discuss further with a healthcare provider for proper evaluation and management."
        },
        {
            "image_id": "3432_2",
            "caption": "Based on the x-ray image, cardiomegaly was observed but there were no pleural effusions or pneumothorax. Additionally, perihilar prominence and interstitial opacification were noted. The impression suggests that there is stable cardiomegaly with prominent perihilar opacities that may be due to scarring or edema. It is important to discuss further with a healthcare provider for proper evaluation and management."
        },
        {
            "image_id": "3354_1",
            "caption": "The x-ray shows that the heart size and mediastinal contours are normal. However, there is an indication of emphysema with hyperinflated lungs and flattening of diaphragms. No acute abnormality was found in the bony structures. There is no evidence of pleural effusion or pneumothorax. Overall, the x-ray suggests that the patient is stable with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3354_2",
            "caption": "The x-ray shows that the heart size and mediastinal contours are normal. However, there is an indication of emphysema with hyperinflated lungs and flattening of diaphragms. No acute abnormality was found in the bony structures. There is no evidence of pleural effusion or pneumothorax. Overall, the x-ray suggests that the patient is stable with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1543_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette, lungs are clear without any pleural effusion or pneumothorax. No bone abnormality was detected. However, a large hiatal hernia is visible. The impression suggests that there is no acute cardiopulmonary process and the patient has a large hiatal hernia. It is important to closely monitor and manage the hernia."
        },
        {
            "image_id": "1543_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette, lungs are clear without any pleural effusion or pneumothorax. No bone abnormality was detected. However, a large hiatal hernia is visible. The impression suggests that there is no acute cardiopulmonary process and the patient has a large hiatal hernia. It is important to closely monitor and manage the hernia."
        },
        {
            "image_id": "1557_1",
            "caption": "The patient's tracheostomy tube and right subclavian central venous catheter have been removed since the last X-ray. The cardiac silhouette appears mildly enlarged, which could indicate mild cardiomegaly or a small pericardial effusion. The X-ray shows mild bibasilar atelectasis and/or infiltrates, as well as probable small bilateral pleural effusions, more prominently on the right side. There is evidence of pleural thickening or loculated pleural fluid along the peripheral aspect of the right upper lobe in addition to perihilar opacities on the right. No pneumothorax is detected. Further evaluation may be needed to determine the underlying cause of these findings."
        },
        {
            "image_id": "3340_1",
            "caption": "The X-ray shows that the heart and mediastinum are normal in appearance. There is evidence of atherosclerosis in the aorta and minimal densities in the base of the left lung. The lungs are hyperexpanded but there is no focal consolidation, pneumothorax or large pleural effusion. The X-ray is negative for any acute bone abnormality. Based on these findings, the impression is that there are chronic changes in the lungs without any acute abnormality present."
        },
        {
            "image_id": "3340_2",
            "caption": "The X-ray shows that the heart and mediastinum are normal in appearance. There is evidence of atherosclerosis in the aorta and minimal densities in the base of the left lung. The lungs are hyperexpanded but there is no focal consolidation, pneumothorax or large pleural effusion. The X-ray is negative for any acute bone abnormality. Based on these findings, the impression is that there are chronic changes in the lungs without any acute abnormality present."
        },
        {
            "image_id": "3426_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary disease. The heart, pulmonary areas, and mediastinum all appear normal. Moreover, there is no evidence of pleural effusion or pneumothorax. Also, there are minimal degenerative changes in the spine."
        },
        {
            "image_id": "3426_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary disease. The heart, pulmonary areas, and mediastinum all appear normal. Moreover, there is no evidence of pleural effusion or pneumothorax. Also, there are minimal degenerative changes in the spine."
        },
        {
            "image_id": "2738_1",
            "caption": "The findings of the chest X-ray reveal that the heart is slightly larger than normal and the aorta is mildly twisted. However, the lungs appear clear without any signs of pneumonia, pleural effusion, or pneumothorax. Overall, there is no acute cardiopulmonary disease observed at this time."
        },
        {
            "image_id": "2738_2",
            "caption": "The findings of the chest X-ray reveal that the heart is slightly larger than normal and the aorta is mildly twisted. However, the lungs appear clear without any signs of pneumonia, pleural effusion, or pneumothorax. Overall, there is no acute cardiopulmonary disease observed at this time."
        },
        {
            "image_id": "1231_1",
            "caption": "The heart is within normal size, and the mediastinum appears normal. The central catheter tip is noted in the distal superior vena cava. There are no signs of pneumothorax. The lungs are clear without evidence of acute disease."
        },
        {
            "image_id": "1231_2",
            "caption": "The heart is within normal size, and the mediastinum appears normal. The central catheter tip is noted in the distal superior vena cava. There are no signs of pneumothorax. The lungs are clear without evidence of acute disease."
        },
        {
            "image_id": "982_1",
            "caption": "On the x-ray, the lungs appear clear and there is no consolidation, pleural effusion or pneumothorax observed. The cardiomediastinal silhouette is normal. However, postoperative changes of cervical spine fusion are apparent. The impression from the x-ray indicates there is no active disease found."
        },
        {
            "image_id": "982_2",
            "caption": "On the x-ray, the lungs appear clear and there is no consolidation, pleural effusion or pneumothorax observed. The cardiomediastinal silhouette is normal. However, postoperative changes of cervical spine fusion are apparent. The impression from the x-ray indicates there is no active disease found."
        },
        {
            "image_id": "2937_1",
            "caption": "The x-ray findings reveal a normal heart size and mediastinal contours. There were no signs of any acute bony abnormalities, focal airspace consolidation, pleural effusion, or pneumothorax. Based on these findings, there were no acute cardiopulmonary abnormalities observed on the x-ray."
        },
        {
            "image_id": "2937_2",
            "caption": "The x-ray findings reveal a normal heart size and mediastinal contours. There were no signs of any acute bony abnormalities, focal airspace consolidation, pleural effusion, or pneumothorax. Based on these findings, there were no acute cardiopulmonary abnormalities observed on the x-ray."
        },
        {
            "image_id": "772_1",
            "caption": "On the chest x-ray, there are stable postsurgical changes from the previous sternotomy and mediastinal clips are intact. Atherosclerotic calcifications are seen in the aorta and it appears tortuous. Cardiomegaly is present and the mitral annulus appears calcified on the lateral view. There is no current evidence of pneumothorax, pleural effusion, or lung consolidation. The chest x-ray is considered stable with no acute cardiopulmonary abnormalities, however the patient has stable cardiomegaly, tortuous aorta, and atherosclerotic calcifications."
        },
        {
            "image_id": "1580_1",
            "caption": "On examination of the x-ray image, it was found that the lungs were mildly hyperexpanded but clear without any focal airspace consolidation, pleural effusion or pneumothorax. Additionally, the heart size and mediastinal contour appeared within normal limits. The patient showed diffuse degenerative changes of the spine. The impression drawn from these observations is that there was no focal airspace consolidation, but there was evidence of mildly obstructive lung disease."
        },
        {
            "image_id": "1580_2",
            "caption": "On examination of the x-ray image, it was found that the lungs were mildly hyperexpanded but clear without any focal airspace consolidation, pleural effusion or pneumothorax. Additionally, the heart size and mediastinal contour appeared within normal limits. The patient showed diffuse degenerative changes of the spine. The impression drawn from these observations is that there was no focal airspace consolidation, but there was evidence of mildly obstructive lung disease."
        },
        {
            "image_id": "1594_1",
            "caption": "Upon examining the x-ray, the heart and cardiomediastinal silhouette appear normal in size and shape. There are no signs of focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1594_2",
            "caption": "Upon examining the x-ray, the heart and cardiomediastinal silhouette appear normal in size and shape. There are no signs of focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2923_1",
            "caption": "The patient's chest X-ray shows no signs of acute cardiopulmonary disease. The lungs are clear and the heart and pulmonary vessels appear normal. There are no focal airspace opacities, pleural effusions, or pneumothorax observed. The pleural spaces and mediastinal contours are within normal limits. Overall, the X-ray indicates a healthy cardiopulmonary system with no significant abnormalities."
        },
        {
            "image_id": "2923_2",
            "caption": "The patient's chest X-ray shows no signs of acute cardiopulmonary disease. The lungs are clear and the heart and pulmonary vessels appear normal. There are no focal airspace opacities, pleural effusions, or pneumothorax observed. The pleural spaces and mediastinal contours are within normal limits. Overall, the X-ray indicates a healthy cardiopulmonary system with no significant abnormalities."
        },
        {
            "image_id": "2274_1",
            "caption": "The x-ray image shows that the left and right lymph nodes are enlarged and unchanged, but the lungs are free of infiltrates and the heart size is normal. Based on these findings, there is a stable bilateral hilar adenopathy."
        },
        {
            "image_id": "2506_1",
            "caption": "The radiographic image shows cardiomegaly without evidence of acute pulmonary disease. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax. The findings are similar to the previous examination."
        },
        {
            "image_id": "2506_2",
            "caption": "The radiographic image shows cardiomegaly without evidence of acute pulmonary disease. No pulmonary edema, focal consolidation, pleural effusion or pneumothorax. The findings are similar to the previous examination."
        },
        {
            "image_id": "3618_1",
            "caption": "The x-ray revealed a normal heart size and mediastinal silhouette, clear lungs with no focal consolidations, intact osseous structures, and no pneumothorax or pleural effusions. The impression noted that there were no acute cardiopulmonary abnormalities, but there were emphysematous changes in the lungs. Overall, the x-ray showed a typical finding with mild emphysematous changes in the lungs which are common in older patients or those with a smoking history."
        },
        {
            "image_id": "3618_2",
            "caption": "The x-ray revealed a normal heart size and mediastinal silhouette, clear lungs with no focal consolidations, intact osseous structures, and no pneumothorax or pleural effusions. The impression noted that there were no acute cardiopulmonary abnormalities, but there were emphysematous changes in the lungs. Overall, the x-ray showed a typical finding with mild emphysematous changes in the lungs which are common in older patients or those with a smoking history."
        },
        {
            "image_id": "1769_1",
            "caption": "The X-ray finding shows consolidation and atelectasis in the left lower lobe and patchy interstitial infiltrates in the right lower lobe. Additionally, bilateral costophrenic blunting is present with normal heart and pulmonary contours. The impression suggests bibasilar airspace disease, worse on the left side than the right, and bilateral pleural fluid. It is important to seek medical attention for further evaluation and treatment."
        },
        {
            "image_id": "2260_1",
            "caption": "The X-ray shows that the heart and chest area look normal in size and shape. There is no evidence of any lung collapses or large fluid buildups around the lungs or bones. The scan shows no signs of any acute abnormalities."
        },
        {
            "image_id": "2260_2",
            "caption": "The X-ray shows that the heart and chest area look normal in size and shape. There is no evidence of any lung collapses or large fluid buildups around the lungs or bones. The scan shows no signs of any acute abnormalities."
        },
        {
            "image_id": "1999_1",
            "caption": "Upon examination of the x-ray image, it has been observed that mediastinal contours are normal and the lungs are clear. No pneumothorax or large pleural effusion has been identified, leading to the impression of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1999_2",
            "caption": "Upon examination of the x-ray image, it has been observed that mediastinal contours are normal and the lungs are clear. No pneumothorax or large pleural effusion has been identified, leading to the impression of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3156_1",
            "caption": "The x-ray image shows clear lungs bilaterally with an unremarkable cardio mediastinal silhouette. There is no evidence of focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures of the thorax are without acute abnormality, and the impression confirms the absence of any acute cardiopulmonary abnormality or active tuberculous process. This indicates a healthy thorax with no immediate concerns for the patient."
        },
        {
            "image_id": "3156_2",
            "caption": "The x-ray image shows clear lungs bilaterally with an unremarkable cardio mediastinal silhouette. There is no evidence of focal consolidation, pneumothorax, or pleural effusion. Visualized osseous structures of the thorax are without acute abnormality, and the impression confirms the absence of any acute cardiopulmonary abnormality or active tuberculous process. This indicates a healthy thorax with no immediate concerns for the patient."
        },
        {
            "image_id": "2248_1",
            "caption": "The x-ray reveals a normal heart size and normal hilar and mediastinal contours. The lungs are clear with no evidence of focal air space consolidations, pleural effusions or pneumothoraces. Furthermore there is no acute abnormality found in the x-ray image."
        },
        {
            "image_id": "2248_2",
            "caption": "The x-ray reveals a normal heart size and normal hilar and mediastinal contours. The lungs are clear with no evidence of focal air space consolidations, pleural effusions or pneumothoraces. Furthermore there is no acute abnormality found in the x-ray image."
        },
        {
            "image_id": "3630_1",
            "caption": "The chest x-ray appears to be normal. The size and shape of the heart looks good on both frontal and lateral views. Although there is some aortic vascular calcification and a calcified granuloma in the left lung, these do not appear to be of any immediate concern. The mediastinal contour, pulmonary function, and central airways are all within normal limits, and there is no evidence of pleural effusion. However, mild vascular and skeletal changes due to aging are present. Overall, there is no acute or active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "3630_2",
            "caption": "The chest x-ray appears to be normal. The size and shape of the heart looks good on both frontal and lateral views. Although there is some aortic vascular calcification and a calcified granuloma in the left lung, these do not appear to be of any immediate concern. The mediastinal contour, pulmonary function, and central airways are all within normal limits, and there is no evidence of pleural effusion. However, mild vascular and skeletal changes due to aging are present. Overall, there is no acute or active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "1027_1",
            "caption": "The chest X-ray shows no evidence of acute intrathoracic abnormality. Although the view is somewhat limited, the cardiomediastinal silhouette appears normal in appearance. There are no focal areas of pulmonary consolidation, pneumothorax, or large pleural effusion. The integrity of the thoracic spine appears intact. Further imaging may be necessary to fully evaluate the posterior costophrenic sulci."
        },
        {
            "image_id": "1027_2",
            "caption": "The chest X-ray shows no evidence of acute intrathoracic abnormality. Although the view is somewhat limited, the cardiomediastinal silhouette appears normal in appearance. There are no focal areas of pulmonary consolidation, pneumothorax, or large pleural effusion. The integrity of the thoracic spine appears intact. Further imaging may be necessary to fully evaluate the posterior costophrenic sulci."
        },
        {
            "image_id": "1033_1",
            "caption": "The x-ray shows that the heart and lung vessels are within normal limits for shape and size. However, the lung volumes are low and there are some areas of collapsed lung. Additionally, degenerative changes of the spine are present. The examination indicates a low volume study without a definite acute process."
        },
        {
            "image_id": "1033_2",
            "caption": "The x-ray shows that the heart and lung vessels are within normal limits for shape and size. However, the lung volumes are low and there are some areas of collapsed lung. Additionally, degenerative changes of the spine are present. The examination indicates a low volume study without a definite acute process."
        },
        {
            "image_id": "3624_1",
            "caption": "The X-ray image shows normal heart size and mediastinal contours. No acute abnormalities were found in the cardiopulmonary region, including no focal airspace consolidation, pleural effusion or pneumothorax. Based on these findings, there are no acute cardiopulmonary abnormalities to report."
        },
        {
            "image_id": "3624_2",
            "caption": "The X-ray image shows normal heart size and mediastinal contours. No acute abnormalities were found in the cardiopulmonary region, including no focal airspace consolidation, pleural effusion or pneumothorax. Based on these findings, there are no acute cardiopulmonary abnormalities to report."
        },
        {
            "image_id": "3142_1",
            "caption": "The x-ray shows stable mild cardiomegaly without significant pulmonary vascular congestion. The aorta shows stable tortuosity. There is no evidence of acute pulmonary consolidation, large effusion or pneumothorax. The impression suggests that there is no acute process and that the cardiomegaly is stable."
        },
        {
            "image_id": "3142_2",
            "caption": "The x-ray shows stable mild cardiomegaly without significant pulmonary vascular congestion. The aorta shows stable tortuosity. There is no evidence of acute pulmonary consolidation, large effusion or pneumothorax. The impression suggests that there is no acute process and that the cardiomegaly is stable."
        },
        {
            "image_id": "3142_3",
            "caption": "The x-ray shows stable mild cardiomegaly without significant pulmonary vascular congestion. The aorta shows stable tortuosity. There is no evidence of acute pulmonary consolidation, large effusion or pneumothorax. The impression suggests that there is no acute process and that the cardiomegaly is stable."
        },
        {
            "image_id": "1966_1",
            "caption": "The findings on the X-ray show that the heart and mediastinum are within normal limits, and the lungs are clear. There is no acute disease present. This indicates that the patient's cardiopulmonary system appears to be in good condition."
        },
        {
            "image_id": "1966_2",
            "caption": "The findings on the X-ray show that the heart and mediastinum are within normal limits, and the lungs are clear. There is no acute disease present. This indicates that the patient's cardiopulmonary system appears to be in good condition."
        },
        {
            "image_id": "3817_1",
            "caption": "Based on the X-ray, the lungs appear clear and there is no evidence of any infiltrate, pleural effusion, or pneumothorax. The heart and mediastinum are within normal limits, and soft tissues appear unremarkable. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3817_2",
            "caption": "Based on the X-ray, the lungs appear clear and there is no evidence of any infiltrate, pleural effusion, or pneumothorax. The heart and mediastinum are within normal limits, and soft tissues appear unremarkable. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "558_1",
            "caption": "On examining the x-ray image, the lungs are clear bilaterally with no focal airspace consolidation, pleural effusions or pneumothorax present. There are a few scattered calcified granulomas present. Furthermore, the heart and mediastinum are normal in size, with no evident active disease in the x-ray."
        },
        {
            "image_id": "558_2",
            "caption": "On examining the x-ray image, the lungs are clear bilaterally with no focal airspace consolidation, pleural effusions or pneumothorax present. There are a few scattered calcified granulomas present. Furthermore, the heart and mediastinum are normal in size, with no evident active disease in the x-ray."
        },
        {
            "image_id": "3803_1",
            "caption": "The X-ray shows that the heart size and shape are normal, and there are no issues with the cardiomediastinal silhouette. The lungs are hyperexpanded, which has caused flattening of the hemidiaphragms and increased retrosternal airspace, but there is no focal airspace opacity, pleural effusion, or pneumothorax. The aorta is atherosclerotic and tortuous, and degenerative changes are seen in the thoracic spine. Based on these findings, the impression is that there are no acute cardiopulmonary issues, but the patient has emphysema and atherosclerosis."
        },
        {
            "image_id": "3803_2",
            "caption": "The X-ray shows that the heart size and shape are normal, and there are no issues with the cardiomediastinal silhouette. The lungs are hyperexpanded, which has caused flattening of the hemidiaphragms and increased retrosternal airspace, but there is no focal airspace opacity, pleural effusion, or pneumothorax. The aorta is atherosclerotic and tortuous, and degenerative changes are seen in the thoracic spine. Based on these findings, the impression is that there are no acute cardiopulmonary issues, but the patient has emphysema and atherosclerosis."
        },
        {
            "image_id": "1972_1",
            "caption": "There is a left upper lung airspace opacity. Heart size is within normal limits. Mild calcification of the aortic area is present. No pneumothorax or pleural effusions are noted. The left upper lung airspace opacity may represent streaky atelectasis or resolving pneumonia."
        },
        {
            "image_id": "1972_2",
            "caption": "There is a left upper lung airspace opacity. Heart size is within normal limits. Mild calcification of the aortic area is present. No pneumothorax or pleural effusions are noted. The left upper lung airspace opacity may represent streaky atelectasis or resolving pneumonia."
        },
        {
            "image_id": "3195_1",
            "caption": "On the left base of the lung, there is an opacity present while the right lung is clear. The heart is of normal size. Additionally, there is a left venous catheter with the tip in the right atrium. No pneumothorax is observed. Based on the findings, the impression is that there may be left base airspace disease along with a left venous catheter present with its tip positioned in the right atrium."
        },
        {
            "image_id": "3195_2",
            "caption": "On the left base of the lung, there is an opacity present while the right lung is clear. The heart is of normal size. Additionally, there is a left venous catheter with the tip in the right atrium. No pneumothorax is observed. Based on the findings, the impression is that there may be left base airspace disease along with a left venous catheter present with its tip positioned in the right atrium."
        },
        {
            "image_id": "1782_1",
            "caption": "The x-ray shows normal cardiac and mediastinal contours. The lungs are clear, but there is an elevated right diaphragm due to prior granulomatous disease. There is also evidence of degenerative spondylosis. A mildly displaced fracture of the mid right clavicle is seen. However, there are no acute pulmonary findings."
        },
        {
            "image_id": "1782_2",
            "caption": "The x-ray shows normal cardiac and mediastinal contours. The lungs are clear, but there is an elevated right diaphragm due to prior granulomatous disease. There is also evidence of degenerative spondylosis. A mildly displaced fracture of the mid right clavicle is seen. However, there are no acute pulmonary findings."
        },
        {
            "image_id": "216_1",
            "caption": "The chest x-ray reveals an enlarged cardiac silhouette with a globular appearance, indicating possible pericardial effusion or dilated cardiomyopathy. Additionally, mild bibasilar dependent atelectasis is observed, but no acute bone abnormality, pneumothorax, or large pleural effusion is detected."
        },
        {
            "image_id": "570_1",
            "caption": "The X-ray shows no acute abnormalities. The heart appears normal in size and there is no visible focal airspace disease. Additionally, there are no signs of pneumothorax or effusions. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "570_2",
            "caption": "The X-ray shows no acute abnormalities. The heart appears normal in size and there is no visible focal airspace disease. Additionally, there are no signs of pneumothorax or effusions. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "564_1",
            "caption": "The x-ray shows normal cardiac and mediastinal contours, but there is a right upper lobe pneumonia and a rounded nodular opacity in the left upper lung which may represent further sequela of infectious process or other pathology, including metastatic disease in a patient with thyroid cancer. Follow-up is recommended until resolution. No bone abnormality is observed. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "564_2",
            "caption": "The x-ray shows normal cardiac and mediastinal contours, but there is a right upper lobe pneumonia and a rounded nodular opacity in the left upper lung which may represent further sequela of infectious process or other pathology, including metastatic disease in a patient with thyroid cancer. Follow-up is recommended until resolution. No bone abnormality is observed. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "202_1",
            "caption": "The chest X-ray shows an AP and lateral view. The impression indicates cardiomegaly with central vascular congestion and mild interstitial pulmonary edema. Bilateral pleural effusions are present, but no visible pneumothorax is observed."
        },
        {
            "image_id": "202_2",
            "caption": "The chest X-ray shows an AP and lateral view. The impression indicates cardiomegaly with central vascular congestion and mild interstitial pulmonary edema. Bilateral pleural effusions are present, but no visible pneumothorax is observed."
        },
        {
            "image_id": "1796_1",
            "caption": "The chest X-ray images shows clear lungs bilaterally with no visible focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is unremarkable and there is no acute abnormality in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality. This indicates that the patient's cardiovascular and respiratory systems are functioning normally."
        },
        {
            "image_id": "1796_2",
            "caption": "The chest X-ray images shows clear lungs bilaterally with no visible focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is unremarkable and there is no acute abnormality in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality. This indicates that the patient's cardiovascular and respiratory systems are functioning normally."
        },
        {
            "image_id": "3181_1",
            "caption": "The chest x-ray image shows that the heart is normal in size and the mediastinum is unremarkable. The lungs are clear with no visible signs of acute disease present. Overall, the image indicates no immediate cause for concern."
        },
        {
            "image_id": "2300_1",
            "caption": "The x-ray shows that the heart size is normal, with no focal consolidation, pneumothorax, or pleural effusion present. There are no bony abnormalities observed. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2300_2",
            "caption": "The x-ray shows that the heart size is normal, with no focal consolidation, pneumothorax, or pleural effusion present. There are no bony abnormalities observed. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1609_1",
            "caption": "The X-ray image showed calcified lymph nodes in both lungs and a small amount of focal atelectasis posterior to the left heart. The trachea is in the midline and there is no evidence of pneumothorax, pleural effusion, or large focal airspace consolidation. The heart size is normal. The impression is focal atelectasis to the left lung, posterior to the heart."
        },
        {
            "image_id": "1609_2",
            "caption": "The X-ray image showed calcified lymph nodes in both lungs and a small amount of focal atelectasis posterior to the left heart. The trachea is in the midline and there is no evidence of pneumothorax, pleural effusion, or large focal airspace consolidation. The heart size is normal. The impression is focal atelectasis to the left lung, posterior to the heart."
        },
        {
            "image_id": "3778_1",
            "caption": "The x-ray analysis indicates a normal cardiac and mediastinal contour, clear lungs, and intact bony structures. Based on the findings, there are no acute abnormalities detected."
        },
        {
            "image_id": "3778_2",
            "caption": "The x-ray analysis indicates a normal cardiac and mediastinal contour, clear lungs, and intact bony structures. Based on the findings, there are no acute abnormalities detected."
        },
        {
            "image_id": "2466_1",
            "caption": "The X-ray image appears to be normal with no significant abnormality noted. The cardiomediastinal silhouettes and bony thorax are within normal limits. The lungs are clear, showing no focal consolidation, pneumothorax, or pleural effusion. Overall, no acute cardiopulmonary abnormalities were detected in the X-ray."
        },
        {
            "image_id": "2466_2",
            "caption": "The X-ray image appears to be normal with no significant abnormality noted. The cardiomediastinal silhouettes and bony thorax are within normal limits. The lungs are clear, showing no focal consolidation, pneumothorax, or pleural effusion. Overall, no acute cardiopulmonary abnormalities were detected in the X-ray."
        },
        {
            "image_id": "389_1",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are within normal limits, and the pulmonary vascularity is within normal limits as well. No focal air space opacities, pleural effusion, or pneumothorax was detected in the lungs. However, a stable calcified granuloma was observed in the right lower lobe, and a hiatal hernia. The overall impression is of clear lungs and a stable hiatal hernia."
        },
        {
            "image_id": "2314_1",
            "caption": "The X-ray shows that the patient has COPD with evidence of the disease in the lungs, but there are no signs of focal infiltrates. However, there is a presence of focal atelectasis in the right costophrenic area. These findings should be further evaluated by a healthcare professional."
        },
        {
            "image_id": "2314_2",
            "caption": "The X-ray shows that the patient has COPD with evidence of the disease in the lungs, but there are no signs of focal infiltrates. However, there is a presence of focal atelectasis in the right costophrenic area. These findings should be further evaluated by a healthcare professional."
        },
        {
            "image_id": "1635_1",
            "caption": "The X-ray findings reveal that the heart size and pulmonary vascularity are normal. The lungs do not show any focal airspace disease and there is no pleural effusion or pneumothorax. However, a calcified granuloma is detected in the right lung base, along with bibasilar band-like opacities. The impression suggests evidence of a previous granulomatous infection and the appearance of scarring or atelectasis. Consultation with a medical professional may be required to understand these findings better."
        },
        {
            "image_id": "1635_2",
            "caption": "The X-ray findings reveal that the heart size and pulmonary vascularity are normal. The lungs do not show any focal airspace disease and there is no pleural effusion or pneumothorax. However, a calcified granuloma is detected in the right lung base, along with bibasilar band-like opacities. The impression suggests evidence of a previous granulomatous infection and the appearance of scarring or atelectasis. Consultation with a medical professional may be required to understand these findings better."
        },
        {
            "image_id": "1153_1",
            "caption": "The X-ray image reveals clear findings with no signs of acute cardiopulmonary abnormality. There is no evidence of active tuberculosis, and no presence of pneumothorax, pleural effusion, or airspace consolidation. Additionally, the heart size and pulmonary vasculature appear normal. Overall, the X-ray indicates a healthy cardiopulmonary system."
        },
        {
            "image_id": "1153_2",
            "caption": "The X-ray image reveals clear findings with no signs of acute cardiopulmonary abnormality. There is no evidence of active tuberculosis, and no presence of pneumothorax, pleural effusion, or airspace consolidation. Additionally, the heart size and pulmonary vasculature appear normal. Overall, the X-ray indicates a healthy cardiopulmonary system."
        },
        {
            "image_id": "3750_1",
            "caption": "The chest X-ray shows stable cardiomegaly and prominent interstitium, indicating edema. There is a slightly increased right pleural effusion with persistently enlarged pulmonary vasculature. No focal infiltrate or pneumothorax is seen, and osseous structures appear intact. The impression is that there is stable cardiomegaly and evidence of interstitial edema with a small but increasing right pleural effusion."
        },
        {
            "image_id": "3988_1",
            "caption": "The chest x-ray shows no acute abnormalities in the bones. However, there is a streaky opacity in the left lung and elevation of the left hemidiaphragm. The radiograph reveals no evidence of pneumothorax but does show a small calcified granuloma in the right chest. The cardiomediastinal silhouette is normal. The impression suggests that the opacity in the left lung may be atelectasis and recommends dedicated rib films for any continued clinical concern for rib fractures."
        },
        {
            "image_id": "3988_2",
            "caption": "The chest x-ray shows no acute abnormalities in the bones. However, there is a streaky opacity in the left lung and elevation of the left hemidiaphragm. The radiograph reveals no evidence of pneumothorax but does show a small calcified granuloma in the right chest. The cardiomediastinal silhouette is normal. The impression suggests that the opacity in the left lung may be atelectasis and recommends dedicated rib films for any continued clinical concern for rib fractures."
        },
        {
            "image_id": "2328_1",
            "caption": "The x-ray shows no evidence of acute abnormality. Heart size is normal and the lungs are clear without any focal air space consolidation, pleural effusion, or pneumothorax. The hilar and mediastinal contours appear unchanged. However, tortuosity and unfolding of the thoracic aorta, aortic vascular calcifications, and bone demineralization are noted. Overall, the findings suggest a healthy condition."
        },
        {
            "image_id": "2328_2",
            "caption": "The x-ray shows no evidence of acute abnormality. Heart size is normal and the lungs are clear without any focal air space consolidation, pleural effusion, or pneumothorax. The hilar and mediastinal contours appear unchanged. However, tortuosity and unfolding of the thoracic aorta, aortic vascular calcifications, and bone demineralization are noted. Overall, the findings suggest a healthy condition."
        },
        {
            "image_id": "3036_1",
            "caption": "The evaluation of the patient's chest is limited by their body habitus and the AP technique. The cardiac size and mediastinal contours appear stable with no signs of a pneumothorax. However, the exam shows low lung volumes with bilateral pleural effusions complicating the interpretation of the results. The enteric suction catheter is visualized below the diaphragm, and the cardiac generator leads appeared to loop over the right atrium and right ventricle."
        },
        {
            "image_id": "3036_2",
            "caption": "The evaluation of the patient's chest is limited by their body habitus and the AP technique. The cardiac size and mediastinal contours appear stable with no signs of a pneumothorax. However, the exam shows low lung volumes with bilateral pleural effusions complicating the interpretation of the results. The enteric suction catheter is visualized below the diaphragm, and the cardiac generator leads appeared to loop over the right atrium and right ventricle."
        },
        {
            "image_id": "1621_1",
            "caption": "The x-ray image shows no acute abnormality. It indicates negative for pneumothorax, pleural effusion or focal airspace consolidation, and a midline trachea. The heart size is at the upper limits of normal. A calcified granuloma on the right lower lobe is stable in appearance compared to the previous examinations."
        },
        {
            "image_id": "1621_2",
            "caption": "The x-ray image shows no acute abnormality. It indicates negative for pneumothorax, pleural effusion or focal airspace consolidation, and a midline trachea. The heart size is at the upper limits of normal. A calcified granuloma on the right lower lobe is stable in appearance compared to the previous examinations."
        },
        {
            "image_id": "1812_1",
            "caption": "The x-ray image reveals no acute abnormalities in the cardiopulmonary system. The findings indicate no presence of focal consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. The heart size and pulmonary vascularity are normal, and the visualized osseous structures appear intact. Overall, the exam indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1812_2",
            "caption": "The x-ray image reveals no acute abnormalities in the cardiopulmonary system. The findings indicate no presence of focal consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. The heart size and pulmonary vascularity are normal, and the visualized osseous structures appear intact. Overall, the exam indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3963_1",
            "caption": "During the assessment, the cardiomediastinal silhouette and pulmonary vasculature appeared normal in size, and the lungs were clear of any focal airspace disease, pneumothorax, or pleural effusion. Further, no acute bony findings were witnessed. Overall, the x-ray revealed no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3977_1",
            "caption": "The chest x-ray shows a normal heart size and stable thoracic aorta unfolding. There is no evidence of pneumonia, pleural effusion, or collapsed lung. Furthermore, there is a stable calcified granuloma in the left lower lobe. The visualized bones in the image appear unremarkable. As per the impression, no acute cardiopulmonary abnormality is seen."
        },
        {
            "image_id": "3977_2",
            "caption": "The chest x-ray shows a normal heart size and stable thoracic aorta unfolding. There is no evidence of pneumonia, pleural effusion, or collapsed lung. Furthermore, there is a stable calcified granuloma in the left lower lobe. The visualized bones in the image appear unremarkable. As per the impression, no acute cardiopulmonary abnormality is seen."
        },
        {
            "image_id": "1806_1",
            "caption": "The x-ray image reveals that there are no active cardiopulmonary abnormalities present. The heart and lungs appear to be functioning normally with no signs of inflammation or disease in the interval. Both lungs are clear and well-expanded, while the heart and mediastinum maintain normal size and shape."
        },
        {
            "image_id": "1190_1",
            "caption": "The X-ray shows that both lungs are clear and expanded, and the heart and mediastinum are normal. The impression is that there is no active disease detected. This indicates a healthy chest X-ray image with no significant concerns. It is important to continue with regular check-ups to maintain lung and heart health."
        },
        {
            "image_id": "1190_2",
            "caption": "The X-ray shows that both lungs are clear and expanded, and the heart and mediastinum are normal. The impression is that there is no active disease detected. This indicates a healthy chest X-ray image with no significant concerns. It is important to continue with regular check-ups to maintain lung and heart health."
        },
        {
            "image_id": "1190_3",
            "caption": "The X-ray shows that both lungs are clear and expanded, and the heart and mediastinum are normal. The impression is that there is no active disease detected. This indicates a healthy chest X-ray image with no significant concerns. It is important to continue with regular check-ups to maintain lung and heart health."
        },
        {
            "image_id": "404_1",
            "caption": "Based on the findings, there are no significant abnormalities observed in the lung and heart regions. However, an artifact in the upper abdomen was detected, and it is recommended to undergo another chest x-ray to obtain a complete and accurate assessment. The exam is limited due to this artifact, but it is important to note that it does not indicate any intra-abdominal issues. It is advisable to undergo a repeat chest x-ray to ensure a more comprehensive evaluation."
        },
        {
            "image_id": "404_2",
            "caption": "Based on the findings, there are no significant abnormalities observed in the lung and heart regions. However, an artifact in the upper abdomen was detected, and it is recommended to undergo another chest x-ray to obtain a complete and accurate assessment. The exam is limited due to this artifact, but it is important to note that it does not indicate any intra-abdominal issues. It is advisable to undergo a repeat chest x-ray to ensure a more comprehensive evaluation."
        },
        {
            "image_id": "2499_1",
            "caption": "The x-ray image reveals low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. Bilateral pleural effusions are noted with blunting of the bilateral costophrenic sulci. A cardiac device is seen overlying the left chest with leads intact, tips overlying right atrium and right ventricle. No pneumothorax is detected. Degenerative changes of the spine are also seen. The impression suggests cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. The findings indicate a possible underlying cardiac pathology and warrant further evaluation."
        },
        {
            "image_id": "2499_2",
            "caption": "The x-ray image reveals low lung volumes bilaterally with bibasilar airspace opacities, right greater than left. Bilateral pleural effusions are noted with blunting of the bilateral costophrenic sulci. A cardiac device is seen overlying the left chest with leads intact, tips overlying right atrium and right ventricle. No pneumothorax is detected. Degenerative changes of the spine are also seen. The impression suggests cardiomegaly with bibasilar airspace disease and bilateral pleural effusions, right greater than left. The findings indicate a possible underlying cardiac pathology and warrant further evaluation."
        },
        {
            "image_id": "3787_1",
            "caption": "The chest radiograph shows no signs of any abnormalities. The heart appears to be of normal size, and there is no evidence of pneumothorax, pleural effusion or any focal airspace disease. In addition, the bony structures appear to be intact, suggesting that there are no major issues with the bones in the chest. Overall, this is a normal chest radiograph with no significant findings."
        },
        {
            "image_id": "3787_2",
            "caption": "The chest radiograph shows no signs of any abnormalities. The heart appears to be of normal size, and there is no evidence of pneumothorax, pleural effusion or any focal airspace disease. In addition, the bony structures appear to be intact, suggesting that there are no major issues with the bones in the chest. Overall, this is a normal chest radiograph with no significant findings."
        },
        {
            "image_id": "3793_1",
            "caption": "The chest X-ray indicates scattered degenerative changes throughout the thoracic spine, chronic interstitial markings, and a left basilar airspace disease. There is no acute osseous abnormality, pneumothorax, or pleural effusion. The heart size is normal, but the aorta appears tortuous and dilated, which requires further evaluation."
        },
        {
            "image_id": "410_1",
            "caption": "The X-ray shows no acute cardiopulmonary disease. The heart and mediastinum appear normal, and the lungs are clear without infiltrate, effusion, or pneumothorax. Mild levoscoliosis is observed in the thoracic spine. The right acromioclavicular joint appears mildly widened, which could be due to previous surgery or trauma. Overall, the chest X-ray appears to be normal without any significant abnormalities."
        },
        {
            "image_id": "410_2",
            "caption": "The X-ray shows no acute cardiopulmonary disease. The heart and mediastinum appear normal, and the lungs are clear without infiltrate, effusion, or pneumothorax. Mild levoscoliosis is observed in the thoracic spine. The right acromioclavicular joint appears mildly widened, which could be due to previous surgery or trauma. Overall, the chest X-ray appears to be normal without any significant abnormalities."
        },
        {
            "image_id": "1184_1",
            "caption": "The X-ray image shows no acute abnormalities in the cardiopulmonary region. The heart size and mediastinal contours appear normal. However, there are low lung volumes seen in the AP view with crowding of bronchovascular region and some basal collapse. The X-ray image shows no signs of any focal airspace disease or effusion in the pleural region. Additionally, no acute bony changes were noted. Therefore, the impression is stated as \"No acute cardiopulmonary findings.\""
        },
        {
            "image_id": "1184_2",
            "caption": "The X-ray image shows no acute abnormalities in the cardiopulmonary region. The heart size and mediastinal contours appear normal. However, there are low lung volumes seen in the AP view with crowding of bronchovascular region and some basal collapse. The X-ray image shows no signs of any focal airspace disease or effusion in the pleural region. Additionally, no acute bony changes were noted. Therefore, the impression is stated as \"No acute cardiopulmonary findings.\""
        },
        {
            "image_id": "376_1",
            "caption": "The radiographic finding shows that the heart and lungs are normal without any focal disease, pleural effusion or pneumothorax. Also, there are no non-calcified nodules indicating any active disease. Thus, the impression suggests the absence of any active disease in the observed area."
        },
        {
            "image_id": "376_2",
            "caption": "The radiographic finding shows that the heart and lungs are normal without any focal disease, pleural effusion or pneumothorax. Also, there are no non-calcified nodules indicating any active disease. Thus, the impression suggests the absence of any active disease in the observed area."
        },
        {
            "image_id": "821_1",
            "caption": "The x-ray shows a stable heart size and mediastinal contours, with no evidence of focal airspace consolidation. There is a stable calcified granuloma in the right upper lobe and low lung volumes, but no other focal airspace disease. The impression is that there is evidence of low lung volumes but no other acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2102_1",
            "caption": "The x-ray image shows tortuosity of the aorta, but no signs of pneumothorax, pleural effusion or airspace consolidation. The cardiomediastinal size and pulmonary vasculature appear normal. The eventration of the left hemidiaphragm is either unchanged or a small hernia (Bochdalek). Overall, there is no acute cardiopulmonary abnormality observed in the x-ray."
        },
        {
            "image_id": "2102_2",
            "caption": "The x-ray image shows tortuosity of the aorta, but no signs of pneumothorax, pleural effusion or airspace consolidation. The cardiomediastinal size and pulmonary vasculature appear normal. The eventration of the left hemidiaphragm is either unchanged or a small hernia (Bochdalek). Overall, there is no acute cardiopulmonary abnormality observed in the x-ray."
        },
        {
            "image_id": "3208_1",
            "caption": "The x-ray image shows clear lungs with no signs of active disease, including no focal airspace consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour are within normal limits, indicating a healthy cardiopulmonary system."
        },
        {
            "image_id": "3208_2",
            "caption": "The x-ray image shows clear lungs with no signs of active disease, including no focal airspace consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour are within normal limits, indicating a healthy cardiopulmonary system."
        },
        {
            "image_id": "2116_1",
            "caption": "Upon thorough examination of the chest x-ray, it was observed that the lungs are clear and free from any signs of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is normal and the visualized osseous structures of the thorax indicate healed, remote bilateral rib fractures without any acute abnormality. Based on these findings, there is no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "2116_2",
            "caption": "Upon thorough examination of the chest x-ray, it was observed that the lungs are clear and free from any signs of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is normal and the visualized osseous structures of the thorax indicate healed, remote bilateral rib fractures without any acute abnormality. Based on these findings, there is no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "835_1",
            "caption": "The x-ray shows that the heart and mediastinal structures are normal. The lungs are clear without any masses, nodules or infiltrates. There is no evidence of pneumothorax or pleural effusion. Old right rib deformities and mild dextroscoliosis are noted, but there is no current acute radiographic abnormality. There is no free intraperitoneal air under the diaphragm. Overall, there is no indication of acute cardiopulmonary illness."
        },
        {
            "image_id": "835_2",
            "caption": "The x-ray shows that the heart and mediastinal structures are normal. The lungs are clear without any masses, nodules or infiltrates. There is no evidence of pneumothorax or pleural effusion. Old right rib deformities and mild dextroscoliosis are noted, but there is no current acute radiographic abnormality. There is no free intraperitoneal air under the diaphragm. Overall, there is no indication of acute cardiopulmonary illness."
        },
        {
            "image_id": "1379_1",
            "caption": "The x-ray shows that the heart size is normal and there is no evidence of focal airspace disease, pneumothorax, or effusion in the lungs. The impression is that there are no acute cardiopulmonary findings. Overall, this suggests that the individual has healthy lungs and heart."
        },
        {
            "image_id": "1379_2",
            "caption": "The x-ray shows that the heart size is normal and there is no evidence of focal airspace disease, pneumothorax, or effusion in the lungs. The impression is that there are no acute cardiopulmonary findings. Overall, this suggests that the individual has healthy lungs and heart."
        },
        {
            "image_id": "75_1",
            "caption": "Upon evaluation of the x-ray image, it was found that the heart size remains stable and the aorta shows no significant changes, although it is ectatic and atherosclerotic. Emphysematous disease is present with mild bilateral prominent lung interstitial opacities. Finally, calcified granulomas have remained stable with no significant changes. In conclusion, there are changes of emphysema and left lower lobe scarring, both of which are stable. Additionally, degenerative and atherosclerotic changes of the thoracic aorta remain unchanged."
        },
        {
            "image_id": "75_2",
            "caption": "Upon evaluation of the x-ray image, it was found that the heart size remains stable and the aorta shows no significant changes, although it is ectatic and atherosclerotic. Emphysematous disease is present with mild bilateral prominent lung interstitial opacities. Finally, calcified granulomas have remained stable with no significant changes. In conclusion, there are changes of emphysema and left lower lobe scarring, both of which are stable. Additionally, degenerative and atherosclerotic changes of the thoracic aorta remain unchanged."
        },
        {
            "image_id": "2670_1",
            "caption": "The x-ray image reveals hyperexpanded lungs with flattened hemidiaphragms, indicating emphysema. In addition, there are streaky airspace opacities present in the left suprahilar and lingular regions but no pneumothorax or effusions. The mild bilateral costophrenic blunting seen represents pleural thickening and scarring. The thoracic spine shows degenerative changes. Overall, the impression is that there are emphysematous changes with streaky opacities in the left perihilar and lingular regions, with some focal atelectasis and scarring."
        },
        {
            "image_id": "2670_2",
            "caption": "The x-ray image reveals hyperexpanded lungs with flattened hemidiaphragms, indicating emphysema. In addition, there are streaky airspace opacities present in the left suprahilar and lingular regions but no pneumothorax or effusions. The mild bilateral costophrenic blunting seen represents pleural thickening and scarring. The thoracic spine shows degenerative changes. Overall, the impression is that there are emphysematous changes with streaky opacities in the left perihilar and lingular regions, with some focal atelectasis and scarring."
        },
        {
            "image_id": "2658_1",
            "caption": "The x-ray image shows a normal heart size and mediastinal contours with atherosclerotic calcifications of the thoracic aorta. There are no focal airspace opacity or pleural effusion or pneumothorax observed. Furthermore, no acute cardiopulmonary abnormalities are found in the image, and the visualized bony structures appear unremarkable."
        },
        {
            "image_id": "2658_2",
            "caption": "The x-ray image shows a normal heart size and mediastinal contours with atherosclerotic calcifications of the thoracic aorta. There are no focal airspace opacity or pleural effusion or pneumothorax observed. Furthermore, no acute cardiopulmonary abnormalities are found in the image, and the visualized bony structures appear unremarkable."
        },
        {
            "image_id": "3546_1",
            "caption": "The heart is still enlarged and the blood vessels look normal. The lungs still show interstitial prominence bilaterally, and there is some patchy opacity behind the heart. The test shows no signs of pneumothorax. The chest test looks largely unchanged from the previous test, which suggests that the interstitial prominence could be due to a range of factors, including interstitial edema, interstitial lung disease or an infectious disease. Further tests may be required to determine the exact cause."
        },
        {
            "image_id": "3546_2",
            "caption": "The heart is still enlarged and the blood vessels look normal. The lungs still show interstitial prominence bilaterally, and there is some patchy opacity behind the heart. The test shows no signs of pneumothorax. The chest test looks largely unchanged from the previous test, which suggests that the interstitial prominence could be due to a range of factors, including interstitial edema, interstitial lung disease or an infectious disease. Further tests may be required to determine the exact cause."
        },
        {
            "image_id": "2880_1",
            "caption": "The chest x-ray shows no abnormalities. The heart and mediastinal contours are normal, as well as pulmonary vascularity. There are no signs of pleural effusions or pneumothoraces, and the lungs appear clear. The impression is a normal chest finding with no concerning issues identified."
        },
        {
            "image_id": "2880_2",
            "caption": "The chest x-ray shows no abnormalities. The heart and mediastinal contours are normal, as well as pulmonary vascularity. There are no signs of pleural effusions or pneumothoraces, and the lungs appear clear. The impression is a normal chest finding with no concerning issues identified."
        },
        {
            "image_id": "3220_1",
            "caption": "The chest x-ray shows clear lungs, intact bony structures, and no evidence of pneumothorax or pleural effusion. The heart and mediastinum appear normal with no acute cardiopulmonary process identified."
        },
        {
            "image_id": "3220_2",
            "caption": "The chest x-ray shows clear lungs, intact bony structures, and no evidence of pneumothorax or pleural effusion. The heart and mediastinum appear normal with no acute cardiopulmonary process identified."
        },
        {
            "image_id": "1437_1",
            "caption": "The heart appears normal and there is no enlargement of the mediastinum. The lungs are hyperexpanded with scattered granuloma present. No focal areas of disease, large pleural effusion, or pneumothorax were observed. Based on the x-ray, there are no signs of acute cardiopulmonary abnormalities. However, the presence of scattered granuloma warrants further investigation."
        },
        {
            "image_id": "1437_2",
            "caption": "The heart appears normal and there is no enlargement of the mediastinum. The lungs are hyperexpanded with scattered granuloma present. No focal areas of disease, large pleural effusion, or pneumothorax were observed. Based on the x-ray, there are no signs of acute cardiopulmonary abnormalities. However, the presence of scattered granuloma warrants further investigation."
        },
        {
            "image_id": "1423_1",
            "caption": "Based on the findings of the x-ray, the heart is within normal limits in terms of size and vascularity. However, there is a borderline cardiomegaly observed. The lungs are clear, and there are no notable pleural effusions or pneumothoraces, although some details may be obscured by calcified breast implants. Vascular calcifications in the aorta are present. Overall, the exam appears to be unremarkable aside from the observed borderline cardiomegaly."
        },
        {
            "image_id": "1423_2",
            "caption": "Based on the findings of the x-ray, the heart is within normal limits in terms of size and vascularity. However, there is a borderline cardiomegaly observed. The lungs are clear, and there are no notable pleural effusions or pneumothoraces, although some details may be obscured by calcified breast implants. Vascular calcifications in the aorta are present. Overall, the exam appears to be unremarkable aside from the observed borderline cardiomegaly."
        },
        {
            "image_id": "3234_1",
            "caption": "The chest x-ray shows clear lungs and a normal cardiomediastinal silhouette, with no sign of pneumothorax or pleural effusion. The result is negative, indicating no issues in the chest area."
        },
        {
            "image_id": "3234_2",
            "caption": "The chest x-ray shows clear lungs and a normal cardiomediastinal silhouette, with no sign of pneumothorax or pleural effusion. The result is negative, indicating no issues in the chest area."
        },
        {
            "image_id": "3552_1",
            "caption": "The x-ray shows a normal heart size with stable contours and no signs of pulmonary edema. There are no focal alveolar consolidations or pleural effusions. The impression is that there are no acute findings present."
        },
        {
            "image_id": "3552_2",
            "caption": "The x-ray shows a normal heart size with stable contours and no signs of pulmonary edema. There are no focal alveolar consolidations or pleural effusions. The impression is that there are no acute findings present."
        },
        {
            "image_id": "2894_1",
            "caption": "The X-ray shows stable position of tracheostomy tube and catheter tips without any complications. The lungs and heart appear normal, and there is no pneumothorax or any acute cardiopulmonary findings. The surgical scars over the neck are noted, but do not seem to be causing any issues related to the X-ray. Overall, the X-ray indicates a healthy condition of the patient without any significant concerns."
        },
        {
            "image_id": "2894_2",
            "caption": "The X-ray shows stable position of tracheostomy tube and catheter tips without any complications. The lungs and heart appear normal, and there is no pneumothorax or any acute cardiopulmonary findings. The surgical scars over the neck are noted, but do not seem to be causing any issues related to the X-ray. Overall, the X-ray indicates a healthy condition of the patient without any significant concerns."
        },
        {
            "image_id": "809_1",
            "caption": "The X-ray image shows clear lungs without any visible focal air space opacity. The cardiomediastinal silhouette is within normal limits, but on the upper side of normal in size which is stable from the previous exam. The thoracic aorta appears tortuous, but stable. The absence of pneumothorax or large pleural effusion is confirmed. Overall impression shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "809_2",
            "caption": "The X-ray image shows clear lungs without any visible focal air space opacity. The cardiomediastinal silhouette is within normal limits, but on the upper side of normal in size which is stable from the previous exam. The thoracic aorta appears tortuous, but stable. The absence of pneumothorax or large pleural effusion is confirmed. Overall impression shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1345_1",
            "caption": "The chest X-ray shows a normal-sized heart and clear lungs. The exam findings are within normal limits with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression is a normal chest which suggests that there are no acute findings to report."
        },
        {
            "image_id": "1345_2",
            "caption": "The chest X-ray shows a normal-sized heart and clear lungs. The exam findings are within normal limits with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression is a normal chest which suggests that there are no acute findings to report."
        },
        {
            "image_id": "49_1",
            "caption": "The x-ray shows normal findings for the heart, pulmonary system, and mediastinum. No pleural effusion or pneumothorax is present, and there are no signs of pneumonia. Degenerative changes of the thoracic spine are seen, along with a calcified granuloma in the right suprahilar region. The aorta is mildly tortuous and ectatic, and there is asymmetric right apical smooth pleural thickening. The patient does not have any acute cardiopulmonary disease."
        },
        {
            "image_id": "49_2",
            "caption": "The x-ray shows normal findings for the heart, pulmonary system, and mediastinum. No pleural effusion or pneumothorax is present, and there are no signs of pneumonia. Degenerative changes of the thoracic spine are seen, along with a calcified granuloma in the right suprahilar region. The aorta is mildly tortuous and ectatic, and there is asymmetric right apical smooth pleural thickening. The patient does not have any acute cardiopulmonary disease."
        },
        {
            "image_id": "2843_1",
            "caption": "The findings from the X-ray show that the heart is of normal size, and there is no pleural effusion. However, there are patchy opacities in the right upper lobe, which are concerning for pneumonia. Additionally, there is a right paratracheal density that might indicate reactive lymphadenopathy. Therefore, it is recommended that the patient undergoes follow-up evaluation to monitor the resolution of these abnormalities."
        },
        {
            "image_id": "2843_2",
            "caption": "The findings from the X-ray show that the heart is of normal size, and there is no pleural effusion. However, there are patchy opacities in the right upper lobe, which are concerning for pneumonia. Additionally, there is a right paratracheal density that might indicate reactive lymphadenopathy. Therefore, it is recommended that the patient undergoes follow-up evaluation to monitor the resolution of these abnormalities."
        },
        {
            "image_id": "606_1",
            "caption": "The chest X-ray shows that the sternotomy wires are intact and well-aligned. The cardiomediastinal silhouette appears normal, and the lungs are clear without any signs of consolidation, pleural effusion, or pneumothorax. The bony structures of the chest are also normal without any acute abnormalities. Some degenerative changes are seen in the thoracic spine, but they are mild. Overall, the X-ray does not reveal any acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "606_2",
            "caption": "The chest X-ray shows that the sternotomy wires are intact and well-aligned. The cardiomediastinal silhouette appears normal, and the lungs are clear without any signs of consolidation, pleural effusion, or pneumothorax. The bony structures of the chest are also normal without any acute abnormalities. Some degenerative changes are seen in the thoracic spine, but they are mild. Overall, the X-ray does not reveal any acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1392_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with symmetric pulmonary vascular markings. No focal airspace disease, pleural effusion, pneumothorax, or acute bony abnormality are present. The aortic arch, cardiac apex, and stomach are left-sided. Based on the findings, there is no acute cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "1392_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with symmetric pulmonary vascular markings. No focal airspace disease, pleural effusion, pneumothorax, or acute bony abnormality are present. The aortic arch, cardiac apex, and stomach are left-sided. Based on the findings, there is no acute cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "160_1",
            "caption": "The chest X-ray reveals a normal-sized heart and unremarkable mediastinum. There is a patchy infiltrate within the right lower lobe and mild opacities in the retrocardiac region. There are no signs of large effusions or pneumothorax. The impression suggests a patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis. Further evaluation is recommended."
        },
        {
            "image_id": "160_2",
            "caption": "The chest X-ray reveals a normal-sized heart and unremarkable mediastinum. There is a patchy infiltrate within the right lower lobe and mild opacities in the retrocardiac region. There are no signs of large effusions or pneumothorax. The impression suggests a patchy right lower lobe infiltrate as well as probable left basilar infiltrate versus atelectasis. Further evaluation is recommended."
        },
        {
            "image_id": "174_1",
            "caption": "The chest x-ray shows a left-sided PICC with the tip located at the caval atrial junction. The cardiomediastinal contours and pulmonary vasculature are within normal limits. No pleural effusion, pneumothorax or focal opacity is seen. Lastly, there are some stable remote posttraumatic changes of multiple right ribs. Overall, there are 1) no acute cardiopulmonary abnormalities and 2) a stable positioning of the PICC tip."
        },
        {
            "image_id": "174_2",
            "caption": "The chest x-ray shows a left-sided PICC with the tip located at the caval atrial junction. The cardiomediastinal contours and pulmonary vasculature are within normal limits. No pleural effusion, pneumothorax or focal opacity is seen. Lastly, there are some stable remote posttraumatic changes of multiple right ribs. Overall, there are 1) no acute cardiopulmonary abnormalities and 2) a stable positioning of the PICC tip."
        },
        {
            "image_id": "1386_1",
            "caption": "Upon examination, the cardiac and mediastinal areas appear normal, with no sign of pulmonary venous congestion. However, there is a noticeable prominence of the pulmonary arteries, with the right being more prominent than the left. Further evaluation may be needed to determine the cause of this, including possible enlarged pulmonary arteries or swollen hilar lymph nodes. Otherwise, there is no indication of acute pulmonary infiltrates or effusions, nor is there any evidence of pneumothorax."
        },
        {
            "image_id": "1386_2",
            "caption": "Upon examination, the cardiac and mediastinal areas appear normal, with no sign of pulmonary venous congestion. However, there is a noticeable prominence of the pulmonary arteries, with the right being more prominent than the left. Further evaluation may be needed to determine the cause of this, including possible enlarged pulmonary arteries or swollen hilar lymph nodes. Otherwise, there is no indication of acute pulmonary infiltrates or effusions, nor is there any evidence of pneumothorax."
        },
        {
            "image_id": "612_1",
            "caption": "The interval performance of anterior cervical spinal fusion is intact without complicating features. The cardiomegaly remains stable with persistent bibasilar opacities likely due to atelectasis and/or infiltrate. No other focal abnormalities are seen, including consolidations, pneumothorax, or effusions. Additionally, the thoracolumbar spine shows mild multilevel degenerative disc disease without any acute osseous abnormality."
        },
        {
            "image_id": "612_2",
            "caption": "The interval performance of anterior cervical spinal fusion is intact without complicating features. The cardiomegaly remains stable with persistent bibasilar opacities likely due to atelectasis and/or infiltrate. No other focal abnormalities are seen, including consolidations, pneumothorax, or effusions. Additionally, the thoracolumbar spine shows mild multilevel degenerative disc disease without any acute osseous abnormality."
        },
        {
            "image_id": "3591_1",
            "caption": "The X-ray shows that the heart and mediastinal contours are unchanged, and the lungs are clear without focal infiltrate. The patient has a moderate hiatal hernia, but the chest appears stable with no acute pulmonary disease."
        },
        {
            "image_id": "3591_2",
            "caption": "The X-ray shows that the heart and mediastinal contours are unchanged, and the lungs are clear without focal infiltrate. The patient has a moderate hiatal hernia, but the chest appears stable with no acute pulmonary disease."
        },
        {
            "image_id": "2857_1",
            "caption": "The patient has undergone a CABG procedure and cholecystectomy, which are visible on the X-ray with sternotomy wires, mediastinal surgical clips, and cholecystectomy clips. However, there is no acute abnormality observed in the cardiomediastinal silhouette, pulmonary vasculature, or focal areas of consolidation. Small T-spine osteophytes and eventration of the right hemidiaphragm are present. Overall, there is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2857_2",
            "caption": "The patient has undergone a CABG procedure and cholecystectomy, which are visible on the X-ray with sternotomy wires, mediastinal surgical clips, and cholecystectomy clips. However, there is no acute abnormality observed in the cardiomediastinal silhouette, pulmonary vasculature, or focal areas of consolidation. Small T-spine osteophytes and eventration of the right hemidiaphragm are present. Overall, there is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "158_1",
            "caption": "The X-ray shows a normal size and contour of the heart with no mediastinal widening. The lungs are clear on both sides, and there are no signs of large pleural effusion or pneumothorax. The X-rays of the chest are intact, and there are no acute cardiopulmonary abnormalities visible."
        },
        {
            "image_id": "158_2",
            "caption": "The X-ray shows a normal size and contour of the heart with no mediastinal widening. The lungs are clear on both sides, and there are no signs of large pleural effusion or pneumothorax. The X-rays of the chest are intact, and there are no acute cardiopulmonary abnormalities visible."
        },
        {
            "image_id": "3595_1",
            "caption": "Upon evaluation of the chest x-ray image, stable cardiomegaly and mediastinal contour were observed. Additionally, there were increased interstitial lung markings which could be attributed to volume overload. However, an improved aeration of lung bases was seen with only small left basilar effusion residual. There was no evidence of focal consolidation or pneumothorax, indicating an overall stable condition. Moreover, the visualized osseous structures were intact, and the tunneled dialysis catheter remained stable. The impression from the observed findings is that there is stable cardiomegaly with improved aeration of the lung bases, although there remains a persistent left basilar effusion. Prominent interstitium may be due to mild volume overload. No acute cardiopulmonary abnormalities were noted."
        },
        {
            "image_id": "3595_2",
            "caption": "Upon evaluation of the chest x-ray image, stable cardiomegaly and mediastinal contour were observed. Additionally, there were increased interstitial lung markings which could be attributed to volume overload. However, an improved aeration of lung bases was seen with only small left basilar effusion residual. There was no evidence of focal consolidation or pneumothorax, indicating an overall stable condition. Moreover, the visualized osseous structures were intact, and the tunneled dialysis catheter remained stable. The impression from the observed findings is that there is stable cardiomegaly with improved aeration of the lung bases, although there remains a persistent left basilar effusion. Prominent interstitium may be due to mild volume overload. No acute cardiopulmonary abnormalities were noted."
        },
        {
            "image_id": "616_1",
            "caption": "The X-ray reveals broken ribs in the 1st and 3rd-5th positions. However, there are no acute intrathoracic abnormalities. The cardiopulmonary features appear normal with no signs of focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated and there is interposition of colon seen in the left upper quadrant."
        },
        {
            "image_id": "616_2",
            "caption": "The X-ray reveals broken ribs in the 1st and 3rd-5th positions. However, there are no acute intrathoracic abnormalities. The cardiopulmonary features appear normal with no signs of focal consolidation, pleural effusion or pneumothorax. Left hemidiaphragm is mildly elevated and there is interposition of colon seen in the left upper quadrant."
        },
        {
            "image_id": "1382_1",
            "caption": "The chest x-ray shows that the heart size and pulmonary vasculature are normal with an unremarkable mediastinal contour. No acute bony findings or pulmonary abnormalities such as focal consolidation, pleural effusion or pneumothorax are identified. The impression confirms that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1382_2",
            "caption": "The chest x-ray shows that the heart size and pulmonary vasculature are normal with an unremarkable mediastinal contour. No acute bony findings or pulmonary abnormalities such as focal consolidation, pleural effusion or pneumothorax are identified. The impression confirms that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "164_1",
            "caption": "The X-ray shows a normal cardiopulmonary silhouette and heart size. The lungs appear clear without any effusions or pneumothorax. The impression states there are no acute cardiopulmonary findings, indicating a healthy condition."
        },
        {
            "image_id": "164_2",
            "caption": "The X-ray shows a normal cardiopulmonary silhouette and heart size. The lungs appear clear without any effusions or pneumothorax. The impression states there are no acute cardiopulmonary findings, indicating a healthy condition."
        },
        {
            "image_id": "1396_1",
            "caption": "Upon analysis of the x-ray image, it was observed that the lungs are clear bilaterally, cardiac and mediastinal silhouettes are normal, and pulmonary vasculature is normal. There is no presence of pneumothorax or pleural effusion, nor any acute bony abnormality. In conclusion, no acute cardiopulmonary abnormality was detected."
        },
        {
            "image_id": "1396_2",
            "caption": "Upon analysis of the x-ray image, it was observed that the lungs are clear bilaterally, cardiac and mediastinal silhouettes are normal, and pulmonary vasculature is normal. There is no presence of pneumothorax or pleural effusion, nor any acute bony abnormality. In conclusion, no acute cardiopulmonary abnormality was detected."
        },
        {
            "image_id": "3581_1",
            "caption": "The finding reveals that the heart and lungs are functioning normally. Pectus carinatum, mild spinal deformity, calcified lymph nodes, and granuloma are also observed, which suggest a previous infection. However, there is no evidence of active disease. The impression confirms that there is no acute abnormality and summarizes the findings as evidence of previous granulomatous infection and pectus carinatum. It is important to consult with a doctor for further evaluation and treatment if necessary."
        },
        {
            "image_id": "3581_2",
            "caption": "The finding reveals that the heart and lungs are functioning normally. Pectus carinatum, mild spinal deformity, calcified lymph nodes, and granuloma are also observed, which suggest a previous infection. However, there is no evidence of active disease. The impression confirms that there is no acute abnormality and summarizes the findings as evidence of previous granulomatous infection and pectus carinatum. It is important to consult with a doctor for further evaluation and treatment if necessary."
        },
        {
            "image_id": "2847_1",
            "caption": "The overall impression of the chest radiograph is that there are no acute findings. The heart and pulmonary vessels are within normal limits. There are scattered calcified granulomas, but no focal airspace consolidation, pleural effusion, or pneumothorax. It is noted that the thoracic aorta is tortuous, but stable from the prior radiograph. Additionally, aortic stent graft is seen overlying the descending thoracic aorta and upper abdominal aorta, which is grossly stable from the prior chest radiograph. Lastly, there is mild elevation of the left hemidiaphragm and mild degenerative changes of the spine."
        },
        {
            "image_id": "2847_2",
            "caption": "The overall impression of the chest radiograph is that there are no acute findings. The heart and pulmonary vessels are within normal limits. There are scattered calcified granulomas, but no focal airspace consolidation, pleural effusion, or pneumothorax. It is noted that the thoracic aorta is tortuous, but stable from the prior radiograph. Additionally, aortic stent graft is seen overlying the descending thoracic aorta and upper abdominal aorta, which is grossly stable from the prior chest radiograph. Lastly, there is mild elevation of the left hemidiaphragm and mild degenerative changes of the spine."
        },
        {
            "image_id": "71_1",
            "caption": "The x-ray shows that the heart is slightly enlarged, but within normal limits. The lungs are clear with no signs of infiltration, pneumothorax, or effusion. The impression from the image is that there is no acute cardiopulmonary disease observed."
        },
        {
            "image_id": "831_1",
            "caption": "The X-ray depicts a normal cardiomediastinal silhouette with no abnormalities in size or contour. Low lung volumes are observed without any evidence of focal consolidation, pneumothorax, or large pleural effusion. While low lung volumes were noted, there is no other evidence of disease or complications."
        },
        {
            "image_id": "831_2",
            "caption": "The X-ray depicts a normal cardiomediastinal silhouette with no abnormalities in size or contour. Low lung volumes are observed without any evidence of focal consolidation, pneumothorax, or large pleural effusion. While low lung volumes were noted, there is no other evidence of disease or complications."
        },
        {
            "image_id": "2112_1",
            "caption": "The patient's x-ray shows a 1.9 cm interruption in the left central venous catheter at the overlap of the clavicle and first rib. The distal catheter tip may be within the azygos vein. The heart size is normal with scarring present in the left midlung region. No large pleural effusion or pneumothorax is visible. The patient's condition requires further evaluation and monitoring."
        },
        {
            "image_id": "2112_2",
            "caption": "The patient's x-ray shows a 1.9 cm interruption in the left central venous catheter at the overlap of the clavicle and first rib. The distal catheter tip may be within the azygos vein. The heart size is normal with scarring present in the left midlung region. No large pleural effusion or pneumothorax is visible. The patient's condition requires further evaluation and monitoring."
        },
        {
            "image_id": "2106_1",
            "caption": "The x-ray shows clear and expanded lungs with a normal heart and mediastinum. Based on the findings, there is no active disease present."
        },
        {
            "image_id": "2106_2",
            "caption": "The x-ray shows clear and expanded lungs with a normal heart and mediastinum. Based on the findings, there is no active disease present."
        },
        {
            "image_id": "3218_1",
            "caption": "During the chest examination, the heart appears normal with clear lungs and no signs of acute disease such as effusion or pneumothorax. However, there are some degenerative changes in the skeletal structures. The impression indicates that there is no acute pulmonary disease present."
        },
        {
            "image_id": "3218_2",
            "caption": "During the chest examination, the heart appears normal with clear lungs and no signs of acute disease such as effusion or pneumothorax. However, there are some degenerative changes in the skeletal structures. The impression indicates that there is no acute pulmonary disease present."
        },
        {
            "image_id": "3218_3",
            "caption": "During the chest examination, the heart appears normal with clear lungs and no signs of acute disease such as effusion or pneumothorax. However, there are some degenerative changes in the skeletal structures. The impression indicates that there is no acute pulmonary disease present."
        },
        {
            "image_id": "1369_1",
            "caption": "The chest x-ray examination shows a normal heart size with prominent epicardial fat. The lungs appear clear with no presence of pleural effusion or pneumothorax. Overall, the examination of the chest is unremarkable."
        },
        {
            "image_id": "1369_2",
            "caption": "The chest x-ray examination shows a normal heart size with prominent epicardial fat. The lungs appear clear with no presence of pleural effusion or pneumothorax. Overall, the examination of the chest is unremarkable."
        },
        {
            "image_id": "65_1",
            "caption": "The chest X-ray examination shows no abnormalities that indicate an acute cardiopulmonary disease. The size and shape of the heart and mediastinum appear normal, and there is no sign of focal consolidation, pleural effusion or pneumothorax. The pulmonary vascularity is also within the normal range. Additionally, the visualized upper abdomen looks unremarkable. However, there is evidence of a prior fracture of the right clavicle. Overall, the results of the examination suggest an unremarkable chest X-ray with no acute disease."
        },
        {
            "image_id": "65_2",
            "caption": "The chest X-ray examination shows no abnormalities that indicate an acute cardiopulmonary disease. The size and shape of the heart and mediastinum appear normal, and there is no sign of focal consolidation, pleural effusion or pneumothorax. The pulmonary vascularity is also within the normal range. Additionally, the visualized upper abdomen looks unremarkable. However, there is evidence of a prior fracture of the right clavicle. Overall, the results of the examination suggest an unremarkable chest X-ray with no acute disease."
        },
        {
            "image_id": "2660_1",
            "caption": "The chest x-ray shows normal heart size with clear lungs. No abnormalities are seen. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The overall impression is a normal chest."
        },
        {
            "image_id": "2660_2",
            "caption": "The chest x-ray shows normal heart size with clear lungs. No abnormalities are seen. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The overall impression is a normal chest."
        },
        {
            "image_id": "1341_1",
            "caption": "The chest X-ray shows normal findings with clear lungs and cardiac and mediastinal contours within normal limits. The pulmonary vasculature is also normal with no presence of pneumothorax or pleural effusion. Additionally, there is no acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is visible at a specific junction. Based on these results, there is no evidence of active disease."
        },
        {
            "image_id": "1341_2",
            "caption": "The chest X-ray shows normal findings with clear lungs and cardiac and mediastinal contours within normal limits. The pulmonary vasculature is also normal with no presence of pneumothorax or pleural effusion. Additionally, there is no acute bony abnormality. The distal tip of a right IJ dual-lumen central venous catheter is visible at a specific junction. Based on these results, there is no evidence of active disease."
        },
        {
            "image_id": "3556_1",
            "caption": "The lungs are clear with no pleural effusion or pneumothorax identified. The heart size is within normal limits with some atherosclerotic changes of the aorta. No acute skeletal abnormality is seen. The chest x-ray reveals no evidence of acute pulmonary disease, but there are indications of previous surgical intervention and mild atherosclerotic changes of the aorta. Further evaluation may be needed to assess the patient's cardiovascular health."
        },
        {
            "image_id": "3556_2",
            "caption": "The lungs are clear with no pleural effusion or pneumothorax identified. The heart size is within normal limits with some atherosclerotic changes of the aorta. No acute skeletal abnormality is seen. The chest x-ray reveals no evidence of acute pulmonary disease, but there are indications of previous surgical intervention and mild atherosclerotic changes of the aorta. Further evaluation may be needed to assess the patient's cardiovascular health."
        },
        {
            "image_id": "2890_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any visible abnormalities. There is no evidence of displaced fracture or pneumothorax. However, a small radiopaque density is observed within the posterior superficial subcutaneous fat, which may represent a projectile fragment. Overall, the x-ray indicates no acute cardiopulmonary disease, and further investigation may be necessary to determine the source of the fragment."
        },
        {
            "image_id": "2890_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any visible abnormalities. There is no evidence of displaced fracture or pneumothorax. However, a small radiopaque density is observed within the posterior superficial subcutaneous fat, which may represent a projectile fragment. Overall, the x-ray indicates no acute cardiopulmonary disease, and further investigation may be necessary to determine the source of the fragment."
        },
        {
            "image_id": "2890_3",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any visible abnormalities. There is no evidence of displaced fracture or pneumothorax. However, a small radiopaque density is observed within the posterior superficial subcutaneous fat, which may represent a projectile fragment. Overall, the x-ray indicates no acute cardiopulmonary disease, and further investigation may be necessary to determine the source of the fragment."
        },
        {
            "image_id": "2648_1",
            "caption": "On examination of the x-ray image, there is borderline cardiomegaly visible. The right upper lobe shows a calcified granuloma, but there is no evidence of any focal consolidation, pneumothorax or large pleural effusion. The lung volumes are found to be low, but the image is otherwise clear. No acute bone abnormality was detected. The impression is that the lungs are clear, except for the low lung volumes detected during the examination."
        },
        {
            "image_id": "3230_1",
            "caption": "The x-ray shows low lung volumes and patient rotation, and the heart size appears normal. There is a persistent stable right basilar opacity, indicating atelectasis. There are no suspicious pulmonary opacities, pneumothorax or definite pleural effusions, but mild degenerative changes of the thoracic spine are present. Overall, the finding suggests persistent stable right basilar atelectasis, and no acute abnormalities are found in the radiographic image."
        },
        {
            "image_id": "3230_2",
            "caption": "The x-ray shows low lung volumes and patient rotation, and the heart size appears normal. There is a persistent stable right basilar opacity, indicating atelectasis. There are no suspicious pulmonary opacities, pneumothorax or definite pleural effusions, but mild degenerative changes of the thoracic spine are present. Overall, the finding suggests persistent stable right basilar atelectasis, and no acute abnormalities are found in the radiographic image."
        },
        {
            "image_id": "1427_1",
            "caption": "The x-ray shows that the lungs are clear and heart size is normal. There is no evidence of pneumothorax. However, there is a cardiac device with leads terminating in the right atrium and right ventricle, which is visible on the image. There are also atherosclerotic calcifications present. Overall, there is no acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "1433_1",
            "caption": "On the X-ray, the cardiac contours appear normal, with mild atherosclerosis observed. Clear lungs and presence of thoracic spondylosis is also noted. Overall, no acute preoperative findings are identified."
        },
        {
            "image_id": "1433_2",
            "caption": "On the X-ray, the cardiac contours appear normal, with mild atherosclerosis observed. Clear lungs and presence of thoracic spondylosis is also noted. Overall, no acute preoperative findings are identified."
        },
        {
            "image_id": "3224_1",
            "caption": "The cardiomediastinal silhouette appears normal with no signs of focal consolidation, pneumothorax, or large pleural effusion. Additionally, there is no acute bone abnormality seen on the x-ray. Overall, the impression is negative for acute abnormality."
        },
        {
            "image_id": "3224_2",
            "caption": "The cardiomediastinal silhouette appears normal with no signs of focal consolidation, pneumothorax, or large pleural effusion. Additionally, there is no acute bone abnormality seen on the x-ray. Overall, the impression is negative for acute abnormality."
        },
        {
            "image_id": "3542_1",
            "caption": "The x-ray reveals that the heart size and mediastinal contours are normal. The pulmonary vascularity is also normal and there are no suspicious pulmonary opacities, pneumothorax or pleural effusion. The osseous structures appear intact. The impression is that there are no acute cardiopulmonary abnormalities and no radiographic evidence of metastatic disease in the chest. This x-ray suggests that the patient's chest is healthy and free from any concerning issues."
        },
        {
            "image_id": "3542_2",
            "caption": "The x-ray reveals that the heart size and mediastinal contours are normal. The pulmonary vascularity is also normal and there are no suspicious pulmonary opacities, pneumothorax or pleural effusion. The osseous structures appear intact. The impression is that there are no acute cardiopulmonary abnormalities and no radiographic evidence of metastatic disease in the chest. This x-ray suggests that the patient's chest is healthy and free from any concerning issues."
        },
        {
            "image_id": "2884_1",
            "caption": "The postoperative cardiomediastinal silhouette appears stable and is slightly enlarged. There are surgical clips and evidence of past coronary artery bypass grafting. One stent is present in the left-sided coronary artery. The pulmonary vasculature is normal, and there are no focal abnormalities in the lungs or bones. Impressively, no acute findings were observed in this x-ray."
        },
        {
            "image_id": "2884_2",
            "caption": "The postoperative cardiomediastinal silhouette appears stable and is slightly enlarged. There are surgical clips and evidence of past coronary artery bypass grafting. One stent is present in the left-sided coronary artery. The pulmonary vasculature is normal, and there are no focal abnormalities in the lungs or bones. Impressively, no acute findings were observed in this x-ray."
        },
        {
            "image_id": "1355_1",
            "caption": "The lungs have low volumes and show bibasilar opacities, with the right lung being greater than the left. The central vascular margination is not distinct due to bronchovascular crowding. There are no findings suggestive of pleural effusion. The heart size is within normal limits, accounting for technical factors. The bibasilar opacities and bronchovascular crowding are likely due, at least in part, to atelectasis, infiltrates, or pulmonary edema, although other causes cannot be entirely excluded based on this imaging alone. Follow-up imaging or clinical correlation may be necessary for further evaluation."
        },
        {
            "image_id": "1355_2",
            "caption": "The lungs have low volumes and show bibasilar opacities, with the right lung being greater than the left. The central vascular margination is not distinct due to bronchovascular crowding. There are no findings suggestive of pleural effusion. The heart size is within normal limits, accounting for technical factors. The bibasilar opacities and bronchovascular crowding are likely due, at least in part, to atelectasis, infiltrates, or pulmonary edema, although other causes cannot be entirely excluded based on this imaging alone. Follow-up imaging or clinical correlation may be necessary for further evaluation."
        },
        {
            "image_id": "59_1",
            "caption": "During the examination, the cardiac silhouette, mediastinum, and pulmonary vasculature appeared normal. However, there was a stable elevation of the left hemidiaphragm. No signs of pleural fluid or pneumothorax were observed, and the lungs were clear. The radiologist also noted the presence of cholecystectomy clips in the right upper quadrant. Based on these results, no acute abnormalities were found in the patient's condition."
        },
        {
            "image_id": "59_2",
            "caption": "During the examination, the cardiac silhouette, mediastinum, and pulmonary vasculature appeared normal. However, there was a stable elevation of the left hemidiaphragm. No signs of pleural fluid or pneumothorax were observed, and the lungs were clear. The radiologist also noted the presence of cholecystectomy clips in the right upper quadrant. Based on these results, no acute abnormalities were found in the patient's condition."
        },
        {
            "image_id": "819_1",
            "caption": "Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note of bilateral breast implants. The x-ray shows no signs of active cardiopulmonary disease."
        },
        {
            "image_id": "819_2",
            "caption": "Both lungs are clear and expanded area heart and mediastinum are normal. Incidental note of bilateral breast implants. The x-ray shows no signs of active cardiopulmonary disease."
        },
        {
            "image_id": "1802_1",
            "caption": "Based on the X-ray image, the heart and lung areas appear to be normal. There is no evidence of any structural damage to the surrounding bones. Furthermore, no acute abnormalities were discovered."
        },
        {
            "image_id": "1802_2",
            "caption": "Based on the X-ray image, the heart and lung areas appear to be normal. There is no evidence of any structural damage to the surrounding bones. Furthermore, no acute abnormalities were discovered."
        },
        {
            "image_id": "428_1",
            "caption": "The X-ray shows a normal trachea and cardiomediastinal silhouette. Both lungs are clear without evidence of acute issues such as infiltration, effusion or pneumothorax. Visualized bony structures are also normal. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "428_2",
            "caption": "The X-ray shows a normal trachea and cardiomediastinal silhouette. Both lungs are clear without evidence of acute issues such as infiltration, effusion or pneumothorax. Visualized bony structures are also normal. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3967_1",
            "caption": "The X-ray report shows that the heart and lung areas are clear and normal, and there are mild degenerative endplate changes of the spine. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3967_2",
            "caption": "The X-ray report shows that the heart and lung areas are clear and normal, and there are mild degenerative endplate changes of the spine. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1816_1",
            "caption": "The x-ray shows an unremarkable heart and mediastinum, and clear lungs without infiltrate or effusion. The identified numerous calcified mediastinal lymph nodes, as well as large calcifications within the left upper and left lower lobes, appear to be stable and are likely the sequela of prior granulomatous disease. The impression is that there is evidence of prior granulomatous disease, but no acute abnormality is present."
        },
        {
            "image_id": "1816_2",
            "caption": "The x-ray shows an unremarkable heart and mediastinum, and clear lungs without infiltrate or effusion. The identified numerous calcified mediastinal lymph nodes, as well as large calcifications within the left upper and left lower lobes, appear to be stable and are likely the sequela of prior granulomatous disease. The impression is that there is evidence of prior granulomatous disease, but no acute abnormality is present."
        },
        {
            "image_id": "372_1",
            "caption": "The chest x-ray revealed left retrocardiac airspace disease and blunted posterior costophrenic, suggesting a small pleural effusion. However, the heart size was normal, and the right PICC remained unchanged, with the tip at the caval atrial junction. Based on the findings, it is suspected that the retrocardiac airspace disease could arise due to atelectasis and potential scarring, whereas the small pleural effusion is present on the left side. Overall, further evaluation and follow-up may be necessary to determine the underlying cause behind the chest x-ray findings."
        },
        {
            "image_id": "372_2",
            "caption": "The chest x-ray revealed left retrocardiac airspace disease and blunted posterior costophrenic, suggesting a small pleural effusion. However, the heart size was normal, and the right PICC remained unchanged, with the tip at the caval atrial junction. Based on the findings, it is suspected that the retrocardiac airspace disease could arise due to atelectasis and potential scarring, whereas the small pleural effusion is present on the left side. Overall, further evaluation and follow-up may be necessary to determine the underlying cause behind the chest x-ray findings."
        },
        {
            "image_id": "372_3",
            "caption": "The chest x-ray revealed left retrocardiac airspace disease and blunted posterior costophrenic, suggesting a small pleural effusion. However, the heart size was normal, and the right PICC remained unchanged, with the tip at the caval atrial junction. Based on the findings, it is suspected that the retrocardiac airspace disease could arise due to atelectasis and potential scarring, whereas the small pleural effusion is present on the left side. Overall, further evaluation and follow-up may be necessary to determine the underlying cause behind the chest x-ray findings."
        },
        {
            "image_id": "1180_1",
            "caption": "The x-ray image shows normal heart size and pulmonary vascularity. There is mild tortuosity to the descending thoracic aorta and degenerative changes present in the spine. No focal airspace disease, pleural effusion or pneumothorax are seen, and no discrete nodules or adenopathy are noted. The impression suggests that there is no evidence of active disease."
        },
        {
            "image_id": "1180_2",
            "caption": "The x-ray image shows normal heart size and pulmonary vascularity. There is mild tortuosity to the descending thoracic aorta and degenerative changes present in the spine. No focal airspace disease, pleural effusion or pneumothorax are seen, and no discrete nodules or adenopathy are noted. The impression suggests that there is no evidence of active disease."
        },
        {
            "image_id": "3797_1",
            "caption": "A chest X-ray was obtained which revealed left lower lobe air space opacities without significant change. The heart silhouette and mediastinal contours appeared normal, and there was no evidence of effusion or pneumothorax. The findings suggest the presence of atelectasis in the left lower lobe."
        },
        {
            "image_id": "3797_2",
            "caption": "A chest X-ray was obtained which revealed left lower lobe air space opacities without significant change. The heart silhouette and mediastinal contours appeared normal, and there was no evidence of effusion or pneumothorax. The findings suggest the presence of atelectasis in the left lower lobe."
        },
        {
            "image_id": "3797_3",
            "caption": "A chest X-ray was obtained which revealed left lower lobe air space opacities without significant change. The heart silhouette and mediastinal contours appeared normal, and there was no evidence of effusion or pneumothorax. The findings suggest the presence of atelectasis in the left lower lobe."
        },
        {
            "image_id": "2489_1",
            "caption": "The x-ray image shows a normal heart and mediastinum. The lung volumes appear to be low, and there is a calcified granuloma present in the right hilum. Minimal atelectasis or scarring is seen in the left lower lobe, and there is no evidence of effusion or pneumothorax. Overall, there is no acute cardiopulmonary disease detected in the x-ray."
        },
        {
            "image_id": "2489_2",
            "caption": "The x-ray image shows a normal heart and mediastinum. The lung volumes appear to be low, and there is a calcified granuloma present in the right hilum. Minimal atelectasis or scarring is seen in the left lower lobe, and there is no evidence of effusion or pneumothorax. Overall, there is no acute cardiopulmonary disease detected in the x-ray."
        },
        {
            "image_id": "3783_1",
            "caption": "The x-ray image shows a normal heart and mediastinum with clear lungs and unremarkable bony thorax. There is no evidence of acute cardiopulmonary abnormalities, such as focal consolidation, pneumothorax, or pleural effusion. This is a reassuring finding."
        },
        {
            "image_id": "400_1",
            "caption": "During the comprehensive X-ray examination, the lungs were found to be bilaterally clear, with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette was unremarkable, and the visualized osseous structures of the thorax showed no acute abnormality. A small right basilar calcified granuloma was found to be stable. Overall, no acute cardiopulmonary abnormality was observed during the examination."
        },
        {
            "image_id": "366_1",
            "caption": "Based on the x-ray image, there are no acute abnormalities observed. The heart appears normal in size and the mediastinum is unremarkable. The lungs appear clear without any signs of acute disease."
        },
        {
            "image_id": "366_2",
            "caption": "Based on the x-ray image, there are no acute abnormalities observed. The heart appears normal in size and the mediastinum is unremarkable. The lungs appear clear without any signs of acute disease."
        },
        {
            "image_id": "2310_1",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormalities. Specifically, there is no focal consolidation, pneumothorax, or large pleural effusions observed. The heart size is normal and there are no other findings in the mediastinum. This X-ray indicates a healthy pulmonary and cardiovascular system."
        },
        {
            "image_id": "2310_2",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormalities. Specifically, there is no focal consolidation, pneumothorax, or large pleural effusions observed. The heart size is normal and there are no other findings in the mediastinum. This X-ray indicates a healthy pulmonary and cardiovascular system."
        },
        {
            "image_id": "1619_1",
            "caption": "The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There are multiple sternotomy scars and surgical clips compatible with prior CABG, and the most caudal sternotomy scar is fractured, without evidence of complication. Overall, there are no acute pulmonary or bony findings."
        },
        {
            "image_id": "1619_2",
            "caption": "The lungs are mildly hypoinflated but clear of focal airspace disease, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. There are multiple sternotomy scars and surgical clips compatible with prior CABG, and the most caudal sternotomy scar is fractured, without evidence of complication. Overall, there are no acute pulmonary or bony findings."
        },
        {
            "image_id": "2476_1",
            "caption": "Upon evaluating the chest x-ray, it was found that the heart size and pulmonary vascularity are normal. The lungs are clear and free of any focal airspace disease, pleural effusion, or pneumothorax. However, degenerative changes are evident in the spine. According to the impression, there is no evidence of active disease detected."
        },
        {
            "image_id": "2476_2",
            "caption": "Upon evaluating the chest x-ray, it was found that the heart size and pulmonary vascularity are normal. The lungs are clear and free of any focal airspace disease, pleural effusion, or pneumothorax. However, degenerative changes are evident in the spine. According to the impression, there is no evidence of active disease detected."
        },
        {
            "image_id": "3768_1",
            "caption": "The chest x-ray shows mild cardiomegaly, changes suggestive of chronic lung disease and accentuated thoracic kyphosis. However, no pneumothorax or pleural effusion is evident. The impression suggests the presence of chronic lung disease but no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3768_2",
            "caption": "The chest x-ray shows mild cardiomegaly, changes suggestive of chronic lung disease and accentuated thoracic kyphosis. However, no pneumothorax or pleural effusion is evident. The impression suggests the presence of chronic lung disease but no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2462_1",
            "caption": "The x-ray shows stable cardiomegaly, with a calcified and tortuous aorta. Additionally, there are multiple pleural calcifications indicating prior asbestos exposure, with no observed changes. No pneumothorax, pleural effusion, or focal airspace consolidation are present. The impression notes findings of prior asbestos exposure without interval acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2462_2",
            "caption": "The x-ray shows stable cardiomegaly, with a calcified and tortuous aorta. Additionally, there are multiple pleural calcifications indicating prior asbestos exposure, with no observed changes. No pneumothorax, pleural effusion, or focal airspace consolidation are present. The impression notes findings of prior asbestos exposure without interval acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "399_1",
            "caption": "According to the X-ray findings, the size of heart and pulmonary vascularity seems normal, and no signs of pleural effusion or pneumothorax are detected. Additionally, degenerative changes are observed in the spine. The impression drawn from the findings suggests no active disease present. It is important to follow up with the healthcare provider for further evaluation and appropriate interventions if required."
        },
        {
            "image_id": "399_2",
            "caption": "According to the X-ray findings, the size of heart and pulmonary vascularity seems normal, and no signs of pleural effusion or pneumothorax are detected. Additionally, degenerative changes are observed in the spine. The impression drawn from the findings suggests no active disease present. It is important to follow up with the healthcare provider for further evaluation and appropriate interventions if required."
        },
        {
            "image_id": "2304_1",
            "caption": "The x-ray image shows a clear cardiomediastinal silhouette and normal pulmonary vasculature. There are no signs of pneumothorax, pleural effusion or acute osseous findings. The impression is that there are no acute cardiopulmonary abnormalities detected in the x-ray."
        },
        {
            "image_id": "2304_2",
            "caption": "The x-ray image shows a clear cardiomediastinal silhouette and normal pulmonary vasculature. There are no signs of pneumothorax, pleural effusion or acute osseous findings. The impression is that there are no acute cardiopulmonary abnormalities detected in the x-ray."
        },
        {
            "image_id": "1625_1",
            "caption": "The x-ray shows that the heart is normal in size and the lungs are clear. Although there are atherosclerotic calcifications in the aortic area, there is no acute disease observed in the image."
        },
        {
            "image_id": "1625_2",
            "caption": "The x-ray shows that the heart is normal in size and the lungs are clear. Although there are atherosclerotic calcifications in the aortic area, there is no acute disease observed in the image."
        },
        {
            "image_id": "3032_1",
            "caption": "The heart and lungs show no change in the interval. Both lungs appear clear and fully expanded. The heart and mediastinum are normal without any signs of abnormalities. The sternotomy sutures and coronary bypass clips stay intact, without any issues. It is worth noting that there is a presence of atherosclerotic calcification in the aortic region. The overall impression from the X-ray indicates no current active disease. However, the atherosclerotic calcification in the aortic region needs to be monitored closely."
        },
        {
            "image_id": "3032_2",
            "caption": "The heart and lungs show no change in the interval. Both lungs appear clear and fully expanded. The heart and mediastinum are normal without any signs of abnormalities. The sternotomy sutures and coronary bypass clips stay intact, without any issues. It is worth noting that there is a presence of atherosclerotic calcification in the aortic region. The overall impression from the X-ray indicates no current active disease. However, the atherosclerotic calcification in the aortic region needs to be monitored closely."
        },
        {
            "image_id": "3754_1",
            "caption": "The X-ray shows that the heart is of normal size and the mediastinum is unremarkable. The lungs are also clear from any gross abnormality or infiltration. Based on the X-ray imaging, there is no evidence of acute disease."
        },
        {
            "image_id": "3754_2",
            "caption": "The X-ray shows that the heart is of normal size and the mediastinum is unremarkable. The lungs are also clear from any gross abnormality or infiltration. Based on the X-ray imaging, there is no evidence of acute disease."
        },
        {
            "image_id": "1157_1",
            "caption": "Upon examination of the x-ray image, the heart, pulmonary arteries, and mediastinum appear to be within normal limits. No pleural effusion or pneumothorax was identified. However, there does seem to be a region of left upper lobe perihilar opacity, which is indicative of left upper lobe pneumonia. To ensure that there are no underlying abnormalities, follow-up radiographs should be performed in 8-12 weeks after appropriate therapy. It is important to monitor and treat this condition to avoid further complications."
        },
        {
            "image_id": "1157_2",
            "caption": "Upon examination of the x-ray image, the heart, pulmonary arteries, and mediastinum appear to be within normal limits. No pleural effusion or pneumothorax was identified. However, there does seem to be a region of left upper lobe perihilar opacity, which is indicative of left upper lobe pneumonia. To ensure that there are no underlying abnormalities, follow-up radiographs should be performed in 8-12 weeks after appropriate therapy. It is important to monitor and treat this condition to avoid further complications."
        },
        {
            "image_id": "3740_1",
            "caption": "The chest x-ray shows a diffuse opacity in the right lower lobe of the lung. However, there is no pleural effusion or pneumothorax seen. The heart, mediastinum and skeletal structures appear normal. These findings indicate a probable right lower lobe pneumonia. Appropriate treatment and follow-up are necessary to monitor the condition and ensure complete recovery."
        },
        {
            "image_id": "3740_2",
            "caption": "The chest x-ray shows a diffuse opacity in the right lower lobe of the lung. However, there is no pleural effusion or pneumothorax seen. The heart, mediastinum and skeletal structures appear normal. These findings indicate a probable right lower lobe pneumonia. Appropriate treatment and follow-up are necessary to monitor the condition and ensure complete recovery."
        },
        {
            "image_id": "2338_1",
            "caption": "The patient is showing significant improvement in their bilateral airspace disease, with bilateral airspace opacities having significantly reduced as compared to the prior examination. There is only minimal streaky opacities seen in the bilateral midlung which could be due to mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions were spotted. The mediastinal silhouette is stable and within normal limits for size and contour, with no acute osseous abnormality identified. Overall, this indicates that the patient's condition has improved considerably."
        },
        {
            "image_id": "2338_2",
            "caption": "The patient is showing significant improvement in their bilateral airspace disease, with bilateral airspace opacities having significantly reduced as compared to the prior examination. There is only minimal streaky opacities seen in the bilateral midlung which could be due to mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions were spotted. The mediastinal silhouette is stable and within normal limits for size and contour, with no acute osseous abnormality identified. Overall, this indicates that the patient's condition has improved considerably."
        },
        {
            "image_id": "2338_3",
            "caption": "The patient is showing significant improvement in their bilateral airspace disease, with bilateral airspace opacities having significantly reduced as compared to the prior examination. There is only minimal streaky opacities seen in the bilateral midlung which could be due to mild residual airspace disease, atelectasis, or underlying changes of chronic lung disease. No large focal consolidations, pneumothorax, or definite pleural effusions were spotted. The mediastinal silhouette is stable and within normal limits for size and contour, with no acute osseous abnormality identified. Overall, this indicates that the patient's condition has improved considerably."
        },
        {
            "image_id": "1631_1",
            "caption": "The chest x-ray shows a few small nodular opacities in the left lung, which are relatively dense and suggestive of chronic granulomatous disease. The lungs are clear otherwise, with no focal airspace consolidation or pulmonary edema, and no pleural effusion or pneumothorax. The heart and mediastinum are within normal limits in size and contour, and there are mild degenerative changes of the spine. The calcified mediastinal and hilar lymph nodes are consistent with prior granulomatous disease."
        },
        {
            "image_id": "1631_2",
            "caption": "The chest x-ray shows a few small nodular opacities in the left lung, which are relatively dense and suggestive of chronic granulomatous disease. The lungs are clear otherwise, with no focal airspace consolidation or pulmonary edema, and no pleural effusion or pneumothorax. The heart and mediastinum are within normal limits in size and contour, and there are mild degenerative changes of the spine. The calcified mediastinal and hilar lymph nodes are consistent with prior granulomatous disease."
        },
        {
            "image_id": "3807_1",
            "caption": "The X-ray shows stable postoperative changes of left thoracotomy and left upper lobectomy, with no focal airspace consolidation or suspicious pulmonary mass/nodule observed. The lungs are clear and there is no pleural effusion or pneumothorax. The heart size and mediastinal contour is normal, and the left hemidiaphragm is stably elevated. Overall, no acute findings are seen, indicating successful recovery from the procedure."
        },
        {
            "image_id": "3807_2",
            "caption": "The X-ray shows stable postoperative changes of left thoracotomy and left upper lobectomy, with no focal airspace consolidation or suspicious pulmonary mass/nodule observed. The lungs are clear and there is no pleural effusion or pneumothorax. The heart size and mediastinal contour is normal, and the left hemidiaphragm is stably elevated. Overall, no acute findings are seen, indicating successful recovery from the procedure."
        },
        {
            "image_id": "548_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal, with no abnormalities found in the lungs or bones. The central vascular markings are symmetric, and no airspace disease, pleural effusion or pneumothorax is present. There is only stable scarring seen in the right lung apex. The impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "548_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal, with no abnormalities found in the lungs or bones. The central vascular markings are symmetric, and no airspace disease, pleural effusion or pneumothorax is present. There is only stable scarring seen in the right lung apex. The impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "3813_1",
            "caption": "There is opacity in the left lung base that may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Opacity in left lung base, which may indicate early infiltrate or atelectasis. Follow-up imaging or clinical correlation is recommended for further evaluation."
        },
        {
            "image_id": "3813_2",
            "caption": "There is opacity in the left lung base that may represent atelectasis or early infiltrate. The cardiomediastinal silhouette is within normal limits. No pneumothorax or pleural effusion. Opacity in left lung base, which may indicate early infiltrate or atelectasis. Follow-up imaging or clinical correlation is recommended for further evaluation."
        },
        {
            "image_id": "1962_1",
            "caption": "The X-ray showed no sign of pneumothorax, pleural effusion or airspace consolidation. The right lower lung granuloma appeared stable. The interval to right clavicle procedure was noted. Heart size and pulmonary vasculature appeared to be within normal limits. No acute cardiopulmonary abnormality was observed."
        },
        {
            "image_id": "1962_2",
            "caption": "The X-ray showed no sign of pneumothorax, pleural effusion or airspace consolidation. The right lower lung granuloma appeared stable. The interval to right clavicle procedure was noted. Heart size and pulmonary vasculature appeared to be within normal limits. No acute cardiopulmonary abnormality was observed."
        },
        {
            "image_id": "3185_1",
            "caption": "The x-ray shows a clear cardiomediastinal silhouette of normal size and appearance. The lungs are also clear with no signs of pneumothorax or pleural effusion. There are no soft tissue or bony abnormalities observed. Taking all these findings into consideration, there is no indication of an acute cardiopulmonary process."
        },
        {
            "image_id": "3185_2",
            "caption": "The x-ray shows a clear cardiomediastinal silhouette of normal size and appearance. The lungs are also clear with no signs of pneumothorax or pleural effusion. There are no soft tissue or bony abnormalities observed. Taking all these findings into consideration, there is no indication of an acute cardiopulmonary process."
        },
        {
            "image_id": "1792_1",
            "caption": "The x-ray image shows no acute bony abnormalities or pneumothorax. The heart size and mediastinal contours appear within normal limits. However, there are streaky left basilar opacities and blunting of the left costophrenic sulcus visible, which are caused by a small left pleural effusion. This is indicative of small left pleural effusion with left basilar atelectasis."
        },
        {
            "image_id": "1792_2",
            "caption": "The x-ray image shows no acute bony abnormalities or pneumothorax. The heart size and mediastinal contours appear within normal limits. However, there are streaky left basilar opacities and blunting of the left costophrenic sulcus visible, which are caused by a small left pleural effusion. This is indicative of small left pleural effusion with left basilar atelectasis."
        },
        {
            "image_id": "206_1",
            "caption": "The patient's chest x-ray reveals a mass-like density over the lingula causing partial obscuration of the left cardiac border, along with an ill-defined opacity in the right mid and lower lung zone. The heart appears borderline enlarged, and there is a dilated and tortuous aorta. Arthritic changes in the spine are also present. The patient has a rotated subcapital fracture in the left hip and severe atherosclerotic changes throughout the superficial femoral and popliteal artery. However, there is no fracture or destructive process seen in the remaining portions of the femur. The patient has mild arthritic changes and osteoporosis in the left knee. There is a left lower lobe nodule detected, and a follow-up scan is recommended for further evaluation."
        },
        {
            "image_id": "560_1",
            "caption": "The x-ray image of patient's chest shows that the heart and mediastinal contours are normal in size. Additionally, the lungs are clear without any area of focal consolidation or acute bone abnormality. Moreover, there is no presence of pneumothorax or large pleural effusion. Based on these findings, the impression is that there is no acute cardiopulmonary process observed in the x-ray image."
        },
        {
            "image_id": "212_1",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with normal pulmonary vascularity and hyperlucent apices. There is no evidence of focal airspace disease, consolidation, pneumothorax or pleural effusion. It is also noted that there is a healed remote left 9th rib fracture. The image of the right shoulder shows negative findings for both fracture and dislocation. Overall, no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "212_2",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with normal pulmonary vascularity and hyperlucent apices. There is no evidence of focal airspace disease, consolidation, pneumothorax or pleural effusion. It is also noted that there is a healed remote left 9th rib fracture. The image of the right shoulder shows negative findings for both fracture and dislocation. Overall, no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "212_3",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with normal pulmonary vascularity and hyperlucent apices. There is no evidence of focal airspace disease, consolidation, pneumothorax or pleural effusion. It is also noted that there is a healed remote left 9th rib fracture. The image of the right shoulder shows negative findings for both fracture and dislocation. Overall, no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "1786_1",
            "caption": "The patient's x-ray findings show no acute abnormality in the cardiopulmonary system. The lungs are clear bilaterally with no sign of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. The x-ray did reveal a stable foreign body over the left breast, identified as a nipple piercing during the examination. Overall, there is no acute cardiopulmonary abnormality detected based on these x-ray results."
        },
        {
            "image_id": "1786_2",
            "caption": "The patient's x-ray findings show no acute abnormality in the cardiopulmonary system. The lungs are clear bilaterally with no sign of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. The x-ray did reveal a stable foreign body over the left breast, identified as a nipple piercing during the examination. Overall, there is no acute cardiopulmonary abnormality detected based on these x-ray results."
        },
        {
            "image_id": "3191_1",
            "caption": "The x-ray shows borderline cardiac enlargement and an enlarged, calcified thoracic aorta. The patient has emphysema, but no acute pulmonary abnormalities are present. Additionally, mild spondylosis is identified."
        },
        {
            "image_id": "3191_2",
            "caption": "The x-ray shows borderline cardiac enlargement and an enlarged, calcified thoracic aorta. The patient has emphysema, but no acute pulmonary abnormalities are present. Additionally, mild spondylosis is identified."
        },
        {
            "image_id": "2264_1",
            "caption": "The x-ray image shows normal heart size and mediastinal contours. The lungs have low volumes, but there is no evidence of focal airspace consolidation, pneumothorax or pleural effusion. The visualized bony structures appear unremarkable. Thus, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2264_2",
            "caption": "The x-ray image shows normal heart size and mediastinal contours. The lungs have low volumes, but there is no evidence of focal airspace consolidation, pneumothorax or pleural effusion. The visualized bony structures appear unremarkable. Thus, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2502_1",
            "caption": "The X-ray shows a focal area of opacity in the right midlung zone, which is a cause for concern for pneumonitis. The pulmonary markings appear prominent throughout and there are small bilateral pleural effusions. The heart size is within normal limits and there is a prosthetic valve. Atherosclerotic changes of the aorta and arthritic changes of the skeletal structures are also present. The impression is of mild pulmonary vascular congestion without any acute cardiopulmonary abnormalities. It is recommended that the patient undergo further evaluation and management for the focal opacity in the right midlung zone."
        },
        {
            "image_id": "2502_2",
            "caption": "The X-ray shows a focal area of opacity in the right midlung zone, which is a cause for concern for pneumonitis. The pulmonary markings appear prominent throughout and there are small bilateral pleural effusions. The heart size is within normal limits and there is a prosthetic valve. Atherosclerotic changes of the aorta and arthritic changes of the skeletal structures are also present. The impression is of mild pulmonary vascular congestion without any acute cardiopulmonary abnormalities. It is recommended that the patient undergo further evaluation and management for the focal opacity in the right midlung zone."
        },
        {
            "image_id": "3608_1",
            "caption": "The patient's chest x-ray showed an enlarged heart and possible pericardial effusion, but no evidence of pulmonary edema or pneumonitis. The lungs are clear and there is no pleural effusion. The KUB x-ray revealed nonspecific findings in the abdomen, with no evidence of obstruction, free intraperitoneal air or organomegaly. Overall, the patient's cardiopulmonary system is concerning, requiring further investigation and management."
        },
        {
            "image_id": "3608_2",
            "caption": "The patient's chest x-ray showed an enlarged heart and possible pericardial effusion, but no evidence of pulmonary edema or pneumonitis. The lungs are clear and there is no pleural effusion. The KUB x-ray revealed nonspecific findings in the abdomen, with no evidence of obstruction, free intraperitoneal air or organomegaly. Overall, the patient's cardiopulmonary system is concerning, requiring further investigation and management."
        },
        {
            "image_id": "2516_1",
            "caption": "The x-ray shows that the heart size is normal, with stable mediastinal and hilar contours. Mild hyperinflation is observed, as well as right apical pleural-parenchymal irregularities indicating scarring. No signs of alveolar consolidation or pleural effusion were found, and there is no evidence of pulmonary edema or pneumothorax. In terms of impression, no acute findings were noted. It is important to note that regular follow-ups are recommended."
        },
        {
            "image_id": "2516_2",
            "caption": "The x-ray shows that the heart size is normal, with stable mediastinal and hilar contours. Mild hyperinflation is observed, as well as right apical pleural-parenchymal irregularities indicating scarring. No signs of alveolar consolidation or pleural effusion were found, and there is no evidence of pulmonary edema or pneumothorax. In terms of impression, no acute findings were noted. It is important to note that regular follow-ups are recommended."
        },
        {
            "image_id": "1779_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression of the x-ray is a normal chest, indicating there are no acute abnormalities or concerns."
        },
        {
            "image_id": "1779_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression of the x-ray is a normal chest, indicating there are no acute abnormalities or concerns."
        },
        {
            "image_id": "2270_1",
            "caption": "The chest x-ray shows that the heart and lungs are normal, and there is no evidence of any acute issues. The spine curves a bit to the right, but there are no fractures or other bone problems. Overall, the x-ray is reassuring and does not indicate any major health concerns."
        },
        {
            "image_id": "2270_2",
            "caption": "The chest x-ray shows that the heart and lungs are normal, and there is no evidence of any acute issues. The spine curves a bit to the right, but there are no fractures or other bone problems. Overall, the x-ray is reassuring and does not indicate any major health concerns."
        },
        {
            "image_id": "1751_1",
            "caption": "The X-ray reveals a normal-sized heart and clear lungs with no indication of any abnormalities, such as pneumonia, effusions, or edema. There are no signs of pneumothorax, adenopathy, nodules, or masses. Based on these findings, the impression is of a normal chest X-ray."
        },
        {
            "image_id": "1751_2",
            "caption": "The X-ray reveals a normal-sized heart and clear lungs with no indication of any abnormalities, such as pneumonia, effusions, or edema. There are no signs of pneumothorax, adenopathy, nodules, or masses. Based on these findings, the impression is of a normal chest X-ray."
        },
        {
            "image_id": "2258_1",
            "caption": "The X-ray shows mild hypoventilation with prominent interstitial markings in the central lungs and bases, which may be due to low lung volumes with bronchovascular crowding. No focal alveolar consolidation or pleural effusion is seen. Technical factors have made it difficult to assess the heart size. The impression suggests that the markings could be due to interstitial infiltrates of inflammatory or infectious etiology or mild pulmonary edema, and recommends clinical correlation for further evaluation."
        },
        {
            "image_id": "2258_2",
            "caption": "The X-ray shows mild hypoventilation with prominent interstitial markings in the central lungs and bases, which may be due to low lung volumes with bronchovascular crowding. No focal alveolar consolidation or pleural effusion is seen. Technical factors have made it difficult to assess the heart size. The impression suggests that the markings could be due to interstitial infiltrates of inflammatory or infectious etiology or mild pulmonary edema, and recommends clinical correlation for further evaluation."
        },
        {
            "image_id": "3146_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary process. There is no focal lung consolidation, pneumothorax, or pleural effusion present. Heart size and pulmonary vascularity are within normal limits. The osseous structures appear grossly intact."
        },
        {
            "image_id": "3146_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary process. There is no focal lung consolidation, pneumothorax, or pleural effusion present. Heart size and pulmonary vascularity are within normal limits. The osseous structures appear grossly intact."
        },
        {
            "image_id": "3620_1",
            "caption": "The x-ray shows that the heart is slightly larger than normal, but the pulmonary vasculature appears normal. There is minimal atelectasis or scarring in the left lung base, but the lungs are otherwise clear. A small calcified granuloma is present in the left upper lobe. No pneumothorax, pleural effusion, or acute rib fractures are seen. Overall, the x-ray suggests minimal pathology, with the exception of the calcified granuloma. Clinical correlation is recommended."
        },
        {
            "image_id": "3620_2",
            "caption": "The x-ray shows that the heart is slightly larger than normal, but the pulmonary vasculature appears normal. There is minimal atelectasis or scarring in the left lung base, but the lungs are otherwise clear. A small calcified granuloma is present in the left upper lobe. No pneumothorax, pleural effusion, or acute rib fractures are seen. Overall, the x-ray suggests minimal pathology, with the exception of the calcified granuloma. Clinical correlation is recommended."
        },
        {
            "image_id": "1037_1",
            "caption": "The X-ray image shows a normal-sized heart and an unremarkable mediastinum. The presence of a tortuous, calcified thoracic aorta is noted, with hyperexpanded lungs consistent with emphysema. There are no signs of pleural effusion, pneumothorax, or focal airspace disease. The impression given is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1037_2",
            "caption": "The X-ray image shows a normal-sized heart and an unremarkable mediastinum. The presence of a tortuous, calcified thoracic aorta is noted, with hyperexpanded lungs consistent with emphysema. There are no signs of pleural effusion, pneumothorax, or focal airspace disease. The impression given is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1023_1",
            "caption": "Based on the chest X-ray, the size of the heart and mediastinum are normal, and there is no sign of pulmonary edema or focal consolidation. Additionally, there are no indications of a large pleural effusion or pneumothorax. The overall impression is that there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1023_2",
            "caption": "Based on the chest X-ray, the size of the heart and mediastinum are normal, and there is no sign of pulmonary edema or focal consolidation. Additionally, there are no indications of a large pleural effusion or pneumothorax. The overall impression is that there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3634_1",
            "caption": "On the X-ray image, there is no evidence of any acute cardio-pulmonary abnormality. The cardiomediastinal silhouette is stable and there are no signs of focal pulmonary opacity, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities present."
        },
        {
            "image_id": "3634_2",
            "caption": "On the X-ray image, there is no evidence of any acute cardio-pulmonary abnormality. The cardiomediastinal silhouette is stable and there are no signs of focal pulmonary opacity, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities present."
        },
        {
            "image_id": "3152_1",
            "caption": "The chest X-ray depicts a hyperexpanded lungs with scattered opacities in both lungs, specifically in the left upper lobe with scarring. There is no evidence of pneumonia, pleural effusion, or pneumothorax. The heart size is normal, however, there are mild atherosclerotic vascular calcifications in the thoracic aorta, and degenerative changes are observed in the spine. Overall, there are no acute findings except for emphysema. These findings should be correlated with clinical and other imaging findings."
        },
        {
            "image_id": "3152_2",
            "caption": "The chest X-ray depicts a hyperexpanded lungs with scattered opacities in both lungs, specifically in the left upper lobe with scarring. There is no evidence of pneumonia, pleural effusion, or pneumothorax. The heart size is normal, however, there are mild atherosclerotic vascular calcifications in the thoracic aorta, and degenerative changes are observed in the spine. Overall, there are no acute findings except for emphysema. These findings should be correlated with clinical and other imaging findings."
        },
        {
            "image_id": "1745_1",
            "caption": "The X-ray images of the chest reveal that the heart and aorta are normal in size and contour. The lungs appear normal and there are no signs of pneumothorax or hemothorax. There is also no evidence of any acute displaced clavicle or rib fractures. The report indicates no acute thoracic abnormalities, and the patient's chest X-ray appears normal."
        },
        {
            "image_id": "1745_2",
            "caption": "The X-ray images of the chest reveal that the heart and aorta are normal in size and contour. The lungs appear normal and there are no signs of pneumothorax or hemothorax. There is also no evidence of any acute displaced clavicle or rib fractures. The report indicates no acute thoracic abnormalities, and the patient's chest X-ray appears normal."
        },
        {
            "image_id": "986_1",
            "caption": "The x-ray results show that the lungs are clear, with no focal airspace consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour appear normal, and there is no evidence of active disease. It seems like a healthy and regular x-ray."
        },
        {
            "image_id": "986_2",
            "caption": "The x-ray results show that the lungs are clear, with no focal airspace consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour appear normal, and there is no evidence of active disease. It seems like a healthy and regular x-ray."
        },
        {
            "image_id": "992_1",
            "caption": "The finding of the chest x-ray reveals the presence of bilateral pulmonary nodules, which are indicative of metastatic disease to lungs. The right lung shows a sizable nodule of 1.9 x 2.1 cm overlying the posterior right 6th rib, whereas the interspace between the posterior 5th and 6th ribs on the right shows a 1.0 x 1.2 cm nodule. The left 9th and 10th interspaces on the PA view show a projecting nodule of 1.0 x 1.1 cm. The stomach contours are clear, and there is no focal airspace opacity to suggest pneumonia. The heart size and pulmonary appear normal, but there are left-sided axillary clips. The impression suggests the presence of metastatic lung disease with right internal jugular central catheter, the distal tip of which is in the right atrium. Contrast-enhanced imaging is warranted to evaluate these conditions better."
        },
        {
            "image_id": "992_2",
            "caption": "The finding of the chest x-ray reveals the presence of bilateral pulmonary nodules, which are indicative of metastatic disease to lungs. The right lung shows a sizable nodule of 1.9 x 2.1 cm overlying the posterior right 6th rib, whereas the interspace between the posterior 5th and 6th ribs on the right shows a 1.0 x 1.2 cm nodule. The left 9th and 10th interspaces on the PA view show a projecting nodule of 1.0 x 1.1 cm. The stomach contours are clear, and there is no focal airspace opacity to suggest pneumonia. The heart size and pulmonary appear normal, but there are left-sided axillary clips. The impression suggests the presence of metastatic lung disease with right internal jugular central catheter, the distal tip of which is in the right atrium. Contrast-enhanced imaging is warranted to evaluate these conditions better."
        },
        {
            "image_id": "762_1",
            "caption": "The chest x-ray shows normal heart size and pulmonary vascularity. The lungs are clear with no signs of focal airspace disease or pleural effusion. However, there are calcified lymph nodes present. The impression suggests no evidence of active disease."
        },
        {
            "image_id": "762_2",
            "caption": "The chest x-ray shows normal heart size and pulmonary vascularity. The lungs are clear with no signs of focal airspace disease or pleural effusion. However, there are calcified lymph nodes present. The impression suggests no evidence of active disease."
        },
        {
            "image_id": "1590_1",
            "caption": "Upon examination of the chest x-ray, it was found that the lungs are clear bilaterally, without any indication of focal consolidation, pneumothorax, or pleural effusion. Additionally, the cardio mediastinal silhouette and visualized osseous structures appear normal, without any acute abnormalities. The impression gleaned from these findings is that there is no acute cardiopulmonary abnormality present in the patient."
        },
        {
            "image_id": "1590_2",
            "caption": "Upon examination of the chest x-ray, it was found that the lungs are clear bilaterally, without any indication of focal consolidation, pneumothorax, or pleural effusion. Additionally, the cardio mediastinal silhouette and visualized osseous structures appear normal, without any acute abnormalities. The impression gleaned from these findings is that there is no acute cardiopulmonary abnormality present in the patient."
        },
        {
            "image_id": "2099_1",
            "caption": "Based on the X-ray image, the lungs are clear without any evidence of consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also normal and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression suggests no acute cardiopulmonary abnormality found in the X-ray image."
        },
        {
            "image_id": "2099_2",
            "caption": "Based on the X-ray image, the lungs are clear without any evidence of consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also normal and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression suggests no acute cardiopulmonary abnormality found in the X-ray image."
        },
        {
            "image_id": "3387_1",
            "caption": "The X-ray reveals a normal cardiomediastinal silhouette and no acute bony abnormalities. There is minimal right basilar airspace disease seen in the right middle lobe, resulting in slightly increased opacity of the right base compared to the left. The left lung shows no signs of any abnormality such as pneumothorax or effusion. The impression suggests minimal right basilar airspace disease in the right middle lobe, which can be further evaluated by a physician."
        },
        {
            "image_id": "3387_2",
            "caption": "The X-ray reveals a normal cardiomediastinal silhouette and no acute bony abnormalities. There is minimal right basilar airspace disease seen in the right middle lobe, resulting in slightly increased opacity of the right base compared to the left. The left lung shows no signs of any abnormality such as pneumothorax or effusion. The impression suggests minimal right basilar airspace disease in the right middle lobe, which can be further evaluated by a physician."
        },
        {
            "image_id": "3393_1",
            "caption": "On the lateral view, there is a 7mm diameter non calcified nodule of uncertain origin over the lingula, which requires further evaluation with CT chest without contrast. No signs of pneumothorax, pleural effusion or focal airspace consolidation are identified. The heart size is normal and there is mild tortuosity of the aorta. Overall, the presence of this nodule warrants further follow-up to determine its nature and implications for the patient's health."
        },
        {
            "image_id": "3393_2",
            "caption": "On the lateral view, there is a 7mm diameter non calcified nodule of uncertain origin over the lingula, which requires further evaluation with CT chest without contrast. No signs of pneumothorax, pleural effusion or focal airspace consolidation are identified. The heart size is normal and there is mild tortuosity of the aorta. Overall, the presence of this nodule warrants further follow-up to determine its nature and implications for the patient's health."
        },
        {
            "image_id": "1584_1",
            "caption": "The x-ray shows clear lungs without any evidence of consolidation, effusion, or pneumothorax. The heart size is normal and there are degenerative changes in the thoracic spine. The impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1584_2",
            "caption": "The x-ray shows clear lungs without any evidence of consolidation, effusion, or pneumothorax. The heart size is normal and there are degenerative changes in the thoracic spine. The impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "776_1",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality. The cardiomediastinal silhouette appears normal and pulmonary vascularity is unremarkable. While prominent coarse interstitial markings are seen throughout the lungs. There is no evidence of focal airspace disease or consolidation, pneumothorax, or pleural effusion. On the frontal view, there are streaky bibasilar opacities, possibly indicative of atelectasis. "
        },
        {
            "image_id": "776_2",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality. The cardiomediastinal silhouette appears normal and pulmonary vascularity is unremarkable. While prominent coarse interstitial markings are seen throughout the lungs. There is no evidence of focal airspace disease or consolidation, pneumothorax, or pleural effusion. On the frontal view, there are streaky bibasilar opacities, possibly indicative of atelectasis. "
        },
        {
            "image_id": "2933_1",
            "caption": "The x-ray image shows no acute cardiopulmonary disease. The heart size is normal and there is no focal airspace consolidation, pneumothorax, pleural effusion or pulmonary edema. Additionally, there is no focal bony abnormality."
        },
        {
            "image_id": "2933_2",
            "caption": "The x-ray image shows no acute cardiopulmonary disease. The heart size is normal and there is no focal airspace consolidation, pneumothorax, pleural effusion or pulmonary edema. Additionally, there is no focal bony abnormality."
        },
        {
            "image_id": "2933_3",
            "caption": "The x-ray image shows no acute cardiopulmonary disease. The heart size is normal and there is no focal airspace consolidation, pneumothorax, pleural effusion or pulmonary edema. Additionally, there is no focal bony abnormality."
        },
        {
            "image_id": "2700_1",
            "caption": "The x-ray shows normal cardiac and mediastinal contours, clear lungs, and intact bony structures. Granulomatous calcifications are observed in the mediastinum, but there are no other significant findings. The impression is that no acute abnormalities are present in the image."
        },
        {
            "image_id": "2700_2",
            "caption": "The x-ray shows normal cardiac and mediastinal contours, clear lungs, and intact bony structures. Granulomatous calcifications are observed in the mediastinum, but there are no other significant findings. The impression is that no acute abnormalities are present in the image."
        },
        {
            "image_id": "945_1",
            "caption": "The X-ray image indicates the presence of left upper lobe consolidation and anterior segment opacity. However, the right lung is clear, and the heart size is normal. The impression suggests developing left upper lobe consolidation and focal atelectasis, indicating pneumonitis. It is recommended to consult a healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "945_2",
            "caption": "The X-ray image indicates the presence of left upper lobe consolidation and anterior segment opacity. However, the right lung is clear, and the heart size is normal. The impression suggests developing left upper lobe consolidation and focal atelectasis, indicating pneumonitis. It is recommended to consult a healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "1209_1",
            "caption": "The X-ray shows clear lungs without any focal consolidation, pneumothorax, or pleural effusion. Cardio mediastinal silhouette is normal and bone structures are intact. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1209_2",
            "caption": "The X-ray shows clear lungs without any focal consolidation, pneumothorax, or pleural effusion. Cardio mediastinal silhouette is normal and bone structures are intact. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3378_1",
            "caption": "The right apex shows a moderate pneumothorax of about 3.3cm, accompanied by a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. However, the left lung is clear, and the cardiomediastinal silhouette is within normal limits. The findings suggest a traumatized right thorax. Immediate medical attention is advisable for pneumothorax and rib fractures."
        },
        {
            "image_id": "3378_2",
            "caption": "The right apex shows a moderate pneumothorax of about 3.3cm, accompanied by a minimally displaced right lateral 8th rib fracture and probable nondisplaced right lateral 7th rib fracture. However, the left lung is clear, and the cardiomediastinal silhouette is within normal limits. The findings suggest a traumatized right thorax. Immediate medical attention is advisable for pneumothorax and rib fractures."
        },
        {
            "image_id": "2066_1",
            "caption": "The chest x-ray reveals mild cardiomegaly and subsegmental atelectasis in the right lower lobe. Additionally, there are no signs of pneumothorax, effusion or displaced rib fractures. However, it is recommended to obtain dedicated rib views if there is a high clinical concern. The aorta appears tortuous, with opacities noted in the right lower lobe. Based on these findings, it is necessary to consult with a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "2066_2",
            "caption": "The chest x-ray reveals mild cardiomegaly and subsegmental atelectasis in the right lower lobe. Additionally, there are no signs of pneumothorax, effusion or displaced rib fractures. However, it is recommended to obtain dedicated rib views if there is a high clinical concern. The aorta appears tortuous, with opacities noted in the right lower lobe. Based on these findings, it is necessary to consult with a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "2072_1",
            "caption": "According to the chest X-ray, the cardiomediastinal silhouette is stable and not enlarged. As per the finding, there is a calcified granuloma in the left upper lobe and some postsurgical changes in the epigastric and right upper quadrant. The finding also suggests increased bilateral interstitial opacities with a possible infiltrate in the left lower lobe. Further evaluation and medical attention are recommended."
        },
        {
            "image_id": "2072_2",
            "caption": "According to the chest X-ray, the cardiomediastinal silhouette is stable and not enlarged. As per the finding, there is a calcified granuloma in the left upper lobe and some postsurgical changes in the epigastric and right upper quadrant. The finding also suggests increased bilateral interstitial opacities with a possible infiltrate in the left lower lobe. Further evaluation and medical attention are recommended."
        },
        {
            "image_id": "951_1",
            "caption": "The chest X-ray shows a normal heart and clear lungs with no evidence of pneumothorax or pleural effusion. Based on the exam, the patient has a normal chest."
        },
        {
            "image_id": "951_2",
            "caption": "The chest X-ray shows a normal heart and clear lungs with no evidence of pneumothorax or pleural effusion. Based on the exam, the patient has a normal chest."
        },
        {
            "image_id": "979_1",
            "caption": "The finding indicates a normal cardiomediastinal silhouette with hyperexpanded lungs but without any acute abnormalities such as focal consolidation, pneumothorax or large pleural effusion. The presence of surgical clips on the right chest wall was noted, which is compatible with prior lumpectomy. Additionally, the X-ray revealed no acute bone abnormality. Based on these findings, the impression suggests that the X-ray is negative for any acute abnormality."
        },
        {
            "image_id": "979_2",
            "caption": "The finding indicates a normal cardiomediastinal silhouette with hyperexpanded lungs but without any acute abnormalities such as focal consolidation, pneumothorax or large pleural effusion. The presence of surgical clips on the right chest wall was noted, which is compatible with prior lumpectomy. Additionally, the X-ray revealed no acute bone abnormality. Based on these findings, the impression suggests that the X-ray is negative for any acute abnormality."
        },
        {
            "image_id": "1235_1",
            "caption": "The X-ray image indicates that the lung volumes are reduced and shows reticular opacities in the angular. However, the heart size is normal and there are no focal infiltrates observed. The impression is that the X-ray exhibits hypoinflation with lingular focal atelectasis, a condition where the lungs are underinflated due to obstruction of the air passages in the lung's lobe. Please consult with your healthcare provider to discuss the results and necessary treatment procedures."
        },
        {
            "image_id": "1235_2",
            "caption": "The X-ray image indicates that the lung volumes are reduced and shows reticular opacities in the angular. However, the heart size is normal and there are no focal infiltrates observed. The impression is that the X-ray exhibits hypoinflation with lingular focal atelectasis, a condition where the lungs are underinflated due to obstruction of the air passages in the lung's lobe. Please consult with your healthcare provider to discuss the results and necessary treatment procedures."
        },
        {
            "image_id": "3422_1",
            "caption": "The x-ray shows a normal-sized heart and clear lungs with no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The radiologist has concluded the chest is normal after review."
        },
        {
            "image_id": "3422_2",
            "caption": "The x-ray shows a normal-sized heart and clear lungs with no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The radiologist has concluded the chest is normal after review."
        },
        {
            "image_id": "1553_1",
            "caption": "The chest x-ray appears stable with no acute disease process identified. The cardiomediastinal silhouette is normal, with unchanged mediastinal contour, pulmonary vasculature and central airways. Lungs show normal aeration and clear of pleural effusion. There are marginal osteophytes present at the spine."
        },
        {
            "image_id": "1553_2",
            "caption": "The chest x-ray appears stable with no acute disease process identified. The cardiomediastinal silhouette is normal, with unchanged mediastinal contour, pulmonary vasculature and central airways. Lungs show normal aeration and clear of pleural effusion. There are marginal osteophytes present at the spine."
        },
        {
            "image_id": "1547_1",
            "caption": "The chest X-ray shows a normal-sized cardiomediastinal silhouette and pulmonary vasculature without any evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation, indicating a stable chest. However, there is prominent left epicardial fat in the image. Overall, the impression is suggesting no acute cardiopulmonary abnormality, but the prominent epicardial fat may require further evaluation."
        },
        {
            "image_id": "1547_2",
            "caption": "The chest X-ray shows a normal-sized cardiomediastinal silhouette and pulmonary vasculature without any evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation, indicating a stable chest. However, there is prominent left epicardial fat in the image. Overall, the impression is suggesting no acute cardiopulmonary abnormality, but the prominent epicardial fat may require further evaluation."
        },
        {
            "image_id": "3350_1",
            "caption": "The findings from the x-ray suggest a normal cardiopulmonary status, with no signs of acute disease. The cardiac silhouette and mediastinum size were within normal limits, and there was no evidence of pulmonary edema, focal consolidation or pneumothorax. Moreover, the absence of any signs of a large pleural effusion was noted. The impression is that there is no evidence of any acute cardiopulmonary disease, based on the normal chest x-ray findings."
        },
        {
            "image_id": "3350_2",
            "caption": "The findings from the x-ray suggest a normal cardiopulmonary status, with no signs of acute disease. The cardiac silhouette and mediastinum size were within normal limits, and there was no evidence of pulmonary edema, focal consolidation or pneumothorax. Moreover, the absence of any signs of a large pleural effusion was noted. The impression is that there is no evidence of any acute cardiopulmonary disease, based on the normal chest x-ray findings."
        },
        {
            "image_id": "2728_1",
            "caption": "The X-ray shows no new developments in the patient's condition, but does indicate hyperexpanded lungs and chronic scarring in the right middle lobe. The presence of pulmonary arterial hypertension suggests that the patient may require further monitoring and treatment. Overall, the X-ray provides a valuable insight into the patient's health and will help guide their ongoing care."
        },
        {
            "image_id": "2728_2",
            "caption": "The X-ray shows no new developments in the patient's condition, but does indicate hyperexpanded lungs and chronic scarring in the right middle lobe. The presence of pulmonary arterial hypertension suggests that the patient may require further monitoring and treatment. Overall, the X-ray provides a valuable insight into the patient's health and will help guide their ongoing care."
        },
        {
            "image_id": "3436_1",
            "caption": "The chest x-ray shows hyperexpanded lungs, indicating emphysema, and a small calcified granuloma. The heart size and pulmonary vascularity are normal, with no signs of focal airspace disease, pleural effusion, or pneumothorax. Overall, there is no evidence of acute disease. It is important to closely monitor the patient's respiratory function and continue with appropriate management as needed."
        },
        {
            "image_id": "3436_2",
            "caption": "The chest x-ray shows hyperexpanded lungs, indicating emphysema, and a small calcified granuloma. The heart size and pulmonary vascularity are normal, with no signs of focal airspace disease, pleural effusion, or pneumothorax. Overall, there is no evidence of acute disease. It is important to closely monitor the patient's respiratory function and continue with appropriate management as needed."
        },
        {
            "image_id": "1221_1",
            "caption": "The chest X-ray report shows no signs of acute cardiopulmonary abnormality. The heart size and mediastinum appear to be normal. There is no airspace disease, effusion, or noncalcified nodule. Additionally, the visualized areas of the chest are within normal limits."
        },
        {
            "image_id": "1221_2",
            "caption": "The chest X-ray report shows no signs of acute cardiopulmonary abnormality. The heart size and mediastinum appear to be normal. There is no airspace disease, effusion, or noncalcified nodule. Additionally, the visualized areas of the chest are within normal limits."
        },
        {
            "image_id": "1546_1",
            "caption": "The heart and lungs appear stable without any significant changes since the last X-ray. Both lungs are clear and expanded, while the heart and mediastinum appear unremarkable. The impression of the radiological image suggests that there is no active disease present at the time of examination."
        },
        {
            "image_id": "1546_2",
            "caption": "The heart and lungs appear stable without any significant changes since the last X-ray. Both lungs are clear and expanded, while the heart and mediastinum appear unremarkable. The impression of the radiological image suggests that there is no active disease present at the time of examination."
        },
        {
            "image_id": "1220_1",
            "caption": "The chest x-ray shows hyperexpansion and hyperlucency of both lungs, indicating chronic emphysematous lung disease, along with flattening of the diaphragm. There are no signs of focal consolidation, pneumothorax, or large pleural effusion, but there is stable calcified mediastinal and hilar lymph nodes and a left basilar calcified granuloma. The mediastinal silhouette is stable. The impression is that there are changes of chronic emphysematous lung disease without any acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "1220_2",
            "caption": "The chest x-ray shows hyperexpansion and hyperlucency of both lungs, indicating chronic emphysematous lung disease, along with flattening of the diaphragm. There are no signs of focal consolidation, pneumothorax, or large pleural effusion, but there is stable calcified mediastinal and hilar lymph nodes and a left basilar calcified granuloma. The mediastinal silhouette is stable. The impression is that there are changes of chronic emphysematous lung disease without any acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "1220_3",
            "caption": "The chest x-ray shows hyperexpansion and hyperlucency of both lungs, indicating chronic emphysematous lung disease, along with flattening of the diaphragm. There are no signs of focal consolidation, pneumothorax, or large pleural effusion, but there is stable calcified mediastinal and hilar lymph nodes and a left basilar calcified granuloma. The mediastinal silhouette is stable. The impression is that there are changes of chronic emphysematous lung disease without any acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "3437_1",
            "caption": "The X-ray shows a normal cardiac size, mediastinum, and central pulmonary vasculature. While there are some mild biapical pleural-peripheral scarring and minimal chronic interstitial changes, the lungs are overall clear with no focal airspace consolidation, pleural effusion, or pneumothorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3437_2",
            "caption": "The X-ray shows a normal cardiac size, mediastinum, and central pulmonary vasculature. While there are some mild biapical pleural-peripheral scarring and minimal chronic interstitial changes, the lungs are overall clear with no focal airspace consolidation, pleural effusion, or pneumothorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2729_1",
            "caption": "The patient has normal heart size, and no abnormalities in the mediastinal and aortic contours. The pulmonary vascularity is also normal. However, there is an elevated left hemidiaphragm with scarring at the left costophrenic angle, and mild degenerative changes in the thoracic spine. A bullet fragment is seen overlying the left T7 vertebra, and there are retained bullet fragments noted in the left upper and lower lobes. No focal consolidation, visible pneumothorax, or large pleural effusion are observed, suggesting no evidence of active cardiopulmonary disease. These findings are compatible with prior gunshot wound, and further evaluation may be recommended."
        },
        {
            "image_id": "2729_2",
            "caption": "The patient has normal heart size, and no abnormalities in the mediastinal and aortic contours. The pulmonary vascularity is also normal. However, there is an elevated left hemidiaphragm with scarring at the left costophrenic angle, and mild degenerative changes in the thoracic spine. A bullet fragment is seen overlying the left T7 vertebra, and there are retained bullet fragments noted in the left upper and lower lobes. No focal consolidation, visible pneumothorax, or large pleural effusion are observed, suggesting no evidence of active cardiopulmonary disease. These findings are compatible with prior gunshot wound, and further evaluation may be recommended."
        },
        {
            "image_id": "3423_1",
            "caption": "The patient's X-ray reports show a normal heart size with tortuosity of the aorta, which is the only significant finding. The pulmonary vascularity appears normal with no focal airspace disease or effusion. Additionally, degenerative changes are visible in the thoracic spine. As per the impression, the exam is otherwise unremarkable. It is recommended to consult a healthcare professional for further evaluation and treatment if necessary."
        },
        {
            "image_id": "3423_2",
            "caption": "The patient's X-ray reports show a normal heart size with tortuosity of the aorta, which is the only significant finding. The pulmonary vascularity appears normal with no focal airspace disease or effusion. Additionally, degenerative changes are visible in the thoracic spine. As per the impression, the exam is otherwise unremarkable. It is recommended to consult a healthcare professional for further evaluation and treatment if necessary."
        },
        {
            "image_id": "1234_1",
            "caption": "The x-ray reveals an enlarged cardiac silhouette and atherosclerotic calcifications in the thoracic aorta. Post sternotomy and CABG changes are noted. There is also minimal left midlung atelectasis and blunting of the left costophrenic angle that could indicate either a small amount of pleural fluid or pleural-parenchymal scarring. No pneumothorax is evident."
        },
        {
            "image_id": "1234_2",
            "caption": "The x-ray reveals an enlarged cardiac silhouette and atherosclerotic calcifications in the thoracic aorta. Post sternotomy and CABG changes are noted. There is also minimal left midlung atelectasis and blunting of the left costophrenic angle that could indicate either a small amount of pleural fluid or pleural-parenchymal scarring. No pneumothorax is evident."
        },
        {
            "image_id": "978_1",
            "caption": "The x-ray reveals a mildly enlarged heart with stable mediastinal contours. Changes related to sternotomy and valvuloplasty are also noted, along with an unchanged position of the left subclavian ICD. The lungs are mildly hypoinflated with blunted costophrenic angles, indicating the presence of small bilateral pleural effusions. Overall, the findings suggest mild stable cardiomegaly and small pleural effusions."
        },
        {
            "image_id": "1552_1",
            "caption": "The patient's X-ray images show low lung volumes, but normal cardiac and mediastinal contours with pulmonary vascularity within normal limits. There are no focal air space opacities, pleural effusion, or pneumothorax. Additionally, mild left lingular platelike atelectasis has been observed. The findings indicate no acute cardiopulmonary disease and clear lungs."
        },
        {
            "image_id": "1552_2",
            "caption": "The patient's X-ray images show low lung volumes, but normal cardiac and mediastinal contours with pulmonary vascularity within normal limits. There are no focal air space opacities, pleural effusion, or pneumothorax. Additionally, mild left lingular platelike atelectasis has been observed. The findings indicate no acute cardiopulmonary disease and clear lungs."
        },
        {
            "image_id": "3345_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The heart size and pulmonary vascularity are normal, and there are no focal consolidations, suspicious pulmonary opacities, pneumothorax or definite pleural effusions. Visualized osseous structures appear to be intact."
        },
        {
            "image_id": "3345_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The heart size and pulmonary vascularity are normal, and there are no focal consolidations, suspicious pulmonary opacities, pneumothorax or definite pleural effusions. Visualized osseous structures appear to be intact."
        },
        {
            "image_id": "2715_1",
            "caption": "The x-ray reveals normal heart size and mediastinal contour. The pulmonary vascularity appears normal as well. However, it indicates a 9 mm nodule in the right lower lobe, which was not visible earlier. Additionally, there are posttraumatic deformities of the right posterior ribs. Further investigation is essential for better characterization of the pulmonary nodule. There is no acute pulmonary process, and there are no signs of pneumothorax, pleural effusion, or airspace consolidation."
        },
        {
            "image_id": "2715_2",
            "caption": "The x-ray reveals normal heart size and mediastinal contour. The pulmonary vascularity appears normal as well. However, it indicates a 9 mm nodule in the right lower lobe, which was not visible earlier. Additionally, there are posttraumatic deformities of the right posterior ribs. Further investigation is essential for better characterization of the pulmonary nodule. There is no acute pulmonary process, and there are no signs of pneumothorax, pleural effusion, or airspace consolidation."
        },
        {
            "image_id": "788_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no radiographic evidence of acute cardiopulmonary disease. There is no focal consolidation or pneumothorax. Additionally, there is no acute bony abnormality seen except for probable old lateral right rib fractures."
        },
        {
            "image_id": "788_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no radiographic evidence of acute cardiopulmonary disease. There is no focal consolidation or pneumothorax. Additionally, there is no acute bony abnormality seen except for probable old lateral right rib fractures."
        },
        {
            "image_id": "950_1",
            "caption": "Based on the x-ray image, the cardiomediastinal silhouette and pulmonary vasculature are normal. There are no areas of consolidation and no evidence of pneumothorax or pleural effusion. The finding shows that there are no acute cardiopulmonary abnormalities to be concerned about."
        },
        {
            "image_id": "950_2",
            "caption": "Based on the x-ray image, the cardiomediastinal silhouette and pulmonary vasculature are normal. There are no areas of consolidation and no evidence of pneumothorax or pleural effusion. The finding shows that there are no acute cardiopulmonary abnormalities to be concerned about."
        },
        {
            "image_id": "1208_1",
            "caption": "The x-ray reveals a normal heart size and cardiomediastinal silhouette, with intact osseous structures showing only mild degenerative changes in the thoracic spine. There are no focal areas of air space opacity, pleural effusion, or pneumothorax seen, leading to the impression of no acute cardiopulmonary finding."
        },
        {
            "image_id": "1208_2",
            "caption": "The x-ray reveals a normal heart size and cardiomediastinal silhouette, with intact osseous structures showing only mild degenerative changes in the thoracic spine. There are no focal areas of air space opacity, pleural effusion, or pneumothorax seen, leading to the impression of no acute cardiopulmonary finding."
        },
        {
            "image_id": "1208_3",
            "caption": "The x-ray reveals a normal heart size and cardiomediastinal silhouette, with intact osseous structures showing only mild degenerative changes in the thoracic spine. There are no focal areas of air space opacity, pleural effusion, or pneumothorax seen, leading to the impression of no acute cardiopulmonary finding."
        },
        {
            "image_id": "944_1",
            "caption": "The x-ray results indicate a normal heart size and cardiomediastinal silhouette. Although there is mild tortuosity of the aorta and low lung volumes, the lungs are clear without any signs of focal airspace opacity, pleural effusion, or pneumothorax. Additionally, the osseous structures appear to be intact. The impression states that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "944_2",
            "caption": "The x-ray results indicate a normal heart size and cardiomediastinal silhouette. Although there is mild tortuosity of the aorta and low lung volumes, the lungs are clear without any signs of focal airspace opacity, pleural effusion, or pneumothorax. Additionally, the osseous structures appear to be intact. The impression states that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2701_1",
            "caption": "This X-ray examination suggests the absence of any abnormality in the heart, lungs, and surrounding structures. The X-ray image indicates that the patient's cardiopulmonary system is functioning normally, with no visible signs of acute disease or recent injury. It is advisable to consult a physician to discuss the results and the next steps."
        },
        {
            "image_id": "2701_2",
            "caption": "This X-ray examination suggests the absence of any abnormality in the heart, lungs, and surrounding structures. The X-ray image indicates that the patient's cardiopulmonary system is functioning normally, with no visible signs of acute disease or recent injury. It is advisable to consult a physician to discuss the results and the next steps."
        },
        {
            "image_id": "2067_1",
            "caption": "The x-ray shows a normal heart size and no abnormalities in the lungs such as consolidations, pneumothorax, or pleural effusion. The impression is negative for acute cardiopulmonary findings. The findings suggest a healthy cardiopulmonary system with no signs of disease or abnormalities."
        },
        {
            "image_id": "2067_2",
            "caption": "The x-ray shows a normal heart size and no abnormalities in the lungs such as consolidations, pneumothorax, or pleural effusion. The impression is negative for acute cardiopulmonary findings. The findings suggest a healthy cardiopulmonary system with no signs of disease or abnormalities."
        },
        {
            "image_id": "3379_1",
            "caption": "The x-ray image shows that there is no evidence of any pneumothorax or significant pleural effusion. The cardiomegaly appears borderline and there is minimal retrocardiac airspace disease. The bony structures seem to be intact. As per the impression of the examination, there is minimal retrocardiac airspace disease and the bony structures appear intact."
        },
        {
            "image_id": "3379_2",
            "caption": "The x-ray image shows that there is no evidence of any pneumothorax or significant pleural effusion. The cardiomegaly appears borderline and there is minimal retrocardiac airspace disease. The bony structures seem to be intact. As per the impression of the examination, there is minimal retrocardiac airspace disease and the bony structures appear intact."
        },
        {
            "image_id": "1585_1",
            "caption": "The x-ray image reveals that there are no significant changes from the previous imaging. The sternotomy wires and mediastinal clips have remained unchanged. The cardiomedial silhouette and the pulmonary vessels also show no change. Furthermore, there are no signs of consolidation, pneumothorax, or large pleural effusion. The bony structures and soft tissues appear unchanged as well. The impression gathered from the x-ray is that there is no interval change observed."
        },
        {
            "image_id": "1585_2",
            "caption": "The x-ray image reveals that there are no significant changes from the previous imaging. The sternotomy wires and mediastinal clips have remained unchanged. The cardiomedial silhouette and the pulmonary vessels also show no change. Furthermore, there are no signs of consolidation, pneumothorax, or large pleural effusion. The bony structures and soft tissues appear unchanged as well. The impression gathered from the x-ray is that there is no interval change observed."
        },
        {
            "image_id": "3392_1",
            "caption": "The x-ray shows normal mediastinal contours and clear lungs, with no signs of pneumothorax or large pleural effusion. The impression states that there is no acute cardiopulmonary abnormality. Overall, the results are indicative of a healthy cardiac and pulmonary system."
        },
        {
            "image_id": "3392_2",
            "caption": "The x-ray shows normal mediastinal contours and clear lungs, with no signs of pneumothorax or large pleural effusion. The impression states that there is no acute cardiopulmonary abnormality. Overall, the results are indicative of a healthy cardiac and pulmonary system."
        },
        {
            "image_id": "2932_1",
            "caption": "The X-ray findings reveal that the trachea is midline and the cardiomediastinal region is normal in contour. The lungs are clear with no evidence of acute infiltrate, effusion or pneumothorax. Additionally, the bony structures appear normal with no acute abnormalities. The impression drawn from these observations is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2932_2",
            "caption": "The X-ray findings reveal that the trachea is midline and the cardiomediastinal region is normal in contour. The lungs are clear with no evidence of acute infiltrate, effusion or pneumothorax. Additionally, the bony structures appear normal with no acute abnormalities. The impression drawn from these observations is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "777_1",
            "caption": "The X-ray shows that the cardiomediastinal area looks normal. However, the thoracic aorta appears to be twisted. The lungs are clear, and there is no sign of pneumonia or pneumothorax. The spine has mild degenerative changes and osteopenia. The impression indicates that there is no sign of acute cardiopulmonary disease present."
        },
        {
            "image_id": "777_2",
            "caption": "The X-ray shows that the cardiomediastinal area looks normal. However, the thoracic aorta appears to be twisted. The lungs are clear, and there is no sign of pneumonia or pneumothorax. The spine has mild degenerative changes and osteopenia. The impression indicates that there is no sign of acute cardiopulmonary disease present."
        },
        {
            "image_id": "763_1",
            "caption": "The chest x-ray shows scattered calcified granulomas and no sign of active disease. There is no focal airspace consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour appear within normal limits."
        },
        {
            "image_id": "763_2",
            "caption": "The chest x-ray shows scattered calcified granulomas and no sign of active disease. There is no focal airspace consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour appear within normal limits."
        },
        {
            "image_id": "2926_1",
            "caption": "The chest X-ray reveals that the cardiac and mediastinal contours are normal, bony structures are intact, and the lungs are clear. It is a negative chest X-ray with no abnormalities. The result indicates that there are no acute or chronic cardiopulmonary abnormalities or diseases."
        },
        {
            "image_id": "2926_2",
            "caption": "The chest X-ray reveals that the cardiac and mediastinal contours are normal, bony structures are intact, and the lungs are clear. It is a negative chest X-ray with no abnormalities. The result indicates that there are no acute or chronic cardiopulmonary abnormalities or diseases."
        },
        {
            "image_id": "3386_1",
            "caption": "Based on the chest x-ray image, the trachea is in the middle and the cardiomediastinal silhouette appears normal. Scattered calcified granulomas are present, but there is no evidence of active disease. The lungs are clear with no focal airspace consolidation, pleural effusion or pneumothorax. Bony structures are intact with no acute abnormalities. The overall impression is of a negative chest x-ray."
        },
        {
            "image_id": "3386_2",
            "caption": "Based on the chest x-ray image, the trachea is in the middle and the cardiomediastinal silhouette appears normal. Scattered calcified granulomas are present, but there is no evidence of active disease. The lungs are clear with no focal airspace consolidation, pleural effusion or pneumothorax. Bony structures are intact with no acute abnormalities. The overall impression is of a negative chest x-ray."
        },
        {
            "image_id": "2098_1",
            "caption": "The chest x-ray image shows normal findings. The heart size is normal and the lungs are clear. There are no indications of any acute abnormalities such as infiltrates, effusions or pneumothorax. The bony structures are normal as well. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2098_2",
            "caption": "The chest x-ray image shows normal findings. The heart size is normal and the lungs are clear. There are no indications of any acute abnormalities such as infiltrates, effusions or pneumothorax. The bony structures are normal as well. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1591_1",
            "caption": "The chest x-ray shows that the trachea is midline and the cardio mediastinal silhouette is normal. There are no signs of focal infiltrate or effusion, and no evidence of pneumothorax. Although there is low lung volume, it causes bibasilar atelectasis and bronchovascular crowding. The bony structures are normal, but degenerative changes of the thoracic spine are visible in the lateral view. Overall, there are no acute cardiopulmonary findings, but the low lung volume seems to be causing some issues."
        },
        {
            "image_id": "1591_2",
            "caption": "The chest x-ray shows that the trachea is midline and the cardio mediastinal silhouette is normal. There are no signs of focal infiltrate or effusion, and no evidence of pneumothorax. Although there is low lung volume, it causes bibasilar atelectasis and bronchovascular crowding. The bony structures are normal, but degenerative changes of the thoracic spine are visible in the lateral view. Overall, there are no acute cardiopulmonary findings, but the low lung volume seems to be causing some issues."
        },
        {
            "image_id": "993_1",
            "caption": "The findings from the chest x-ray show a normal heart size and clear lungs. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression is that the chest x-ray is normal with no evidence of tuberculosis. It is important to continue routine screenings to maintain good health."
        },
        {
            "image_id": "993_2",
            "caption": "The findings from the chest x-ray show a normal heart size and clear lungs. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression is that the chest x-ray is normal with no evidence of tuberculosis. It is important to continue routine screenings to maintain good health."
        },
        {
            "image_id": "987_1",
            "caption": "The heart and lungs appear stable in the interval. Both lungs are clear and well-expanded. The heart and mediastinum are normal. Based on the findings, there is no evidence of active disease on the chest x-ray. It is important to continue monitoring the patient's symptoms and medical history for any changes or developments."
        },
        {
            "image_id": "3635_1",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with no focal pulmonary opacity, pleural effusion or pneumothorax, and no acute bony abnormality. There are stable degenerative changes of the spine. The impression of the image is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3635_2",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with no focal pulmonary opacity, pleural effusion or pneumothorax, and no acute bony abnormality. There are stable degenerative changes of the spine. The impression of the image is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "1022_1",
            "caption": "The X-ray shows no active disease. The heart and mediastinum are normal, and both lungs are clear and expanded. There is no change in the small calcified right upper lobe nodule, and the heart and lungs have no significant changes in the interval."
        },
        {
            "image_id": "1022_2",
            "caption": "The X-ray shows no active disease. The heart and mediastinum are normal, and both lungs are clear and expanded. There is no change in the small calcified right upper lobe nodule, and the heart and lungs have no significant changes in the interval."
        },
        {
            "image_id": "3147_1",
            "caption": "The x-ray image shows clear lungs and a normal looking heart and mediastinum, with no signs of pneumothorax or pleural effusion. The chest x-ray is negative, indicating no abnormalities or signs of disease."
        },
        {
            "image_id": "2259_1",
            "caption": "The patient has bilateral degenerative joint disease in the shoulders and scattered degenerative changes in the thoracic spine. There is also mild enlargement of the heart and prominence of soft tissue density in the upper mediastinum. However, no acute cardiopulmonary abnormality is present, and there is no focal area of consolidation, pleural effusion, or pneumothorax noted. A focal opacity in the left upper lobe appears to be scarring or related to overlying rib opacity. Further evaluation is recommended with a follow-up PA and lateral radiograph or CT thorax."
        },
        {
            "image_id": "2259_2",
            "caption": "The patient has bilateral degenerative joint disease in the shoulders and scattered degenerative changes in the thoracic spine. There is also mild enlargement of the heart and prominence of soft tissue density in the upper mediastinum. However, no acute cardiopulmonary abnormality is present, and there is no focal area of consolidation, pleural effusion, or pneumothorax noted. A focal opacity in the left upper lobe appears to be scarring or related to overlying rib opacity. Further evaluation is recommended with a follow-up PA and lateral radiograph or CT thorax."
        },
        {
            "image_id": "1750_1",
            "caption": "The X-ray reveals that the heart is of normal size and there are no acute bony abnormalities. However, the thoracic aorta shows cirrhotic calcification. The lungs are hyperexpanded with flattened diaphragms and increased retrosternal clear space indicative of emphysema. There are some streaky scarring in the left basilar region. The X-ray shows no presence of pleural effusion or pneumothorax. Additionally, the X-ray reveals exaggerated thoracic kyphosis and scattered calcified granulomas bilaterally. The impression drawn from the X-ray suggests that there are no acute cardiopulmonary abnormalities, although the findings indicate chronic changes due to emphysema and left basilar scarring. Further investigation is recommended."
        },
        {
            "image_id": "1750_2",
            "caption": "The X-ray reveals that the heart is of normal size and there are no acute bony abnormalities. However, the thoracic aorta shows cirrhotic calcification. The lungs are hyperexpanded with flattened diaphragms and increased retrosternal clear space indicative of emphysema. There are some streaky scarring in the left basilar region. The X-ray shows no presence of pleural effusion or pneumothorax. Additionally, the X-ray reveals exaggerated thoracic kyphosis and scattered calcified granulomas bilaterally. The impression drawn from the X-ray suggests that there are no acute cardiopulmonary abnormalities, although the findings indicate chronic changes due to emphysema and left basilar scarring. Further investigation is recommended."
        },
        {
            "image_id": "1036_1",
            "caption": "The X-ray image shows that the cardiomediastinal silhouette is of normal size and the pulmonary vasculature is within normal limits. No focal consolidations, effusions or pneumothoraces were identified. Though there is mild degeneration of the thoracic spine, there is no acute bony abnormality present. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3621_1",
            "caption": "The lung volumes were observed to be low with no infiltrates, and the heart and pulmonary regions appeared to be normal. The x-ray indicated a change in the lungs with hypoinflation, but no visible evidence of active cardiopulmonary illness was observed."
        },
        {
            "image_id": "3621_2",
            "caption": "The lung volumes were observed to be low with no infiltrates, and the heart and pulmonary regions appeared to be normal. The x-ray indicated a change in the lungs with hypoinflation, but no visible evidence of active cardiopulmonary illness was observed."
        },
        {
            "image_id": "2517_1",
            "caption": "The x-ray shows clear lungs with no signs of pneumothorax or pleural effusion. The heart and mediastinal contours are within normal range, and pulmonary vasculature looks normal too. The bony thorax appears intact. In other words, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "2517_2",
            "caption": "The x-ray shows clear lungs with no signs of pneumothorax or pleural effusion. The heart and mediastinal contours are within normal range, and pulmonary vasculature looks normal too. The bony thorax appears intact. In other words, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "3609_1",
            "caption": "The X-ray image shows borderline cardiomegaly, but no other abnormalities are found. The mediastinum and pulmonary vasculature are normal, and there is no evidence of pleural fluid or pneumothorax. The impression is that the exam is otherwise unremarkable. It is important to consider follow-up testing to monitor the condition of the heart."
        },
        {
            "image_id": "3609_2",
            "caption": "The X-ray image shows borderline cardiomegaly, but no other abnormalities are found. The mediastinum and pulmonary vasculature are normal, and there is no evidence of pleural fluid or pneumothorax. The impression is that the exam is otherwise unremarkable. It is important to consider follow-up testing to monitor the condition of the heart."
        },
        {
            "image_id": "2271_1",
            "caption": "The x-ray reveals the presence of possible pulmonary scarring or thickening in the right midlung zone, along with minimal blunting of the right posterior costophrenic angle, indicative of a small effusion and/or pleural scarring. Additionally, there is mild cardiomegaly, degenerative changes, and a mild dextroscoliosis in the thoracic spine. However, there are no other abnormalities as compared to the earlier examination. Based on these findings, further evaluation may be needed to determine the underlying cause, and appropriate treatment can be initiated."
        },
        {
            "image_id": "2503_1",
            "caption": "The x-ray image shows clear lungs without any signs of pleural effusion or pneumothorax. The size of the heart appears normal, and there are atherosclerotic changes in the aorta. Arthritic changes in the skeletal structures are also present. Overall, there is no acute pulmonary disease evident from the x-ray image."
        },
        {
            "image_id": "2503_2",
            "caption": "The x-ray image shows clear lungs without any signs of pleural effusion or pneumothorax. The size of the heart appears normal, and there are atherosclerotic changes in the aorta. Arthritic changes in the skeletal structures are also present. Overall, there is no acute pulmonary disease evident from the x-ray image."
        },
        {
            "image_id": "575_1",
            "caption": "According to the x-ray image, the heart and mediastinal silhouette are normal. There is no sign of pneumothorax, pleural effusions, or any other acute cardiopulmonary disease. The lungs appear to be clear and the calcified granuloma observed in the left lung is stable."
        },
        {
            "image_id": "575_2",
            "caption": "According to the x-ray image, the heart and mediastinal silhouette are normal. There is no sign of pneumothorax, pleural effusions, or any other acute cardiopulmonary disease. The lungs appear to be clear and the calcified granuloma observed in the left lung is stable."
        },
        {
            "image_id": "3190_1",
            "caption": "The chest X-ray exam shows no abnormalities in the cardiomediastinal contours and pulmonary vascularity. However, a vague right suprahilar density is observed with elevation of the fissure, indicating right upper lobe subsegmental atelectasis, which may be due to superimposed infection. Other than that, the remaining lungs are clear, and the osseous structures and upper abdomen are unremarkable. The impression is that there is no evidence of heart failure."
        },
        {
            "image_id": "3190_2",
            "caption": "The chest X-ray exam shows no abnormalities in the cardiomediastinal contours and pulmonary vascularity. However, a vague right suprahilar density is observed with elevation of the fissure, indicating right upper lobe subsegmental atelectasis, which may be due to superimposed infection. Other than that, the remaining lungs are clear, and the osseous structures and upper abdomen are unremarkable. The impression is that there is no evidence of heart failure."
        },
        {
            "image_id": "207_1",
            "caption": "On examination of the X-ray, the heart size and mediastinal contours are normal. The lungs appear clear with no pneumothorax or pleural effusion. No acute bony abnormalities were observed. The impression is of no acute cardiopulmonary process and no obvious rib fractures. This indicates a healthy cardiopulmonary system and skeletal structure."
        },
        {
            "image_id": "207_2",
            "caption": "On examination of the X-ray, the heart size and mediastinal contours are normal. The lungs appear clear with no pneumothorax or pleural effusion. No acute bony abnormalities were observed. The impression is of no acute cardiopulmonary process and no obvious rib fractures. This indicates a healthy cardiopulmonary system and skeletal structure."
        },
        {
            "image_id": "1793_1",
            "caption": "The x-ray shows a clear chest with no signs of acute pulmonary disease. The heart and mediastinum are normal in size and there is no evidence of pleural effusion or pneumothorax. The exam also notes atherosclerotic changes in the aorta, degenerative changes in the thoracic spine and arthritic changes of the skeletal structures. The findings overall indicate no acute cardiopulmonary process."
        },
        {
            "image_id": "3184_1",
            "caption": "The X-ray revealed a mildly tortuous aortic, which is within normal limits along with the pulmonary vasculature and cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal area of consolidation was detected. However, the examination found T-spine osteophytes and a large body habitus. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3184_2",
            "caption": "The X-ray revealed a mildly tortuous aortic, which is within normal limits along with the pulmonary vasculature and cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal area of consolidation was detected. However, the examination found T-spine osteophytes and a large body habitus. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "561_1",
            "caption": "The X-ray shows a normal sized heart and unremarkable mediastinum. The lungs appear to be clear with no evidence of acute disease. Overall, the findings suggest no significant abnormalities."
        },
        {
            "image_id": "3812_1",
            "caption": "Upon examination of the x-ray, it was found that the heart and mediastinum are normal in size and contour. However, atherosclerotic calcification was noted in the aortic region. The lungs appear clear with no abnormal airspace consolidation, pleural effusion, or pneumothorax. Additionally, stable biapical lucency and apical scarring were observed, indicative of emphysema. There were no remarkable findings in visualized osseous structures. The impression from this x-ray is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "549_1",
            "caption": "On examination of the chest X-ray, the left upper lung lobe appears stable with scarring, volume loss, and pleural thickening. The cardiomediastinal silhouette is normal, as previously seen. Additionally, there is volume loss in the left lung, and the right lung appears clear. No significant focal airspace disease, pleural effusion, or pneumothorax is observed, and there are no acute bony abnormalities. Mild scarring at the right apex is also noted. The impression is that there is no acute cardiopulmonary process, and the appearance of the left upper lobe is stable."
        },
        {
            "image_id": "549_2",
            "caption": "On examination of the chest X-ray, the left upper lung lobe appears stable with scarring, volume loss, and pleural thickening. The cardiomediastinal silhouette is normal, as previously seen. Additionally, there is volume loss in the left lung, and the right lung appears clear. No significant focal airspace disease, pleural effusion, or pneumothorax is observed, and there are no acute bony abnormalities. Mild scarring at the right apex is also noted. The impression is that there is no acute cardiopulmonary process, and the appearance of the left upper lobe is stable."
        },
        {
            "image_id": "1963_1",
            "caption": "Based on the examination of the 2 x-ray images provided, the heart size and pulmonary vascular engorgement are within the normal range. No abnormalities were found in the mediastinal contour, focal consolidation, pleural effusion, or pneumothorax. There were also no acute bony abnormalities detected. As such, no acute cardiopulmonary abnormality was identified."
        },
        {
            "image_id": "1963_2",
            "caption": "Based on the examination of the 2 x-ray images provided, the heart size and pulmonary vascular engorgement are within the normal range. No abnormalities were found in the mediastinal contour, focal consolidation, pleural effusion, or pneumothorax. There were also no acute bony abnormalities detected. As such, no acute cardiopulmonary abnormality was identified."
        },
        {
            "image_id": "3806_1",
            "caption": "The x-ray shows normal size of the heart and mediastinum with no acute disease identified. There is moderate thoracolumbar scoliosis with patient rotation causing some limitation in evaluating the mediastinum. The lungs appear clear with no abnormalities detected."
        },
        {
            "image_id": "3806_2",
            "caption": "The x-ray shows normal size of the heart and mediastinum with no acute disease identified. There is moderate thoracolumbar scoliosis with patient rotation causing some limitation in evaluating the mediastinum. The lungs appear clear with no abnormalities detected."
        },
        {
            "image_id": "3741_1",
            "caption": "The x-ray image shows that the lungs are clear, and there is no presence of pleural effusion. The heart, mediastinum, and skeletal structures appear normal. The only notable detail is the presence of surgical clips in the right axilla region. Overall, the impression indicates that there is no active disease seen in the x-ray."
        },
        {
            "image_id": "1630_1",
            "caption": "The radiologist identified a 7mm nodule in the right upper lobe partially superimposed upon the anterior right second rib. No pleural effusion or pneumothorax were observed, and heart size was normal. A follow-up characterization with a recommended technique is suggested for further evaluation of the lung nodule. Critical result notification was documented through Primordial."
        },
        {
            "image_id": "1630_2",
            "caption": "The radiologist identified a 7mm nodule in the right upper lobe partially superimposed upon the anterior right second rib. No pleural effusion or pneumothorax were observed, and heart size was normal. A follow-up characterization with a recommended technique is suggested for further evaluation of the lung nodule. Critical result notification was documented through Primordial."
        },
        {
            "image_id": "2339_1",
            "caption": "The heart size and pulmonary vascularity are normal. The lungs are clear without any focal disease or fluid accumulation. Multiple bowel loops filled with gas can be seen, and a gastrostomy is noted. The x-ray does not show any abnormalities in the lungs. However, multiple bowels filled with gas are present, which is normal. The patient's cardiac and pulmonary health is within the normal range."
        },
        {
            "image_id": "3027_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours. There is no focal airspace consolidation, pneumothorax or pleural effusion. The curvature of the spine is mildly stable towards the right. Overall, there is no acute cardiopulmonary abnormality found in the x-ray examination."
        },
        {
            "image_id": "3033_1",
            "caption": "The x-ray shows that the lungs are free from any acute abnormalities such as consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also unremarkable and the visualized osseous structures of the thorax are without any acute abnormality. Overall, there is no acute cardiopulmonary abnormality seen in the patient's x-ray."
        },
        {
            "image_id": "1624_1",
            "caption": "The finding shows that the heart is mildly enlarged but with stable mediastinal and hilar contours. The presence of mediastinal calcifications suggests a previous granulomatous process, but there are no other focal alveolar consolidation or definite pleural effusion observed. Moreover, there are no typical findings of pulmonary edema. The impression concludes that the patient has mild cardiomegaly but without any acute pulmonary findings."
        },
        {
            "image_id": "1624_2",
            "caption": "The finding shows that the heart is mildly enlarged but with stable mediastinal and hilar contours. The presence of mediastinal calcifications suggests a previous granulomatous process, but there are no other focal alveolar consolidation or definite pleural effusion observed. Moreover, there are no typical findings of pulmonary edema. The impression concludes that the patient has mild cardiomegaly but without any acute pulmonary findings."
        },
        {
            "image_id": "3755_1",
            "caption": "The x-ray shows that the heart size is at the upper limits of normal, but within stable mediastinal and hilar contours. The lungs are clear, with no signs of consolidation, pleural effusion, or pneumothorax. However, bridging syndesmophytes are noted throughout the thoracolumbar spine, indicating diffuse idiopathic skeletal hyperostosis. Nonetheless, there are no acute changes from prior imaging."
        },
        {
            "image_id": "3755_2",
            "caption": "The x-ray shows that the heart size is at the upper limits of normal, but within stable mediastinal and hilar contours. The lungs are clear, with no signs of consolidation, pleural effusion, or pneumothorax. However, bridging syndesmophytes are noted throughout the thoracolumbar spine, indicating diffuse idiopathic skeletal hyperostosis. Nonetheless, there are no acute changes from prior imaging."
        },
        {
            "image_id": "2305_1",
            "caption": "On examination of the given x-ray, the heart appears normal in size and the mediastinum appears unremarkable. The lungs are clear and there are no signs of acute disease. A slight thoracolumbar curvature is noted. Overall, there are no significant findings to report from this x-ray."
        },
        {
            "image_id": "2305_2",
            "caption": "On examination of the given x-ray, the heart appears normal in size and the mediastinum appears unremarkable. The lungs are clear and there are no signs of acute disease. A slight thoracolumbar curvature is noted. Overall, there are no significant findings to report from this x-ray."
        },
        {
            "image_id": "398_1",
            "caption": "The x-ray shows no signs of acute disease, with no evidence of focal consolidation, pneumothorax or definitive pleural effusion seen. The heart is within a normal size, with pulmonary vascularity presenting no clear signs of characteristic vascular injury. The presence of right paratracheal calcifications may point to a previous granulomatous process. No acute osseous injury is demonstrated; however, please note that fractures may not be visible on this image alone, therefore, further imaging may be required based on the clinical condition."
        },
        {
            "image_id": "398_2",
            "caption": "The x-ray shows no signs of acute disease, with no evidence of focal consolidation, pneumothorax or definitive pleural effusion seen. The heart is within a normal size, with pulmonary vascularity presenting no clear signs of characteristic vascular injury. The presence of right paratracheal calcifications may point to a previous granulomatous process. No acute osseous injury is demonstrated; however, please note that fractures may not be visible on this image alone, therefore, further imaging may be required based on the clinical condition."
        },
        {
            "image_id": "2311_1",
            "caption": "The x-ray shows normal findings with no acute abnormalities. The heart, mediastinum, and central pulmonary vasculature have normal size and appearance. Lungs are clear without any focal consolidation, pleural effusion, or pneumothorax. No rib fractures or thoracic vertebral body abnormalities are identified."
        },
        {
            "image_id": "2311_2",
            "caption": "The x-ray shows normal findings with no acute abnormalities. The heart, mediastinum, and central pulmonary vasculature have normal size and appearance. Lungs are clear without any focal consolidation, pleural effusion, or pneumothorax. No rib fractures or thoracic vertebral body abnormalities are identified."
        },
        {
            "image_id": "3769_1",
            "caption": "The X-ray shows low lung volumes with slightly increased perihilar opacities bilaterally, which could be suggestive of an infectious etiology. Additionally, there is stable dextroscoliosis of the lower thoracic spine. The tracheostomy tube remains in an unchanged position."
        },
        {
            "image_id": "2477_1",
            "caption": "The patient has intact postoperative sternotomy wires. The heart size is stable with rightward mediastinal shift. Left perihilar calcified lymph nodes and left basilar calcified granuloma are grossly unchanged. Prominent interstitial markings are observable with patchy bibasilar atelectasis, which is relatively the same. There are no acute bony abnormalities, pneumothorax, focal infiltrate or pleural effusion. Based on the results, the patient's cardiomegaly is stable and there are no new findings in comparison to prior imaging."
        },
        {
            "image_id": "2477_2",
            "caption": "The patient has intact postoperative sternotomy wires. The heart size is stable with rightward mediastinal shift. Left perihilar calcified lymph nodes and left basilar calcified granuloma are grossly unchanged. Prominent interstitial markings are observable with patchy bibasilar atelectasis, which is relatively the same. There are no acute bony abnormalities, pneumothorax, focal infiltrate or pleural effusion. Based on the results, the patient's cardiomegaly is stable and there are no new findings in comparison to prior imaging."
        },
        {
            "image_id": "1195_1",
            "caption": "The x-ray results show that the coronary artery stents are visible and the heart and lungs are normal without any acute abnormalities. There is no evidence of focal airspace disease, pleural effusion, pneumothorax or acute bone abnormality observed. The x-ray suggests that there is no acute cardiopulmonary process found."
        },
        {
            "image_id": "1195_2",
            "caption": "The x-ray results show that the coronary artery stents are visible and the heart and lungs are normal without any acute abnormalities. There is no evidence of focal airspace disease, pleural effusion, pneumothorax or acute bone abnormality observed. The x-ray suggests that there is no acute cardiopulmonary process found."
        },
        {
            "image_id": "401_1",
            "caption": "The X-ray shows normal mediastinal contours with an increased presence of interstitial opacities and blunting of the left costophrenic angle. There is no pneumothorax or large pleural effusion. However, diffuse interstitial lung disease with pleural effusion is evident. Further evaluation and management are recommended."
        },
        {
            "image_id": "401_2",
            "caption": "The X-ray shows normal mediastinal contours with an increased presence of interstitial opacities and blunting of the left costophrenic angle. There is no pneumothorax or large pleural effusion. However, diffuse interstitial lung disease with pleural effusion is evident. Further evaluation and management are recommended."
        },
        {
            "image_id": "367_1",
            "caption": "The X-ray image shows clear lungs with no signs of focal airspace consolidation, pleural effusion, or pneumothorax. The heart size is also within normal limits. Therefore, the impression is that the lungs are clear, and there are no acute cardiopulmonary abnormalities detected in the image."
        },
        {
            "image_id": "367_2",
            "caption": "The X-ray image shows clear lungs with no signs of focal airspace consolidation, pleural effusion, or pneumothorax. The heart size is also within normal limits. Therefore, the impression is that the lungs are clear, and there are no acute cardiopulmonary abnormalities detected in the image."
        },
        {
            "image_id": "373_1",
            "caption": "The X-ray shows clear and expanded lungs with a normal heart and mediastinum. The impression is that there is no active disease present."
        },
        {
            "image_id": "373_2",
            "caption": "The X-ray shows clear and expanded lungs with a normal heart and mediastinum. The impression is that there is no active disease present."
        },
        {
            "image_id": "3796_1",
            "caption": "The x-ray shows a normal cardiac and mediastinal silhouette, without any focal areas of consolidation, pneumothorax, or pleural effusion. The thoracic spine and ribs appear intact, with no acute fractures. The impression is that there is no acute intrathoracic abnormality detected."
        },
        {
            "image_id": "3796_2",
            "caption": "The x-ray shows a normal cardiac and mediastinal silhouette, without any focal areas of consolidation, pneumothorax, or pleural effusion. The thoracic spine and ribs appear intact, with no acute fractures. The impression is that there is no acute intrathoracic abnormality detected."
        },
        {
            "image_id": "415_1",
            "caption": "After reviewing the x-ray image of the patient, there is no evidence of acute disease that can be observed as the heart and mediastinum appear normal in size and the lungs are grossly clear without any focal anomaly. Additionally, the presence of bilateral breast prostheses is noted. It is important to consult your physician for further assessment and evaluation."
        },
        {
            "image_id": "415_2",
            "caption": "After reviewing the x-ray image of the patient, there is no evidence of acute disease that can be observed as the heart and mediastinum appear normal in size and the lungs are grossly clear without any focal anomaly. Additionally, the presence of bilateral breast prostheses is noted. It is important to consult your physician for further assessment and evaluation."
        },
        {
            "image_id": "3966_1",
            "caption": "The x-ray shows that the heart is of normal size and appearance, and there are no signs of any acute cardiopulmonary issues. The thoracic spine shows mild degenerative changes. The right knee has severe tricompartmental degenerative changes, and the joint spaces are obliterated, but there is no sign of any fracture or dislocation. The left knee has severe degenerative changes in the medial compartment, and there is no fracture or dislocation. Overall, the x-ray image shows no major concerns, but some degenerative changes are observed."
        },
        {
            "image_id": "3966_2",
            "caption": "The x-ray shows that the heart is of normal size and appearance, and there are no signs of any acute cardiopulmonary issues. The thoracic spine shows mild degenerative changes. The right knee has severe tricompartmental degenerative changes, and the joint spaces are obliterated, but there is no sign of any fracture or dislocation. The left knee has severe degenerative changes in the medial compartment, and there is no fracture or dislocation. Overall, the x-ray image shows no major concerns, but some degenerative changes are observed."
        },
        {
            "image_id": "1817_1",
            "caption": "The chest X-ray includes frontal and lateral views, with the upper thorax poorly visualized due to the patient's overlying head and chin. The cardiomediastinal silhouette is normal, but there are mild coarse interstitial opacities throughout the lungs, likely related to background emphysema. A calcified granuloma is seen in the left medial lung base, but there is no consolidation, pleural effusion, or pneumothorax. Additionally, there is a deformity of the right 6th rib which appears to be a subacute fracture. Degenerative changes of the thoracic spine are also observed. The impression is that the X-ray shows a fracture of the right 6th rib which is likely acute to subacute."
        },
        {
            "image_id": "429_1",
            "caption": "The radiograph shows no abnormalities in the heart, lung or mediastinum. The lungs are clear without any signs of any acute respiratory disease. Additionally, no evidence of acute fracture is detected. The overall impression indicates no acute cardiopulmonary findings."
        },
        {
            "image_id": "429_2",
            "caption": "The radiograph shows no abnormalities in the heart, lung or mediastinum. The lungs are clear without any signs of any acute respiratory disease. Additionally, no evidence of acute fracture is detected. The overall impression indicates no acute cardiopulmonary findings."
        },
        {
            "image_id": "3972_1",
            "caption": "The x-ray revealed that the heart and pulmonary vascularity are within normal limits. Bilateral hilar fullness that is consistent with adenopathy was noted. There is also prominence of the interstitial markings bilaterally. The radiologist compared these findings with an earlier study and revealed that the appearance is unchanged. The impression states that the changes are compatible with a known diagnosis of sarcoidosis. No focal superimposed airspace disease, pneumothorax, or pleural effusion was observed."
        },
        {
            "image_id": "3972_2",
            "caption": "The x-ray revealed that the heart and pulmonary vascularity are within normal limits. Bilateral hilar fullness that is consistent with adenopathy was noted. There is also prominence of the interstitial markings bilaterally. The radiologist compared these findings with an earlier study and revealed that the appearance is unchanged. The impression states that the changes are compatible with a known diagnosis of sarcoidosis. No focal superimposed airspace disease, pneumothorax, or pleural effusion was observed."
        },
        {
            "image_id": "1432_1",
            "caption": "The x-ray shows no evidence of active disease. Heart size and pulmonary vascularity are normal and the lungs are clear of focal airspace disease, pleural effusion, and pneumothorax. However, degenerative changes are seen in the spine."
        },
        {
            "image_id": "1432_2",
            "caption": "The x-ray shows no evidence of active disease. Heart size and pulmonary vascularity are normal and the lungs are clear of focal airspace disease, pleural effusion, and pneumothorax. However, degenerative changes are seen in the spine."
        },
        {
            "image_id": "818_1",
            "caption": "On the chest X-ray, the heart appears stable without any acute issues. However, there is focal airspace consolidation in the lateral aspect of the right upper lobe indicative of right upper lobe pneumonia. There is no evidence of a pneumothorax or effusion. No acute bony abnormalities were observed."
        },
        {
            "image_id": "818_2",
            "caption": "On the chest X-ray, the heart appears stable without any acute issues. However, there is focal airspace consolidation in the lateral aspect of the right upper lobe indicative of right upper lobe pneumonia. There is no evidence of a pneumothorax or effusion. No acute bony abnormalities were observed."
        },
        {
            "image_id": "58_1",
            "caption": "The chest x-ray showed a normal-sized heart with no acute disease. The lungs are clear and the mediastinum is unremarkable. However, mild scoliosis and degenerative changes were observed in the thoracic spine. Overall, there is no evidence of any acute disease or abnormalities in the chest x-ray."
        },
        {
            "image_id": "58_2",
            "caption": "The chest x-ray showed a normal-sized heart with no acute disease. The lungs are clear and the mediastinum is unremarkable. However, mild scoliosis and degenerative changes were observed in the thoracic spine. Overall, there is no evidence of any acute disease or abnormalities in the chest x-ray."
        },
        {
            "image_id": "1354_1",
            "caption": "The x-ray shows that the heart is of normal size and contour, and there is no acute cardiopulmonary disease. The lung volumes are low with bronchovascular crowding. However, the lungs are clear and there is no evidence of infiltrate, pneumothorax or effusion."
        },
        {
            "image_id": "1354_2",
            "caption": "The x-ray shows that the heart is of normal size and contour, and there is no acute cardiopulmonary disease. The lung volumes are low with bronchovascular crowding. However, the lungs are clear and there is no evidence of infiltrate, pneumothorax or effusion."
        },
        {
            "image_id": "2885_1",
            "caption": "The heart and lungs appear normal with no evidence of infiltrate, pneumothorax, or effusion. However, an obliquely oriented lucency through the right posterior 12th rib is concerning for an acute fracture. It is recommended to correlate with the side of tenderness and perform further evaluation with dedicated views of the right ribs if there is high clinical concern."
        },
        {
            "image_id": "2885_2",
            "caption": "The heart and lungs appear normal with no evidence of infiltrate, pneumothorax, or effusion. However, an obliquely oriented lucency through the right posterior 12th rib is concerning for an acute fracture. It is recommended to correlate with the side of tenderness and perform further evaluation with dedicated views of the right ribs if there is high clinical concern."
        },
        {
            "image_id": "3543_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The heart is within normal size and mediastinal contour. There are multiple calcified granulomas in the bilateral and lung parenchyma. There is no evidence of focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality is identified."
        },
        {
            "image_id": "3543_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The heart is within normal size and mediastinal contour. There are multiple calcified granulomas in the bilateral and lung parenchyma. There is no evidence of focal airspace consolidation, pneumothorax, or large pleural effusion. No acute osseous abnormality is identified."
        },
        {
            "image_id": "2649_1",
            "caption": "According to the X-ray findings, the size and contour of the heart and mediastinum are normal, and there are no signs of focal consolidation, large pleural effusion, or pneumothorax. The pulmonary vascularity is normal, and the bones are intact. Based on these findings, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2891_1",
            "caption": "The x-ray images show clear and expanded lungs with no focal parenchymal infiltrates or pleural air collections. The heart and aorta appear normal without any active cardiopulmonary disease or evidence of injury. There is no change in the large hiatus hernia. Additionally, the pelvis and hips show no recent bony injury with normal and symmetric hips. However, there is a severe rotatory dextroscoliosis noted in the lumbar spine. The bone density is decreased, but there are no fractures, dislocations, or bone destruction observed."
        },
        {
            "image_id": "3557_1",
            "caption": "The X-ray shows that the left PICC line and NG tube are still in place. The heart size and vascularity appear to be normal and the lungs show no focal airspace disease. However, small bilateral pleural effusions are present, and no pneumothorax is noted. The impression is that there are small bilateral pleural effusions that may need further evaluation."
        },
        {
            "image_id": "3557_2",
            "caption": "The X-ray shows that the left PICC line and NG tube are still in place. The heart size and vascularity appear to be normal and the lungs show no focal airspace disease. However, small bilateral pleural effusions are present, and no pneumothorax is noted. The impression is that there are small bilateral pleural effusions that may need further evaluation."
        },
        {
            "image_id": "1340_1",
            "caption": "Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion. The chest x-ray is negative for any abnormalities."
        },
        {
            "image_id": "1340_2",
            "caption": "Heart size is normal. No focal consolidations. No pneumothorax or pleural effusion. The chest x-ray is negative for any abnormalities."
        },
        {
            "image_id": "3231_1",
            "caption": "The x-ray shows no acute abnormality in the lungs and pleural spaces. Heart size is normal. There is tortuosity of the descending thoracic aorta, which is unchanged. The mediastinum appears abnormal with right paratracheal thickening and bilateral hilar enlargement resulting from lymphadenopathy and pulmonary arterial enlargement. These findings were visualized in a previous chest examination and are stable."
        },
        {
            "image_id": "3231_2",
            "caption": "The x-ray shows no acute abnormality in the lungs and pleural spaces. Heart size is normal. There is tortuosity of the descending thoracic aorta, which is unchanged. The mediastinum appears abnormal with right paratracheal thickening and bilateral hilar enlargement resulting from lymphadenopathy and pulmonary arterial enlargement. These findings were visualized in a previous chest examination and are stable."
        },
        {
            "image_id": "2661_1",
            "caption": "On the X-ray image, mild cardiomegaly is observed without any indication of heart failure. Although the lung volumes are low, there is no presence of focal consolidation, pneumothorax or large pleural effusions. Additionally, no acute bone abnormality is identified."
        },
        {
            "image_id": "2661_2",
            "caption": "On the X-ray image, mild cardiomegaly is observed without any indication of heart failure. Although the lung volumes are low, there is no presence of focal consolidation, pneumothorax or large pleural effusions. Additionally, no acute bone abnormality is identified."
        },
        {
            "image_id": "64_1",
            "caption": "The patient has a small to moderate sized right apical pneumothorax, while the left chest appears clear. Heart size is at the upper limits of normal, and mediastinal contours are maintained. No focal airspace consolidation or displaced bony injury is observed. The results were called and received in the PM on a later date. This finding should be evaluated promptly to determine further management."
        },
        {
            "image_id": "64_2",
            "caption": "The patient has a small to moderate sized right apical pneumothorax, while the left chest appears clear. Heart size is at the upper limits of normal, and mediastinal contours are maintained. No focal airspace consolidation or displaced bony injury is observed. The results were called and received in the PM on a later date. This finding should be evaluated promptly to determine further management."
        },
        {
            "image_id": "1368_1",
            "caption": "The patient's heart appears to be normal in size, and the mediastinum looks unremarkable. The lungs also appear clear with no acute disease. This means that there are no signs of any severe health complications in the chest area."
        },
        {
            "image_id": "1368_2",
            "caption": "The patient's heart appears to be normal in size, and the mediastinum looks unremarkable. The lungs also appear clear with no acute disease. This means that there are no signs of any severe health complications in the chest area."
        },
        {
            "image_id": "70_1",
            "caption": "The x-ray shows sequelae of old granulomatous disease, but the lungs are currently clear without any focal airspace disease. Additionally, there are no pleural effusions or pneumothoraces, and the heart and mediastinum are within normal size and contour. Overall, the impression is that the lungs are clear without any acute disease."
        },
        {
            "image_id": "70_2",
            "caption": "The x-ray shows sequelae of old granulomatous disease, but the lungs are currently clear without any focal airspace disease. Additionally, there are no pleural effusions or pneumothoraces, and the heart and mediastinum are within normal size and contour. Overall, the impression is that the lungs are clear without any acute disease."
        },
        {
            "image_id": "2113_1",
            "caption": "The radiographic examination of the chest reveals no signs of acute disease or abnormality. The heart and mediastinum appear normal in size and contour. The lungs are clear without any visible focal infiltrates, nodules, or masses. Mild lung hyperinflation is noted but is not indicative of disease. The spine shows degenerative changes in the midthoracic region. No signs of pneumothorax or pleural fluid buildup are visible. Additionally, there is no visible free intraperitoneal air under the diaphragm. Overall, the radiographic examination shows no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2113_2",
            "caption": "The radiographic examination of the chest reveals no signs of acute disease or abnormality. The heart and mediastinum appear normal in size and contour. The lungs are clear without any visible focal infiltrates, nodules, or masses. Mild lung hyperinflation is noted but is not indicative of disease. The spine shows degenerative changes in the midthoracic region. No signs of pneumothorax or pleural fluid buildup are visible. Additionally, there is no visible free intraperitoneal air under the diaphragm. Overall, the radiographic examination shows no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "165_1",
            "caption": "The X-ray shows minimal biapical scarring and a calcified granuloma in the right middle lobe, but there is no acute pulmonary disease. The heart size is not significantly enlarged and there are atherosclerotic changes in the aorta. Additionally, arthritic changes are seen in the skeletal structures."
        },
        {
            "image_id": "165_2",
            "caption": "The X-ray shows minimal biapical scarring and a calcified granuloma in the right middle lobe, but there is no acute pulmonary disease. The heart size is not significantly enlarged and there are atherosclerotic changes in the aorta. Additionally, arthritic changes are seen in the skeletal structures."
        },
        {
            "image_id": "3580_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with clear lungs, and no signs of consolidation, pneumothorax, or pleural effusion. The impression of the x-ray is negative, indicating no abnormality or acute disease."
        },
        {
            "image_id": "3580_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with clear lungs, and no signs of consolidation, pneumothorax, or pleural effusion. The impression of the x-ray is negative, indicating no abnormality or acute disease."
        },
        {
            "image_id": "1383_1",
            "caption": "The x-ray shows significant progress, with decreased opacification in the right middle and lower lobes. There is a small pleural effusion and atelectasis in the same area, but it is stable and not worsening. No pneumothorax is present. Cardiomediastinal silhouette appears normal and there is no acute bone abnormality. Overall, the x-ray suggests improved right lung consolidation and decreasing pleural effusion."
        },
        {
            "image_id": "1383_2",
            "caption": "The x-ray shows significant progress, with decreased opacification in the right middle and lower lobes. There is a small pleural effusion and atelectasis in the same area, but it is stable and not worsening. No pneumothorax is present. Cardiomediastinal silhouette appears normal and there is no acute bone abnormality. Overall, the x-ray suggests improved right lung consolidation and decreasing pleural effusion."
        },
        {
            "image_id": "617_1",
            "caption": "The X-ray shows clear lungs with no visible pleural effusions or pneumothoraces. The heart and mediastinum appear stable and normal in size. Additionally, degenerative changes can be seen in the spine. In summary, the impression is of normal cardio-pulmonary health with no acute disease found during the X-ray screening."
        },
        {
            "image_id": "617_2",
            "caption": "The X-ray shows clear lungs with no visible pleural effusions or pneumothoraces. The heart and mediastinum appear stable and normal in size. Additionally, degenerative changes can be seen in the spine. In summary, the impression is of normal cardio-pulmonary health with no acute disease found during the X-ray screening."
        },
        {
            "image_id": "2852_1",
            "caption": "The x-ray image shows normal cardiac contours with clear lung fields bilaterally. There is no evidence of pleural effusion, pneumothorax, or acute bony abnormalities. Additionally, there is no intervertebral disc narrowing or loss of vertebral body height. The impression is that there are no acute bony or cardiopulmonary abnormalities."
        },
        {
            "image_id": "2852_2",
            "caption": "The x-ray image shows normal cardiac contours with clear lung fields bilaterally. There is no evidence of pleural effusion, pneumothorax, or acute bony abnormalities. Additionally, there is no intervertebral disc narrowing or loss of vertebral body height. The impression is that there are no acute bony or cardiopulmonary abnormalities."
        },
        {
            "image_id": "3594_1",
            "caption": "A normal chest x-ray was observed on examination with no significant abnormality detected in the lungs or pleural cavities. The cardiac region of the patient was regular with no signs of any silhouette change. The impression brings out the result that the patient's chest is normal, and there is no indication of any abnormal findings."
        },
        {
            "image_id": "3594_2",
            "caption": "A normal chest x-ray was observed on examination with no significant abnormality detected in the lungs or pleural cavities. The cardiac region of the patient was regular with no signs of any silhouette change. The impression brings out the result that the patient's chest is normal, and there is no indication of any abnormal findings."
        },
        {
            "image_id": "159_1",
            "caption": "The chest x-ray shows no active disease with clear and expanded lungs and normal heart and mediastinum. There is bilateral degenerative joint disease with left being worse than right, seen in the osteophytes present at the acromioclavicular joints bilaterally and also on the humeral necks. No fractures or bone destruction are seen in the x-ray image."
        },
        {
            "image_id": "159_2",
            "caption": "The chest x-ray shows no active disease with clear and expanded lungs and normal heart and mediastinum. There is bilateral degenerative joint disease with left being worse than right, seen in the osteophytes present at the acromioclavicular joints bilaterally and also on the humeral necks. No fractures or bone destruction are seen in the x-ray image."
        },
        {
            "image_id": "2878_1",
            "caption": "The x-ray shows that the heart is normal in size and mediastinal contour is within normal limits. Lungs do not have any focal infiltrates, nodules, or masses, and there is no visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air under the diaphragm. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "629_1",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are within normal limits, the lungs are well-inflated and clear, and there is no evidence of a focal consolidation, pneumothorax, or effusion. Additionally, no acute bony abnormalities are seen. The impression suggests that there is no evidence of an acute cardiopulmonary process and that the appearance of the chest is stable. Overall, the X-ray indicates a normal and healthy chest."
        },
        {
            "image_id": "629_2",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are within normal limits, the lungs are well-inflated and clear, and there is no evidence of a focal consolidation, pneumothorax, or effusion. Additionally, no acute bony abnormalities are seen. The impression suggests that there is no evidence of an acute cardiopulmonary process and that the appearance of the chest is stable. Overall, the X-ray indicates a normal and healthy chest."
        },
        {
            "image_id": "99_1",
            "caption": "The x-ray image shows a normal heart, mediastinum and clear lungs with midline trachea. No signs of pneumothorax or pleural effusion are noted. A radiopaque foreign body is seen overlying the left chest, but there are no acute abnormalities detected in the image."
        },
        {
            "image_id": "99_2",
            "caption": "The x-ray image shows a normal heart, mediastinum and clear lungs with midline trachea. No signs of pneumothorax or pleural effusion are noted. A radiopaque foreign body is seen overlying the left chest, but there are no acute abnormalities detected in the image."
        },
        {
            "image_id": "3582_1",
            "caption": "The X-ray shows a normal-sized heart and clear lungs with no visible abnormalities such as pneumothorax or pleural effusion. The impression states that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3582_2",
            "caption": "The X-ray shows a normal-sized heart and clear lungs with no visible abnormalities such as pneumothorax or pleural effusion. The impression states that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2844_1",
            "caption": "The findings of the chest x-ray indicate a normal heart size and mediastinal contours. Additionally, the lungs are clear with no signs of pneumothorax or pleural effusion. However, an old left shoulder arthroplasty and left rib fractures are noted. Based on these findings, there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "2844_2",
            "caption": "The findings of the chest x-ray indicate a normal heart size and mediastinal contours. Additionally, the lungs are clear with no signs of pneumothorax or pleural effusion. However, an old left shoulder arthroplasty and left rib fractures are noted. Based on these findings, there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "167_1",
            "caption": "The x-ray shows that both lungs are clear and expanded, with an old calcified granuloma present in the left upper lobe. The heart and mediastinum both appear normal. The impression is that there is no active disease observed in the x-ray."
        },
        {
            "image_id": "167_2",
            "caption": "The x-ray shows that both lungs are clear and expanded, with an old calcified granuloma present in the left upper lobe. The heart and mediastinum both appear normal. The impression is that there is no active disease observed in the x-ray."
        },
        {
            "image_id": "173_1",
            "caption": "The chest X-ray indicates that the lung volumes are low but there are no active cardiopulmonary findings. The heart and mediastinum are normal, and the pulmonary vasculature is within normal range. There is no visible pneumothorax or pleural effusion. However, calcified bilateral hilar lymph nodes are present, which are greater on the left. There are no acute osseous findings."
        },
        {
            "image_id": "173_2",
            "caption": "The chest X-ray indicates that the lung volumes are low but there are no active cardiopulmonary findings. The heart and mediastinum are normal, and the pulmonary vasculature is within normal range. There is no visible pneumothorax or pleural effusion. However, calcified bilateral hilar lymph nodes are present, which are greater on the left. There are no acute osseous findings."
        },
        {
            "image_id": "2688_1",
            "caption": "The chest x-ray shows mild cardiomegaly and heavily calcified, tortuous aorta, consistent with atherosclerotic disease. Diffuse increased interstitial opacities are also identified, which may be secondary to pulmonary edema or atypical infection. No large effusion or visualized pneumothorax is seen, but osteopenia of the spine is identified. The impression is that these findings suggest cardiomegaly with diffuse interstitial opacities, which may be secondary to pulmonary edema or atypical infection. Further evaluation may be needed for appropriate diagnosis and treatment."
        },
        {
            "image_id": "2688_2",
            "caption": "The chest x-ray shows mild cardiomegaly and heavily calcified, tortuous aorta, consistent with atherosclerotic disease. Diffuse increased interstitial opacities are also identified, which may be secondary to pulmonary edema or atypical infection. No large effusion or visualized pneumothorax is seen, but osteopenia of the spine is identified. The impression is that these findings suggest cardiomegaly with diffuse interstitial opacities, which may be secondary to pulmonary edema or atypical infection. Further evaluation may be needed for appropriate diagnosis and treatment."
        },
        {
            "image_id": "615_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. There are scattered calcified nodules consistent with granulomatous disease, but no suspicious masses or nodules. The cardiomediastinal silhouette is within normal limits and there is no focal consolidation, pleural effusions, or pneumothoraces."
        },
        {
            "image_id": "615_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. There are scattered calcified nodules consistent with granulomatous disease, but no suspicious masses or nodules. The cardiomediastinal silhouette is within normal limits and there is no focal consolidation, pleural effusions, or pneumothoraces."
        },
        {
            "image_id": "1381_1",
            "caption": "The chest radiograph reveals that the cardiomediastinal silhouette is within normal limits for size and contour. The lungs are also clear and appear to be normally inflated without any signs of focal airspace disease, pleural effusion, or pneumothorax. The osseous structures are also within the normal range for the patient's age. Overall, there is no acute radiographic cardiopulmonary process observed in the chest x-ray."
        },
        {
            "image_id": "1381_2",
            "caption": "The chest radiograph reveals that the cardiomediastinal silhouette is within normal limits for size and contour. The lungs are also clear and appear to be normally inflated without any signs of focal airspace disease, pleural effusion, or pneumothorax. The osseous structures are also within the normal range for the patient's age. Overall, there is no acute radiographic cardiopulmonary process observed in the chest x-ray."
        },
        {
            "image_id": "66_1",
            "caption": "During an X-ray, both lungs were found to be clear and expanded, with no signs of pleural air collections or parenchymal consolidations. The heart and mediastinum were found to be normal. In addition, the lumbosacral spine, disc spaces, and alignment were all found to be normal, and the sacrum and sacroiliac joints were found to be normal as well. Based on these findings, there is no active disease present in the chest and the lumbar spine is negative."
        },
        {
            "image_id": "66_2",
            "caption": "During an X-ray, both lungs were found to be clear and expanded, with no signs of pleural air collections or parenchymal consolidations. The heart and mediastinum were found to be normal. In addition, the lumbosacral spine, disc spaces, and alignment were all found to be normal, and the sacrum and sacroiliac joints were found to be normal as well. Based on these findings, there is no active disease present in the chest and the lumbar spine is negative."
        },
        {
            "image_id": "826_1",
            "caption": "The x-ray shows a normal heart, pulmonary system, and mediastinum. There are no signs of pleural effusion or pneumothorax. The absence of focal air space opacity indicates no pneumonia. Overall, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "826_2",
            "caption": "The x-ray shows a normal heart, pulmonary system, and mediastinum. There are no signs of pleural effusion or pneumothorax. The absence of focal air space opacity indicates no pneumonia. Overall, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2663_1",
            "caption": "Upon observation of the X-ray, it is noted that the lungs are free from any haziness or abnormal accumulations. The heart and the structures around it are within normal limits. The bones and the soft tissues are also normal. The overall finding from the X-ray suggests that there is no ongoing active disease in the patient."
        },
        {
            "image_id": "2663_2",
            "caption": "Upon observation of the X-ray, it is noted that the lungs are free from any haziness or abnormal accumulations. The heart and the structures around it are within normal limits. The bones and the soft tissues are also normal. The overall finding from the X-ray suggests that there is no ongoing active disease in the patient."
        },
        {
            "image_id": "198_1",
            "caption": "The X-ray shows no signs of active cardiopulmonary disease. The heart and mediastinum are normal while both lungs are clear and expanded without any pleural effusion, pneumothorax or pneumonia. Overall, the impression is \"No active disease.\""
        },
        {
            "image_id": "2111_1",
            "caption": "The x-ray shows patchy airspace disease in the lateral view, most likely in the right lower lobe along with severe underlying emphysema. The aorta appears to be calcified and there is also evidence of spondylosis. The impression indicates that there could be a pneumonia superimposed on the emphysema, and recommends further follow-up for resolution."
        },
        {
            "image_id": "2111_2",
            "caption": "The x-ray shows patchy airspace disease in the lateral view, most likely in the right lower lobe along with severe underlying emphysema. The aorta appears to be calcified and there is also evidence of spondylosis. The impression indicates that there could be a pneumonia superimposed on the emphysema, and recommends further follow-up for resolution."
        },
        {
            "image_id": "3569_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours. Although there are low lung volumes, there is no focal airspace consolidation, pneumothorax or pleural effusion. Therefore, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2677_1",
            "caption": "The x-ray shows that the heart size is normal with only mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax or pleural effusion identified in the lungs. The x-ray also shows a bullet in the soft tissues of the inferior right chest wall but there is no acute bony abnormality. The impression is that there is no active cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "2677_2",
            "caption": "The x-ray shows that the heart size is normal with only mild tortuosity of the thoracic aorta. There is no focal consolidation, pneumothorax or pleural effusion identified in the lungs. The x-ray also shows a bullet in the soft tissues of the inferior right chest wall but there is no acute bony abnormality. The impression is that there is no active cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "72_1",
            "caption": "The x-ray shows clear lungs without any focal consolidation, effusion, or pneumothorax. The heart is of normal size and the bony thorax and soft tissues appear unremarkable. There is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "72_2",
            "caption": "The x-ray shows clear lungs without any focal consolidation, effusion, or pneumothorax. The heart is of normal size and the bony thorax and soft tissues appear unremarkable. There is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3541_1",
            "caption": "The x-ray shows mildly decreased lung volumes with bilateral lower lobe focal atelectasis. The cardiac silhouette and pulmonary vascularity are normal, and there is no evidence of pleural effusion or pneumothorax. The atelectasis appears as discoid airspace opacities. This finding is called discoid atelectasis, which is a condition where a section of lung tissue has collapsed due to a lack of air. It can be caused by prolonged bedrest or shallow breathing, and although it is not typically a serious condition, it should be monitored and promptly addressed to avoid any potential complications."
        },
        {
            "image_id": "3541_2",
            "caption": "The x-ray shows mildly decreased lung volumes with bilateral lower lobe focal atelectasis. The cardiac silhouette and pulmonary vascularity are normal, and there is no evidence of pleural effusion or pneumothorax. The atelectasis appears as discoid airspace opacities. This finding is called discoid atelectasis, which is a condition where a section of lung tissue has collapsed due to a lack of air. It can be caused by prolonged bedrest or shallow breathing, and although it is not typically a serious condition, it should be monitored and promptly addressed to avoid any potential complications."
        },
        {
            "image_id": "2887_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with no definitive evidence of pneumothorax or pleural effusion. However, there are a few opacities in the lung bases bilaterally which could indicate minimal bibasilar atelectasis or airspace disease. The x-ray also identifies a displaced fracture of the mid one-third of the right clavicle. It is worth noting that a small right pneumothorax previously identified is not visible on today's exam."
        },
        {
            "image_id": "2887_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with no definitive evidence of pneumothorax or pleural effusion. However, there are a few opacities in the lung bases bilaterally which could indicate minimal bibasilar atelectasis or airspace disease. The x-ray also identifies a displaced fracture of the mid one-third of the right clavicle. It is worth noting that a small right pneumothorax previously identified is not visible on today's exam."
        },
        {
            "image_id": "2887_3",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with no definitive evidence of pneumothorax or pleural effusion. However, there are a few opacities in the lung bases bilaterally which could indicate minimal bibasilar atelectasis or airspace disease. The x-ray also identifies a displaced fracture of the mid one-third of the right clavicle. It is worth noting that a small right pneumothorax previously identified is not visible on today's exam."
        },
        {
            "image_id": "1356_1",
            "caption": "The X-ray shows a normal heart size with a normal mediastinal contour. There is no evidence of pneumothorax, airspace consolidation, or pleural effusion, and no chest abnormalities or acute bony abnormality are observed. Therefore, the impression is that there is no acute cardiothoracic abnormality."
        },
        {
            "image_id": "1356_2",
            "caption": "The X-ray shows a normal heart size with a normal mediastinal contour. There is no evidence of pneumothorax, airspace consolidation, or pleural effusion, and no chest abnormalities or acute bony abnormality are observed. Therefore, the impression is that there is no acute cardiothoracic abnormality."
        },
        {
            "image_id": "1430_1",
            "caption": "The x-ray shows minimal patchy bibasilar airspace opacities without any signs of atelectasis or evolving pneumonia. The heart appears normal. There is only a slight blunting of the pleural spaces and no evidence of bilateral pleural effusions. Overall, the x-ray indicates no significant cardiothoracic abnormality."
        },
        {
            "image_id": "2139_1",
            "caption": "The X-ray shows no acute pulmonary abnormality. However, there is mild cardiomegaly without pulmonary edema. The heart size is enlarged but the pulmonary vascularity is within normal limits. There is a calcified right hilar lymph node but no acute abnormality was found in the lungs and pleural spaces. The X-ray also shows the presence of a prosthetic aortic valve and a history of sternotomy."
        },
        {
            "image_id": "2139_2",
            "caption": "The X-ray shows no acute pulmonary abnormality. However, there is mild cardiomegaly without pulmonary edema. The heart size is enlarged but the pulmonary vascularity is within normal limits. There is a calcified right hilar lymph node but no acute abnormality was found in the lungs and pleural spaces. The X-ray also shows the presence of a prosthetic aortic valve and a history of sternotomy."
        },
        {
            "image_id": "8_1",
            "caption": "The patient's x-ray shows no acute cardiopulmonary disease. Specifically, the heart, pulmonary vessels, and mediastinum are within normal limits. Additionally, there is no evidence of pleural effusion or pneumothorax, and no focal air space opacity to suggest pneumonia. However, there is an interim cervical spinal fusion that has been partly evaluated, which may require further examination."
        },
        {
            "image_id": "8_2",
            "caption": "The patient's x-ray shows no acute cardiopulmonary disease. Specifically, the heart, pulmonary vessels, and mediastinum are within normal limits. Additionally, there is no evidence of pleural effusion or pneumothorax, and no focal air space opacity to suggest pneumonia. However, there is an interim cervical spinal fusion that has been partly evaluated, which may require further examination."
        },
        {
            "image_id": "3227_1",
            "caption": "This x-ray shows that the heart and lungs are normal with no evidence of any acute abnormality. The size and shape of the cardiomediastinal silhouette are normal. Lungs are clear without any focal disease, pleural effusion, or pneumothorax. There are no acute bone-related issues. In summary, there is no acute cardiopulmonary disease visible in the x-ray."
        },
        {
            "image_id": "3227_2",
            "caption": "This x-ray shows that the heart and lungs are normal with no evidence of any acute abnormality. The size and shape of the cardiomediastinal silhouette are normal. Lungs are clear without any focal disease, pleural effusion, or pneumothorax. There are no acute bone-related issues. In summary, there is no acute cardiopulmonary disease visible in the x-ray."
        },
        {
            "image_id": "3233_1",
            "caption": "The lungs show mild hyperinflation and flattening of the hemidiaphragms with chronic changes of emphysema. Coarsened interstitial testes are observed, and there is minimal scarring or atelectasis in the left lung base. However, no acute findings are detected, and the lungs are clear of focal infiltrate, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits of size. Thus, the impression is chronic changes of emphysema with no acute findings."
        },
        {
            "image_id": "3233_2",
            "caption": "The lungs show mild hyperinflation and flattening of the hemidiaphragms with chronic changes of emphysema. Coarsened interstitial testes are observed, and there is minimal scarring or atelectasis in the left lung base. However, no acute findings are detected, and the lungs are clear of focal infiltrate, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits of size. Thus, the impression is chronic changes of emphysema with no acute findings."
        },
        {
            "image_id": "1424_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. The lungs are also clear of any focal airspace disease and there is no pleural effusion or pneumothorax. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "1424_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. The lungs are also clear of any focal airspace disease and there is no pleural effusion or pneumothorax. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "1342_1",
            "caption": "The findings suggest mildly hyperinflated lungs with a flattened posterior diaphragm, with no alveolar consolidation, pleural effusion, or pulmonary edema present. Heart size appears normal and there is no pneumothorax. The impression indicates possible air trapping or inspiratory limitation. It is important to discuss these findings further with a healthcare provider to determine any potential underlying causes and appropriate follow-up care."
        },
        {
            "image_id": "1342_2",
            "caption": "The findings suggest mildly hyperinflated lungs with a flattened posterior diaphragm, with no alveolar consolidation, pleural effusion, or pulmonary edema present. Heart size appears normal and there is no pneumothorax. The impression indicates possible air trapping or inspiratory limitation. It is important to discuss these findings further with a healthcare provider to determine any potential underlying causes and appropriate follow-up care."
        },
        {
            "image_id": "3555_1",
            "caption": "The patient's heart and mediastinum are unremarkable on the x-ray, and the lungs show no signs of infiltrate, effusion or pneumothorax. However, degenerative disease is visible on multiple midthoracic vertebral bodies. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2893_1",
            "caption": "The x-ray screening shows no evidence of acute abnormalities in the cardiopulmonary system. The lungs are clear bilaterally, and there is no presence of infiltrate, pleural effusion or pneumothoraces. The heart and mediastinum are within limits, and the size appears normal. Based on the x-ray report, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2893_2",
            "caption": "The x-ray screening shows no evidence of acute abnormalities in the cardiopulmonary system. The lungs are clear bilaterally, and there is no presence of infiltrate, pleural effusion or pneumothoraces. The heart and mediastinum are within limits, and the size appears normal. Based on the x-ray report, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1815_1",
            "caption": "The X-ray shows no signs of acute disease. The lungs appear clear without any infiltrate or effusion, and there is no pneumothorax. The heart and mediastinum are unremarkable with no signs of enlargement. Additionally, the thoracic spine shows mild degenerative changes. These findings suggest good cardiopulmonary health with no acute issues of concern."
        },
        {
            "image_id": "1815_2",
            "caption": "The X-ray shows no signs of acute disease. The lungs appear clear without any infiltrate or effusion, and there is no pneumothorax. The heart and mediastinum are unremarkable with no signs of enlargement. Additionally, the thoracic spine shows mild degenerative changes. These findings suggest good cardiopulmonary health with no acute issues of concern."
        },
        {
            "image_id": "359_1",
            "caption": "The findings of the x-ray indicate that the heart size is at the upper limits of normal but the mediastinal contour is within normal limits. The lungs are clear without any focal infiltrates, nodules, or masses. There is no visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air under the diaphragm. Based on these findings, there is no evidence of acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "359_2",
            "caption": "The findings of the x-ray indicate that the heart size is at the upper limits of normal but the mediastinal contour is within normal limits. The lungs are clear without any focal infiltrates, nodules, or masses. There is no visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air under the diaphragm. Based on these findings, there is no evidence of acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3964_1",
            "caption": "The chest x-ray reveals that the heart and mediastinum are within normal limits. The lungs show signs of hyperinflation, which is indicative of emphysema, and there is biapical scarring. There are no acute findings of infiltrate, effusion, or pneumothorax. The impression notes the presence of emphysema without showing any signs of acute disease. It is recommended to consult a pulmonologist for further evaluation and management of emphysema."
        },
        {
            "image_id": "3964_2",
            "caption": "The chest x-ray reveals that the heart and mediastinum are within normal limits. The lungs show signs of hyperinflation, which is indicative of emphysema, and there is biapical scarring. There are no acute findings of infiltrate, effusion, or pneumothorax. The impression notes the presence of emphysema without showing any signs of acute disease. It is recommended to consult a pulmonologist for further evaluation and management of emphysema."
        },
        {
            "image_id": "3970_1",
            "caption": "The X-ray shows no acute abnormalities in the cardiopulmonary area. The lungs are clear and there are no signs of infiltrates, pleural effusion or pneumothoraces. The cardiomediastinal silhouette is normal and soft tissues appear unremarkable."
        },
        {
            "image_id": "3970_2",
            "caption": "The X-ray shows no acute abnormalities in the cardiopulmonary area. The lungs are clear and there are no signs of infiltrates, pleural effusion or pneumothoraces. The cardiomediastinal silhouette is normal and soft tissues appear unremarkable."
        },
        {
            "image_id": "1801_1",
            "caption": "The X-ray image shows stable mild cardiomegaly with unchanged mediastinal contours. The lungs are clear without focal consolidation and there is no visible pleural effusion or pneumothorax. The impression is that there is a stable mild cardiomegaly and clear lungs."
        },
        {
            "image_id": "1801_2",
            "caption": "The X-ray image shows stable mild cardiomegaly with unchanged mediastinal contours. The lungs are clear without focal consolidation and there is no visible pleural effusion or pneumothorax. The impression is that there is a stable mild cardiomegaly and clear lungs."
        },
        {
            "image_id": "1829_1",
            "caption": "A chest X-ray and lateral examination were obtained, which showed no significant enlargement of the heart silhouette or mediastinal contours. Following the removal of two left-sided chest tubes, no pneumothorax was visible. There were no acute findings in the lungs, except for minimal posterior pleural effusions. Based on these observations, there was no presence of pneumothorax after the removal of the chest tubes."
        },
        {
            "image_id": "1829_2",
            "caption": "A chest X-ray and lateral examination were obtained, which showed no significant enlargement of the heart silhouette or mediastinal contours. Following the removal of two left-sided chest tubes, no pneumothorax was visible. There were no acute findings in the lungs, except for minimal posterior pleural effusions. Based on these observations, there was no presence of pneumothorax after the removal of the chest tubes."
        },
        {
            "image_id": "365_1",
            "caption": "The finding shows that the cardiomediastinal area is within normal limits, the lungs are clear, and there is no pleural effusion. From the finding, there is no evidence of thoracic injury."
        },
        {
            "image_id": "365_2",
            "caption": "The finding shows that the cardiomediastinal area is within normal limits, the lungs are clear, and there is no pleural effusion. From the finding, there is no evidence of thoracic injury."
        },
        {
            "image_id": "3958_1",
            "caption": "The X-ray image shows both lungs clear and expanded, with a normal heart and mediastinum. The impression is that there is no active disease present."
        },
        {
            "image_id": "3958_2",
            "caption": "The X-ray image shows both lungs clear and expanded, with a normal heart and mediastinum. The impression is that there is no active disease present."
        },
        {
            "image_id": "403_1",
            "caption": "The chest X-ray shows that the heart size is normal and there is no focal airspace disease, pneumothorax, or effusions. Multiple old right-sided rib fractures are noted. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "403_2",
            "caption": "The chest X-ray shows that the heart size is normal and there is no focal airspace disease, pneumothorax, or effusions. Multiple old right-sided rib fractures are noted. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1197_1",
            "caption": "During the chest examination, the heart size and shape appeared normal. There were no signs of acute lung disease, including effusion or pneumothorax. While there was bilateral prominent lung vascularity medially, it was unchanged. Overall, there was no evidence of acute pulmonary disease."
        },
        {
            "image_id": "1197_2",
            "caption": "During the chest examination, the heart size and shape appeared normal. There were no signs of acute lung disease, including effusion or pneumothorax. While there was bilateral prominent lung vascularity medially, it was unchanged. Overall, there was no evidence of acute pulmonary disease."
        },
        {
            "image_id": "417_1",
            "caption": "The x-ray shows stable calcified granulomas, with no signs of pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal and trachea is midline. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "417_2",
            "caption": "The x-ray shows stable calcified granulomas, with no signs of pneumothorax, pleural effusion, or focal airspace consolidation. The heart size is normal and trachea is midline. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3794_1",
            "caption": "The findings on the X-ray indicate that the heart, aortic and mediastinal contours are normal and the lungs are clear without visible pneumothorax or large pleural effusion. However, a 6 mm nodular opacity was found on the left anterior 5th rib on the frontal view. The impression suggests that comparison with prior images is recommended, and if not available, further evaluation with a CT scan of the chest is recommended. It is important to follow up on this finding with a qualified healthcare professional."
        },
        {
            "image_id": "3794_2",
            "caption": "The findings on the X-ray indicate that the heart, aortic and mediastinal contours are normal and the lungs are clear without visible pneumothorax or large pleural effusion. However, a 6 mm nodular opacity was found on the left anterior 5th rib on the frontal view. The impression suggests that comparison with prior images is recommended, and if not available, further evaluation with a CT scan of the chest is recommended. It is important to follow up on this finding with a qualified healthcare professional."
        },
        {
            "image_id": "371_1",
            "caption": "Upon examination of the chest x-ray image, it was observed that the lungs are clear, but there's hyperinflation indicating COPD. Additionally, some calcification is visible over the anterior mediastinum, but the calcified lymph node is not identified on the PA projection. The heart appears normal, whereas arthritic changes to the spine are seen. These findings are indicative of old granulomatous disease. Thus, it is recommended to consult a specialist for further evaluation and treatment."
        },
        {
            "image_id": "371_2",
            "caption": "Upon examination of the chest x-ray image, it was observed that the lungs are clear, but there's hyperinflation indicating COPD. Additionally, some calcification is visible over the anterior mediastinum, but the calcified lymph node is not identified on the PA projection. The heart appears normal, whereas arthritic changes to the spine are seen. These findings are indicative of old granulomatous disease. Thus, it is recommended to consult a specialist for further evaluation and treatment."
        },
        {
            "image_id": "3019_1",
            "caption": "The x-ray shows that the heart is normal in size, and there are no acute cardiopulmonary abnormalities. The lungs are clear with no visible pleural effusion or pneumothorax. There are multilevel degenerative changes of the thoracic spine. Based on the findings, no immediate intervention is necessary."
        },
        {
            "image_id": "2307_1",
            "caption": "The X-ray reveals that the heart is of normal size and the mediastinum is unremarkable. The lungs, however, show hyperinflation along with pleural-parenchymal scarring. The doctor has concluded that there is no acute infiltrate or effusion, and the patient has developed emphysema and scarring without any acute disease."
        },
        {
            "image_id": "2307_2",
            "caption": "The X-ray reveals that the heart is of normal size and the mediastinum is unremarkable. The lungs, however, show hyperinflation along with pleural-parenchymal scarring. The doctor has concluded that there is no acute infiltrate or effusion, and the patient has developed emphysema and scarring without any acute disease."
        },
        {
            "image_id": "1168_1",
            "caption": "The findings of the chest X-ray reveal that both lungs are clear and appropriately expanded, with no observed abnormalities in the heart or mediastinum. The impression is that there is no active disease present. It is important to note, however, that regular check-ups and monitoring are recommended to maintain optimal respiratory health."
        },
        {
            "image_id": "1168_2",
            "caption": "The findings of the chest X-ray reveal that both lungs are clear and appropriately expanded, with no observed abnormalities in the heart or mediastinum. The impression is that there is no active disease present. It is important to note, however, that regular check-ups and monitoring are recommended to maintain optimal respiratory health."
        },
        {
            "image_id": "2475_1",
            "caption": "Upon review of the chest x-ray, it was observed that the heart size remains slightly large and the aorta is tortuous while the pulmonary are normal. The impression based on the x-ray is no active cardiopulmonary disease was detected."
        },
        {
            "image_id": "2475_2",
            "caption": "Upon review of the chest x-ray, it was observed that the heart size remains slightly large and the aorta is tortuous while the pulmonary are normal. The impression based on the x-ray is no active cardiopulmonary disease was detected."
        },
        {
            "image_id": "2313_1",
            "caption": "The lungs are clear without pleural effusion or pneumothorax. It appears that there has been a previous sternotomy, but the heart and mediastinum look normal. There are no obvious issues with the skeletal structures. There is no current pulmonary disease or acute issues seen in the x-ray."
        },
        {
            "image_id": "2313_2",
            "caption": "The lungs are clear without pleural effusion or pneumothorax. It appears that there has been a previous sternotomy, but the heart and mediastinum look normal. There are no obvious issues with the skeletal structures. There is no current pulmonary disease or acute issues seen in the x-ray."
        },
        {
            "image_id": "3025_1",
            "caption": "The X-ray finding reveals clear lungs without any signs of abnormality such as consolidation, pneumothorax, or pleural effusion. There are no visible anomalies in the cardio mediastinal silhouette or the osseous structures of the thorax, and no acute displaced rib fractures were observed. As per the impression, there is no indication of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3025_2",
            "caption": "The X-ray finding reveals clear lungs without any signs of abnormality such as consolidation, pneumothorax, or pleural effusion. There are no visible anomalies in the cardio mediastinal silhouette or the osseous structures of the thorax, and no acute displaced rib fractures were observed. As per the impression, there is no indication of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1632_1",
            "caption": "The x-ray shows that both lungs are clear and there is no evidence of any acute abnormality in the cardio mediastinal silhouette or visualized osseous structures of the thorax. Thus, the impression is that there is no acute cardiopulmonary abnormality. This is great news for the patient as the x-ray does not indicate any serious health issues."
        },
        {
            "image_id": "1632_2",
            "caption": "The x-ray shows that both lungs are clear and there is no evidence of any acute abnormality in the cardio mediastinal silhouette or visualized osseous structures of the thorax. Thus, the impression is that there is no acute cardiopulmonary abnormality. This is great news for the patient as the x-ray does not indicate any serious health issues."
        },
        {
            "image_id": "1154_1",
            "caption": "Upon examination, the heart appeared to be of normal size, and both lungs were observed to be clear. However, there were degenerative changes noted in the spine, while the patient had a prosthetic right shoulder. There was a possible body observed in the axillary recess of the left shoulder, with degenerative left glenohumeral osteoarthritis observed. There were no acute findings of pulmonary disease."
        },
        {
            "image_id": "1154_2",
            "caption": "Upon examination, the heart appeared to be of normal size, and both lungs were observed to be clear. However, there were degenerative changes noted in the spine, while the patient had a prosthetic right shoulder. There was a possible body observed in the axillary recess of the left shoulder, with degenerative left glenohumeral osteoarthritis observed. There were no acute findings of pulmonary disease."
        },
        {
            "image_id": "3743_1",
            "caption": "The x-ray study of the patient's heart and lungs revealed no significant changes or abnormalities. The lungs were clear and expanded normally, with no visible signs of acute disease. The mediastinum and cardiopulmonary system were also found to have normal appearances without any active disease or abnormal findings."
        },
        {
            "image_id": "2449_1",
            "caption": "The lungs are clear and the cardiomediastinal silhouette is within normal limits. No evidence of pneumothorax or pleural effusion is noted. Although, there is a paraspinal foreign object seen which may be a bullet fragment. The chest x-ray is negative for any significant findings with respect to the lungs and cardiopulmonary system except for a possible foreign body."
        },
        {
            "image_id": "2449_2",
            "caption": "The lungs are clear and the cardiomediastinal silhouette is within normal limits. No evidence of pneumothorax or pleural effusion is noted. Although, there is a paraspinal foreign object seen which may be a bullet fragment. The chest x-ray is negative for any significant findings with respect to the lungs and cardiopulmonary system except for a possible foreign body."
        },
        {
            "image_id": "3757_1",
            "caption": "The x-ray image shows that the lungs and pleural spaces have no immediate abnormality. Heart size and pulmonary vascularity appear to be normal with mild tortuosity of the descending thoracic aorta. There is no immediate pulmonary abnormality found in the image."
        },
        {
            "image_id": "3757_2",
            "caption": "The x-ray image shows that the lungs and pleural spaces have no immediate abnormality. Heart size and pulmonary vascularity appear to be normal with mild tortuosity of the descending thoracic aorta. There is no immediate pulmonary abnormality found in the image."
        },
        {
            "image_id": "1626_1",
            "caption": "The imaging shows that the heart is normal in size and the mediastinal contours are within normal limits. No acute infiltrate or pleural effusion are appreciated. However, numerous bilateral pulmonary nodules of varying sizes are seen, with the largest nodule measuring approximately 7.0 cm located in the left lower lobe, posteriorly. The impression suggests diagnostic considerations, including primary lung carcinoma with metastatic nodules versus secondary metastatic disease from a known brain tumor. The doctor recommends further imaging and clinical correlation for proper diagnosis and treatment."
        },
        {
            "image_id": "1626_2",
            "caption": "The imaging shows that the heart is normal in size and the mediastinal contours are within normal limits. No acute infiltrate or pleural effusion are appreciated. However, numerous bilateral pulmonary nodules of varying sizes are seen, with the largest nodule measuring approximately 7.0 cm located in the left lower lobe, posteriorly. The impression suggests diagnostic considerations, including primary lung carcinoma with metastatic nodules versus secondary metastatic disease from a known brain tumor. The doctor recommends further imaging and clinical correlation for proper diagnosis and treatment."
        },
        {
            "image_id": "3031_1",
            "caption": "The x-ray shows clear lungs and a normal cardiomediastinal silhouette without any signs of pneumothorax or pleural effusion. The impression from the x-ray is a negative chest, indicating no abnormalities were found."
        },
        {
            "image_id": "3031_2",
            "caption": "The x-ray shows clear lungs and a normal cardiomediastinal silhouette without any signs of pneumothorax or pleural effusion. The impression from the x-ray is a negative chest, indicating no abnormalities were found."
        },
        {
            "image_id": "1961_1",
            "caption": "The x-ray image shows stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality seen in the image. However, the examination is limited but it has been concluded that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "1961_2",
            "caption": "The x-ray image shows stable cardiomegaly with significantly low lung volumes and associated bronchovascular crowding and bibasilar atelectasis. No definite pleural effusion, consolidation, or pneumothorax identified. No acute bony abnormality seen in the image. However, the examination is limited but it has been concluded that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "3810_1",
            "caption": "The x-ray shows the heart and mediastinum are unremarkable, and the lungs are clear without infiltrate, effusion or pneumothorax. Surgical clips are projected over the left lung apex, as well as the right upper quadrant of the abdomen. The impression is that no acute cardiopulmonary disease is detected."
        },
        {
            "image_id": "3810_2",
            "caption": "The x-ray shows the heart and mediastinum are unremarkable, and the lungs are clear without infiltrate, effusion or pneumothorax. Surgical clips are projected over the left lung apex, as well as the right upper quadrant of the abdomen. The impression is that no acute cardiopulmonary disease is detected."
        },
        {
            "image_id": "3804_1",
            "caption": "The x-ray image shows that the cardiomedial silhouette is stable and within normal limits, and there is no evidence of acute cardiopulmonary disease. Additionally, there is no focal consolidation, pneumothorax, or effusion. The report also notes stable left proximal humeral enchondroma versus remote bony infarct and stable multilevel degenerative disc disease of the thoracic spine. There is no acute bony abnormality noted. A calcified granuloma seen anteriorly on the lateral view is stable since the last examination. Overall, the x-ray shows no acute abnormality, and there is no evidence of any cardiopulmonary disease."
        },
        {
            "image_id": "3804_2",
            "caption": "The x-ray image shows that the cardiomedial silhouette is stable and within normal limits, and there is no evidence of acute cardiopulmonary disease. Additionally, there is no focal consolidation, pneumothorax, or effusion. The report also notes stable left proximal humeral enchondroma versus remote bony infarct and stable multilevel degenerative disc disease of the thoracic spine. There is no acute bony abnormality noted. A calcified granuloma seen anteriorly on the lateral view is stable since the last examination. Overall, the x-ray shows no acute abnormality, and there is no evidence of any cardiopulmonary disease."
        },
        {
            "image_id": "211_1",
            "caption": "The x-ray shows a normal heart size and clear lungs. The trachea is midline and there is no evidence of pneumothorax or pleural effusion. Overall, the x-ray reveals no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "211_2",
            "caption": "The x-ray shows a normal heart size and clear lungs. The trachea is midline and there is no evidence of pneumothorax or pleural effusion. Overall, the x-ray reveals no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1785_1",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours with granulomatous calcifications in the paratracheal region and mild streaky scarring in the right upper lobe. There is no active pneumonia or pneumothorax identified. The bony structures are intact. Based on these findings, no lobar pneumonia is present."
        },
        {
            "image_id": "1785_2",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours with granulomatous calcifications in the paratracheal region and mild streaky scarring in the right upper lobe. There is no active pneumonia or pneumothorax identified. The bony structures are intact. Based on these findings, no lobar pneumonia is present."
        },
        {
            "image_id": "3192_1",
            "caption": "The finding reveals normal sized heart and increased left hilar fullness with small interval change from prior exam. Additionally, lucencies throughout the chest indicate emphysematous change and scattered bilateral calcified granulomas are present. No pneumothorax is identified but a large hiatal hernia increased in size from prior exam is visible. The impression suggests that the left hilar fullness may represent superimposed adenopathy and recommends reference to prior exam or CT chest, if there is clinical concern. The large hiatal hernia is also advised for further evaluation."
        },
        {
            "image_id": "3192_2",
            "caption": "The finding reveals normal sized heart and increased left hilar fullness with small interval change from prior exam. Additionally, lucencies throughout the chest indicate emphysematous change and scattered bilateral calcified granulomas are present. No pneumothorax is identified but a large hiatal hernia increased in size from prior exam is visible. The impression suggests that the left hilar fullness may represent superimposed adenopathy and recommends reference to prior exam or CT chest, if there is clinical concern. The large hiatal hernia is also advised for further evaluation."
        },
        {
            "image_id": "577_1",
            "caption": "The chest X-ray examination shows that the cardiomediastinal contours are normal, and there are no signs of pneumonia, pleural effusion, or collapsed lung. Also, the visualized osseous structures and upper abdomen appear normal. Based on these findings, there is no evidence of any acute cardiopulmonary disease."
        },
        {
            "image_id": "577_2",
            "caption": "The chest X-ray examination shows that the cardiomediastinal contours are normal, and there are no signs of pneumonia, pleural effusion, or collapsed lung. Also, the visualized osseous structures and upper abdomen appear normal. Based on these findings, there is no evidence of any acute cardiopulmonary disease."
        },
        {
            "image_id": "563_1",
            "caption": "The frontal and lateral radiographs of the chest show that the cardiac, aortic, and mediastinal contours are within normal limits. Additionally, the pulmonary vascularity is also within normal limits, and there is no focal consolidation, pleural effusion, or pneumothorax identified. However, there is a partially visualized ORIF involving the left proximal humerus, and deformity of the left distal clavicle compatible with remote injury. No displaced rib fractures were identified on this chest examination. Overall, there is no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "563_2",
            "caption": "The frontal and lateral radiographs of the chest show that the cardiac, aortic, and mediastinal contours are within normal limits. Additionally, the pulmonary vascularity is also within normal limits, and there is no focal consolidation, pleural effusion, or pneumothorax identified. However, there is a partially visualized ORIF involving the left proximal humerus, and deformity of the left distal clavicle compatible with remote injury. No displaced rib fractures were identified on this chest examination. Overall, there is no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "3838_1",
            "caption": "The X-ray shows that the heart size and pulmonary vasculature are normal. No focal airspace disease, pneumothorax or pleural effusion is detected, and there are no acute bony findings. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3186_1",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours with no pneumothorax or large pleural effusion. The lungs appear to be hypoventilated with no focal consolidation. The impression suggests hypoventilated lungs, but no focal consolidation is visible."
        },
        {
            "image_id": "3186_2",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours with no pneumothorax or large pleural effusion. The lungs appear to be hypoventilated with no focal consolidation. The impression suggests hypoventilated lungs, but no focal consolidation is visible."
        },
        {
            "image_id": "2298_1",
            "caption": "The chest x-ray shows a normal sized heart and unremarkable mediastinum. No pleural effusion, pneumothorax or focal airspace disease is identified. However, chronic degenerative changes are present in the spine. The impression is that no acute cardiopulmonary abnormality is present."
        },
        {
            "image_id": "1791_1",
            "caption": "This x-ray image shows limited examination as the left costophrenic angle is excluded from the PA view. The heart size and mediastinal contour are within normal limits. Mild lung hyperinflation is observed. The lungs are free of any focal infiltrates. There is a large calcified granuloma within the medial right lung base. No other nodules or masses are visible, and there is no pneumothorax or pleural fluid. Mild multilevel degenerative changes are seen within the thoracic spine, but no acute fracture is visible. There is also no visible free intraperitoneal air under the diaphragm. The impression is that there is no acute radiographic cardiopulmonary process, but mild hyperinflation is present."
        },
        {
            "image_id": "1791_2",
            "caption": "This x-ray image shows limited examination as the left costophrenic angle is excluded from the PA view. The heart size and mediastinal contour are within normal limits. Mild lung hyperinflation is observed. The lungs are free of any focal infiltrates. There is a large calcified granuloma within the medial right lung base. No other nodules or masses are visible, and there is no pneumothorax or pleural fluid. Mild multilevel degenerative changes are seen within the thoracic spine, but no acute fracture is visible. There is also no visible free intraperitoneal air under the diaphragm. The impression is that there is no acute radiographic cardiopulmonary process, but mild hyperinflation is present."
        },
        {
            "image_id": "2273_1",
            "caption": "The X-ray shows clear lungs with no evidence of pleural effusions or pneumothoraces. The heart and mediastinum are normal in size and contour. The impression is that the lungs are clear, indicating no acute respiratory issue."
        },
        {
            "image_id": "2273_2",
            "caption": "The X-ray shows clear lungs with no evidence of pleural effusions or pneumothoraces. The heart and mediastinum are normal in size and contour. The impression is that the lungs are clear, indicating no acute respiratory issue."
        },
        {
            "image_id": "2515_1",
            "caption": "The x-ray image reveals that the heart, mediastinum, and lungs are all within normal limits. There are no signs of acute cardiopulmonary abnormalities, and the patient's osseous structures appear normal for their age. Overall, the findings suggest a healthy cardiopulmonary system and no cause for concern."
        },
        {
            "image_id": "588_1",
            "caption": "The radiographic image shows that the heart is normal in size and shape, and there is no mediastinal widening. Lungs are clear on both sides, and there is no sign of any significant pleural effusion or pneumothorax. The impression is that there are no acute abnormalities in the cardiopulmonary system."
        },
        {
            "image_id": "588_2",
            "caption": "The radiographic image shows that the heart is normal in size and shape, and there is no mediastinal widening. Lungs are clear on both sides, and there is no sign of any significant pleural effusion or pneumothorax. The impression is that there are no acute abnormalities in the cardiopulmonary system."
        },
        {
            "image_id": "1008_1",
            "caption": "The x-ray image shows normal heart size and mediastinal contours, and visualized osseous structures appear intact. There is no evidence of consolidative airspace opacities, pleural effusion or pneumothorax. Therefore, no acute cardiopulmonary abnormality was found in the x-ray."
        },
        {
            "image_id": "1008_2",
            "caption": "The x-ray image shows normal heart size and mediastinal contours, and visualized osseous structures appear intact. There is no evidence of consolidative airspace opacities, pleural effusion or pneumothorax. Therefore, no acute cardiopulmonary abnormality was found in the x-ray."
        },
        {
            "image_id": "2501_1",
            "caption": "The X-ray shows that the heart and mediastinum are within normal size and contour. The lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change, but there is no evidence of focal airspace disease, pleural effusion, or pneumothorax. Multilevel degenerative changes of the spine are also noted. Based on these findings, it is concluded that there is emphysematous change without evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "2501_2",
            "caption": "The X-ray shows that the heart and mediastinum are within normal size and contour. The lungs are hyperinflated with flattening of the diaphragms consistent with emphysematous change, but there is no evidence of focal airspace disease, pleural effusion, or pneumothorax. Multilevel degenerative changes of the spine are also noted. Based on these findings, it is concluded that there is emphysematous change without evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "2267_1",
            "caption": "The patient's lateral view X-ray was slightly degraded due to motion, but the lungs appeared grossly clear and there were no signs of pleural effusions or pneumothoraces. The heart and mediastinum seemed normal in size and contour, and there were also degenerative changes in the spine. Overall, the study was considered mildly limited but the lungs were clear."
        },
        {
            "image_id": "2267_2",
            "caption": "The patient's lateral view X-ray was slightly degraded due to motion, but the lungs appeared grossly clear and there were no signs of pleural effusions or pneumothoraces. The heart and mediastinum seemed normal in size and contour, and there were also degenerative changes in the spine. Overall, the study was considered mildly limited but the lungs were clear."
        },
        {
            "image_id": "3179_1",
            "caption": "The chest x-ray shows a near upper limits of normal cardiac silhouette and normal pulmonary vasculature. The lungs are clear of focal airspace disease, pneumothorax or pleural effusion. Additionally, there are no acute bony findings. The impression concludes that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3179_2",
            "caption": "The chest x-ray shows a near upper limits of normal cardiac silhouette and normal pulmonary vasculature. The lungs are clear of focal airspace disease, pneumothorax or pleural effusion. Additionally, there are no acute bony findings. The impression concludes that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3151_1",
            "caption": "The cardiomediastinal silhouette is normal in size and shape. There is an area of airspace disease in the lingula. The bones are normal for the patient's age. The lingular airspace disease seen on the x-ray is concerning for pneumonia. Further evaluation and treatment are recommended."
        },
        {
            "image_id": "1020_1",
            "caption": "The x-ray shows low lung volumes with no focal infiltrates and normal heart size. The impression indicates hypoinflation with no visible active cardiopulmonary disease."
        },
        {
            "image_id": "1020_2",
            "caption": "The x-ray shows low lung volumes with no focal infiltrates and normal heart size. The impression indicates hypoinflation with no visible active cardiopulmonary disease."
        },
        {
            "image_id": "3637_1",
            "caption": "The x-ray image shows that the heart size is normal and there are no focal alveolar consolidations or pleural effusions seen. Additionally, there are no typical findings of pulmonary edema. The radiologist concludes that there are no acute findings."
        },
        {
            "image_id": "3637_2",
            "caption": "The x-ray image shows that the heart size is normal and there are no focal alveolar consolidations or pleural effusions seen. Additionally, there are no typical findings of pulmonary edema. The radiologist concludes that there are no acute findings."
        },
        {
            "image_id": "3637_3",
            "caption": "The x-ray image shows that the heart size is normal and there are no focal alveolar consolidations or pleural effusions seen. Additionally, there are no typical findings of pulmonary edema. The radiologist concludes that there are no acute findings."
        },
        {
            "image_id": "2529_1",
            "caption": "The X-ray image shows clear lungs bilaterally with unremarkable cardio mediastinal silhouette and visualized osseous structures of the thorax without acute abnormality. There is no evidence of focal consolidation, pneumothorax or pleural effusion. The impression is that there is no acute cardiopulmonary abnormality, indicating good overall health."
        },
        {
            "image_id": "2529_2",
            "caption": "The X-ray image shows clear lungs bilaterally with unremarkable cardio mediastinal silhouette and visualized osseous structures of the thorax without acute abnormality. There is no evidence of focal consolidation, pneumothorax or pleural effusion. The impression is that there is no acute cardiopulmonary abnormality, indicating good overall health."
        },
        {
            "image_id": "3623_1",
            "caption": "The X-ray image shows unremarkable soft tissue and bony structures. The heart size is at the upper limit of normal, but there are no active diseases.There are no signs of effusion or pneumothorax. Overall, there is no acute condition observed, and the patient's health seems to be normal."
        },
        {
            "image_id": "3623_2",
            "caption": "The X-ray image shows unremarkable soft tissue and bony structures. The heart size is at the upper limit of normal, but there are no active diseases.There are no signs of effusion or pneumothorax. Overall, there is no acute condition observed, and the patient's health seems to be normal."
        },
        {
            "image_id": "1034_1",
            "caption": "The X-ray shows no significant changes in the heart and lungs. Both lungs are clear and have expanded properly. The right middle lobe calcified granuloma remains unchanged. Additionally, the heart and mediastinum are unchanged with no changes to the hiatus hernia. The overall impression is that there is no active disease present."
        },
        {
            "image_id": "1034_2",
            "caption": "The X-ray shows no significant changes in the heart and lungs. Both lungs are clear and have expanded properly. The right middle lobe calcified granuloma remains unchanged. Additionally, the heart and mediastinum are unchanged with no changes to the hiatus hernia. The overall impression is that there is no active disease present."
        },
        {
            "image_id": "1752_1",
            "caption": "The X-ray image of the patient indicates a vague opacity in the right infrahilar region and a 5 mm nodule in the right upper lung. A CT scan with contrast is suggested for a more detailed examination of the nodule. "
        },
        {
            "image_id": "1752_2",
            "caption": "The X-ray image of the patient indicates a vague opacity in the right infrahilar region and a 5 mm nodule in the right upper lung. A CT scan with contrast is suggested for a more detailed examination of the nodule. "
        },
        {
            "image_id": "749_1",
            "caption": "The x-ray image shows no signs of cardiac enlargement or vascular congestion. Instead, scattered bilateral granulomas are observed throughout the lungs. There is no evidence of pneumothorax or air space consolidation. However, there is a minimal streaky opacity at the bilateral bases which may be related to subsegmental atelectasis. Overall, there is no acute cardiothoracic process evident."
        },
        {
            "image_id": "749_2",
            "caption": "The x-ray image shows no signs of cardiac enlargement or vascular congestion. Instead, scattered bilateral granulomas are observed throughout the lungs. There is no evidence of pneumothorax or air space consolidation. However, there is a minimal streaky opacity at the bilateral bases which may be related to subsegmental atelectasis. Overall, there is no acute cardiothoracic process evident."
        },
        {
            "image_id": "2918_1",
            "caption": "The X-ray shows that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There are no abnormalities in the osseous structures, soft tissues, and no presence of consolidation, pneumothorax, or large pleural effusion. Therefore, the impression is that there is no active cardiopulmonary disease detected in the findings."
        },
        {
            "image_id": "2918_2",
            "caption": "The X-ray shows that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There are no abnormalities in the osseous structures, soft tissues, and no presence of consolidation, pneumothorax, or large pleural effusion. Therefore, the impression is that there is no active cardiopulmonary disease detected in the findings."
        },
        {
            "image_id": "2930_1",
            "caption": "The x-ray image shows mild T-spine osteophytes but no acute abnormalities in the cardiopulmonary area. The heart and pulmonary blood vessels appear normal in size and shape. There is no evidence of pneumothorax, large pleural effusion, or focal areas of consolidation. The radiologist assessed the image and found no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "2930_2",
            "caption": "The x-ray image shows mild T-spine osteophytes but no acute abnormalities in the cardiopulmonary area. The heart and pulmonary blood vessels appear normal in size and shape. There is no evidence of pneumothorax, large pleural effusion, or focal areas of consolidation. The radiologist assessed the image and found no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "2930_3",
            "caption": "The x-ray image shows mild T-spine osteophytes but no acute abnormalities in the cardiopulmonary area. The heart and pulmonary blood vessels appear normal in size and shape. There is no evidence of pneumothorax, large pleural effusion, or focal areas of consolidation. The radiologist assessed the image and found no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "3390_1",
            "caption": "The x-ray shows that the lungs are clear without any focal airspace consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal and there is no evidence of active disease."
        },
        {
            "image_id": "3390_2",
            "caption": "The x-ray shows that the lungs are clear without any focal airspace consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal and there is no evidence of active disease."
        },
        {
            "image_id": "3390_3",
            "caption": "The x-ray shows that the lungs are clear without any focal airspace consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal and there is no evidence of active disease."
        },
        {
            "image_id": "1587_1",
            "caption": "The chest X-ray images were taken in PA and lateral views, showing that the cardiomediastinal silhouette is within normal limits. Multiple colonic loops are seen in the left upper quadrant and there is an elevation of the left hemidiaphragm. The lungs are clear bilaterally. The left humeral head is positioned anterior and inferior to the glenoid, which is concerning for anterior shoulder subluxation. The subluxation is most likely related to the patient's muscular dystrophy and decreased shoulder muscle support. Additionally, there are postoperative changes from the spinal rod placement. The impression states that there is no active cardiopulmonary disease."
        },
        {
            "image_id": "1587_2",
            "caption": "The chest X-ray images were taken in PA and lateral views, showing that the cardiomediastinal silhouette is within normal limits. Multiple colonic loops are seen in the left upper quadrant and there is an elevation of the left hemidiaphragm. The lungs are clear bilaterally. The left humeral head is positioned anterior and inferior to the glenoid, which is concerning for anterior shoulder subluxation. The subluxation is most likely related to the patient's muscular dystrophy and decreased shoulder muscle support. Additionally, there are postoperative changes from the spinal rod placement. The impression states that there is no active cardiopulmonary disease."
        },
        {
            "image_id": "1593_1",
            "caption": "There is a moderate sized pleural effusion which is located on the right side, and there is also right lower lobe atelectasis. The cardiac contour is normal, with atherosclerotic changes throughout the aorta, while the left lung is clear. Based on the above findings, there is a moderate pleural effusion present on the right side. Further evaluation and treatment may be needed."
        },
        {
            "image_id": "1593_2",
            "caption": "There is a moderate sized pleural effusion which is located on the right side, and there is also right lower lobe atelectasis. The cardiac contour is normal, with atherosclerotic changes throughout the aorta, while the left lung is clear. Based on the above findings, there is a moderate pleural effusion present on the right side. Further evaluation and treatment may be needed."
        },
        {
            "image_id": "3384_1",
            "caption": "The x-ray shows that both lungs are clear and expanded and the heart and mediastinum appear to be normal. The radiologist's impression is that there is no sign of active disease. This suggests that the patient's breathing and heart health are currently in good condition."
        },
        {
            "image_id": "3384_2",
            "caption": "The x-ray shows that both lungs are clear and expanded and the heart and mediastinum appear to be normal. The radiologist's impression is that there is no sign of active disease. This suggests that the patient's breathing and heart health are currently in good condition."
        },
        {
            "image_id": "2924_1",
            "caption": "The X-ray shows a normal size heart and mediastinal contour. Lungs are clear and without any focal infiltrates. The report mentions a small calcified granuloma within the left upper lobe but there are no nodules or masses. There is no visible pneumothorax or pleural fluid. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2924_2",
            "caption": "The X-ray shows a normal size heart and mediastinal contour. Lungs are clear and without any focal infiltrates. The report mentions a small calcified granuloma within the left upper lobe but there are no nodules or masses. There is no visible pneumothorax or pleural fluid. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "761_1",
            "caption": "Lung volumes are low and no focal infiltrates are found. Additionally, heart size is normal. The X-ray reveals hypoinflation, indicating a possible change. However, there is no visible active cardiopulmonary disease. It is recommended to visit a healthcare specialist for further evaluation and treatment options."
        },
        {
            "image_id": "761_2",
            "caption": "Lung volumes are low and no focal infiltrates are found. Additionally, heart size is normal. The X-ray reveals hypoinflation, indicating a possible change. However, there is no visible active cardiopulmonary disease. It is recommended to visit a healthcare specialist for further evaluation and treatment options."
        },
        {
            "image_id": "952_1",
            "caption": "The findings of the chest X-ray reveal that the heart size and pulmonary vascularity are within normal limits. No visible focal airspace disease, pleural effusion or pneumothorax is identified. However, there are calcified granulomas present. In addition, some basilar opacities are seen, which may indicate scarring or atelectasis. The impression drawn from these results suggests that there is a possibility of some scarring or atelectasis, warranting further investigation."
        },
        {
            "image_id": "952_2",
            "caption": "The findings of the chest X-ray reveal that the heart size and pulmonary vascularity are within normal limits. No visible focal airspace disease, pleural effusion or pneumothorax is identified. However, there are calcified granulomas present. In addition, some basilar opacities are seen, which may indicate scarring or atelectasis. The impression drawn from these results suggests that there is a possibility of some scarring or atelectasis, warranting further investigation."
        },
        {
            "image_id": "2717_1",
            "caption": "The x-ray shows that the cardiac contours are normal and lungs are clear. Additionally, it reveals thoracic spondylosis, which is a type of spinal arthritis that affects the spine in the upper back. However, there is no acute process or immediate cause for concern."
        },
        {
            "image_id": "3409_1",
            "caption": "The x-ray shows no significant abnormality. The heart and lungs appear normal and clear without any signs of acute disease. The bony structures are also visually normal. So, there is no acute cardiopulmonary abnormality found in this x-ray."
        },
        {
            "image_id": "2071_1",
            "caption": "The chest X-ray shows no focal airspace opacities within the lungs and clear pleural spaces. However, there is a 1 cm nodular density in the right midlung which is not present on prior images, and further evaluation is required to rule out malignancy. The pulmonary interstitium appears somewhat indistinct, potentially indicating underlying pulmonary sarcoidosis. The mediastinal contours are normal, and there are small calcified left hilar lymph nodes. Patients with known risk factors for malignancy should seek further evaluation."
        },
        {
            "image_id": "1578_1",
            "caption": "The x-ray shows no acute radiographic cardiopulmonary issues. The cardiac and mediastinal contours appear normal, and there are no visible signs of pneumothorax, focal airspace opacity, or pleural effusion. However, low lung volumes and bronchovascular crowding are present. The osseous structures appear to be intact with surgical clips noted within the right upper abdomen."
        },
        {
            "image_id": "1578_2",
            "caption": "The x-ray shows no acute radiographic cardiopulmonary issues. The cardiac and mediastinal contours appear normal, and there are no visible signs of pneumothorax, focal airspace opacity, or pleural effusion. However, low lung volumes and bronchovascular crowding are present. The osseous structures appear to be intact with surgical clips noted within the right upper abdomen."
        },
        {
            "image_id": "2065_1",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The cardiomediastinal silhouette is stable, and there is no focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion visible. The x-ray notes changes of right mastectomy, sequelae of prior granulomatous disease, and mild thoracic spine degenerative change."
        },
        {
            "image_id": "2065_2",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The cardiomediastinal silhouette is stable, and there is no focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion visible. The x-ray notes changes of right mastectomy, sequelae of prior granulomatous disease, and mild thoracic spine degenerative change."
        },
        {
            "image_id": "946_1",
            "caption": "Upon evaluation of the chest x-ray, the heart size was normal, the lungs were clear without any focal airspace consolidations, pleural effusions or pneumothoraces. The hilar and mediastinal contours were within the normal limit, and the pulmonary vascularity was normal. The impression from the x-ray showed no acute abnormality. Overall, the chest x-ray appears to be normal and does not show any alarming sign."
        },
        {
            "image_id": "946_2",
            "caption": "Upon evaluation of the chest x-ray, the heart size was normal, the lungs were clear without any focal airspace consolidations, pleural effusions or pneumothoraces. The hilar and mediastinal contours were within the normal limit, and the pulmonary vascularity was normal. The impression from the x-ray showed no acute abnormality. Overall, the chest x-ray appears to be normal and does not show any alarming sign."
        },
        {
            "image_id": "1222_1",
            "caption": "The x-ray shows no active disease as the heart and mediastinum are normal. The lungs are clear and expanded with no focal airspace consolidations or pleural effusions seen. The findings indicate a stable condition with no acute abnormality."
        },
        {
            "image_id": "1222_2",
            "caption": "The x-ray shows no active disease as the heart and mediastinum are normal. The lungs are clear and expanded with no focal airspace consolidations or pleural effusions seen. The findings indicate a stable condition with no acute abnormality."
        },
        {
            "image_id": "1544_1",
            "caption": "The patient's x-ray shows a normal heart and clear lungs without any signs of acute abnormality. There is no visible evidence of pneumothorax or pleural effusion. Overall, no acute cardiopulmonary abnormality was observed in the x-ray."
        },
        {
            "image_id": "1544_2",
            "caption": "The patient's x-ray shows a normal heart and clear lungs without any signs of acute abnormality. There is no visible evidence of pneumothorax or pleural effusion. Overall, no acute cardiopulmonary abnormality was observed in the x-ray."
        },
        {
            "image_id": "3353_1",
            "caption": "The x-ray shows stable marked cardiomegaly with cardiac generator projecting over the left mid hemithorax. There is no focal airspace disease but mild central pulmonary vascular congestion is noted. Overall, the impression is cardiomegaly with central pulmonary vascular congestion and no acute cardiopulmonary findings."
        },
        {
            "image_id": "3347_1",
            "caption": "The chest x-ray image shows no acute abnormality in the lungs or pleural spaces, but there are lower lung volumes on the AP projection. The heart size is at the upper limits of normal, with normal pulmonary vascularity. Implantable cardiac devices are visible on the lateral projection in the expected location of the mitral valve. There is also a note of prior sternotomy. Based on these findings, there is no acute pulmonary abnormality detected."
        },
        {
            "image_id": "3347_2",
            "caption": "The chest x-ray image shows no acute abnormality in the lungs or pleural spaces, but there are lower lung volumes on the AP projection. The heart size is at the upper limits of normal, with normal pulmonary vascularity. Implantable cardiac devices are visible on the lateral projection in the expected location of the mitral valve. There is also a note of prior sternotomy. Based on these findings, there is no acute pulmonary abnormality detected."
        },
        {
            "image_id": "2059_1",
            "caption": "On the x-ray, patchy opacities are seen in the right lower lobe along with mild degenerative changes in the thoracic spine. However, the heart is of normal size and there is no evidence of pleural effusion or pneumothorax. The impression suggests the possibility of an infectious infiltrate causing the opacities in the lower lobe."
        },
        {
            "image_id": "2059_2",
            "caption": "On the x-ray, patchy opacities are seen in the right lower lobe along with mild degenerative changes in the thoracic spine. However, the heart is of normal size and there is no evidence of pleural effusion or pneumothorax. The impression suggests the possibility of an infectious infiltrate causing the opacities in the lower lobe."
        },
        {
            "image_id": "1550_1",
            "caption": "The x-ray reveals that the heart size, cardiomediastinal silhouette, and pulmonary vasculature are normal. No infiltrates, effusions, or pneumothorax are found. As per the radiologist's impression, there is no acute cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "1550_2",
            "caption": "The x-ray reveals that the heart size, cardiomediastinal silhouette, and pulmonary vasculature are normal. No infiltrates, effusions, or pneumothorax are found. As per the radiologist's impression, there is no acute cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "1236_1",
            "caption": "The x-ray image shows that the heart, lungs, and bones are all in normal condition. There are no signs of any acute abnormalities such as pneumothorax, pleural effusion, or focal airspace disease. This is a positive finding with no immediate concerns for the patient's cardiopulmonary health."
        },
        {
            "image_id": "1236_2",
            "caption": "The x-ray image shows that the heart, lungs, and bones are all in normal condition. There are no signs of any acute abnormalities such as pneumothorax, pleural effusion, or focal airspace disease. This is a positive finding with no immediate concerns for the patient's cardiopulmonary health."
        },
        {
            "image_id": "3421_1",
            "caption": "The chest x-ray revealed a normal sized heart and clear lungs without any signs of consolidations or effusions. The radiologist noted a mildly tortuous thoracic aorta and mild elevation of the right hemidiaphragm. However, there were no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "3421_2",
            "caption": "The chest x-ray revealed a normal sized heart and clear lungs without any signs of consolidations or effusions. The radiologist noted a mildly tortuous thoracic aorta and mild elevation of the right hemidiaphragm. However, there were no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "1551_1",
            "caption": "The x-ray shows that the heart, lungs, and thoracic spine are all normal and there are no acute abnormalities or diseases. The cardiomediastinal silhouette is within the normal limits, and there are no focal areas of consolidation, pneumothorax, or pleural effusion. Additionally, there are no acute displaced rib fractures or intrathoracic abnormality present."
        },
        {
            "image_id": "1551_2",
            "caption": "The x-ray shows that the heart, lungs, and thoracic spine are all normal and there are no acute abnormalities or diseases. The cardiomediastinal silhouette is within the normal limits, and there are no focal areas of consolidation, pneumothorax, or pleural effusion. Additionally, there are no acute displaced rib fractures or intrathoracic abnormality present."
        },
        {
            "image_id": "2058_1",
            "caption": "The chest x-ray shows that the heart is within normal limits and the mediastinum is unremarkable. The lungs appear mildly hypoinflated but clear without any acute disease found in the image."
        },
        {
            "image_id": "2058_2",
            "caption": "The chest x-ray shows that the heart is within normal limits and the mediastinum is unremarkable. The lungs appear mildly hypoinflated but clear without any acute disease found in the image."
        },
        {
            "image_id": "3346_1",
            "caption": "Based on the x-ray image, there are no signs of acute abnormalities in the patient's cardiopulmonary region, including the lungs, heart, and thoracic spine. There is no evidence of focal consolidation, pneumothorax or pleural effusion, and the cardio mediastinal silhouette is unremarkable. The visualized osseous structures of the thorax are without acute abnormality. Overall, the impression of the x-ray indicates no acute cardiopulmonary abnormality in the patient."
        },
        {
            "image_id": "3346_2",
            "caption": "Based on the x-ray image, there are no signs of acute abnormalities in the patient's cardiopulmonary region, including the lungs, heart, and thoracic spine. There is no evidence of focal consolidation, pneumothorax or pleural effusion, and the cardio mediastinal silhouette is unremarkable. The visualized osseous structures of the thorax are without acute abnormality. Overall, the impression of the x-ray indicates no acute cardiopulmonary abnormality in the patient."
        },
        {
            "image_id": "3420_1",
            "caption": "The chest x-ray image shows no acute abnormalities in the lungs and heart. There are no signs of pneumothorax or pleural effusion. Based on the findings, the impression is that there are no acute cardiopulmonary diseases present."
        },
        {
            "image_id": "3420_2",
            "caption": "The chest x-ray image shows no acute abnormalities in the lungs and heart. There are no signs of pneumothorax or pleural effusion. Based on the findings, the impression is that there are no acute cardiopulmonary diseases present."
        },
        {
            "image_id": "1237_1",
            "caption": "The x-ray shows normal cardiac and mediastinal contours, with clear pulmonary vascularity and no signs of air space opacities, pleural effusion, or pneumothorax. However, there is a calcified opacity in the left lung base indicating old empyema, hematoma, or prior TB. No cavitary lesions are seen. The findings indicate clear lungs with no radiographic evidence of active TB."
        },
        {
            "image_id": "1237_2",
            "caption": "The x-ray shows normal cardiac and mediastinal contours, with clear pulmonary vascularity and no signs of air space opacities, pleural effusion, or pneumothorax. However, there is a calcified opacity in the left lung base indicating old empyema, hematoma, or prior TB. No cavitary lesions are seen. The findings indicate clear lungs with no radiographic evidence of active TB."
        },
        {
            "image_id": "1223_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. The lungs are clear without any focal airspace disease, pleural effusion or pneumothorax. However, a foreign body is noted in the soft tissues of the left chest wall. Based on the x-ray image, there is no evidence of active disease."
        },
        {
            "image_id": "1223_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. The lungs are clear without any focal airspace disease, pleural effusion or pneumothorax. However, a foreign body is noted in the soft tissues of the left chest wall. Based on the x-ray image, there is no evidence of active disease."
        },
        {
            "image_id": "3352_1",
            "caption": "The x-ray reveals a normal sized heart and clear lungs, with no signs of pneumothorax, pleural effusion or any focal airspace disease. Osseous structures also appear normal for patient's age. The radiograph shows no current cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3352_2",
            "caption": "The x-ray reveals a normal sized heart and clear lungs, with no signs of pneumothorax, pleural effusion or any focal airspace disease. Osseous structures also appear normal for patient's age. The radiograph shows no current cardiopulmonary abnormalities present."
        },
        {
            "image_id": "1545_1",
            "caption": "The X-ray image shows clear lungs with no evidence of focal airspace disease or cardiopulmonary abnormality. The heart and pulmonary vascularity appear normal and the osseous structures are intact. There are no signs of acute radiographic cardiopulmonary process, pleural effusion or pneumothorax. The findings point towards no active disease present."
        },
        {
            "image_id": "1545_2",
            "caption": "The X-ray image shows clear lungs with no evidence of focal airspace disease or cardiopulmonary abnormality. The heart and pulmonary vascularity appear normal and the osseous structures are intact. There are no signs of acute radiographic cardiopulmonary process, pleural effusion or pneumothorax. The findings point towards no active disease present."
        },
        {
            "image_id": "947_1",
            "caption": "The x-ray shows no evidence of acute abnormality. The heart, lungs and mediastinum appear normal without any focal airspace disease, pleural effusion, pneumothorax, or rib fractures. The imaging is negative for any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "947_2",
            "caption": "The x-ray shows no evidence of acute abnormality. The heart, lungs and mediastinum appear normal without any focal airspace disease, pleural effusion, pneumothorax, or rib fractures. The imaging is negative for any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2702_1",
            "caption": "The x-ray image shows cardiomegaly with stable prominent structures, and minimal blunting of the right costophrenic angle. There is no evidence of pneumothorax or focal infiltrates, but low lung volumes suggest restricted breathing. The impression indicates the presence of an effusion in the right pleural space. For a more detailed analysis and diagnosis, please consult a physician or radiologist."
        },
        {
            "image_id": "2702_2",
            "caption": "The x-ray image shows cardiomegaly with stable prominent structures, and minimal blunting of the right costophrenic angle. There is no evidence of pneumothorax or focal infiltrates, but low lung volumes suggest restricted breathing. The impression indicates the presence of an effusion in the right pleural space. For a more detailed analysis and diagnosis, please consult a physician or radiologist."
        },
        {
            "image_id": "3408_1",
            "caption": "The chest x-ray findings reveal unremarkable cardiomediastinal contours and normal pulmonary vasculature. The lungs are clear, without any focal opacities, pleural effusions or pneumothorax. The x-ray also shows multiple healed bilateral rib fractures without any acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3408_2",
            "caption": "The chest x-ray findings reveal unremarkable cardiomediastinal contours and normal pulmonary vasculature. The lungs are clear, without any focal opacities, pleural effusions or pneumothorax. The x-ray also shows multiple healed bilateral rib fractures without any acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2716_1",
            "caption": "The x-ray image shows some opacities in the right lower lung, which indicate possible consolidation and atelectasis. The bilateral costophrenic angles are also blurred, indicating pleural effusion. However, the cardiomediastinal silhouette seems normal, and there is no acute bone abnormality. Overall, the impression suggests the presence of right lower lobe airspace disease with bilateral pleural effusions."
        },
        {
            "image_id": "2716_2",
            "caption": "The x-ray image shows some opacities in the right lower lung, which indicate possible consolidation and atelectasis. The bilateral costophrenic angles are also blurred, indicating pleural effusion. However, the cardiomediastinal silhouette seems normal, and there is no acute bone abnormality. Overall, the impression suggests the presence of right lower lobe airspace disease with bilateral pleural effusions."
        },
        {
            "image_id": "953_1",
            "caption": "From the X-ray finding of the patient, stable cardiomegaly with calcified tortuous aorta is observed. No focal airspace disease or large pleural effusion or pneumothorax is visible. The patient has chronic lung changes and diffuse degenerative changes of the thoracic spine. However, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1579_1",
            "caption": "The x-ray shows no abnormalities. The lungs are clear, and there is no presence of pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures all appear normal. The impression states that there is no acute pulmonary disease."
        },
        {
            "image_id": "2070_1",
            "caption": "The x-ray shows no acute osseous abnormalities. However, there are questionable old left posterior third and fourth rib fractures. The heart size and hilar vascular markings are normal. Bilateral subtle prominence of interstitial markings in the bases, left worse than right is observed. There are no focal areas of consolidation, pleural effusion, or pneumothorax. Based on the findings, there are subtle interstitial markings observed bilaterally that may represent mild pulmonary edema or chronic interstitial changes."
        },
        {
            "image_id": "2070_2",
            "caption": "The x-ray shows no acute osseous abnormalities. However, there are questionable old left posterior third and fourth rib fractures. The heart size and hilar vascular markings are normal. Bilateral subtle prominence of interstitial markings in the bases, left worse than right is observed. There are no focal areas of consolidation, pleural effusion, or pneumothorax. Based on the findings, there are subtle interstitial markings observed bilaterally that may represent mild pulmonary edema or chronic interstitial changes."
        },
        {
            "image_id": "3385_1",
            "caption": "The x-ray of the patient shows normal findings without any significant abnormalities. The cardiac, mediastinal contours, and bony structures appear normal. No signs of lobar pneumonia or pulmonary edema are indicated. Overall, the findings suggest a healthy and normal lung function for the patient."
        },
        {
            "image_id": "3385_2",
            "caption": "The x-ray of the patient shows normal findings without any significant abnormalities. The cardiac, mediastinal contours, and bony structures appear normal. No signs of lobar pneumonia or pulmonary edema are indicated. Overall, the findings suggest a healthy and normal lung function for the patient."
        },
        {
            "image_id": "1592_1",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with borderline cardiomegaly. There are no signs of pneumothorax or large pleural effusion, and no focal airspace disease is found. However, diffuse interstitial opacities are observed, and there are nodular densities consistent with chronic granulomatous disease. Despite these findings, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "760_1",
            "caption": "The X-ray shows minimal hyperexpansion and hyperlucency of the lungs, suggesting chronic lung disease. There is no evidence of focal consolidation, pneumothorax or effusion. There is subsegmental atelectasis in the left lower lobe. The cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine was also noted. Based on these findings, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "760_2",
            "caption": "The X-ray shows minimal hyperexpansion and hyperlucency of the lungs, suggesting chronic lung disease. There is no evidence of focal consolidation, pneumothorax or effusion. There is subsegmental atelectasis in the left lower lobe. The cardiomediastinal silhouette is grossly stable and within normal limits, with mild tortuosity and atherosclerosis of the thoracic aorta. Multilevel degenerative disc disease of the thoracolumbar spine was also noted. Based on these findings, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2925_1",
            "caption": "The x-ray shows no signs of acute pulmonary disease or cardiopulmonary abnormalities. The lungs are clear and there is no pleural effusion. The cardiomediastinal silhouette is within normal limits. This is a reassuring finding."
        },
        {
            "image_id": "2925_2",
            "caption": "The x-ray shows no signs of acute pulmonary disease or cardiopulmonary abnormalities. The lungs are clear and there is no pleural effusion. The cardiomediastinal silhouette is within normal limits. This is a reassuring finding."
        },
        {
            "image_id": "2931_1",
            "caption": "Upon examination of the x-ray image, the trachea appears midline and the heart is of normal size. The presence of opacities are noted in the left lower lobe and left costodiaphragmatic area which could be attributed to scarring or atelectasis. No pneumothorax or acute bone abnormalities were detected. Based on these findings, there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "2931_2",
            "caption": "Upon examination of the x-ray image, the trachea appears midline and the heart is of normal size. The presence of opacities are noted in the left lower lobe and left costodiaphragmatic area which could be attributed to scarring or atelectasis. No pneumothorax or acute bone abnormalities were detected. Based on these findings, there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "774_1",
            "caption": "The x-ray image shows normal heart size and mediastinal contour, with clear lungs that are mildly hyperexpanded. There are no pleural effusions or pneumothoraces. Additionally, degenerative changes in the thoracic spine are visible. The impression suggests that the patient is suffering from Emphysema without acute cardiopulmonary process."
        },
        {
            "image_id": "1586_1",
            "caption": "The X-ray image shows that the heart and lungs are functioning normally. There are no signs of acute cardiopulmonary disease, such as pleural effusion or pneumothorax. The upper thoracic segments, and degenerative changes in the thoracic spine. It is important to monitor these issues but they are not an immediate cause for concern. Overall, the X-ray result indicates that the individual's heart and lungs are healthy."
        },
        {
            "image_id": "1586_2",
            "caption": "The X-ray image shows that the heart and lungs are functioning normally. There are no signs of acute cardiopulmonary disease, such as pleural effusion or pneumothorax. The upper thoracic segments, and degenerative changes in the thoracic spine. It is important to monitor these issues but they are not an immediate cause for concern. Overall, the X-ray result indicates that the individual's heart and lungs are healthy."
        },
        {
            "image_id": "3391_1",
            "caption": "The x-ray shows that there are no suspicious pulmonary opacities or areas of consolidation, and the heart size is normal with no pleural effusions or pneumothorax. There is a stable left mid-lung granuloma present. The impression is that there are no acute cardiopulmonary abnormalities found."
        },
        {
            "image_id": "3391_2",
            "caption": "The x-ray shows that there are no suspicious pulmonary opacities or areas of consolidation, and the heart size is normal with no pleural effusions or pneumothorax. There is a stable left mid-lung granuloma present. The impression is that there are no acute cardiopulmonary abnormalities found."
        },
        {
            "image_id": "2919_1",
            "caption": "According to the findings, the patient has a notably enlarged heart and significant pulmonary vascularity, but no acute abnormalities of the lungs or bones. The impression is that this is indicative of cardiomegaly with central pulmonary vascular congestion, but there is no evidence of pulmonary edema. It is important to discuss these results with a medical professional for further evaluation and treatment options."
        },
        {
            "image_id": "2919_2",
            "caption": "According to the findings, the patient has a notably enlarged heart and significant pulmonary vascularity, but no acute abnormalities of the lungs or bones. The impression is that this is indicative of cardiomegaly with central pulmonary vascular congestion, but there is no evidence of pulmonary edema. It is important to discuss these results with a medical professional for further evaluation and treatment options."
        },
        {
            "image_id": "984_1",
            "caption": "The x-ray shows a normal appearing cardiomediastinal silhouette. However, the lung volumes are low with bronchovascular crowding and scattered opacities in both lungs. There are no areas of consolidation or pneumothorax, and no large pleural effusion is seen. The impression is that it indicates pulmonary hypoinflation with bronchovascular crowding and minimal bibasilar subsegmental atelectasis."
        },
        {
            "image_id": "984_2",
            "caption": "The x-ray shows a normal appearing cardiomediastinal silhouette. However, the lung volumes are low with bronchovascular crowding and scattered opacities in both lungs. There are no areas of consolidation or pneumothorax, and no large pleural effusion is seen. The impression is that it indicates pulmonary hypoinflation with bronchovascular crowding and minimal bibasilar subsegmental atelectasis."
        },
        {
            "image_id": "984_3",
            "caption": "The x-ray shows a normal appearing cardiomediastinal silhouette. However, the lung volumes are low with bronchovascular crowding and scattered opacities in both lungs. There are no areas of consolidation or pneumothorax, and no large pleural effusion is seen. The impression is that it indicates pulmonary hypoinflation with bronchovascular crowding and minimal bibasilar subsegmental atelectasis."
        },
        {
            "image_id": "990_1",
            "caption": "The X-ray image shows no significant abnormalities in the heart or lungs. The heart size is within normal limits and there are no signs of focal airspace consolidations, pneumothorax, or effusions. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "990_2",
            "caption": "The X-ray image shows no significant abnormalities in the heart or lungs. The heart size is within normal limits and there are no signs of focal airspace consolidations, pneumothorax, or effusions. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "748_1",
            "caption": "The x-ray shows that the heart size and mediastinal contours are normal. There are no focal consolidations, pneumothorax or pleural effusions. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "748_2",
            "caption": "The x-ray shows that the heart size and mediastinal contours are normal. There are no focal consolidations, pneumothorax or pleural effusions. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1035_1",
            "caption": "The heart size and pulmonary vascularity are within normal limits with some prominent perihilar opacities present. Additionally, there are vague small nodular opacities in the right upper lung zone that are slightly more prominent. However, there is no evidence of pleural effusion or pneumothorax. The overall impression is that there may be changes due to bronchiectasis and the nodular opacities may indicate dilated bronchi filled with mucous or possibly focal areas of peribronchial pneumonia."
        },
        {
            "image_id": "1035_2",
            "caption": "The heart size and pulmonary vascularity are within normal limits with some prominent perihilar opacities present. Additionally, there are vague small nodular opacities in the right upper lung zone that are slightly more prominent. However, there is no evidence of pleural effusion or pneumothorax. The overall impression is that there may be changes due to bronchiectasis and the nodular opacities may indicate dilated bronchi filled with mucous or possibly focal areas of peribronchial pneumonia."
        },
        {
            "image_id": "3144_1",
            "caption": "Chest X-ray was taken which showed that the lungs were clear with normal lung volumes and no pleural effusions. The mediastinum and pulmonary appeared normal and there were no significant findings in the bony elements. The impression was that there were no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3144_2",
            "caption": "Chest X-ray was taken which showed that the lungs were clear with normal lung volumes and no pleural effusions. The mediastinum and pulmonary appeared normal and there were no significant findings in the bony elements. The impression was that there were no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1753_1",
            "caption": "The X-ray shows that the heart size is enlarged and lung volumes are low. However, there are no visible signs of acute cardiopulmonary abnormalities. Lungs are clear, and bony structures are normal. The X-ray also ruled out the possibility of pneumothorax or pleural effusion. Overall, the X-ray report suggests that the patient's condition is stable."
        },
        {
            "image_id": "1753_2",
            "caption": "The X-ray shows that the heart size is enlarged and lung volumes are low. However, there are no visible signs of acute cardiopulmonary abnormalities. Lungs are clear, and bony structures are normal. The X-ray also ruled out the possibility of pneumothorax or pleural effusion. Overall, the X-ray report suggests that the patient's condition is stable."
        },
        {
            "image_id": "1747_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. However, an ovoid opacity is observed in the retrocardiac area on AP view. Further analysis is needed to determine whether it is a projectional or solid mass, and a dedicated scan is recommended to investigate further. No other concerning findings are present."
        },
        {
            "image_id": "1747_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. However, an ovoid opacity is observed in the retrocardiac area on AP view. Further analysis is needed to determine whether it is a projectional or solid mass, and a dedicated scan is recommended to investigate further. No other concerning findings are present."
        },
        {
            "image_id": "3150_1",
            "caption": "The x-ray image shows that the trachea is in the middle and the cardiomediastinal silhouette is normal. However, there are some opacities in the lower part of the left lung, which are most likely caused by atelectasis. Fortunately, there is no pneumothorax observed, and visual analysis of the bony structures shows no abnormalities. The impression made is that there is atelectasis present in the lower left lung, but no active tuberculosis is detected."
        },
        {
            "image_id": "3150_2",
            "caption": "The x-ray image shows that the trachea is in the middle and the cardiomediastinal silhouette is normal. However, there are some opacities in the lower part of the left lung, which are most likely caused by atelectasis. Fortunately, there is no pneumothorax observed, and visual analysis of the bony structures shows no abnormalities. The impression made is that there is atelectasis present in the lower left lung, but no active tuberculosis is detected."
        },
        {
            "image_id": "2528_1",
            "caption": "The x-ray shows normal cardiac contours and relatively clear lungs. The patient has thoracic spondylosis."
        },
        {
            "image_id": "2528_2",
            "caption": "The x-ray shows normal cardiac contours and relatively clear lungs. The patient has thoracic spondylosis."
        },
        {
            "image_id": "3636_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. There is mild hyperexpansion of the lungs with stable scarring at the lung bases. The radiograph also reveals chronic bilateral interstitial opacities without focal consolidation, pleural effusion or pneumothorax. The findings suggest stable emphysematous changes."
        },
        {
            "image_id": "3636_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. There is mild hyperexpansion of the lungs with stable scarring at the lung bases. The radiograph also reveals chronic bilateral interstitial opacities without focal consolidation, pleural effusion or pneumothorax. The findings suggest stable emphysematous changes."
        },
        {
            "image_id": "1009_1",
            "caption": "The cardiomediastinal silhouette and pulmonary vasculature appear normal. No pneumothorax or pleural effusion is observed. No areas of consolidation are seen. The chest x-ray does not show any acute abnormalities in the heart or lungs."
        },
        {
            "image_id": "1009_2",
            "caption": "The cardiomediastinal silhouette and pulmonary vasculature appear normal. No pneumothorax or pleural effusion is observed. No areas of consolidation are seen. The chest x-ray does not show any acute abnormalities in the heart or lungs."
        },
        {
            "image_id": "589_1",
            "caption": "The chest x-ray shows a normal sized heart and clear lungs. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression is of a normal chest."
        },
        {
            "image_id": "2514_1",
            "caption": "Based on the chest X-ray findings, there is no current cardiopulmonary abnormality. The heart size and mediastinal contour are normal, and the pulmonary vascularity is within limits. The lungs appear clear, with the exceptions of previous granulomatous infection residuals. There are no pneumothoraces or pleural effusions seen. In addition, there are degenerative changes noted in the thoracic spine."
        },
        {
            "image_id": "2514_2",
            "caption": "Based on the chest X-ray findings, there is no current cardiopulmonary abnormality. The heart size and mediastinal contour are normal, and the pulmonary vascularity is within limits. The lungs appear clear, with the exceptions of previous granulomatous infection residuals. There are no pneumothoraces or pleural effusions seen. In addition, there are degenerative changes noted in the thoracic spine."
        },
        {
            "image_id": "3839_1",
            "caption": "The x-ray shows that the heart is borderline in size and stable, and there are small calcified lymph nodes present. The right hemidiaphragm is elevated with some streaky areas of atelectasis present, but no pleural effusion or pneumothorax is seen. Overall, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "562_1",
            "caption": "The chest x-ray shows a normal size and configuration of the cardiac silhouette. The mediastinal contour, pulmonary vasculature, central airways, and lung volumes are all normal. There is no evidence of acute or active cardiac, pulmonary, or pleural disease. Overall, the x-ray appears normal with no abnormal findings."
        },
        {
            "image_id": "562_2",
            "caption": "The chest x-ray shows a normal size and configuration of the cardiac silhouette. The mediastinal contour, pulmonary vasculature, central airways, and lung volumes are all normal. There is no evidence of acute or active cardiac, pulmonary, or pleural disease. Overall, the x-ray appears normal with no abnormal findings."
        },
        {
            "image_id": "1948_1",
            "caption": "The x-ray shows that the heart and lungs are within normal limits for size and contour. There is no evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are also normal for patient age. Based on these findings, there is no acute radiographic cardiopulmonary process present."
        },
        {
            "image_id": "1948_2",
            "caption": "The x-ray shows that the heart and lungs are within normal limits for size and contour. There is no evidence of focal airspace disease, pleural effusion, or pneumothorax. Osseous structures are also normal for patient age. Based on these findings, there is no acute radiographic cardiopulmonary process present."
        },
        {
            "image_id": "204_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression is that it is a normal chest x-ray with no abnormal findings."
        },
        {
            "image_id": "1790_1",
            "caption": "During the examination, the X-ray image showed clear lungs bilaterally, without any signs of pneumonia, pneumothorax, or pleural effusion. The cardio mediastinal silhouette was unremarkable, and the osseous structures of the thorax appeared normal. Overall, no acute cardiopulmonary abnormality was detected, indicating a healthy chest."
        },
        {
            "image_id": "2299_1",
            "caption": "The x-ray shows no signs of acute abnormality. The cardiomediastinal silhouette is normal, and there is no evidence of focal consolidation, pneumothorax or large pleural effusion. An apparent nodular opacity on lateral projection is believed to represent a confluence of overlapping silhouettes. There is a peripheral right basilar calcified granuloma, but otherwise, no acute bone abnormality is observed."
        },
        {
            "image_id": "2299_2",
            "caption": "The x-ray shows no signs of acute abnormality. The cardiomediastinal silhouette is normal, and there is no evidence of focal consolidation, pneumothorax or large pleural effusion. An apparent nodular opacity on lateral projection is believed to represent a confluence of overlapping silhouettes. There is a peripheral right basilar calcified granuloma, but otherwise, no acute bone abnormality is observed."
        },
        {
            "image_id": "3187_1",
            "caption": "The patient's x-ray showed stable postoperative changes with midline sternotomy scar and myocardial revascularization. The cardiac size remains mildly enlarged but stable with mild vascular congestion. There are small bilateral pleural effusions which were difficult to determine. The constellation of these findings suggests congestive heart failure."
        },
        {
            "image_id": "3187_2",
            "caption": "The patient's x-ray showed stable postoperative changes with midline sternotomy scar and myocardial revascularization. The cardiac size remains mildly enlarged but stable with mild vascular congestion. There are small bilateral pleural effusions which were difficult to determine. The constellation of these findings suggests congestive heart failure."
        },
        {
            "image_id": "3193_1",
            "caption": "The lungs show mild hyperinflation but are free from acute focal infiltrate, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. The heart size and pulmonary vascularity are within normal limits, and the visualized osseous structures appear intact. The overall impression is of mildly hyperexpanded lungs without any acute abnormality."
        },
        {
            "image_id": "3193_2",
            "caption": "The lungs show mild hyperinflation but are free from acute focal infiltrate, suspicious pulmonary opacity, pneumothorax or definite pleural effusion. The heart size and pulmonary vascularity are within normal limits, and the visualized osseous structures appear intact. The overall impression is of mildly hyperexpanded lungs without any acute abnormality."
        },
        {
            "image_id": "210_1",
            "caption": "The x-ray shows surgical clips at the thoracic inlet and small areas of scarring in the left base, but other than that, the lungs are clear and there is no evidence of pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures appear normal. Based on these findings, there is no acute pulmonary disease."
        },
        {
            "image_id": "210_2",
            "caption": "The x-ray shows surgical clips at the thoracic inlet and small areas of scarring in the left base, but other than that, the lungs are clear and there is no evidence of pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures appear normal. Based on these findings, there is no acute pulmonary disease."
        },
        {
            "image_id": "210_3",
            "caption": "The x-ray shows surgical clips at the thoracic inlet and small areas of scarring in the left base, but other than that, the lungs are clear and there is no evidence of pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures appear normal. Based on these findings, there is no acute pulmonary disease."
        },
        {
            "image_id": "576_1",
            "caption": "The patient's x-ray reveals mild rightward deviation of the trachea and stable cardiomegaly. Peripheral right pleural effusion is observed with adjacent atelectasis, and low lung volumes are present. However, no focal airspace consolidation is observed. Additionally, there are severe degenerative changes of the right shoulder. Based on these observations, the patient likely has right pleural effusion with adjacent atelectasis, and there are no definite signs of pneumonia."
        },
        {
            "image_id": "576_2",
            "caption": "The patient's x-ray reveals mild rightward deviation of the trachea and stable cardiomegaly. Peripheral right pleural effusion is observed with adjacent atelectasis, and low lung volumes are present. However, no focal airspace consolidation is observed. Additionally, there are severe degenerative changes of the right shoulder. Based on these observations, the patient likely has right pleural effusion with adjacent atelectasis, and there are no definite signs of pneumonia."
        },
        {
            "image_id": "3805_1",
            "caption": "The X-ray shows that the heart is normal in size and shape, and there is no widening of the mediastinum. The lungs are also clear without any large pleural effusion or pneumothorax. The doctor can confirm that there are no acute cardiopulmonary abnormalities detected in the image."
        },
        {
            "image_id": "1974_1",
            "caption": "The x-ray shows clear lungs and a normal cardiomediastinal silhouette without any pneumothorax or pleural effusion. The impression is a negative chest, indicating no acute pulmonary or cardiac findings. This result suggests that the patient's respiratory and cardiovascular health are stable."
        },
        {
            "image_id": "1974_2",
            "caption": "The x-ray shows clear lungs and a normal cardiomediastinal silhouette without any pneumothorax or pleural effusion. The impression is a negative chest, indicating no acute pulmonary or cardiac findings. This result suggests that the patient's respiratory and cardiovascular health are stable."
        },
        {
            "image_id": "238_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. Specifically, the cardiomediastinal silhouette is stable and there are no focal pulmonary opacities, pleural effusions or pneumothorax. Additionally, there is no acute bony abnormality."
        },
        {
            "image_id": "238_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. Specifically, the cardiomediastinal silhouette is stable and there are no focal pulmonary opacities, pleural effusions or pneumothorax. Additionally, there is no acute bony abnormality."
        },
        {
            "image_id": "1960_1",
            "caption": "The chest x-ray reveals that the cardiac and mediastinal contours are normal size and shape. The lungs appear clear and the bony structures are intact. Overall, the x-ray is negative and shows no acute abnormalities in the chest."
        },
        {
            "image_id": "1960_2",
            "caption": "The chest x-ray reveals that the cardiac and mediastinal contours are normal size and shape. The lungs appear clear and the bony structures are intact. Overall, the x-ray is negative and shows no acute abnormalities in the chest."
        },
        {
            "image_id": "1141_1",
            "caption": "The x-ray shows both lungs to be clear and expanded, with a normal heart and mediastinum. The impression is that there is no active disease present in the patient's chest."
        },
        {
            "image_id": "1141_2",
            "caption": "The x-ray shows both lungs to be clear and expanded, with a normal heart and mediastinum. The impression is that there is no active disease present in the patient's chest."
        },
        {
            "image_id": "3756_1",
            "caption": "The X-ray shows normal mediastinal contours with clear lungs. There is no pneumothorax or large pleural effusion. The impression indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3756_2",
            "caption": "The X-ray shows normal mediastinal contours with clear lungs. There is no pneumothorax or large pleural effusion. The impression indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2448_1",
            "caption": "Mediastinal contours appear normal with no significant changes in the pneumothorax or right pleural fluid. The x-ray shows no significant changes in the right pneumothorax or pleural fluid."
        },
        {
            "image_id": "2448_2",
            "caption": "Mediastinal contours appear normal with no significant changes in the pneumothorax or right pleural fluid. The x-ray shows no significant changes in the right pneumothorax or pleural fluid."
        },
        {
            "image_id": "3030_1",
            "caption": "The x-ray shows that the cardiomediastinal silhouette is normal and there is no focal consolidation or acute bony abnormality. There is also no evidence of a large pleural effusion or pneumothorax. The impression is that there is no radiographic evidence of acute cardiopulmonary disease, indicating a healthy-looking chest x-ray."
        },
        {
            "image_id": "3030_2",
            "caption": "The x-ray shows that the cardiomediastinal silhouette is normal and there is no focal consolidation or acute bony abnormality. There is also no evidence of a large pleural effusion or pneumothorax. The impression is that there is no radiographic evidence of acute cardiopulmonary disease, indicating a healthy-looking chest x-ray."
        },
        {
            "image_id": "1627_1",
            "caption": "The x-ray shows that the lungs and pleural spaces are normal and there is no acute abnormality. The heart size and pulmonary vascularity are also within normal limits. Based on these findings, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1627_2",
            "caption": "The x-ray shows that the lungs and pleural spaces are normal and there is no acute abnormality. The heart size and pulmonary vascularity are also within normal limits. Based on these findings, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1633_1",
            "caption": "The x-ray shows that the lungs are clear with no evidence of pneumonia, collapsed lung, or excess fluid. The heart and mediastinum show no abnormality either. No acute bone issues were found. In short, the chest looks perfectly stable with no acute cardiopulmonary disease."
        },
        {
            "image_id": "1633_2",
            "caption": "The x-ray shows that the lungs are clear with no evidence of pneumonia, collapsed lung, or excess fluid. The heart and mediastinum show no abnormality either. No acute bone issues were found. In short, the chest looks perfectly stable with no acute cardiopulmonary disease."
        },
        {
            "image_id": "1633_3",
            "caption": "The x-ray shows that the lungs are clear with no evidence of pneumonia, collapsed lung, or excess fluid. The heart and mediastinum show no abnormality either. No acute bone issues were found. In short, the chest looks perfectly stable with no acute cardiopulmonary disease."
        },
        {
            "image_id": "3024_1",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and central vascular markings are normal. Both lungs are properly inflated without any disease related to airspaces, pleura, or pneumothorax. Moreover, there is no acute bone abnormality observed. The impressions suggest that there is no active cardiopulmonary disease in the patient."
        },
        {
            "image_id": "3024_2",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and central vascular markings are normal. Both lungs are properly inflated without any disease related to airspaces, pleura, or pneumothorax. Moreover, there is no acute bone abnormality observed. The impressions suggest that there is no active cardiopulmonary disease in the patient."
        },
        {
            "image_id": "3742_1",
            "caption": "The x-ray indicates that the patient's cardiac and mediastinal contours are normal, the lungs are clear, and the bony structures are intact. The impression of the x-ray is that there are no acute findings. However, there is evidence of prior granulomatous disease. It's important to consult with a healthcare provider to better understand the implications of the prior granulomatous disease and any recommended follow-up care."
        },
        {
            "image_id": "3742_2",
            "caption": "The x-ray indicates that the patient's cardiac and mediastinal contours are normal, the lungs are clear, and the bony structures are intact. The impression of the x-ray is that there are no acute findings. However, there is evidence of prior granulomatous disease. It's important to consult with a healthcare provider to better understand the implications of the prior granulomatous disease and any recommended follow-up care."
        },
        {
            "image_id": "1155_1",
            "caption": "The X-ray image shows stable scoliosis. The lungs are clear and heart size is normal, indicating no acute cardiopulmonary abnormality. There is no radiographic evidence of tuberculosis. The absence of pneumothorax in the lungs, along with the stable scoliosis, further confirms that there is no acute bony abnormality. Overall, the X-ray indicates a healthy and stable chest with no immediate concerns."
        },
        {
            "image_id": "2474_1",
            "caption": "The X-ray shows patchy infiltrates in both lower lobes of the lungs with bilateral small pleural fluid collections. The costophrenic angles are blunted. The aorta is tortuous, but heart size is normal. Pulmonary structures show normal appearance. Based on the findings, the impression is bibasilar patchy airspace disease with bilateral small pleural fluid collections."
        },
        {
            "image_id": "2312_1",
            "caption": "The chest x-ray shows no acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs are clear without any abnormal findings."
        },
        {
            "image_id": "2312_2",
            "caption": "The chest x-ray shows no acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs are clear without any abnormal findings."
        },
        {
            "image_id": "2306_1",
            "caption": "The chest x-ray shows no acute abnormalities. The cardiac and mediastinal contours are within normal limits, with clear lungs and normal cardiovascular markings. The bony structures are intact, except for mild degenerative changes of the lower thoracic spine. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2306_2",
            "caption": "The chest x-ray shows no acute abnormalities. The cardiac and mediastinal contours are within normal limits, with clear lungs and normal cardiovascular markings. The bony structures are intact, except for mild degenerative changes of the lower thoracic spine. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3018_1",
            "caption": "The finding shows that the heart size is normal and there is no focal airspace disease. A 4 mm lateral left midlung calcified granuloma is stable and there is no presence of pneumothorax or pleural effusion. The impression suggests that there are no acute cardiopulmonary findings which indicates that the patient is in good health."
        },
        {
            "image_id": "3018_2",
            "caption": "The finding shows that the heart size is normal and there is no focal airspace disease. A 4 mm lateral left midlung calcified granuloma is stable and there is no presence of pneumothorax or pleural effusion. The impression suggests that there are no acute cardiopulmonary findings which indicates that the patient is in good health."
        },
        {
            "image_id": "1169_1",
            "caption": "The patient has reduced lung volumes, with a vague nodular opacity near the anterior right first rib costicartilage junction that may be calcification. Additionally, there is minimal streaky atelectasis in the right lung base. The X-ray shows a left-sided PICC line, with the distal tip in the lower superior vena cava. The heart and pulmonary vasculature are normal. No other acute abnormalities are present."
        },
        {
            "image_id": "3795_1",
            "caption": "The patient underwent two imaging scans which revealed moderate thoracic dextroscoliosis, consistent with prior imaging. The heart appears normal in size, and there is no evidence of airspace consolidation, pleural effusion, or pneumothorax in the lungs. The impression is that there are no acute changes from prior imaging."
        },
        {
            "image_id": "3795_2",
            "caption": "The patient underwent two imaging scans which revealed moderate thoracic dextroscoliosis, consistent with prior imaging. The heart appears normal in size, and there is no evidence of airspace consolidation, pleural effusion, or pneumothorax in the lungs. The impression is that there are no acute changes from prior imaging."
        },
        {
            "image_id": "416_1",
            "caption": "The x-ray shows that the heart size is normal and the mediastinal and hilar contours are stable. There is no focal alveolar consolidation, pleural effusion or typical findings of pulmonary edema. The impression is that there are no acute findings."
        },
        {
            "image_id": "416_2",
            "caption": "The x-ray shows that the heart size is normal and the mediastinal and hilar contours are stable. There is no focal alveolar consolidation, pleural effusion or typical findings of pulmonary edema. The impression is that there are no acute findings."
        },
        {
            "image_id": "1182_1",
            "caption": "The chest x-ray shows that the heart is of normal size and shape. There are no signs of any abnormal fluid collections in the lungs or in the pleural space surrounding the lungs, and no areas of lung collapse or air leakage. Overall, the image indicates that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1182_2",
            "caption": "The chest x-ray shows that the heart is of normal size and shape. There are no signs of any abnormal fluid collections in the lungs or in the pleural space surrounding the lungs, and no areas of lung collapse or air leakage. Overall, the image indicates that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "370_1",
            "caption": "The x-ray shows that the heart size and cardiomediastinal contours are normal, while the lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact. The impression is negative for acute cardiopulmonary findings."
        },
        {
            "image_id": "370_2",
            "caption": "The x-ray shows that the heart size and cardiomediastinal contours are normal, while the lungs are clear without focal airspace opacity, pleural effusion, or pneumothorax. Osseous structures are grossly intact. The impression is negative for acute cardiopulmonary findings."
        },
        {
            "image_id": "364_1",
            "caption": "The x-ray image shows that the heart, lungs, and bony structures are normal. There are no signs of any acute abnormalities such as pneumonia, effusion, or pneumothorax. This indicates a healthy condition of the cardiopulmonary system."
        },
        {
            "image_id": "364_2",
            "caption": "The x-ray image shows that the heart, lungs, and bony structures are normal. There are no signs of any acute abnormalities such as pneumonia, effusion, or pneumothorax. This indicates a healthy condition of the cardiopulmonary system."
        },
        {
            "image_id": "1196_1",
            "caption": "The finding on the x-ray image shows that the heart and mediastinum are normal. The aorta is atherosclerotic and there is an airspace disease in the left lower lung. However, there is no presence of pleural effusion or pneumothorax. Additionally, there are surgical clips overlying the right breast. The impression of the x-ray indicates the presence of the airspace disease in the left lower lobe."
        },
        {
            "image_id": "1196_2",
            "caption": "The finding on the x-ray image shows that the heart and mediastinum are normal. The aorta is atherosclerotic and there is an airspace disease in the left lower lung. However, there is no presence of pleural effusion or pneumothorax. Additionally, there are surgical clips overlying the right breast. The impression of the x-ray indicates the presence of the airspace disease in the left lower lobe."
        },
        {
            "image_id": "402_1",
            "caption": "The X-ray shows stable findings in the heart and lungs with no acute changes. Both lungs are clear of any abnormalities and are properly expanded. The heart and mediastinum appear normal. The impression states that no active disease is observed, suggesting that the patient's condition is under control. It is important to continue monitoring the patient's progress through regular check-ups."
        },
        {
            "image_id": "3959_1",
            "caption": "The X-ray image shows clear lungs and normal heart size with no acute cardiopulmonary abnormality. There is no evidence of pneumothorax. Sternotomy wires up and overlying the heart are visible. Radiologist's impression is negative for any acute findings."
        },
        {
            "image_id": "3959_2",
            "caption": "The X-ray image shows clear lungs and normal heart size with no acute cardiopulmonary abnormality. There is no evidence of pneumothorax. Sternotomy wires up and overlying the heart are visible. Radiologist's impression is negative for any acute findings."
        },
        {
            "image_id": "3781_1",
            "caption": "The x-ray of the patient's chest shows clear lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and the osseous structures of the thorax look normal. An incidental finding of a right humeral intramedullary without any complicating features is noted. The impression of the x-ray shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3781_2",
            "caption": "The x-ray of the patient's chest shows clear lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and the osseous structures of the thorax look normal. An incidental finding of a right humeral intramedullary without any complicating features is noted. The impression of the x-ray shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3971_1",
            "caption": "The patient's x-ray shows that the heart size and cardiomediastinal silhouette are normal. The lungs are clear, without any focal airspace opacity, pleural effusion, or pneumothorax. The bony structures are also normal. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3971_2",
            "caption": "The patient's x-ray shows that the heart size and cardiomediastinal silhouette are normal. The lungs are clear, without any focal airspace opacity, pleural effusion, or pneumothorax. The bony structures are also normal. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3971_3",
            "caption": "The patient's x-ray shows that the heart size and cardiomediastinal silhouette are normal. The lungs are clear, without any focal airspace opacity, pleural effusion, or pneumothorax. The bony structures are also normal. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1800_1",
            "caption": "The lungs are hyperexpanded, but there is no evidence of acute abnormalities such as consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within the normal limits. The impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1800_2",
            "caption": "The lungs are hyperexpanded, but there is no evidence of acute abnormalities such as consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is within the normal limits. The impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "358_1",
            "caption": "The x-ray image shows clear lungs bilaterally with normal cardiac and mediastinal silhouettes. Pulmonary vasculature is normal, and there is no evidence of pneumothorax or pleural effusion. Only a limbus vertebra is noted within the partial visualized lumbar vertebral body. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "358_2",
            "caption": "The x-ray image shows clear lungs bilaterally with normal cardiac and mediastinal silhouettes. Pulmonary vasculature is normal, and there is no evidence of pneumothorax or pleural effusion. Only a limbus vertebra is noted within the partial visualized lumbar vertebral body. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "3965_1",
            "caption": "The x-ray reveals that both the heart and lungs are currently stable and without any notable abnormalities. Overall, there is no indication of acute or active disease in the patient's cardiopulmonary system."
        },
        {
            "image_id": "3965_2",
            "caption": "The x-ray reveals that both the heart and lungs are currently stable and without any notable abnormalities. Overall, there is no indication of acute or active disease in the patient's cardiopulmonary system."
        },
        {
            "image_id": "3965_3",
            "caption": "The x-ray reveals that both the heart and lungs are currently stable and without any notable abnormalities. Overall, there is no indication of acute or active disease in the patient's cardiopulmonary system."
        },
        {
            "image_id": "3965_4",
            "caption": "The x-ray reveals that both the heart and lungs are currently stable and without any notable abnormalities. Overall, there is no indication of acute or active disease in the patient's cardiopulmonary system."
        },
        {
            "image_id": "1425_1",
            "caption": "The patient's chest x-ray shows clear lungs bilaterally, without any signs of consolidation, pneumothorax or pleural effusion. The cardio mediastinal silhouette and the osseous structures of the thorax are within normal limits. The impression of the x-ray indicates that there is no acute cardiopulmonary abnormality. This suggests that the patient has a healthy respiratory and cardiovascular system at this point in time."
        },
        {
            "image_id": "1425_2",
            "caption": "The patient's chest x-ray shows clear lungs bilaterally, without any signs of consolidation, pneumothorax or pleural effusion. The cardio mediastinal silhouette and the osseous structures of the thorax are within normal limits. The impression of the x-ray indicates that there is no acute cardiopulmonary abnormality. This suggests that the patient has a healthy respiratory and cardiovascular system at this point in time."
        },
        {
            "image_id": "3232_1",
            "caption": "Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone, there has been development of a small lung nodule. This measures approximately 8 mm in diameter.  8 mm left midlung nodule. Further investigation is required to assess the chronicity of this nodule. If old films are not available, chest CT scan could be performed to better define this. Overall, the x-ray shows no signs of acute cardiopulmonary abnormality except for the small lung nodule in the left midlung zone. It is essential to analyze past medical reports for comparison with current findings or conduct additional imaging tests for a better understanding of the chronicity of the nodule."
        },
        {
            "image_id": "3232_2",
            "caption": "Heart size and pulmonary vascularity appear within normal limits. The lungs are free of focal airspace disease. No pleural effusion or pneumothorax is seen. In the left midlung zone, there has been development of a small lung nodule. This measures approximately 8 mm in diameter.  8 mm left midlung nodule. Further investigation is required to assess the chronicity of this nodule. If old films are not available, chest CT scan could be performed to better define this. Overall, the x-ray shows no signs of acute cardiopulmonary abnormality except for the small lung nodule in the left midlung zone. It is essential to analyze past medical reports for comparison with current findings or conduct additional imaging tests for a better understanding of the chronicity of the nodule."
        },
        {
            "image_id": "2892_1",
            "caption": "The x-ray shows a normal heart size and clear lungs without infiltrate. There are calcified granulomas present in the left lower lobe, but there is no evidence of pneumothorax or effusion. Overall, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2892_2",
            "caption": "The x-ray shows a normal heart size and clear lungs without infiltrate. There are calcified granulomas present in the left lower lobe, but there is no evidence of pneumothorax or effusion. Overall, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1343_1",
            "caption": "Based on the x-ray image, there is evidence of mild cardiomegaly along with moderate hiatal hernia. Apart from that, degenerative changes of the thoracic spine are observed."
        },
        {
            "image_id": "1343_2",
            "caption": "Based on the x-ray image, there is evidence of mild cardiomegaly along with moderate hiatal hernia. Apart from that, degenerative changes of the thoracic spine are observed."
        },
        {
            "image_id": "1357_1",
            "caption": "The x-ray indicates stable cardiomegaly, without any evidence of acute cardiopulmonary abnormality. The report shows clear lungs bilaterally, with no indication of focal consolidation, pneumothorax, or pleural effusion. There is a stable, right basilar calcified granuloma with no acute abnormalities in the visualized osseous structures. Additionally, the cardiomegaly is stable."
        },
        {
            "image_id": "2886_1",
            "caption": "The x-ray image shows low lung volumes and intact osseous structures. However, there is a question of patchy opacity in the left base which may represent an evolving infiltrate. The image also reveals a small right pleural effusion. The findings indicate a need for further evaluation and treatment."
        },
        {
            "image_id": "2886_2",
            "caption": "The x-ray image shows low lung volumes and intact osseous structures. However, there is a question of patchy opacity in the left base which may represent an evolving infiltrate. The image also reveals a small right pleural effusion. The findings indicate a need for further evaluation and treatment."
        },
        {
            "image_id": "3540_1",
            "caption": "The x-ray results show that the heart and mediastinum are normal. The lungs are hyperexpanded with no signs of infiltrate, effusion or pneumothorax indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "3540_2",
            "caption": "The x-ray results show that the heart and mediastinum are normal. The lungs are hyperexpanded with no signs of infiltrate, effusion or pneumothorax indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "3226_1",
            "caption": "The x-ray shows that the cardiac contours are normal and lungs are clear. However, there is thoracic spondylosis present. The overall impression is that there is no acute process."
        },
        {
            "image_id": "3226_2",
            "caption": "The x-ray shows that the cardiac contours are normal and lungs are clear. However, there is thoracic spondylosis present. The overall impression is that there is no acute process."
        },
        {
            "image_id": "9_1",
            "caption": "The frontal and lateral radiographs of the chest show no cardiomegaly or acute pulmonary disease. However, an interval increase in density at the left cardiophrenic angle is noted. Further investigations such as CT chest with contrast are recommended to determine the underlying cause. The presence of a calcified granuloma in the right upper lobe is also observed. These findings were discussed with the radiologist and technologist, and the necessary actions were taken."
        },
        {
            "image_id": "9_2",
            "caption": "The frontal and lateral radiographs of the chest show no cardiomegaly or acute pulmonary disease. However, an interval increase in density at the left cardiophrenic angle is noted. Further investigations such as CT chest with contrast are recommended to determine the underlying cause. The presence of a calcified granuloma in the right upper lobe is also observed. These findings were discussed with the radiologist and technologist, and the necessary actions were taken."
        },
        {
            "image_id": "2138_1",
            "caption": "The x-ray image shows normal heart size and a stable tortuous thoracic aorta. A focal opacity is noted in the left midlung, which likely represents healing rib callus. There is no evidence of pneumothorax or pleural effusion. The impression is that no acute abnormality is seen."
        },
        {
            "image_id": "2138_2",
            "caption": "The x-ray image shows normal heart size and a stable tortuous thoracic aorta. A focal opacity is noted in the left midlung, which likely represents healing rib callus. There is no evidence of pneumothorax or pleural effusion. The impression is that no acute abnormality is seen."
        },
        {
            "image_id": "1431_1",
            "caption": "The x-ray image shows no evidence of acute abnormality. The cardiomediastinal silhouette and pulmonary vasculature are normal in size. Lungs appear clear and there is no sign of focal airspace disease, pneumothorax or pleural effusion. Additionally, no acute bony findings were found. Overall, there are no acute cardiopulmonary findings to report."
        },
        {
            "image_id": "1431_2",
            "caption": "The x-ray image shows no evidence of acute abnormality. The cardiomediastinal silhouette and pulmonary vasculature are normal in size. Lungs appear clear and there is no sign of focal airspace disease, pneumothorax or pleural effusion. Additionally, no acute bony findings were found. Overall, there are no acute cardiopulmonary findings to report."
        },
        {
            "image_id": "2110_1",
            "caption": "Upon examination of the patient's chest X-ray, it is observed that the heart and mediastinum are normal in size and unremarkable, respectively. The lungs are clear with no signs of acute disease. This indicates that the patient is currently in good health and does not require immediate medical attention."
        },
        {
            "image_id": "2110_2",
            "caption": "Upon examination of the patient's chest X-ray, it is observed that the heart and mediastinum are normal in size and unremarkable, respectively. The lungs are clear with no signs of acute disease. This indicates that the patient is currently in good health and does not require immediate medical attention."
        },
        {
            "image_id": "1419_1",
            "caption": "The x-ray image reveals the cardiac silhouette and pulmonary vascularity are normal. Additionally, minimal atherosclerotic changes are present in the thoracic aorta. However, mild bibasilar focal atelectasis is noted, with no evidence of pleural effusion or pneumothorax. In summary, minimal bibasilar focal atelectasis is observed on the x-ray."
        },
        {
            "image_id": "1419_2",
            "caption": "The x-ray image reveals the cardiac silhouette and pulmonary vascularity are normal. Additionally, minimal atherosclerotic changes are present in the thoracic aorta. However, mild bibasilar focal atelectasis is noted, with no evidence of pleural effusion or pneumothorax. In summary, minimal bibasilar focal atelectasis is observed on the x-ray."
        },
        {
            "image_id": "833_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are within normal limits. There are no signs of focal airspace disease, pleural effusion or pneumothorax. The impression indicates that no evidence of active disease is present."
        },
        {
            "image_id": "833_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are within normal limits. There are no signs of focal airspace disease, pleural effusion or pneumothorax. The impression indicates that no evidence of active disease is present."
        },
        {
            "image_id": "2676_1",
            "caption": "The x-ray examination shows a stable position of the nasogastric tube within the stomach along with atelectasis in the subsegmental bibasilar region. The heart is enlarged without acute heart failure. The thoracic aorta displays atherosclerosis. There is no evidence of focal consolidation, pneumothorax or large pleural effusion. Additionally, there is a relative elevation of right hemidiaphragm and stable obscuration of lateral left diaphragm."
        },
        {
            "image_id": "2676_2",
            "caption": "The x-ray examination shows a stable position of the nasogastric tube within the stomach along with atelectasis in the subsegmental bibasilar region. The heart is enlarged without acute heart failure. The thoracic aorta displays atherosclerosis. There is no evidence of focal consolidation, pneumothorax or large pleural effusion. Additionally, there is a relative elevation of right hemidiaphragm and stable obscuration of lateral left diaphragm."
        },
        {
            "image_id": "3568_1",
            "caption": "The x-ray image shows a normal heart size and clear lungs without any signs of acute disease such as pleural effusion, pneumothorax, or focal airspace opacity. There are also stable calcified right peritracheal lymph nodes and intact osseous structures in the image. Based on these findings, there is no indication of acute cardiopulmonary diseas or symptom."
        },
        {
            "image_id": "3568_2",
            "caption": "The x-ray image shows a normal heart size and clear lungs without any signs of acute disease such as pleural effusion, pneumothorax, or focal airspace opacity. There are also stable calcified right peritracheal lymph nodes and intact osseous structures in the image. Based on these findings, there is no indication of acute cardiopulmonary diseas or symptom."
        },
        {
            "image_id": "2662_1",
            "caption": "The finding indicates the heart is of normal size, mediastinum is unremarkable, and lungs are clear. There is no acute disease seen. This is a good sign of a healthy cardiopulmonary system. Regular radiography and check-ups can help one maintain good lung and heart health."
        },
        {
            "image_id": "2662_2",
            "caption": "The finding indicates the heart is of normal size, mediastinum is unremarkable, and lungs are clear. There is no acute disease seen. This is a good sign of a healthy cardiopulmonary system. Regular radiography and check-ups can help one maintain good lung and heart health."
        },
        {
            "image_id": "827_1",
            "caption": "The X-ray shows a normal sized heart and unremarkable mediastinum. Scarring and emphysematous changes are noted in the lungs, however, there is no current evidence of acute disease. The lungs are grossly clear, indicating that there is no current lung infection."
        },
        {
            "image_id": "827_2",
            "caption": "The X-ray shows a normal sized heart and unremarkable mediastinum. Scarring and emphysematous changes are noted in the lungs, however, there is no current evidence of acute disease. The lungs are grossly clear, indicating that there is no current lung infection."
        },
        {
            "image_id": "67_1",
            "caption": "The x-ray reveals low volumes with bronchovascular crowding and no acute abnormality. The heart and mediastinal contours are within normal limits with no displaced fractures identified. There are no focal infiltrates or effusions seen. The findings suggest a stable condition."
        },
        {
            "image_id": "67_2",
            "caption": "The x-ray reveals low volumes with bronchovascular crowding and no acute abnormality. The heart and mediastinal contours are within normal limits with no displaced fractures identified. There are no focal infiltrates or effusions seen. The findings suggest a stable condition."
        },
        {
            "image_id": "172_1",
            "caption": "The x-ray shows an elevated right hemidiaphragm with the heart size being at the upper limits of normal. However, the lungs are clear with no pleural effusions or pneumothoraces. The aorta is tortuous and has ectasia. There are generative changes within the spine, and an age-indeterminate wedge deformity of an upper lumbar spine vertebral body is present. Overall, this x-ray suggests no acute respiratory or cardiac disease; however, further evaluation may be necessary to assess the deformity in the upper lumbar spine."
        },
        {
            "image_id": "172_2",
            "caption": "The x-ray shows an elevated right hemidiaphragm with the heart size being at the upper limits of normal. However, the lungs are clear with no pleural effusions or pneumothoraces. The aorta is tortuous and has ectasia. There are generative changes within the spine, and an age-indeterminate wedge deformity of an upper lumbar spine vertebral body is present. Overall, this x-ray suggests no acute respiratory or cardiac disease; however, further evaluation may be necessary to assess the deformity in the upper lumbar spine."
        },
        {
            "image_id": "1380_1",
            "caption": "The x-ray image shows clear lungs bilaterally, normal cardiac and mediastinal silhouettes, and normal pulmonary vasculature. There is no evidence of pneumothorax or pleural effusion, nor are there any acute bony abnormalities. Based on these findings, there is no acute cardiopulmonary abnormality present in the image."
        },
        {
            "image_id": "1380_2",
            "caption": "The x-ray image shows clear lungs bilaterally, normal cardiac and mediastinal silhouettes, and normal pulmonary vasculature. There is no evidence of pneumothorax or pleural effusion, nor are there any acute bony abnormalities. Based on these findings, there is no acute cardiopulmonary abnormality present in the image."
        },
        {
            "image_id": "2851_1",
            "caption": "The x-ray image shows no signs of acute abnormality. The heart, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear without focal airspace disease, pneumothorax, or pleural effusion. No acute bony abnormality is identified. The cardiomegaly is absent. The x-ray image reveals stable lung volumes, and clear bilaterally. Based on the findings, no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "2851_2",
            "caption": "The x-ray image shows no signs of acute abnormality. The heart, mediastinum, and pulmonary vasculature are within normal limits. Lungs are clear without focal airspace disease, pneumothorax, or pleural effusion. No acute bony abnormality is identified. The cardiomegaly is absent. The x-ray image reveals stable lung volumes, and clear bilaterally. Based on the findings, no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "3597_1",
            "caption": "No pleural effusions or pneumothorax. There are degenerative changes in the thoracic spine and the heart size is within normal limits. Overall, there is no acute cardiopulmonary abnormality found in the x-ray image."
        },
        {
            "image_id": "3597_2",
            "caption": "No pleural effusions or pneumothorax. There are degenerative changes in the thoracic spine and the heart size is within normal limits. Overall, there is no acute cardiopulmonary abnormality found in the x-ray image."
        },
        {
            "image_id": "2689_1",
            "caption": "The chest x-ray shows the presence of calcified granulomas and calcifications of the aortic arch. The lungs are clear without any pleural effusion or pneumothorax. There is an area of focal density overlying the right first rib and medial clavicle, which could be bony in origin or an underlying pulmonary lesion that cannot be excluded without further imaging. Given the lack of prior images, a CT scan of the chest is recommended for conclusive diagnosis. The heart and skeletal structures are normal, and the patient has had a left mastectomy."
        },
        {
            "image_id": "2689_2",
            "caption": "The chest x-ray shows the presence of calcified granulomas and calcifications of the aortic arch. The lungs are clear without any pleural effusion or pneumothorax. There is an area of focal density overlying the right first rib and medial clavicle, which could be bony in origin or an underlying pulmonary lesion that cannot be excluded without further imaging. Given the lack of prior images, a CT scan of the chest is recommended for conclusive diagnosis. The heart and skeletal structures are normal, and the patient has had a left mastectomy."
        },
        {
            "image_id": "2845_1",
            "caption": "The X-ray shows clear lungs and a normal-sized heart. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2845_2",
            "caption": "The X-ray shows clear lungs and a normal-sized heart. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3583_1",
            "caption": "The X-ray image shows no signs of acute cardiopulmonary disease. The heart, pulmonary structures, and mediastinum appear normal, and there is no evidence of pleural effusion or pneumothorax. Additionally, there are no focal airspace opacities to suggest pneumonia. Mild degenerative changes are noted in the spine. Overall, the X-ray appears to be within normal limits."
        },
        {
            "image_id": "3583_2",
            "caption": "The X-ray image shows no signs of acute cardiopulmonary disease. The heart, pulmonary structures, and mediastinum appear normal, and there is no evidence of pleural effusion or pneumothorax. Additionally, there are no focal airspace opacities to suggest pneumonia. Mild degenerative changes are noted in the spine. Overall, the X-ray appears to be within normal limits."
        },
        {
            "image_id": "98_1",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary or pleural disease. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lung volumes appear reduced with basilar atelectasis, but there is no indication of focal airspace consolidation or pleural effusion."
        },
        {
            "image_id": "98_2",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary or pleural disease. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. Lung volumes appear reduced with basilar atelectasis, but there is no indication of focal airspace consolidation or pleural effusion."
        },
        {
            "image_id": "600_1",
            "caption": "The X-ray shows no acute abnormality. The cardiomediastinal silhouette appears normal, and there is no focal consolidation or large pleural effusion. Calcified left hilar lymph nodes/granulomas are visible, and an old fracture on the right mid clavicle is observed. The radiologist suggests no further follow-up or treatment based on these findings."
        },
        {
            "image_id": "600_2",
            "caption": "The X-ray shows no acute abnormality. The cardiomediastinal silhouette appears normal, and there is no focal consolidation or large pleural effusion. Calcified left hilar lymph nodes/granulomas are visible, and an old fracture on the right mid clavicle is observed. The radiologist suggests no further follow-up or treatment based on these findings."
        },
        {
            "image_id": "166_1",
            "caption": "The x-ray shows that the heart size and pulmonary blood vessels are normal. The lungs do not have any focal airspace disease, pneumothorax, or pleural effusion. Calcified lymph nodes and granulomas are present, and mild degenerative changes are observed in the spine. However, there is no evidence of any active disease."
        },
        {
            "image_id": "166_2",
            "caption": "The x-ray shows that the heart size and pulmonary blood vessels are normal. The lungs do not have any focal airspace disease, pneumothorax, or pleural effusion. Calcified lymph nodes and granulomas are present, and mild degenerative changes are observed in the spine. However, there is no evidence of any active disease."
        },
        {
            "image_id": "628_1",
            "caption": "On the frontal and lateral chest views, a tortuous ectatic aorta was observed, and it was near 5 cm in diameter. There is a concern for a descending thoracic aortic aneurysm due to a retrocardiac left paraspinal bulge. However, no acute pulmonary disease was identified. The cardiac silhouette was at the upper limits of normal in size. Biapical scarring was also seen. The patient is advised to undergo a chest CTA since there is a stable aneurysmal enlargement of the aortic arch and descending aorta."
        },
        {
            "image_id": "628_2",
            "caption": "On the frontal and lateral chest views, a tortuous ectatic aorta was observed, and it was near 5 cm in diameter. There is a concern for a descending thoracic aortic aneurysm due to a retrocardiac left paraspinal bulge. However, no acute pulmonary disease was identified. The cardiac silhouette was at the upper limits of normal in size. Biapical scarring was also seen. The patient is advised to undergo a chest CTA since there is a stable aneurysmal enlargement of the aortic arch and descending aorta."
        },
        {
            "image_id": "2879_1",
            "caption": "The x-ray shows a borderline heart size and a tortuous calcified aorta. However, there is no active pulmonary disease seen in the image. There is also minimal spondylosis present. Overall, the impression is that there is no acute process happening in the patient's cardiopulmonary system."
        },
        {
            "image_id": "2879_2",
            "caption": "The x-ray shows a borderline heart size and a tortuous calcified aorta. However, there is no active pulmonary disease seen in the image. There is also minimal spondylosis present. Overall, the impression is that there is no acute process happening in the patient's cardiopulmonary system."
        },
        {
            "image_id": "2822_1",
            "caption": "The x-ray shows no active abnormalities related to the heart or lungs. A stable left subclavian chest catheter is present. Some calcification in granuloma in the lower right lobe of the lungs and mild degenerative changes in the thoracic spine are observed. There are no signs of focal consolidation, effusion, or pneumothorax. Overall, the x-ray indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2822_2",
            "caption": "The x-ray shows no active abnormalities related to the heart or lungs. A stable left subclavian chest catheter is present. Some calcification in granuloma in the lower right lobe of the lungs and mild degenerative changes in the thoracic spine are observed. There are no signs of focal consolidation, effusion, or pneumothorax. Overall, the x-ray indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "667_1",
            "caption": "There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. The X-ray shows low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. There is no acute abnormality in the visualized bony structures. Interval removal of right-sided central venous catheter has been done and the enteric tube is again noted. The cardiomediastinal silhouette is normal and there are mild degenerative changes of the thoracic spine on the lateral view."
        },
        {
            "image_id": "667_2",
            "caption": "There has been interval removal of right-sided central venous catheter. Enteric tube is again noted, coursing below the diaphragm the tip of which is seen projecting over the expected location of the body of the stomach. The cardiomediastinal silhouette is normal, unchanged from prior. Low lung volumes, causing streaky bibasilar atelectasis and bronchovascular crowding. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. Lateral view reveals mild degenerative changes of the thoracic spine. The X-ray shows low lung volumes with subsequent bronchovascular crowding and bibasilar atelectasis. There is no acute abnormality in the visualized bony structures. Interval removal of right-sided central venous catheter has been done and the enteric tube is again noted. The cardiomediastinal silhouette is normal and there are mild degenerative changes of the thoracic spine on the lateral view."
        },
        {
            "image_id": "101_1",
            "caption": "The x-ray shows that the heart is mildly enlarged, but stable medistinal contours. The patient is rotated and the left hemidiaphragm is elevated, with hypoinflated lungs and compatible opacities. There is neither focal consolidation nor large effusion, but mild accentuation of pulmonary vascularity. There are degenerative changes in both shoulders, with probable chronic dislocation of the left humerus. Overall, the impression is of low lung volumes and bilateral shoulder degenerative changes. Clinical correlation is recommended."
        },
        {
            "image_id": "101_2",
            "caption": "The x-ray shows that the heart is mildly enlarged, but stable medistinal contours. The patient is rotated and the left hemidiaphragm is elevated, with hypoinflated lungs and compatible opacities. There is neither focal consolidation nor large effusion, but mild accentuation of pulmonary vascularity. There are degenerative changes in both shoulders, with probable chronic dislocation of the left humerus. Overall, the impression is of low lung volumes and bilateral shoulder degenerative changes. Clinical correlation is recommended."
        },
        {
            "image_id": "3282_1",
            "caption": "The patient's x-ray revealed low lung volumes bilaterally, however, there were no acute cardiopulmonary abnormalities detected. The lungs were grossly clear and there was no focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette was unremarkable, and no acute osseous abnormalities were identified."
        },
        {
            "image_id": "3282_2",
            "caption": "The patient's x-ray revealed low lung volumes bilaterally, however, there were no acute cardiopulmonary abnormalities detected. The lungs were grossly clear and there was no focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette was unremarkable, and no acute osseous abnormalities were identified."
        },
        {
            "image_id": "3282_3",
            "caption": "The patient's x-ray revealed low lung volumes bilaterally, however, there were no acute cardiopulmonary abnormalities detected. The lungs were grossly clear and there was no focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette was unremarkable, and no acute osseous abnormalities were identified."
        },
        {
            "image_id": "3296_1",
            "caption": "The x-ray shows clear lungs and a normal-sized heart. No signs of pneumothorax are present, but a calcified node is seen in the left hilar area. The overall impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3296_2",
            "caption": "The x-ray shows clear lungs and a normal-sized heart. No signs of pneumothorax are present, but a calcified node is seen in the left hilar area. The overall impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "115_1",
            "caption": "The patient has clear lungs, but there is hyperinflation, consistent with COPD. The X-ray did not show any acute pulmonary disease, pleural effusion, or pneumothorax. The heart, mediastinum, and skeletal structures are normal. It suggests that the patient has chronic obstructive pulmonary disease (COPD)."
        },
        {
            "image_id": "115_2",
            "caption": "The patient has clear lungs, but there is hyperinflation, consistent with COPD. The X-ray did not show any acute pulmonary disease, pleural effusion, or pneumothorax. The heart, mediastinum, and skeletal structures are normal. It suggests that the patient has chronic obstructive pulmonary disease (COPD)."
        },
        {
            "image_id": "1481_1",
            "caption": "The findings from the x-ray image indicate that the lungs are clear and there is no presence of pneumothorax or pleural effusion. The cardiomediastinal silhouette is stable and normal in size and contour. The impression obtained from these findings shows no signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1481_2",
            "caption": "The findings from the x-ray image indicate that the lungs are clear and there is no presence of pneumothorax or pleural effusion. The cardiomediastinal silhouette is stable and normal in size and contour. The impression obtained from these findings shows no signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2836_1",
            "caption": "The x-ray image shows reduced lung volumes with basilar atelectasis and mild cardiomegaly. No definite focal airspace consolidation or pleural effusion was observed. This finding indicates the possibility of respiratory impairment and mild enlargement of the heart. Urgent clinical attention and intervention are therefore required to address this condition promptly."
        },
        {
            "image_id": "2836_2",
            "caption": "The x-ray image shows reduced lung volumes with basilar atelectasis and mild cardiomegaly. No definite focal airspace consolidation or pleural effusion was observed. This finding indicates the possibility of respiratory impairment and mild enlargement of the heart. Urgent clinical attention and intervention are therefore required to address this condition promptly."
        },
        {
            "image_id": "129_1",
            "caption": "The x-ray shows that the patient's heart and lungs are within normal limits. There is no evidence of any focal disease, fluid accumulation or collapsed lung. Even the osseous structures in the x-ray looks normal given the patient's age. The impression of the x-ray suggests that there is no sign of any acute radiographic cardiopulmonary disease."
        },
        {
            "image_id": "129_2",
            "caption": "The x-ray shows that the patient's heart and lungs are within normal limits. There is no evidence of any focal disease, fluid accumulation or collapsed lung. Even the osseous structures in the x-ray looks normal given the patient's age. The impression of the x-ray suggests that there is no sign of any acute radiographic cardiopulmonary disease."
        },
        {
            "image_id": "897_1",
            "caption": "The X-ray reveals patchy alveolar and interstitial opacities in both lung bases, which may indicate an infectious or chronic lung disease. There is no indication of pneumothorax or large pleural effusion. The cardiac silhouette is enlarged, and there are atherosclerotic calcifications in the aortic area. Additionally, degenerative changes are observed throughout the thoracic spine. Based on these findings, a clinical evaluation is recommended."
        },
        {
            "image_id": "897_2",
            "caption": "The X-ray reveals patchy alveolar and interstitial opacities in both lung bases, which may indicate an infectious or chronic lung disease. There is no indication of pneumothorax or large pleural effusion. The cardiac silhouette is enlarged, and there are atherosclerotic calcifications in the aortic area. Additionally, degenerative changes are observed throughout the thoracic spine. Based on these findings, a clinical evaluation is recommended."
        },
        {
            "image_id": "1330_1",
            "caption": "The x-ray image taken shows no evidence of acute cardiopulmonary abnormality. The heart size and cardiomediastinal silhouette are normal. Lungs are clear with no focal airspace opacity, pleural effusion, or pneumothorax seen. The osseous structures are grossly intact. This is a good indicator of healthy lungs and heart."
        },
        {
            "image_id": "1330_2",
            "caption": "The x-ray image taken shows no evidence of acute cardiopulmonary abnormality. The heart size and cardiomediastinal silhouette are normal. Lungs are clear with no focal airspace opacity, pleural effusion, or pneumothorax seen. The osseous structures are grossly intact. This is a good indicator of healthy lungs and heart."
        },
        {
            "image_id": "3527_1",
            "caption": "The chest X-ray shows clear and expanded lungs, with a normal heart and mediastinum. There is no evidence of active disease."
        },
        {
            "image_id": "3527_2",
            "caption": "The chest X-ray shows clear and expanded lungs, with a normal heart and mediastinum. There is no evidence of active disease."
        },
        {
            "image_id": "2639_1",
            "caption": "The X-ray shows that the cardiomediastinal silhouette is within normal size and appearance, and the pulmonary vascularity is unremarkable. Lungs show no sign of airspace disease, pneumothorax or pleural effusion. The patient's spine has mild midthoracic dextroscoliosis, but is otherwise grossly intact. The radiologist's impression is that there are no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2639_2",
            "caption": "The X-ray shows that the cardiomediastinal silhouette is within normal size and appearance, and the pulmonary vascularity is unremarkable. Lungs show no sign of airspace disease, pneumothorax or pleural effusion. The patient's spine has mild midthoracic dextroscoliosis, but is otherwise grossly intact. The radiologist's impression is that there are no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3241_1",
            "caption": "The x-ray shows left basilar atelectasis and no focal airspace consolidation. The lungs appear to have reduced air entry in the left lung base, while the cardiomediastinal silhouette appears normal without any evidence of pneumothorax or large pleural effusion. The top of the radiographs partially show cervical vertebral anatomy."
        },
        {
            "image_id": "3241_2",
            "caption": "The x-ray shows left basilar atelectasis and no focal airspace consolidation. The lungs appear to have reduced air entry in the left lung base, while the cardiomediastinal silhouette appears normal without any evidence of pneumothorax or large pleural effusion. The top of the radiographs partially show cervical vertebral anatomy."
        },
        {
            "image_id": "1456_1",
            "caption": "The X-ray shows clear lungs with no focal consolidation and no visualized pneumothorax or large pleural effusions. The heart size and cardiomediastinal silhouette are grossly normal. The impression is negative for acute cardiopulmonary findings, indicating that there are no current concerns about the patient's heart or lung health."
        },
        {
            "image_id": "1456_2",
            "caption": "The X-ray shows clear lungs with no focal consolidation and no visualized pneumothorax or large pleural effusions. The heart size and cardiomediastinal silhouette are grossly normal. The impression is negative for acute cardiopulmonary findings, indicating that there are no current concerns about the patient's heart or lung health."
        },
        {
            "image_id": "1442_1",
            "caption": "Upon examining the X-ray, it was found that the cardiac contours are normal and the lungs are clear. There is an existing condition of thoracic spondylosis, but otherwise, no acute process was observed."
        },
        {
            "image_id": "1442_2",
            "caption": "Upon examining the X-ray, it was found that the cardiac contours are normal and the lungs are clear. There is an existing condition of thoracic spondylosis, but otherwise, no acute process was observed."
        },
        {
            "image_id": "3255_1",
            "caption": "The x-ray image shows a stable appearance of the left axillary area. No acute complicating features were seen. There is no evidence of pneumothorax as well. The cardiomediastinal silhouette and vasculature appear normal in size and contour. Lungs are clear, and osseous structures are intact for the patient's age. The impression confirms that the image is negative for acute abnormality."
        },
        {
            "image_id": "3533_1",
            "caption": "The x-ray shows that the heart, mediastinum, and pulmonary vasculature are normal. Lungs are mildly hyperinflated, but are clear without any focal consolidation, pneumothorax, or pleural effusion. Visualized skeletal structures also appear normal. The impression states that there is a mildly hyperinflated, clear lung with no acute respiratory abnormality."
        },
        {
            "image_id": "3533_2",
            "caption": "The x-ray shows that the heart, mediastinum, and pulmonary vasculature are normal. Lungs are mildly hyperinflated, but are clear without any focal consolidation, pneumothorax, or pleural effusion. Visualized skeletal structures also appear normal. The impression states that there is a mildly hyperinflated, clear lung with no acute respiratory abnormality."
        },
        {
            "image_id": "28_1",
            "caption": "The x-ray shows that there is an interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and opacities in the lungs are again noted, most consistent with atelectasis/infiltrate. The cardiomediastinal silhouette is stable and enlarged. Pulmonary vascular congestion is also stable. No evidence of pneumothorax or large pleural effusions is seen."
        },
        {
            "image_id": "28_2",
            "caption": "The x-ray shows that there is an interval improvement in consolidative left base opacity. Multifocal scattered bibasilar patchy and opacities in the lungs are again noted, most consistent with atelectasis/infiltrate. The cardiomediastinal silhouette is stable and enlarged. Pulmonary vascular congestion is also stable. No evidence of pneumothorax or large pleural effusions is seen."
        },
        {
            "image_id": "1324_1",
            "caption": "After reviewing the X-ray image, it was found that there is a dextroscoliosis of the thoracic spine. However, there is no acute cardiopulmonary abnormality present. The cardiomediastinal silhouette and pulmonary vasculature are within the normal limits and there are no signs of pneumothorax or pleural effusion. Additionally, no focal areas of consolidation were found."
        },
        {
            "image_id": "1324_2",
            "caption": "After reviewing the X-ray image, it was found that there is a dextroscoliosis of the thoracic spine. However, there is no acute cardiopulmonary abnormality present. The cardiomediastinal silhouette and pulmonary vasculature are within the normal limits and there are no signs of pneumothorax or pleural effusion. Additionally, no focal areas of consolidation were found."
        },
        {
            "image_id": "2605_1",
            "caption": "A single view of the chest was obtained in AP projection, which was limited due to body habitus. However, the x-ray report indicates that there is no acute pulmonary disease. The cardiomediastinal silhouette is within normal limits and not enlarged. Furthermore, there is no evidence of focal infiltrates, effusion, or pneumothorax in the lungs."
        },
        {
            "image_id": "698_1",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette with no signs of focal consolidation, pneumothorax, or pleural effusion. The impression indicates a negative result for any acute abnormality. The finding only revealed the presence of T-spine osteophytes, which does not pose any immediate concern."
        },
        {
            "image_id": "698_2",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette with no signs of focal consolidation, pneumothorax, or pleural effusion. The impression indicates a negative result for any acute abnormality. The finding only revealed the presence of T-spine osteophytes, which does not pose any immediate concern."
        },
        {
            "image_id": "2163_1",
            "caption": "The chest X-ray shows a calcified granuloma in the left upper lobe with no suspicious mass or nodule. There is no airspace consolidation, pleural effusion or pneumothorax, but the lungs remain hyperexpanded. The cardiomediastinal silhouette is stable and there are calcified mediastinal and hilar lymph nodes consistent with prior granulomatous disease. However, due to the presence of small nodules on the previous chest CT scan, further evaluation with a scan is recommended, unless it has already been recently performed."
        },
        {
            "image_id": "2163_2",
            "caption": "The chest X-ray shows a calcified granuloma in the left upper lobe with no suspicious mass or nodule. There is no airspace consolidation, pleural effusion or pneumothorax, but the lungs remain hyperexpanded. The cardiomediastinal silhouette is stable and there are calcified mediastinal and hilar lymph nodes consistent with prior granulomatous disease. However, due to the presence of small nodules on the previous chest CT scan, further evaluation with a scan is recommended, unless it has already been recently performed."
        },
        {
            "image_id": "2177_1",
            "caption": "The chest examination shows an enlarged heart silhouette and decreased lung volumes. There were bibasilar airspace opacities seen better on the lateral view. There was no evidence of effusion or pneumothorax. The impression suggests that the observed bibasilar airspace opacities could be atelectasis or possibly pneumonia, requiring further evaluation."
        },
        {
            "image_id": "2177_2",
            "caption": "The chest examination shows an enlarged heart silhouette and decreased lung volumes. There were bibasilar airspace opacities seen better on the lateral view. There was no evidence of effusion or pneumothorax. The impression suggests that the observed bibasilar airspace opacities could be atelectasis or possibly pneumonia, requiring further evaluation."
        },
        {
            "image_id": "2177_3",
            "caption": "The chest examination shows an enlarged heart silhouette and decreased lung volumes. There were bibasilar airspace opacities seen better on the lateral view. There was no evidence of effusion or pneumothorax. The impression suggests that the observed bibasilar airspace opacities could be atelectasis or possibly pneumonia, requiring further evaluation."
        },
        {
            "image_id": "3269_1",
            "caption": "During the examination, the heart appeared to be a normal size and the cardiomediastinal silhouette was normal in contour. Both of the lungs seem to be clear and there were no focal areas of consolidation or pleural effusions observed. The bony structures did not show any signs of damage or harm. Based on these findings, there doesn't appear to be any active disease present in the patient."
        },
        {
            "image_id": "3269_2",
            "caption": "During the examination, the heart appeared to be a normal size and the cardiomediastinal silhouette was normal in contour. Both of the lungs seem to be clear and there were no focal areas of consolidation or pleural effusions observed. The bony structures did not show any signs of damage or harm. Based on these findings, there doesn't appear to be any active disease present in the patient."
        },
        {
            "image_id": "14_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart size is normal, and there are no focal areas of consolidation or pleural effusions. Mild hyperinflation is observed but is stable compared to prior imaging. Scattered chronic appearing interstitial markings are seen, but there are no typical findings of pulmonary edema. Both mediastinal and hilar contours are stable. The impression confirms no acute findings."
        },
        {
            "image_id": "14_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart size is normal, and there are no focal areas of consolidation or pleural effusions. Mild hyperinflation is observed but is stable compared to prior imaging. Scattered chronic appearing interstitial markings are seen, but there are no typical findings of pulmonary edema. Both mediastinal and hilar contours are stable. The impression confirms no acute findings."
        },
        {
            "image_id": "1318_1",
            "caption": "During the examination, the lungs appeared clear with no sign of pleural effusion. The heart and mediastinum appeared normal as well. However, there were arthritic changes observed in the spine. Overall, there was no active disease detected during the radiography."
        },
        {
            "image_id": "1318_2",
            "caption": "During the examination, the lungs appeared clear with no sign of pleural effusion. The heart and mediastinum appeared normal as well. However, there were arthritic changes observed in the spine. Overall, there was no active disease detected during the radiography."
        },
        {
            "image_id": "854_1",
            "caption": "During the examination, the lungs and pleural spaces showed no signs of abnormalities, and the heart and pulmonary structures appeared normal. However, a single nonsclerotic fracture was observed in the mid-thoracic vertebral body, which could be an indication of metastatic disease. The age of the fracture could not be determined without a comparison study. The left clavicle and left anterior rib fractures were found to have already healed. Overall, there were no indications of acute cardiopulmonary disease or pulmonary nodules detected during the examination."
        },
        {
            "image_id": "854_2",
            "caption": "During the examination, the lungs and pleural spaces showed no signs of abnormalities, and the heart and pulmonary structures appeared normal. However, a single nonsclerotic fracture was observed in the mid-thoracic vertebral body, which could be an indication of metastatic disease. The age of the fracture could not be determined without a comparison study. The left clavicle and left anterior rib fractures were found to have already healed. Overall, there were no indications of acute cardiopulmonary disease or pulmonary nodules detected during the examination."
        },
        {
            "image_id": "2611_1",
            "caption": "The X-ray shows no focal consolidation or visualized pneumothorax. The heart size and cardiac and mediastinal silhouette are normal. The impression from the X-ray is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2611_2",
            "caption": "The X-ray shows no focal consolidation or visualized pneumothorax. The heart size and cardiac and mediastinal silhouette are normal. The impression from the X-ray is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2611_3",
            "caption": "The X-ray shows no focal consolidation or visualized pneumothorax. The heart size and cardiac and mediastinal silhouette are normal. The impression from the X-ray is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3080_1",
            "caption": "The chest x-ray shows that the cavity in the left upper lobe has decreased in size, and the bilateral apical bullae and parenchymal scars are unchanged. There are no infiltrates in the lower lobes, and the heart size is normal. The impression is consistent with bullous disease and upper lobe scars, along with a decreasing right upper lobe cavity."
        },
        {
            "image_id": "3080_2",
            "caption": "The chest x-ray shows that the cavity in the left upper lobe has decreased in size, and the bilateral apical bullae and parenchymal scars are unchanged. There are no infiltrates in the lower lobes, and the heart size is normal. The impression is consistent with bullous disease and upper lobe scars, along with a decreasing right upper lobe cavity."
        },
        {
            "image_id": "303_1",
            "caption": "The X-ray shows that the heart and mediastinum are normal, but there is mild hypoinflation of the lungs. Bilateral pleural thickening and streaky opacities in the lung bases are present, which indicate chronic atelectasis. The impression is that there is no acute infiltrate, but mild bilateral streaky opacities are present."
        },
        {
            "image_id": "1697_1",
            "caption": "The x-ray shows clear lungs bilaterally with a normal cardiac and mediastinal silhouette. The pulmonary vasculature is also normal. No evidence of pneumothorax or pleural effusion is seen, and there are no acute bony abnormalities. Based on these findings, there are no signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1697_2",
            "caption": "The x-ray shows clear lungs bilaterally with a normal cardiac and mediastinal silhouette. The pulmonary vasculature is also normal. No evidence of pneumothorax or pleural effusion is seen, and there are no acute bony abnormalities. Based on these findings, there are no signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "465_1",
            "caption": "The findings reveal no abnormality of the cardiac and mediastinal contours, however, patchy opacities and pneumothorax were observed in the right lower lung accompanied by a small pleural effusion. The impression notes small apical pneumothorax and residual atelectasis in the middle and lower lobes of the right lung, with near-complete resolution of the right-sided pleural effusion."
        },
        {
            "image_id": "465_2",
            "caption": "The findings reveal no abnormality of the cardiac and mediastinal contours, however, patchy opacities and pneumothorax were observed in the right lower lung accompanied by a small pleural effusion. The impression notes small apical pneumothorax and residual atelectasis in the middle and lower lobes of the right lung, with near-complete resolution of the right-sided pleural effusion."
        },
        {
            "image_id": "471_1",
            "caption": "The x-ray shows normal cardiac and mediastinal contours with a mild pectus excavatum deformity. The lungs are clear and there is no acute disease."
        },
        {
            "image_id": "471_2",
            "caption": "The x-ray shows normal cardiac and mediastinal contours with a mild pectus excavatum deformity. The lungs are clear and there is no acute disease."
        },
        {
            "image_id": "1683_1",
            "caption": "The radiographic examination of the chest reveals diminished lung volumes and bilateral hilar and subcarinal adenopathy, which is greater on the right side than the left. The cardiac silhouette appears prominent, possibly due to the reduced lung volumes. No focal consolidation, pleural effusion, or pneumothorax is observed. There is a deformity on the left clavicle consistent with an old injury. The impression suggests that there is no evidence of an acute cardiopulmonary condition, but the mediastinal and hilar adenopathy is in line with the patient's previously known sarcoidosis."
        },
        {
            "image_id": "1683_2",
            "caption": "The radiographic examination of the chest reveals diminished lung volumes and bilateral hilar and subcarinal adenopathy, which is greater on the right side than the left. The cardiac silhouette appears prominent, possibly due to the reduced lung volumes. No focal consolidation, pleural effusion, or pneumothorax is observed. There is a deformity on the left clavicle consistent with an old injury. The impression suggests that there is no evidence of an acute cardiopulmonary condition, but the mediastinal and hilar adenopathy is in line with the patient's previously known sarcoidosis."
        },
        {
            "image_id": "317_1",
            "caption": "The X-ray image shows no acute abnormality or cardiopulmonary disease. The heart, mediastinal silhouette, lungs, and pleural spaces all appear normal with no evidence of pneumothorax or effusion. There are no suspicious focal air space opacities."
        },
        {
            "image_id": "317_2",
            "caption": "The X-ray image shows no acute abnormality or cardiopulmonary disease. The heart, mediastinal silhouette, lungs, and pleural spaces all appear normal with no evidence of pneumothorax or effusion. There are no suspicious focal air space opacities."
        },
        {
            "image_id": "3094_1",
            "caption": "The x-ray shows normal heart size and clear lungs with low volumes. There is no indication of pneumothorax or large pleural effusion. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3094_2",
            "caption": "The x-ray shows normal heart size and clear lungs with low volumes. There is no indication of pneumothorax or large pleural effusion. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1873_1",
            "caption": "The x-ray reveals no acute abnormalities. The cardiomediastinal silhouette and the lungs appear normal. Additionally, there is no evidence of pneumothorax, pleural effusion or acute bony abnormality. However, the x-ray shows some degenerative changes of the thoracic spine. Overall, the impression is absence of acute  cardiopulmonary findings."
        },
        {
            "image_id": "1873_2",
            "caption": "The x-ray reveals no acute abnormalities. The cardiomediastinal silhouette and the lungs appear normal. Additionally, there is no evidence of pneumothorax, pleural effusion or acute bony abnormality. However, the x-ray shows some degenerative changes of the thoracic spine. Overall, the impression is absence of acute  cardiopulmonary findings."
        },
        {
            "image_id": "3902_1",
            "caption": "The heart and lungs are unchanged in the interval. Both lungs are expanded and clear. The heart and mediastinum are normal. No active cardiopulmonary disease."
        },
        {
            "image_id": "3902_2",
            "caption": "The heart and lungs are unchanged in the interval. Both lungs are expanded and clear. The heart and mediastinum are normal. No active cardiopulmonary disease."
        },
        {
            "image_id": "459_1",
            "caption": "The X-ray shows normal cardiac and mediastinal contours. The lungs are well-inflated and clear. There is no evidence of a focal consolidation, pneumothorax, or effusion. Also, there are no acute bony abnormalities, and no radiopaque foreign bodies are present. The impression is that there is no evidence of an acute cardiopulmonary process, and the examination of the chest is negative."
        },
        {
            "image_id": "459_2",
            "caption": "The X-ray shows normal cardiac and mediastinal contours. The lungs are well-inflated and clear. There is no evidence of a focal consolidation, pneumothorax, or effusion. Also, there are no acute bony abnormalities, and no radiopaque foreign bodies are present. The impression is that there is no evidence of an acute cardiopulmonary process, and the examination of the chest is negative."
        },
        {
            "image_id": "3916_1",
            "caption": "After examining the x-ray, the heart was found to be a normal size and the lungs were clear. There was no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The chest was determined to be normal upon examination."
        },
        {
            "image_id": "3916_2",
            "caption": "After examining the x-ray, the heart was found to be a normal size and the lungs were clear. There was no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The chest was determined to be normal upon examination."
        },
        {
            "image_id": "1867_1",
            "caption": "Upon evaluating the x-ray image, it has been observed that there is mild cardiomegaly with no pulmonary edema, normal pulmonary vascularity, and minimal streaky bibasilar opacities present. Additionally, there is a blunted left costophrenic angle, bony demineralization, degenerative changes of the spine, and upper abdominal surgical changes. Chronic appearing deformity of the proximal right humerus, old right rib fractures, and verterbroplasty change near the thoracolumbar junction are also noted. Based on the findings, very small left pleural effusion and minimal bibasal subsegmental atelectasis/scar are detected."
        },
        {
            "image_id": "1867_2",
            "caption": "Upon evaluating the x-ray image, it has been observed that there is mild cardiomegaly with no pulmonary edema, normal pulmonary vascularity, and minimal streaky bibasilar opacities present. Additionally, there is a blunted left costophrenic angle, bony demineralization, degenerative changes of the spine, and upper abdominal surgical changes. Chronic appearing deformity of the proximal right humerus, old right rib fractures, and verterbroplasty change near the thoracolumbar junction are also noted. Based on the findings, very small left pleural effusion and minimal bibasal subsegmental atelectasis/scar are detected."
        },
        {
            "image_id": "1654_1",
            "caption": "The radiograph shows no acute cardiopulmonary findings. The heart, mediastinum, and pulmonary vascularity appear normal. However, there is tortuosity of the aorta indicating atherosclerosis. The lungs have low volume with minimal bibasal subsegmental atelectasis and no infiltrates, effusions or pneumothorax seen. This suggests a low lung volume study."
        },
        {
            "image_id": "1654_2",
            "caption": "The radiograph shows no acute cardiopulmonary findings. The heart, mediastinum, and pulmonary vascularity appear normal. However, there is tortuosity of the aorta indicating atherosclerosis. The lungs have low volume with minimal bibasal subsegmental atelectasis and no infiltrates, effusions or pneumothorax seen. This suggests a low lung volume study."
        },
        {
            "image_id": "3725_1",
            "caption": "The x-ray of the chest shows normal heart size and intact bony thorax with no acute cardiopulmonary abnormality. Lungs are clear without any focal infiltrates. There is no indication of pneumothorax or pleural effusion. Normal pulmonary vascularity is observed which is unchanged from prior. The calcified right upper lobe granuloma is also unchanged from the previous x-ray. The entire chest x-ray image suggests the absence of any active disease."
        },
        {
            "image_id": "3725_2",
            "caption": "The x-ray of the chest shows normal heart size and intact bony thorax with no acute cardiopulmonary abnormality. Lungs are clear without any focal infiltrates. There is no indication of pneumothorax or pleural effusion. Normal pulmonary vascularity is observed which is unchanged from prior. The calcified right upper lobe granuloma is also unchanged from the previous x-ray. The entire chest x-ray image suggests the absence of any active disease."
        },
        {
            "image_id": "1126_1",
            "caption": "Upon examination of the chest x-ray, there were indications of a previous sternotomy and mediastinal surgical clips within the patient. The cardiomediastinal silhouette appeared stable, and the thoracic aorta remained tortuous and calcified with no significant changes since the last exam. Minimal right basilar subsegmental atelectasis and scattered degenerative changes of the thoracic spine were observed, but no focal areas of consolidation, pneumothorax, or pleural effusion were present. Mild loss of bone density of a mid thoracic vertebral body was also observed. In conclusion, the patient shows no acute cardiopulmonary abnormalities, except for minimal right basilar subsegmental atelectasis."
        },
        {
            "image_id": "1126_2",
            "caption": "Upon examination of the chest x-ray, there were indications of a previous sternotomy and mediastinal surgical clips within the patient. The cardiomediastinal silhouette appeared stable, and the thoracic aorta remained tortuous and calcified with no significant changes since the last exam. Minimal right basilar subsegmental atelectasis and scattered degenerative changes of the thoracic spine were observed, but no focal areas of consolidation, pneumothorax, or pleural effusion were present. Mild loss of bone density of a mid thoracic vertebral body was also observed. In conclusion, the patient shows no acute cardiopulmonary abnormalities, except for minimal right basilar subsegmental atelectasis."
        },
        {
            "image_id": "3057_1",
            "caption": "The X-ray shows that the heart and lungs are in good condition. There are no signs of any abnormalities such as pneumonia or pleural effusion. The cardiomegaly and atherosclerotic calcification seen earlier are unchanged. There is evidence of mild blunting of the right costophrenic but it could be due to effusion or scarring. The lungs are clear without any infiltrates, masses or pneumothorax. The X-ray also shows no signs of any acute cardiopulmonary disease. The report indicates negative examination of the chest, suggesting that the patient's chest X-ray results are normal."
        },
        {
            "image_id": "2349_1",
            "caption": "The chest X-ray shows a normal heart size and vascularity. The heart contour appears normal, and both lungs are clear with no pleural effusions or pneumothoraces. Overall, the X-ray indicates a normal chest."
        },
        {
            "image_id": "2349_2",
            "caption": "The chest X-ray shows a normal heart size and vascularity. The heart contour appears normal, and both lungs are clear with no pleural effusions or pneumothoraces. Overall, the X-ray indicates a normal chest."
        },
        {
            "image_id": "1640_1",
            "caption": "The radiologist noted that the heart and mediastinum are unremarkable, and there is a small, stable nodule in the right upper lung. The lungs are clear otherwise. The impression is that there is a small right upper lobe nodule, which is stable and no acute disease is present."
        },
        {
            "image_id": "1640_2",
            "caption": "The radiologist noted that the heart and mediastinum are unremarkable, and there is a small, stable nodule in the right upper lung. The lungs are clear otherwise. The impression is that there is a small right upper lobe nodule, which is stable and no acute disease is present."
        },
        {
            "image_id": "1898_1",
            "caption": "The X-ray shows that the heart and stomach are on the left side and there is a significant enlargement of the cardiomediastinal silhouette. The pulmonary vascular markings are normal and there is no focal airspace disease, pleural effusion or pneumothorax. However, there are increased interstitial markings bilaterally at the lung bases which could be due to either chronic interstitial changes or edema. The impression is that there is a marked cardiomegaly and increased interstitial markings in the lower lungs. It is recommended to consult with a doctor regarding this report."
        },
        {
            "image_id": "1898_2",
            "caption": "The X-ray shows that the heart and stomach are on the left side and there is a significant enlargement of the cardiomediastinal silhouette. The pulmonary vascular markings are normal and there is no focal airspace disease, pleural effusion or pneumothorax. However, there are increased interstitial markings bilaterally at the lung bases which could be due to either chronic interstitial changes or edema. The impression is that there is a marked cardiomegaly and increased interstitial markings in the lower lungs. It is recommended to consult with a doctor regarding this report."
        },
        {
            "image_id": "2361_1",
            "caption": "The x-ray shows no significant findings of acute cardiopulmonary disease. There is a stable mild rightward curvature of the thoracic spine and normal heart size. No focal airspace disease, pneumothorax, pleural effusion or acute bony abnormalities were observed. The impression confirms no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2361_2",
            "caption": "The x-ray shows no significant findings of acute cardiopulmonary disease. There is a stable mild rightward curvature of the thoracic spine and normal heart size. No focal airspace disease, pneumothorax, pleural effusion or acute bony abnormalities were observed. The impression confirms no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1668_1",
            "caption": "The chest X-ray shows no signs of acute disease, such as pneumothorax, pleural effusion, or focal airspace disease. However, there is a discrete 1.4 cm nodule present in the anterior segment of the right lower lobe, along with other nodular opacities indicating chronic granulomatous disease. The heart and cardiomediastinal silhouette appear normal, while the bony structures are intact. The patient has a right unilateral nipple ring. Further imaging may be required to investigate the possibility of a pulmonary malignancy."
        },
        {
            "image_id": "1668_2",
            "caption": "The chest X-ray shows no signs of acute disease, such as pneumothorax, pleural effusion, or focal airspace disease. However, there is a discrete 1.4 cm nodule present in the anterior segment of the right lower lobe, along with other nodular opacities indicating chronic granulomatous disease. The heart and cardiomediastinal silhouette appear normal, while the bony structures are intact. The patient has a right unilateral nipple ring. Further imaging may be required to investigate the possibility of a pulmonary malignancy."
        },
        {
            "image_id": "2407_1",
            "caption": "The chest X-ray shows some hyperinflation and small calcified granulomas, indicating probable COPD and old granulomatous disease. No acute cardiopulmonary abnormality is observed as the heart, mediastinum, skeletal structures, and soft tissues are normal. The presence of hyperinflation could be an early sign of COPD or asthma, which can occur due to chronic bronchitis. Small calcified granulomas may be present in people who have been previously exposed to infections like tuberculosis. Overall, the X-ray suggests the need for further evaluation and follow-up to manage the underlying health conditions."
        },
        {
            "image_id": "2407_2",
            "caption": "The chest X-ray shows some hyperinflation and small calcified granulomas, indicating probable COPD and old granulomatous disease. No acute cardiopulmonary abnormality is observed as the heart, mediastinum, skeletal structures, and soft tissues are normal. The presence of hyperinflation could be an early sign of COPD or asthma, which can occur due to chronic bronchitis. Small calcified granulomas may be present in people who have been previously exposed to infections like tuberculosis. Overall, the X-ray suggests the need for further evaluation and follow-up to manage the underlying health conditions."
        },
        {
            "image_id": "2413_1",
            "caption": "The chest X-ray shows that the heart size and pulmonary vascularity are normal. No focal infiltrate, pneumothorax or pleural effusion is identified. There is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2413_2",
            "caption": "The chest X-ray shows that the heart size and pulmonary vascularity are normal. No focal infiltrate, pneumothorax or pleural effusion is identified. There is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2375_1",
            "caption": "The x-ray shows that the cardiac silhouette is slightly enlarged but still within normal range. There is no sign of any focal airspace disease, large pleural effusion or pneumothorax. Normal mediastinal contour and pulmonary vasculature were observed. Although there is evidence of healed granulomatous disease in the right hemithorax, no other acute cardiopulmonary findings were noted."
        },
        {
            "image_id": "2375_2",
            "caption": "The x-ray shows that the cardiac silhouette is slightly enlarged but still within normal range. There is no sign of any focal airspace disease, large pleural effusion or pneumothorax. Normal mediastinal contour and pulmonary vasculature were observed. Although there is evidence of healed granulomatous disease in the right hemithorax, no other acute cardiopulmonary findings were noted."
        },
        {
            "image_id": "277_1",
            "caption": "The x-ray image shows a stable heart and mediastinum. There is mild biapical scarring seen and a nodular density in the right mid-lung, which represents a granuloma. However, there are additional foci in the right upper lung which are questionable. There is no evidence of acute disease, infiltrate or pleural effusion. It is recommended to conduct a CT scan to clarify the findings."
        },
        {
            "image_id": "277_2",
            "caption": "The x-ray image shows a stable heart and mediastinum. There is mild biapical scarring seen and a nodular density in the right mid-lung, which represents a granuloma. However, there are additional foci in the right upper lung which are questionable. There is no evidence of acute disease, infiltrate or pleural effusion. It is recommended to conduct a CT scan to clarify the findings."
        },
        {
            "image_id": "511_1",
            "caption": "The X-ray finding shows hyperaerated lungs with flattened hemidiaphragms and increased retrosternal airspace. However, there were no signs of acute disease, such as focal infiltrate, pneumothorax, or pleural effusion, and heart size was normal. Therefore, the impression is that there were no acute findings in the X-ray."
        },
        {
            "image_id": "511_2",
            "caption": "The X-ray finding shows hyperaerated lungs with flattened hemidiaphragms and increased retrosternal airspace. However, there were no signs of acute disease, such as focal infiltrate, pneumothorax, or pleural effusion, and heart size was normal. Therefore, the impression is that there were no acute findings in the X-ray."
        },
        {
            "image_id": "1085_1",
            "caption": "The X-ray shows that the lungs have low lung volumes but are otherwise clear. The left upper lobe has mild streaky opacities, which may be atelectasis or a scar. There is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is normal, and the thorax's osseous structures are without acute abnormality. Overall, there is no acute cardiopulmonary abnormality, but the lungs require further investigation due to low lung volumes."
        },
        {
            "image_id": "1085_2",
            "caption": "The X-ray shows that the lungs have low lung volumes but are otherwise clear. The left upper lobe has mild streaky opacities, which may be atelectasis or a scar. There is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is normal, and the thorax's osseous structures are without acute abnormality. Overall, there is no acute cardiopulmonary abnormality, but the lungs require further investigation due to low lung volumes."
        },
        {
            "image_id": "3692_1",
            "caption": "The X-ray shows a stable heart and normal pulmonary vascularity. There is no evidence of airspace disease, pneumothorax, or pleural effusion. The impression is that there is no acute cardiopulmonary abnormality found on this X-ray."
        },
        {
            "image_id": "3692_2",
            "caption": "The X-ray shows a stable heart and normal pulmonary vascularity. There is no evidence of airspace disease, pneumothorax, or pleural effusion. The impression is that there is no acute cardiopulmonary abnormality found on this X-ray."
        },
        {
            "image_id": "1091_1",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. The heart and lungs appear normal with no focal airspace disease, pneumothorax or pleural effusion. The cardiomedistinal silhouette and pulmonary vascularity are stable. The image indicates probable COPD and old granulomatous disease with mild biapical scarring. The lungs have low volumes but are clear bilaterally. CT scan may be warranted. No active disease is observed in the interval."
        },
        {
            "image_id": "1091_2",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. The heart and lungs appear normal with no focal airspace disease, pneumothorax or pleural effusion. The cardiomedistinal silhouette and pulmonary vascularity are stable. The image indicates probable COPD and old granulomatous disease with mild biapical scarring. The lungs have low volumes but are clear bilaterally. CT scan may be warranted. No active disease is observed in the interval."
        },
        {
            "image_id": "505_1",
            "caption": "The X-ray image indicates no acute cardiopulmonary abnormality. The heart size and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion is identified. Visualized osseous structures appear intact."
        },
        {
            "image_id": "505_2",
            "caption": "The X-ray image indicates no acute cardiopulmonary abnormality. The heart size and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion is identified. Visualized osseous structures appear intact."
        },
        {
            "image_id": "263_1",
            "caption": "The patient's x-ray reveals no acute cardiopulmonary abnormality. Specifically, there is no focal airspace disease, pneumothorax or pleural effusion. The lungs are clear and expanded, and the heart is of normal size."
        },
        {
            "image_id": "3876_1",
            "caption": "The X-ray shows that the heart and lungs are functioning normally with no signs of acute abnormalities. The heart is within its normal size and the mediastinum is unremarkable. The lungs are clear without any pleural effusion, pneumothorax, or focal airspace disease. However, there is a stable mild deformity of the lower thoracic vertebral body."
        },
        {
            "image_id": "3876_2",
            "caption": "The X-ray shows that the heart and lungs are functioning normally with no signs of acute abnormalities. The heart is within its normal size and the mediastinum is unremarkable. The lungs are clear without any pleural effusion, pneumothorax, or focal airspace disease. However, there is a stable mild deformity of the lower thoracic vertebral body."
        },
        {
            "image_id": "539_1",
            "caption": "The x-ray images show that the heart size and pulmonary vascular engorgement are normal, and there is no sign of consolidation, pleural effusion, or pneumothorax in the lungs. The bones appear normal as well. Based on these results, there is no acute cardiopulmonary abnormality identified in the patient."
        },
        {
            "image_id": "539_2",
            "caption": "The x-ray images show that the heart size and pulmonary vascular engorgement are normal, and there is no sign of consolidation, pleural effusion, or pneumothorax in the lungs. The bones appear normal as well. Based on these results, there is no acute cardiopulmonary abnormality identified in the patient."
        },
        {
            "image_id": "1913_1",
            "caption": "The x-ray shows a normal heart size and cardiopulmonary silhouette without any acute abnormalities. No signs of focal airspace opacity, pleural effusion, or pneumothorax were found. Mild degenerative changes were observed in the thoracic spine, but no acute findings were detected."
        },
        {
            "image_id": "1913_2",
            "caption": "The x-ray shows a normal heart size and cardiopulmonary silhouette without any acute abnormalities. No signs of focal airspace opacity, pleural effusion, or pneumothorax were found. Mild degenerative changes were observed in the thoracic spine, but no acute findings were detected."
        },
        {
            "image_id": "1720_1",
            "caption": "The chest x-ray shows very low lung volumes with associated central bronchovascular crowding and elevation of the left hemidiaphragm. However, no acute cardiopulmonary abnormality is evident. A few streaky opacities are seen in the lung bases, which may represent atelectasis. There are loops of mildly dilated colon in the left upper quadrant, but the bowel pattern could not be fully evaluated due to incomplete imaging of the abdomen. The patient also has scoliosis and an exaggerated thoracic kyphosis. Further evaluation may be required."
        },
        {
            "image_id": "1720_2",
            "caption": "The chest x-ray shows very low lung volumes with associated central bronchovascular crowding and elevation of the left hemidiaphragm. However, no acute cardiopulmonary abnormality is evident. A few streaky opacities are seen in the lung bases, which may represent atelectasis. There are loops of mildly dilated colon in the left upper quadrant, but the bowel pattern could not be fully evaluated due to incomplete imaging of the abdomen. The patient also has scoliosis and an exaggerated thoracic kyphosis. Further evaluation may be required."
        },
        {
            "image_id": "1720_3",
            "caption": "The chest x-ray shows very low lung volumes with associated central bronchovascular crowding and elevation of the left hemidiaphragm. However, no acute cardiopulmonary abnormality is evident. A few streaky opacities are seen in the lung bases, which may represent atelectasis. There are loops of mildly dilated colon in the left upper quadrant, but the bowel pattern could not be fully evaluated due to incomplete imaging of the abdomen. The patient also has scoliosis and an exaggerated thoracic kyphosis. Further evaluation may be required."
        },
        {
            "image_id": "2229_1",
            "caption": "The x-ray indicates that the heart is of normal size, and the mediastinal contour is within normal limits. Additionally, there are no visible focal infiltrates, nodules, or masses in the lungs. No pneumothorax or pleural fluid is visible. The x-ray shows no visible free intraperitoneal air under the diaphragm, and surgical clips are seen in the right upper quadrant. Based on these findings, there is no acute radiographic cardiopulmonary process identified."
        },
        {
            "image_id": "2229_2",
            "caption": "The x-ray indicates that the heart is of normal size, and the mediastinal contour is within normal limits. Additionally, there are no visible focal infiltrates, nodules, or masses in the lungs. No pneumothorax or pleural fluid is visible. The x-ray shows no visible free intraperitoneal air under the diaphragm, and surgical clips are seen in the right upper quadrant. Based on these findings, there is no acute radiographic cardiopulmonary process identified."
        },
        {
            "image_id": "3137_1",
            "caption": "The x-ray shows no acute or active cardiopulmonary abnormalities. The cardiomediastinal silhouette is normal, and the trachea is midline. The lungs are clear, without any evidence of acute infiltrate or effusion, and no pneumothorax is seen. The bony structures also show no acute abnormalities. A calcified density is present in the left mid-lung, most likely a calcified granuloma, and there is no evidence of tuberculous disease."
        },
        {
            "image_id": "3137_2",
            "caption": "The x-ray shows no acute or active cardiopulmonary abnormalities. The cardiomediastinal silhouette is normal, and the trachea is midline. The lungs are clear, without any evidence of acute infiltrate or effusion, and no pneumothorax is seen. The bony structures also show no acute abnormalities. A calcified density is present in the left mid-lung, most likely a calcified granuloma, and there is no evidence of tuberculous disease."
        },
        {
            "image_id": "3651_1",
            "caption": "The x-ray shows scarring at the lateral costophrenic and no significant radiographic abnormality. There is no pleural effusion or pneumothorax, and no focal consolidation. The cardiomediastinal silhouette and the pulmonary vasculature are both normal."
        },
        {
            "image_id": "3651_2",
            "caption": "The x-ray shows scarring at the lateral costophrenic and no significant radiographic abnormality. There is no pleural effusion or pneumothorax, and no focal consolidation. The cardiomediastinal silhouette and the pulmonary vasculature are both normal."
        },
        {
            "image_id": "3889_1",
            "caption": "The x-ray shows that the heart size and bony structures are normal. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease, indicating that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3889_2",
            "caption": "The x-ray shows that the heart size and bony structures are normal. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease, indicating that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1046_1",
            "caption": "The findings of the x-ray show that the heart and mediastinum are normal, and there is no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax. Furthermore, there are no acute abnormalities observed. Overall, the x-ray appears to be unremarkable and presents a normal image of the patient's cardiopulmonary system."
        },
        {
            "image_id": "1046_2",
            "caption": "The findings of the x-ray show that the heart and mediastinum are normal, and there is no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax. Furthermore, there are no acute abnormalities observed. Overall, the x-ray appears to be unremarkable and presents a normal image of the patient's cardiopulmonary system."
        },
        {
            "image_id": "1052_1",
            "caption": "Based on the X-ray findings, it has been determined that there are no acute abnormalities identified in the cardiopulmonary system. The trachea is midline, and the cardio mediastinal silhouette appears normal in contour, along with clear lungs without any signs of acute infiltrate, effusion, or pneumothorax. The visualized bony structures show no signs of fractures or dislocations, making it an overall unremarkable X-ray."
        },
        {
            "image_id": "1052_2",
            "caption": "Based on the X-ray findings, it has been determined that there are no acute abnormalities identified in the cardiopulmonary system. The trachea is midline, and the cardio mediastinal silhouette appears normal in contour, along with clear lungs without any signs of acute infiltrate, effusion, or pneumothorax. The visualized bony structures show no signs of fractures or dislocations, making it an overall unremarkable X-ray."
        },
        {
            "image_id": "3123_1",
            "caption": "The radiograph shows mild stable cardiomegaly, with possible right pleural effusion. Changes of prior sternotomy and bypass graft are present. The lungs are grossly clear without acute disease. No pneumothorax or acute infiltrate is seen. Mild granulomatous sequela is noted. The overall impression is no acute abnormality with mild stable cardiomegaly without acute disease."
        },
        {
            "image_id": "3123_2",
            "caption": "The radiograph shows mild stable cardiomegaly, with possible right pleural effusion. Changes of prior sternotomy and bypass graft are present. The lungs are grossly clear without acute disease. No pneumothorax or acute infiltrate is seen. Mild granulomatous sequela is noted. The overall impression is no acute abnormality with mild stable cardiomegaly without acute disease."
        },
        {
            "image_id": "1734_1",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormality. The heart size, mediastinal contour and pulmonary vascularity are all within normal limits. Lungs are clear and there is no evidence of pleural effusions or pneumothoraces."
        },
        {
            "image_id": "1734_2",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormality. The heart size, mediastinal contour and pulmonary vascularity are all within normal limits. Lungs are clear and there is no evidence of pleural effusions or pneumothoraces."
        },
        {
            "image_id": "2215_1",
            "caption": "The x-ray report shows that the heart and mediastinum are normal without any significant changes. Lungs are clear without any focal infiltrates or effusions. Furthermore, there is no visible pneumothorax or pleural fluid. Bony structures appear intact. The impression is negative for acute cardiopulmonary abnormalities. This indicates that the patient is in good health and there are no major issues observed in the x-ray."
        },
        {
            "image_id": "2215_2",
            "caption": "The x-ray report shows that the heart and mediastinum are normal without any significant changes. Lungs are clear without any focal infiltrates or effusions. Furthermore, there is no visible pneumothorax or pleural fluid. Bony structures appear intact. The impression is negative for acute cardiopulmonary abnormalities. This indicates that the patient is in good health and there are no major issues observed in the x-ray."
        },
        {
            "image_id": "288_1",
            "caption": "The x-ray shows that the heart size looks normal and the pulmonary vasculature appears to be within the normal limits. However, there is a radiodensity overlying the middle cardiac silhouette that might represent a hiatal hernia. Fortunately, there are no focal consolidations, pneumothorax, or pleural effusions seen. The bony structures also appear to be normal. The impression given is that there are no acute cardiopulmonary abnormalities found on the x-ray."
        },
        {
            "image_id": "288_2",
            "caption": "The x-ray shows that the heart size looks normal and the pulmonary vasculature appears to be within the normal limits. However, there is a radiodensity overlying the middle cardiac silhouette that might represent a hiatal hernia. Fortunately, there are no focal consolidations, pneumothorax, or pleural effusions seen. The bony structures also appear to be normal. The impression given is that there are no acute cardiopulmonary abnormalities found on the x-ray."
        },
        {
            "image_id": "2573_1",
            "caption": "The X-ray indicates that the lungs are clear without any consolidation, pleural effusion or pneumothorax. The heart size, as well as the cardio mediastinal silhouette, appears normal. Based on findings, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3679_1",
            "caption": "The x-ray image shows a normal heart with clear lungs, and no signs of pneumothorax or pleural effusion. The examination reports that the chest is normal, indicating no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3679_2",
            "caption": "The x-ray image shows a normal heart with clear lungs, and no signs of pneumothorax or pleural effusion. The examination reports that the chest is normal, indicating no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2567_1",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum appears unremarkable. The lungs are clear without any acute disease or abnormalities. Overall, the results indicate no signs of any acute cardiopulmonary abnormality, and a normal chest exam."
        },
        {
            "image_id": "2567_2",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum appears unremarkable. The lungs are clear without any acute disease or abnormalities. Overall, the results indicate no signs of any acute cardiopulmonary abnormality, and a normal chest exam."
        },
        {
            "image_id": "1708_1",
            "caption": "The patient's x-ray shows that the heart and mediastinum are normal in appearance and size, without any acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, pneumothorax or pleural effusions. The medical expert reports no fractures or dislocations in the bony structures identified. This indicates a healthy chest exam with no acute intrathoracic abnormality."
        },
        {
            "image_id": "1708_2",
            "caption": "The patient's x-ray shows that the heart and mediastinum are normal in appearance and size, without any acute cardiopulmonary abnormality. The lungs are clear without focal consolidation, pneumothorax or pleural effusions. The medical expert reports no fractures or dislocations in the bony structures identified. This indicates a healthy chest exam with no acute intrathoracic abnormality."
        },
        {
            "image_id": "2201_1",
            "caption": "The chest x-ray image shows stable bilateral calcified granulomas without any acute abnormality such as focal consolidation, pneumothorax or pleural effusion. Cardiomediastinal silhouette appears stable and unremarkable. Also, no acute osseous abnormality has been identified. The overall impression of the x-ray is \"No acute cardiopulmonary abnormality.\""
        },
        {
            "image_id": "2956_1",
            "caption": "The x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are normal, and the lungs are clear without any pleural effusions or pneumothoraces. Based on these observations, the impression is that the chest appears normal."
        },
        {
            "image_id": "2956_2",
            "caption": "The x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are normal, and the lungs are clear without any pleural effusions or pneumothoraces. Based on these observations, the impression is that the chest appears normal."
        },
        {
            "image_id": "1287_1",
            "caption": "The chest X-ray shows sequelae of old granulomatous disease, but the lungs are clear without any suspicious pulmonary nodules or masses. Also, there are no pleural effusions or pneumothoraces. The heart and mediastinum are normal in size and contour, and there are degenerative changes in the thoracic spine. In overall impression, the chest X-ray is normal, and there is no indication of acute disease."
        },
        {
            "image_id": "1287_2",
            "caption": "The chest X-ray shows sequelae of old granulomatous disease, but the lungs are clear without any suspicious pulmonary nodules or masses. Also, there are no pleural effusions or pneumothoraces. The heart and mediastinum are normal in size and contour, and there are degenerative changes in the thoracic spine. In overall impression, the chest X-ray is normal, and there is no indication of acute disease."
        },
        {
            "image_id": "713_1",
            "caption": "Central venous catheter tip seen. Heart size and shape normal. Trachea and bronchi normal. Lungs are well expanded. Nodular densities in both lower lung regions, more on the right. Scattered bronchial wall thickening, left upper lobe affected. Loss of definition in part of the left heart. No effusions or pneumothorax seen. The findings are indicative of widespread changes due to cystic fibrosis. However, it is difficult to differentiate between acute and chronic changes based on X-ray alone."
        },
        {
            "image_id": "713_2",
            "caption": "Central venous catheter tip seen. Heart size and shape normal. Trachea and bronchi normal. Lungs are well expanded. Nodular densities in both lower lung regions, more on the right. Scattered bronchial wall thickening, left upper lobe affected. Loss of definition in part of the left heart. No effusions or pneumothorax seen. The findings are indicative of widespread changes due to cystic fibrosis. However, it is difficult to differentiate between acute and chronic changes based on X-ray alone."
        },
        {
            "image_id": "707_1",
            "caption": "The x-ray shows a normal heart size and clear lungs. No signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses are identified, indicating a normal chest."
        },
        {
            "image_id": "707_2",
            "caption": "The x-ray shows a normal heart size and clear lungs. No signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses are identified, indicating a normal chest."
        },
        {
            "image_id": "2942_1",
            "caption": "The x-ray shows postsurgical changes of the sternotomy with screw fixation of anterior plates. However, no acute cardiopulmonary abnormality was noticed. Heart size and cardiomediastinal silhouette are normal with no suspicious bony opacity, pneumothorax or pleural effusion observed. Additionally, no acute osseous abnormality was found on the x-ray."
        },
        {
            "image_id": "2942_2",
            "caption": "The x-ray shows postsurgical changes of the sternotomy with screw fixation of anterior plates. However, no acute cardiopulmonary abnormality was noticed. Heart size and cardiomediastinal silhouette are normal with no suspicious bony opacity, pneumothorax or pleural effusion observed. Additionally, no acute osseous abnormality was found on the x-ray."
        },
        {
            "image_id": "908_1",
            "caption": "On examination, the lungs were found to be clear, and the mediastinal contours appear normal. Though calcified nodules projecting in the right upper lung were observed, no acute cardiopulmonary disease was found. Additionally, the heart and pulmonary blood vessels also appear normal with clear pleural spaces. Surgical clips were identified in the right neck and left mediastinum, which may indicate past surgeries or medical procedures."
        },
        {
            "image_id": "908_2",
            "caption": "On examination, the lungs were found to be clear, and the mediastinal contours appear normal. Though calcified nodules projecting in the right upper lung were observed, no acute cardiopulmonary disease was found. Additionally, the heart and pulmonary blood vessels also appear normal with clear pleural spaces. Surgical clips were identified in the right neck and left mediastinum, which may indicate past surgeries or medical procedures."
        },
        {
            "image_id": "1244_1",
            "caption": "The X-ray image shows a stable colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right indicating some form of pulmonary abnormality. However, no pneumothorax or large pleural effusion is identified which reflect that there is no acute respiratory disease. Thus, a doctor's consultation is advised to understand the underlying cause of bibasilar airspace disease, whether it is chronic or acute, and to evaluate the treatment options for the same."
        },
        {
            "image_id": "1244_2",
            "caption": "The X-ray image shows a stable colonic interposition overlying the mediastinum. There are increased bibasilar airspace opacities, left greater than right indicating some form of pulmonary abnormality. However, no pneumothorax or large pleural effusion is identified which reflect that there is no acute respiratory disease. Thus, a doctor's consultation is advised to understand the underlying cause of bibasilar airspace disease, whether it is chronic or acute, and to evaluate the treatment options for the same."
        },
        {
            "image_id": "3335_1",
            "caption": "The heart size, mediastinal contour and pulmonary vascularity are normal. Lungs are clear without any pleural effusions or pneumothoraces. Additionally, there are degenerative changes in the thoracic spine. The findings suggest no acute cardiopulmonary process."
        },
        {
            "image_id": "3335_2",
            "caption": "The heart size, mediastinal contour and pulmonary vascularity are normal. Lungs are clear without any pleural effusions or pneumothoraces. Additionally, there are degenerative changes in the thoracic spine. The findings suggest no acute cardiopulmonary process."
        },
        {
            "image_id": "1522_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary disease. The cardiomediastinal silhouette is normal and there are no pneumothorax or large pleural effusion. The pulmonary vasculature is also normal. The Osseous structures and soft tissues show no changes."
        },
        {
            "image_id": "3321_1",
            "caption": "A chest X-ray was obtained and shows no acute pulmonary disease. The heart and aorta appear within normal limits, and there are no effusions or pneumothorax."
        },
        {
            "image_id": "3321_2",
            "caption": "A chest X-ray was obtained and shows no acute pulmonary disease. The heart and aorta appear within normal limits, and there are no effusions or pneumothorax."
        },
        {
            "image_id": "2759_1",
            "caption": "The X-ray exam reveals no acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. There is minimal degenerative changes of the thoracic spine, along with a mild wedge deformity of a midthoracic vertebral body, which cannot be determined by age. There is no focal air, prominent consolidation, pneumothorax or large pleural effusion."
        },
        {
            "image_id": "2759_2",
            "caption": "The X-ray exam reveals no acute cardiopulmonary process. The cardiomediastinal silhouette is within normal limits for appearance. There is minimal degenerative changes of the thoracic spine, along with a mild wedge deformity of a midthoracic vertebral body, which cannot be determined by age. There is no focal air, prominent consolidation, pneumothorax or large pleural effusion."
        },
        {
            "image_id": "2981_1",
            "caption": "The chest x-ray reveals normal findings with no acute abnormalities in both the heart and lungs. There is no airspace consolidation, pneumothorax, or pleural effusion. However, there is mild curvature of the lower thoracic spine that could be a positional issue. Overall, there are no significant concerns regarding the patient's cardiopulmonary health."
        },
        {
            "image_id": "2981_2",
            "caption": "The chest x-ray reveals normal findings with no acute abnormalities in both the heart and lungs. There is no airspace consolidation, pneumothorax, or pleural effusion. However, there is mild curvature of the lower thoracic spine that could be a positional issue. Overall, there are no significant concerns regarding the patient's cardiopulmonary health."
        },
        {
            "image_id": "1250_1",
            "caption": "The X-ray shows clear bilaterally lungs and unremarkable cardio mediastinal silhouette. There's no focal consolidation, pneumothorax or pleural effusion present. The visualized osseous structure of the thorax is normal without any acute abnormality. Large bilateral hilar calcified lymph granulomas are observed. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1250_2",
            "caption": "The X-ray shows clear bilaterally lungs and unremarkable cardio mediastinal silhouette. There's no focal consolidation, pneumothorax or pleural effusion present. The visualized osseous structure of the thorax is normal without any acute abnormality. Large bilateral hilar calcified lymph granulomas are observed. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2771_1",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating no active cardiopulmonary disease or injury. The left ankle shows soft tissue edema but no visible bony injury. Overall, the findings suggest no acute medical concerns in both regions of examination."
        },
        {
            "image_id": "2771_2",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating no active cardiopulmonary disease or injury. The left ankle shows soft tissue edema but no visible bony injury. Overall, the findings suggest no acute medical concerns in both regions of examination."
        },
        {
            "image_id": "934_1",
            "caption": "The chest X-ray shows a normal size and appearance of the heart and mediastinum with unremarkable pulmonary vascularity. Diffuse interstitial opacities with B lines are seen bilaterally and subpleural edema is noted in the fissures along with mild blunting of both posterior costophrenic sulci which may indicate small effusions. Limited evaluation reveals the thorax to be grossly intact and negative for pneumothorax. The impression is heart failure with pulmonary edema."
        },
        {
            "image_id": "934_2",
            "caption": "The chest X-ray shows a normal size and appearance of the heart and mediastinum with unremarkable pulmonary vascularity. Diffuse interstitial opacities with B lines are seen bilaterally and subpleural edema is noted in the fissures along with mild blunting of both posterior costophrenic sulci which may indicate small effusions. Limited evaluation reveals the thorax to be grossly intact and negative for pneumothorax. The impression is heart failure with pulmonary edema."
        },
        {
            "image_id": "1278_1",
            "caption": "The findings reveal that the heart and mediastinum are normal in size and appearance, while the lungs appear clear. There is no evidence of acute disease present, allowing for a non-concerning impression."
        },
        {
            "image_id": "1278_2",
            "caption": "The findings reveal that the heart and mediastinum are normal in size and appearance, while the lungs appear clear. There is no evidence of acute disease present, allowing for a non-concerning impression."
        },
        {
            "image_id": "3309_1",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in appearance and size. The lungs are clear with no signs of focal consolidation or large pleural effusion. Additionally, there is no evidence of acute bony abnormality. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3309_2",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in appearance and size. The lungs are clear with no signs of focal consolidation or large pleural effusion. Additionally, there is no evidence of acute bony abnormality. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2017_1",
            "caption": "The radiograph findings indicate that there is no active cardiopulmonary disease or acute abnormality. The heart is normal in size, and the mediastinum appears unremarkable. The lungs are clear with no focal consolidation, large pleural effusion, or pneumothorax observed. The impression suggests that there is no acute disease present."
        },
        {
            "image_id": "2017_2",
            "caption": "The radiograph findings indicate that there is no active cardiopulmonary disease or acute abnormality. The heart is normal in size, and the mediastinum appears unremarkable. The lungs are clear with no focal consolidation, large pleural effusion, or pneumothorax observed. The impression suggests that there is no acute disease present."
        },
        {
            "image_id": "2003_1",
            "caption": "The x-ray image shows a borderline enlarged heart, without any acute abnormality. The pulmonary vasculature appears within normal limits and there is no focal pulmonary opacity, pleural effusion, or pneumothorax observed. Additionally, no acute bony abnormality is seen. The x-ray also shows calcifications of the abdominal aorta and a possible right shoulder calcific tendinitis."
        },
        {
            "image_id": "2003_2",
            "caption": "The x-ray image shows a borderline enlarged heart, without any acute abnormality. The pulmonary vasculature appears within normal limits and there is no focal pulmonary opacity, pleural effusion, or pneumothorax observed. Additionally, no acute bony abnormality is seen. The x-ray also shows calcifications of the abdominal aorta and a possible right shoulder calcific tendinitis."
        },
        {
            "image_id": "920_1",
            "caption": "The x-ray shows that the heart size and the cardiomediastinal contour are normal. Lungs are clear without any pleural effusions or pneumothorax. Also, no bony or soft tissue abnormalities have been detected. Hence, there is no acute cardiopulmonary abnormality visible in the x-ray."
        },
        {
            "image_id": "920_2",
            "caption": "The x-ray shows that the heart size and the cardiomediastinal contour are normal. Lungs are clear without any pleural effusions or pneumothorax. Also, no bony or soft tissue abnormalities have been detected. Hence, there is no acute cardiopulmonary abnormality visible in the x-ray."
        },
        {
            "image_id": "2002_1",
            "caption": "The X-ray shows a possible lower posterior lateral left rib fractures. However, there is no acute cardiopulmonary disease observed in the report. The cardiomediastinal silhouette is within normal limits, and the lungs are clear bilaterally. Additionally, multiple small punctate radiopaque foreign bodies are present in the subcutaneous tissues. The report suggests dedicated rib films to further evaluate the rib fractures if there is further concern."
        },
        {
            "image_id": "2002_2",
            "caption": "The X-ray shows a possible lower posterior lateral left rib fractures. However, there is no acute cardiopulmonary disease observed in the report. The cardiomediastinal silhouette is within normal limits, and the lungs are clear bilaterally. Additionally, multiple small punctate radiopaque foreign bodies are present in the subcutaneous tissues. The report suggests dedicated rib films to further evaluate the rib fractures if there is further concern."
        },
        {
            "image_id": "921_1",
            "caption": "The x-ray image of the chest is normal with no acute or active cardiac, pulmonary or pleural disease. The cardiac silhouette is of normal size and configuration along with normal mediastinal contour, pulmonary vasculature, central airways and lung aeration. There is no pleural effusion seen in the x-ray."
        },
        {
            "image_id": "921_2",
            "caption": "The x-ray image of the chest is normal with no acute or active cardiac, pulmonary or pleural disease. The cardiac silhouette is of normal size and configuration along with normal mediastinal contour, pulmonary vasculature, central airways and lung aeration. There is no pleural effusion seen in the x-ray."
        },
        {
            "image_id": "1279_1",
            "caption": "The X-ray image shows no evidence of acute cardiopulmonary abnormalities. The lungs appear clear with no signs of consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal contours and heart size are within normal limits. The PICC tip in the upper SVC and surgical clips in the right upper abdomen are also visible. A comprehensive evaluation suggests no immediate medical concerns."
        },
        {
            "image_id": "2770_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette is normal in size and contour with no focal consolidation, pneumothorax or large pleural effusion. There is also no acute bone abnormality visible. The impression of the x-ray image is negative for acute abnormality, indicating no significant health issues in the patient's chest area."
        },
        {
            "image_id": "2770_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette is normal in size and contour with no focal consolidation, pneumothorax or large pleural effusion. There is also no acute bone abnormality visible. The impression of the x-ray image is negative for acute abnormality, indicating no significant health issues in the patient's chest area."
        },
        {
            "image_id": "2016_1",
            "caption": "The x-ray image shows clear lungs without any abnormality or signs of pneumothorax or pleural effusion. The cardiac and mediastinal contours appear normal. The overall impression suggests that there is no radiographic evidence of acute cardiopulmonary disease, which is a positive outcome."
        },
        {
            "image_id": "2016_2",
            "caption": "The x-ray image shows clear lungs without any abnormality or signs of pneumothorax or pleural effusion. The cardiac and mediastinal contours appear normal. The overall impression suggests that there is no radiographic evidence of acute cardiopulmonary disease, which is a positive outcome."
        },
        {
            "image_id": "1537_1",
            "caption": "The chest x-ray shows no abnormalities. The heart, mediastinum, and lungs are all within normal limits. There are no signs of focal airspace disease, pleural effusion, or pneumothorax. The respiratory and cardiac systems appear to be functioning normally. There is no acute bone abnormality present. The impression is that there is no evidence of acute cardiopulmonary disease or active tuberculosis. Overall, the x-ray image reveals a healthy chest with no concerning findings."
        },
        {
            "image_id": "1537_2",
            "caption": "The chest x-ray shows no abnormalities. The heart, mediastinum, and lungs are all within normal limits. There are no signs of focal airspace disease, pleural effusion, or pneumothorax. The respiratory and cardiac systems appear to be functioning normally. There is no acute bone abnormality present. The impression is that there is no evidence of acute cardiopulmonary disease or active tuberculosis. Overall, the x-ray image reveals a healthy chest with no concerning findings."
        },
        {
            "image_id": "2980_1",
            "caption": "The X-ray shows no signs of acute disease. There is no evidence of cardiac enlargement, vascular congestion or focal confluent airspace disease. Neither pneumothorax nor acute bone abnormality was detected. In the absence of any radiographic evidence of cardiopulmonary disease, the impression indicates no acute cardiothoracic abnormality."
        },
        {
            "image_id": "2980_2",
            "caption": "The X-ray shows no signs of acute disease. There is no evidence of cardiac enlargement, vascular congestion or focal confluent airspace disease. Neither pneumothorax nor acute bone abnormality was detected. In the absence of any radiographic evidence of cardiopulmonary disease, the impression indicates no acute cardiothoracic abnormality."
        },
        {
            "image_id": "3446_1",
            "caption": "In the chest x-ray, the cardiac and mediastinal contours appear normal and the lungs are clear with no abnormalities found in the bony structures. The impression indicates a negative result for any chest x-ray abnormalities."
        },
        {
            "image_id": "3446_2",
            "caption": "In the chest x-ray, the cardiac and mediastinal contours appear normal and the lungs are clear with no abnormalities found in the bony structures. The impression indicates a negative result for any chest x-ray abnormalities."
        },
        {
            "image_id": "2758_1",
            "caption": "Based on the X-ray, the cardiomediastinal silhouette appears normal, and there is no evidence of acute or active cardiac, pulmonary, or pleural disease. The pulmonary vasculature, mediastinal contour, and central airways all appear normal. Additionally, there is no evidence of pleural effusion."
        },
        {
            "image_id": "2994_1",
            "caption": "The chest X-ray shows no acute abnormalities. The lungs are clear without any pleural effusion or pneumothorax. The cardiomediastinal contours and skeletal structures are normal. The impression indicates no acute or active cardiac, pulmonary, or pleural disease, suggesting a normal x-ray result."
        },
        {
            "image_id": "2994_2",
            "caption": "The chest X-ray shows no acute abnormalities. The lungs are clear without any pleural effusion or pneumothorax. The cardiomediastinal contours and skeletal structures are normal. The impression indicates no acute or active cardiac, pulmonary, or pleural disease, suggesting a normal x-ray result."
        },
        {
            "image_id": "3452_1",
            "caption": "The chest x-ray shows a normal heart size and normal pulmonary vascularity. No abnormalities such as focal infiltrates, pneumothorax or pleural effusion were identified. A qualified radiologist confirms that there is no evidence of acute cardiopulmonary disease in this x-ray image."
        },
        {
            "image_id": "3452_2",
            "caption": "The chest x-ray shows a normal heart size and normal pulmonary vascularity. No abnormalities such as focal infiltrates, pneumothorax or pleural effusion were identified. A qualified radiologist confirms that there is no evidence of acute cardiopulmonary disease in this x-ray image."
        },
        {
            "image_id": "909_1",
            "caption": "The chest x-ray shows clear lungs without any focal airspace disease, consolidation, pneumothorax or pleural effusion. The cardiac and mediastinal contours are normal, and the bony structures are intact. The heart size and pulmonary vascularity are also within normal limits. The doctor's impression is that there is no acute or active cardiopulmonary abnormality or disease, which is a good sign."
        },
        {
            "image_id": "909_2",
            "caption": "The chest x-ray shows clear lungs without any focal airspace disease, consolidation, pneumothorax or pleural effusion. The cardiac and mediastinal contours are normal, and the bony structures are intact. The heart size and pulmonary vascularity are also within normal limits. The doctor's impression is that there is no acute or active cardiopulmonary abnormality or disease, which is a good sign."
        },
        {
            "image_id": "1523_1",
            "caption": "After examining the chest X-ray, the findings indicate that the heart, lungs, and vasculature are all normal. No focal consolidation, pneumothorax, or pleural effusion were found. Further, osseous structures in the thorax are all within normal limits. The impression of the X-ray is that there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "1523_2",
            "caption": "After examining the chest X-ray, the findings indicate that the heart, lungs, and vasculature are all normal. No focal consolidation, pneumothorax, or pleural effusion were found. Further, osseous structures in the thorax are all within normal limits. The impression of the X-ray is that there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "1523_3",
            "caption": "After examining the chest X-ray, the findings indicate that the heart, lungs, and vasculature are all normal. No focal consolidation, pneumothorax, or pleural effusion were found. Further, osseous structures in the thorax are all within normal limits. The impression of the X-ray is that there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "3485_1",
            "caption": "Based on the X-ray image, the lungs appear to be hyperexpanded indicating a possible emphysema. No evidence of active disease, pleural effusion or pneumothorax is seen. The heart size and pulmonary vascular also appear to be within normal limits. Furthermore, calcified lymph nodes and granuloma were detected. This indicates that the patient may have previously had some type of lung infection."
        },
        {
            "image_id": "3485_2",
            "caption": "Based on the X-ray image, the lungs appear to be hyperexpanded indicating a possible emphysema. No evidence of active disease, pleural effusion or pneumothorax is seen. The heart size and pulmonary vascular also appear to be within normal limits. Furthermore, calcified lymph nodes and granuloma were detected. This indicates that the patient may have previously had some type of lung infection."
        },
        {
            "image_id": "1292_1",
            "caption": "The x-ray reveals a borderline enlarged heart and a tortuous/ectatic thoracic aorta, however no focal pulmonary opacity, pleural effusion or pneumothorax is detected. The spine shows degenerative changes, and there is a fracture of the distal right clavicle which is better seen on today's radiograph of the shoulder. Additionally, a small round lucency in the distal left clavicle appears benign. Overall, further evaluation and follow-up may be necessary."
        },
        {
            "image_id": "1292_2",
            "caption": "The x-ray reveals a borderline enlarged heart and a tortuous/ectatic thoracic aorta, however no focal pulmonary opacity, pleural effusion or pneumothorax is detected. The spine shows degenerative changes, and there is a fracture of the distal right clavicle which is better seen on today's radiograph of the shoulder. Additionally, a small round lucency in the distal left clavicle appears benign. Overall, further evaluation and follow-up may be necessary."
        },
        {
            "image_id": "706_1",
            "caption": "During the examination, there was a stable cardiomediastinal silhouette with a normal sized heart and aortic ectasia/tortuosity. No evidence of pleural effusion or focal alveolar consolidation. Mild bronchovascular crowding was seen without the typical characteristics of pulmonary edema. Distal clavicle shortening was noted on the previous exam, which could have been due to posttraumatic or postsurgical causes. Overall, there were no acute findings during the examination."
        },
        {
            "image_id": "706_2",
            "caption": "During the examination, there was a stable cardiomediastinal silhouette with a normal sized heart and aortic ectasia/tortuosity. No evidence of pleural effusion or focal alveolar consolidation. Mild bronchovascular crowding was seen without the typical characteristics of pulmonary edema. Distal clavicle shortening was noted on the previous exam, which could have been due to posttraumatic or postsurgical causes. Overall, there were no acute findings during the examination."
        },
        {
            "image_id": "712_1",
            "caption": "The x-ray shows that the lungs are mildly hyperexpanded and there is no evidence of pneumonia, pleural effusion, or pneumothorax. The heart and mediastinum appear normal. Overall, there is no acute abnormality demonstrated in the x-ray."
        },
        {
            "image_id": "712_2",
            "caption": "The x-ray shows that the lungs are mildly hyperexpanded and there is no evidence of pneumonia, pleural effusion, or pneumothorax. The heart and mediastinum appear normal. Overall, there is no acute abnormality demonstrated in the x-ray."
        },
        {
            "image_id": "712_3",
            "caption": "The x-ray shows that the lungs are mildly hyperexpanded and there is no evidence of pneumonia, pleural effusion, or pneumothorax. The heart and mediastinum appear normal. Overall, there is no acute abnormality demonstrated in the x-ray."
        },
        {
            "image_id": "2957_1",
            "caption": "The X-ray shows mild enlargement of the heart with increased pulmonary vascularity. The right hemidiaphragm is mildly elevated and there is air space disease in the right lung base, along with a streaky opacity in the left base. The costophrenic angles are blunted. The impression is that there is cardiomegaly and pulmonary vascular congestion, along with eventration of the right hemidiaphragm and basilar atelectasis."
        },
        {
            "image_id": "2957_2",
            "caption": "The X-ray shows mild enlargement of the heart with increased pulmonary vascularity. The right hemidiaphragm is mildly elevated and there is air space disease in the right lung base, along with a streaky opacity in the left base. The costophrenic angles are blunted. The impression is that there is cardiomegaly and pulmonary vascular congestion, along with eventration of the right hemidiaphragm and basilar atelectasis."
        },
        {
            "image_id": "3491_1",
            "caption": "The chest x-ray shows that the heart and pulmonary vascularity are normal. However, the thoracic aorta appears prominent with calcification. The lungs do not show any abnormalities, including the absence of pleural effusion or pneumothorax, but there is an Azygos lobe. Additionally, degenerative changes are observed in the spine. The impression is that of a prominent transverse aorta, otherwise clear, indicating normalcy except for the observed findings."
        },
        {
            "image_id": "3491_2",
            "caption": "The chest x-ray shows that the heart and pulmonary vascularity are normal. However, the thoracic aorta appears prominent with calcification. The lungs do not show any abnormalities, including the absence of pleural effusion or pneumothorax, but there is an Azygos lobe. Additionally, degenerative changes are observed in the spine. The impression is that of a prominent transverse aorta, otherwise clear, indicating normalcy except for the observed findings."
        },
        {
            "image_id": "3678_1",
            "caption": "The x-ray shows a normal heart size and unremarkable mediastinum. The interstitial markings are slightly accentuated indicating underlying chronic disease/emphysema. However, no acute infiltrate or focal consolidation is seen. There is mild costophrenic blunting that suggests possible bilateral pleural effusions and/or thickening. Overall, no acute abnormality is shown in the x-ray."
        },
        {
            "image_id": "3678_2",
            "caption": "The x-ray shows a normal heart size and unremarkable mediastinum. The interstitial markings are slightly accentuated indicating underlying chronic disease/emphysema. However, no acute infiltrate or focal consolidation is seen. There is mild costophrenic blunting that suggests possible bilateral pleural effusions and/or thickening. Overall, no acute abnormality is shown in the x-ray."
        },
        {
            "image_id": "2200_1",
            "caption": "The chest x-ray revealed low lung volumes with bibasilar atelectasis or scarring. The heart size and mediastinal silhouette are normal in shape, with no signs of pneumothorax or pleural effusions. The left abdominal surgical clips are stable and the ribs are intact. The impression suggests the possibility of bibasilar atelectasis or scarring due to low lung volumes."
        },
        {
            "image_id": "2200_2",
            "caption": "The chest x-ray revealed low lung volumes with bibasilar atelectasis or scarring. The heart size and mediastinal silhouette are normal in shape, with no signs of pneumothorax or pleural effusions. The left abdominal surgical clips are stable and the ribs are intact. The impression suggests the possibility of bibasilar atelectasis or scarring due to low lung volumes."
        },
        {
            "image_id": "1709_1",
            "caption": "The X-ray shows a clear cardiomediastinal silhouette with normal heart and lung size. There is only minimal opacity in the lung bases, but no acute abnormalities are found in the bones or lungs. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1709_2",
            "caption": "The X-ray shows a clear cardiomediastinal silhouette with normal heart and lung size. There is only minimal opacity in the lung bases, but no acute abnormalities are found in the bones or lungs. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "289_1",
            "caption": "The x-ray image shows a stable heart size within normal limits and normal hilar contours with a monitoring device artifact and the tip of the right chest tube in the low SVC. There is no evidence of acute cardiopulmonary disease, although there is minimal opacity in the lung bases. There is no indication of pneumonia, effusion or pulmonary edema. The impression indicates no acute findings."
        },
        {
            "image_id": "289_2",
            "caption": "The x-ray image shows a stable heart size within normal limits and normal hilar contours with a monitoring device artifact and the tip of the right chest tube in the low SVC. There is no evidence of acute cardiopulmonary disease, although there is minimal opacity in the lung bases. There is no indication of pneumonia, effusion or pulmonary edema. The impression indicates no acute findings."
        },
        {
            "image_id": "2214_1",
            "caption": "The x-ray shows that the size and contour of the heart, as well as the cardiomediastinal silhouette, are normal. The lungs are also normal and properly inflated with no signs of focal airspace disease, pleural effusion, or pneumothorax. Moreover, no acute bone abnormality was observed. The impression suggests that there is no acute cardiopulmonary process going on."
        },
        {
            "image_id": "2572_1",
            "caption": "The x-ray image shows clear lungs with no focal consolidation, suspicious nodules, pleural effusions, or pneumothoraces. The heart and mediastinum are of normal size and contour, indicating no abnormality there. The impression of the x-ray suggests a healthy chest with no acute cardiopulmonary process or any acute findings."
        },
        {
            "image_id": "2572_2",
            "caption": "The x-ray image shows clear lungs with no focal consolidation, suspicious nodules, pleural effusions, or pneumothoraces. The heart and mediastinum are of normal size and contour, indicating no abnormality there. The impression of the x-ray suggests a healthy chest with no acute cardiopulmonary process or any acute findings."
        },
        {
            "image_id": "3644_1",
            "caption": "The X-ray examination shows stable elongation of the left ventricle and tortuous thoracic aorta, and subcarinal calcified lymph node. No acute cardiopulmonary abnormality is detected. There is no evidence of focal airspace disease, pneumothorax or large pleural effusion. The impression is suggestive of left ventricular enlargement and tortuous thoracic aorta."
        },
        {
            "image_id": "3644_2",
            "caption": "The X-ray examination shows stable elongation of the left ventricle and tortuous thoracic aorta, and subcarinal calcified lymph node. No acute cardiopulmonary abnormality is detected. There is no evidence of focal airspace disease, pneumothorax or large pleural effusion. The impression is suggestive of left ventricular enlargement and tortuous thoracic aorta."
        },
        {
            "image_id": "1053_1",
            "caption": "The chest x-ray shows postoperative changes of sternotomy and CABG, along with scattered areas of subsegmental atelectasis which are reduced from the prior chest radiograph. There is no focal airspace consolidation, pleural effusion, or pneumothorax observed. Additionally, mild cardiomegaly appears stable on this x-ray. Furthermore, there are minimal degenerative changes in the spine. Based on these findings, the radiologist concludes that the patient's condition is stable with no acute abnormalities."
        },
        {
            "image_id": "1053_2",
            "caption": "The chest x-ray shows postoperative changes of sternotomy and CABG, along with scattered areas of subsegmental atelectasis which are reduced from the prior chest radiograph. There is no focal airspace consolidation, pleural effusion, or pneumothorax observed. Additionally, mild cardiomegaly appears stable on this x-ray. Furthermore, there are minimal degenerative changes in the spine. Based on these findings, the radiologist concludes that the patient's condition is stable with no acute abnormalities."
        },
        {
            "image_id": "1735_1",
            "caption": "The trachea is midline and the cardiomediastinal silhouette is normal in size. However, there is blunting of the right costophrenic that may be secondary to pleural thickening of the right lung base. The lungs are hyperexpanded without any evidence of acute infiltrate or pneumothorax. There are also surgical clips. Additionally, there are no acute abnormalities to report in the visualized bony structures. All in all, there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "1735_2",
            "caption": "The trachea is midline and the cardiomediastinal silhouette is normal in size. However, there is blunting of the right costophrenic that may be secondary to pleural thickening of the right lung base. The lungs are hyperexpanded without any evidence of acute infiltrate or pneumothorax. There are also surgical clips. Additionally, there are no acute abnormalities to report in the visualized bony structures. All in all, there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "3122_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with normal pulmonary vasculature; lungs are well-aerated with no visible pneumothorax, pleural effusion or consolidation. There are no acute cardiopulmonary diseases present."
        },
        {
            "image_id": "3122_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with normal pulmonary vasculature; lungs are well-aerated with no visible pneumothorax, pleural effusion or consolidation. There are no acute cardiopulmonary diseases present."
        },
        {
            "image_id": "3136_1",
            "caption": "The heart, mediastinal, and pulmonary vascularity appear normal without any significant findings. The lungs are clear without any focal opacity or pleural effusion, and there are no signs of acute bone abnormalities. The impression confirms that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3136_2",
            "caption": "The heart, mediastinal, and pulmonary vascularity appear normal without any significant findings. The lungs are clear without any focal opacity or pleural effusion, and there are no signs of acute bone abnormalities. The impression confirms that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1721_1",
            "caption": "The chest x-ray shows that the heart, pulmonary, and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal airspace opacity to suggest pneumonia. Additionally, the patient was shielded during the X-ray process. In conclusion, there is no acute cardiopulmonary disease found on the x-ray."
        },
        {
            "image_id": "1721_2",
            "caption": "The chest x-ray shows that the heart, pulmonary, and mediastinum are within normal limits. There is no pleural effusion or pneumothorax. There is no focal airspace opacity to suggest pneumonia. Additionally, the patient was shielded during the X-ray process. In conclusion, there is no acute cardiopulmonary disease found on the x-ray."
        },
        {
            "image_id": "1047_1",
            "caption": "The chest x-ray reveals no significant abnormalities. The lungs are clear without any focal consolidation, pneumothorax or pleural effusion. The heart and mediastinal contours are normal while the visualized osseous structures are intact. There is no acute cardiopulmonary abnormality seen on the image."
        },
        {
            "image_id": "1047_2",
            "caption": "The chest x-ray reveals no significant abnormalities. The lungs are clear without any focal consolidation, pneumothorax or pleural effusion. The heart and mediastinal contours are normal while the visualized osseous structures are intact. There is no acute cardiopulmonary abnormality seen on the image."
        },
        {
            "image_id": "3888_1",
            "caption": "The patient's latest X-ray shows that there are no noticeable changes in the heart or lungs since the last examination. Both lungs appear clear and fully expanded, with no signs of any concerning abnormalities. Similarly, there are no noticeable irregularities in the heart or mediastinum. The overall impression is that there is no active disease present in the patient's cardiopulmonary system."
        },
        {
            "image_id": "3650_1",
            "caption": "The x-ray shows that the heart is of normal size, but the bilateral pulmonary arteries appear enlarged, which could be due to pulmonary arterial hypertension. The lungs are hyperexpanded with flattened hemidiaphragms, indicating pulmonary emphysema. There is no pneumothorax or pleural effusion, and no suspicious nodules are identified."
        },
        {
            "image_id": "3650_2",
            "caption": "The x-ray shows that the heart is of normal size, but the bilateral pulmonary arteries appear enlarged, which could be due to pulmonary arterial hypertension. The lungs are hyperexpanded with flattened hemidiaphragms, indicating pulmonary emphysema. There is no pneumothorax or pleural effusion, and no suspicious nodules are identified."
        },
        {
            "image_id": "3863_1",
            "caption": "The X-ray shows clear lungs without any focal airspace opacity, but an enlarged cardiomediastinal silhouette is observed. There is no pneumothorax or large pleural effusion. The impression suggests cardiomegaly, but no focal consolidation is observed."
        },
        {
            "image_id": "3863_2",
            "caption": "The X-ray shows clear lungs without any focal airspace opacity, but an enlarged cardiomediastinal silhouette is observed. There is no pneumothorax or large pleural effusion. The impression suggests cardiomegaly, but no focal consolidation is observed."
        },
        {
            "image_id": "538_1",
            "caption": "The chest X-ray reveals that the cardiomediastinal silhouette is normal and unchanged from previous examinations. There are no signs of focal airspace consolidation or pleural effusion. This suggests that there is no acute or active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "538_2",
            "caption": "The chest X-ray reveals that the cardiomediastinal silhouette is normal and unchanged from previous examinations. There are no signs of focal airspace consolidation or pleural effusion. This suggests that there is no acute or active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "1912_1",
            "caption": "The chest x-ray shows that the cardiac and mediastinal contours are normal, and there are no acute findings in the lungs or bony structures. The impression is no acute or active disease identified, thereby confirming that the patient's chest x-ray is clear and normal."
        },
        {
            "image_id": "1912_2",
            "caption": "The chest x-ray shows that the cardiac and mediastinal contours are normal, and there are no acute findings in the lungs or bony structures. The impression is no acute or active disease identified, thereby confirming that the patient's chest x-ray is clear and normal."
        },
        {
            "image_id": "3877_1",
            "caption": "The cardiomediastinal silhouette is normal and of normal size. There are a few mildly increased atherosclerotic calcifications of the thoracic aorta. The previously seen 1.0 cm nodular opacity in the left midlung is unchanged. No new lung nodules, airspace consolidation, or pneumothorax is noticed. The patient has bilateral pleural effusions posteriorly, which are of unknown duration. There is mild central pulmonary vascular congestion but no evidence of pulmonary edema or consolidation. The patient also has no acute bony abnormalities. The impression suggests central pulmonary vascular congestion without active pulmonary edema, consolidation or pneumothorax, and bilateral pleural effusions, which need to be further evaluated."
        },
        {
            "image_id": "3877_2",
            "caption": "The cardiomediastinal silhouette is normal and of normal size. There are a few mildly increased atherosclerotic calcifications of the thoracic aorta. The previously seen 1.0 cm nodular opacity in the left midlung is unchanged. No new lung nodules, airspace consolidation, or pneumothorax is noticed. The patient has bilateral pleural effusions posteriorly, which are of unknown duration. There is mild central pulmonary vascular congestion but no evidence of pulmonary edema or consolidation. The patient also has no acute bony abnormalities. The impression suggests central pulmonary vascular congestion without active pulmonary edema, consolidation or pneumothorax, and bilateral pleural effusions, which need to be further evaluated."
        },
        {
            "image_id": "504_1",
            "caption": "The x-ray shows a stable cardiomediastinal silhouette with no acute cardiopulmonary abnormality. There is a stable opacity in the left base with no scarring or atelectasis, and a rounded calcified density in the left lung base, which is likely a calcified granuloma. The spine shows stable degenerative changes. There is no consolidation or pleural effusion present."
        },
        {
            "image_id": "504_2",
            "caption": "The x-ray shows a stable cardiomediastinal silhouette with no acute cardiopulmonary abnormality. There is a stable opacity in the left base with no scarring or atelectasis, and a rounded calcified density in the left lung base, which is likely a calcified granuloma. The spine shows stable degenerative changes. There is no consolidation or pleural effusion present."
        },
        {
            "image_id": "3687_1",
            "caption": "The x-ray image shows that the heart size and mediastinal contours are normal, and the right lung appears clear. However, there appears to be minimal patchy atelectasis or early infiltrate in the left lung base. No pleural effusion or pneumothorax is visible. The lateral view partially visualizes IVC narrowing and surgical changes compatible with prior fusion procedure. The impression is that there is a minimal patchy left basilar atelectasis or infiltrate seen in the image."
        },
        {
            "image_id": "3687_2",
            "caption": "The x-ray image shows that the heart size and mediastinal contours are normal, and the right lung appears clear. However, there appears to be minimal patchy atelectasis or early infiltrate in the left lung base. No pleural effusion or pneumothorax is visible. The lateral view partially visualizes IVC narrowing and surgical changes compatible with prior fusion procedure. The impression is that there is a minimal patchy left basilar atelectasis or infiltrate seen in the image."
        },
        {
            "image_id": "2599_1",
            "caption": "The chest X-ray shows an irregular opacity over the left apex, along with a small left upper lobe opacity. There are no findings of pneumonia, pleural effusion or pneumothorax. The heart appears normal in size and there are degenerative changes in the thoracic spine. The impression suggests further evaluation with a CT scan to rule out any mass lesions related to the left upper lobe opacities."
        },
        {
            "image_id": "262_1",
            "caption": "The X-ray indicates that the heart and pulmonary vascularity are within normal limits, while the lungs show no signs of focal airspace disease, pleural effusion or pneumothorax. Additionally, there are no visible nodules or adenopathy, with degenerative changes noted in the spine. Overall, there is no evidence of active disease according to the radiograph."
        },
        {
            "image_id": "276_1",
            "caption": "The x-ray shows healthy lungs without any focal consolidation, pneumothorax, or pleural effusion. The cardiovascular and mediastinal features are normal with no acute findings. Additionally, there are no osseous abnormalities in the thorax. Overall, there is no evidence of active disease in the x-ray image."
        },
        {
            "image_id": "276_2",
            "caption": "The x-ray shows healthy lungs without any focal consolidation, pneumothorax, or pleural effusion. The cardiovascular and mediastinal features are normal with no acute findings. Additionally, there are no osseous abnormalities in the thorax. Overall, there is no evidence of active disease in the x-ray image."
        },
        {
            "image_id": "3693_1",
            "caption": "The x-ray shows clear lungs without any visible abnormalities, such as focal consolidation, pneumothorax, or pleural effusion. Additionally, there are no acute abnormality in cardio mediastinal silhouette and osseous structures of the thorax. As per the impression, there is no acute cardiopulmonary abnormality found. This suggests a normal and healthy chest radiograph with no signs of any active or chronic diseases."
        },
        {
            "image_id": "3693_2",
            "caption": "The x-ray shows clear lungs without any visible abnormalities, such as focal consolidation, pneumothorax, or pleural effusion. Additionally, there are no acute abnormality in cardio mediastinal silhouette and osseous structures of the thorax. As per the impression, there is no acute cardiopulmonary abnormality found. This suggests a normal and healthy chest radiograph with no signs of any active or chronic diseases."
        },
        {
            "image_id": "510_1",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear bilaterally, with no focal infiltrate, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable."
        },
        {
            "image_id": "510_2",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear bilaterally, with no focal infiltrate, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable."
        },
        {
            "image_id": "510_3",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear bilaterally, with no focal infiltrate, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable."
        },
        {
            "image_id": "2412_1",
            "caption": "The X-ray image shows that the heart size and mediastinal silhouette are within normal limits, lungs are clear, and no pneumothorax or pleural effusions are present. The osseous structures are also intact. The calcification in the right upper quadrant of the abdomen is consistent with a gallstone, but there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "2412_2",
            "caption": "The X-ray image shows that the heart size and mediastinal silhouette are within normal limits, lungs are clear, and no pneumothorax or pleural effusions are present. The osseous structures are also intact. The calcification in the right upper quadrant of the abdomen is consistent with a gallstone, but there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "1669_1",
            "caption": "The X-ray shows clear lungs without any focal airspace opacity. Cardiomediastinal silhouette appears normal in size and contour. However, calcifications in the aortic area were observed along with a calcified granuloma at the left lower lung. No pneumothorax or large pleural effusion were found. Consequently, the impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1669_2",
            "caption": "The X-ray shows clear lungs without any focal airspace opacity. Cardiomediastinal silhouette appears normal in size and contour. However, calcifications in the aortic area were observed along with a calcified granuloma at the left lower lung. No pneumothorax or large pleural effusion were found. Consequently, the impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2360_1",
            "caption": "The findings suggest a normal chest x-ray with no significant abnormalities. The lungs appear clear, the heart size and shape are normal, and no pleural effusion is noted. The impression is that there is no acute abnormality detected on the x-ray."
        },
        {
            "image_id": "2360_2",
            "caption": "The findings suggest a normal chest x-ray with no significant abnormalities. The lungs appear clear, the heart size and shape are normal, and no pleural effusion is noted. The impression is that there is no acute abnormality detected on the x-ray."
        },
        {
            "image_id": "2406_1",
            "caption": "The x-ray shows clear and expanded lungs with a normal heart and pulmonary area. The large hiatus hernia shows no changes. There is no visible active cardiopulmonary disease, according to the radiologist's interpretation."
        },
        {
            "image_id": "2406_2",
            "caption": "The x-ray shows clear and expanded lungs with a normal heart and pulmonary area. The large hiatus hernia shows no changes. There is no visible active cardiopulmonary disease, according to the radiologist's interpretation."
        },
        {
            "image_id": "1899_1",
            "caption": "The X-ray shows that both lungs are clear and the cardio mediastinal silhouette is normal. There are no signs of focal consolidation, pneumothorax, or pleural effusion. In addition, the visualized osseous structures of the thorax are without acute abnormality. Based on these findings, there is no acute cardiopulmonary abnormality seen."
        },
        {
            "image_id": "1899_2",
            "caption": "The X-ray shows that both lungs are clear and the cardio mediastinal silhouette is normal. There are no signs of focal consolidation, pneumothorax, or pleural effusion. In addition, the visualized osseous structures of the thorax are without acute abnormality. Based on these findings, there is no acute cardiopulmonary abnormality seen."
        },
        {
            "image_id": "1641_1",
            "caption": "The chest x-ray in AP projection shows that the cardiomediastinal silhouette is within normal limits. However, there is segmental air space disease present in the left lower lobe, which is indicative of pneumonia. No pleural effusion or pneumothorax is observed. Additionally, evidence of previous CABG is present in the image. The impression obtained from these findings states that the left lower lobe airspace disease is suspicious for pneumonia."
        },
        {
            "image_id": "1641_2",
            "caption": "The chest x-ray in AP projection shows that the cardiomediastinal silhouette is within normal limits. However, there is segmental air space disease present in the left lower lobe, which is indicative of pneumonia. No pleural effusion or pneumothorax is observed. Additionally, evidence of previous CABG is present in the image. The impression obtained from these findings states that the left lower lobe airspace disease is suspicious for pneumonia."
        },
        {
            "image_id": "2348_1",
            "caption": "The chest x-ray reveals a moderate sized right pleural effusion. There is no evidence of pneumothorax. The abdomen is scaphoid. Based on these findings, it is suggested to correlate clinically and further evaluate the pleural effusions."
        },
        {
            "image_id": "2348_2",
            "caption": "The chest x-ray reveals a moderate sized right pleural effusion. There is no evidence of pneumothorax. The abdomen is scaphoid. Based on these findings, it is suggested to correlate clinically and further evaluate the pleural effusions."
        },
        {
            "image_id": "3056_1",
            "caption": "According to the findings, there is an airspace disease in the superior segment of the right lower lobe with a moderate layering right pleural effusion with an air fluid level. No visualized pneumothorax was observed. The left lung was clear without any focal consolidation or acute bone abnormality. The impression recommends follow-up to resolution or cross-sectional imaging of the chest to rule out malignancy."
        },
        {
            "image_id": "3042_1",
            "caption": "The X-ray shows a stable appearance of a bipolar dual-cardiac pacemaker overlying the left hemithorax with no interval change in position. The cardiomediastinal silhouette appears within normal limits, and the lungs are well-aerated without areas of parenchymal consolidation or pleural effusion. The impression observes no acute cardiopulmonary disease and a stable appearance of pacemaker."
        },
        {
            "image_id": "1655_1",
            "caption": "The x-ray image shows no acute abnormalities in the cardiopulmonary system. The cardiomediastinal silhouette is normal and the lungs are well-aerated without any signs of pneumothorax, pleural effusion or focal air space consolidation. The findings suggest a healthy cardiopulmonary system."
        },
        {
            "image_id": "1655_2",
            "caption": "The x-ray image shows no acute abnormalities in the cardiopulmonary system. The cardiomediastinal silhouette is normal and the lungs are well-aerated without any signs of pneumothorax, pleural effusion or focal air space consolidation. The findings suggest a healthy cardiopulmonary system."
        },
        {
            "image_id": "1133_1",
            "caption": "The chest x-ray showed hyperexpanded lungs with no infiltrates or masses. The eventration of the left hemidiaphragm identified previously has largely remained unchanged. Additionally, pulmonary vasculature appeared normal. These findings are of COPD with no acute changes."
        },
        {
            "image_id": "1133_2",
            "caption": "The chest x-ray showed hyperexpanded lungs with no infiltrates or masses. The eventration of the left hemidiaphragm identified previously has largely remained unchanged. Additionally, pulmonary vasculature appeared normal. These findings are of COPD with no acute changes."
        },
        {
            "image_id": "3724_1",
            "caption": "The x-ray shows a normal chest with clear lungs and normal heart size. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses are observed. The impression is that the chest x-ray is normal."
        },
        {
            "image_id": "3724_2",
            "caption": "The x-ray shows a normal chest with clear lungs and normal heart size. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses are observed. The impression is that the chest x-ray is normal."
        },
        {
            "image_id": "3917_1",
            "caption": "The chest X-ray shows clear lungs bilaterally with no evidence of any focal consolidation, pneumothorax, or pleural effusion. Mild cardiomegaly is observed without acute abnormalities in the cardiac system. Furthermore, the visualized osseous structures of the thorax appear normal. As per impression, the X-ray indicates mild cardiomegaly without any acute cardiopulmonary abnormality or active infectious/tuberculous process."
        },
        {
            "image_id": "3917_2",
            "caption": "The chest X-ray shows clear lungs bilaterally with no evidence of any focal consolidation, pneumothorax, or pleural effusion. Mild cardiomegaly is observed without acute abnormalities in the cardiac system. Furthermore, the visualized osseous structures of the thorax appear normal. As per impression, the X-ray indicates mild cardiomegaly without any acute cardiopulmonary abnormality or active infectious/tuberculous process."
        },
        {
            "image_id": "1866_1",
            "caption": "The patient's X-ray shows a stable heart and lungs with no significant changes. The lungs are clear and well-expanded, while the heart and mediastinum are normal. No active cardiopulmonary disease or abnormalities were found."
        },
        {
            "image_id": "1866_2",
            "caption": "The patient's X-ray shows a stable heart and lungs with no significant changes. The lungs are clear and well-expanded, while the heart and mediastinum are normal. No active cardiopulmonary disease or abnormalities were found."
        },
        {
            "image_id": "1872_1",
            "caption": "The patient's X-ray shows clear lungs bilaterally without any signs of pneumothorax or pleural effusion. Additionally, the cardiac contours appear normal. However, there are multiple anterior endplate osteophyte formations noted along the thoracic spine. Overall, there are no acute cardiopulmonary abnormalities detected in the X-ray image."
        },
        {
            "image_id": "458_1",
            "caption": "The chest x-ray indicates normal findings. The lungs are clear with no evidence of pneumothorax, effusion or focal consolidation. The heart and pulmonary areas appear normal with mediastinal contours being normal. Bony overlap in the lung apices could obscure a small pulmonary nodule. The impression suggests that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "458_2",
            "caption": "The chest x-ray indicates normal findings. The lungs are clear with no evidence of pneumothorax, effusion or focal consolidation. The heart and pulmonary areas appear normal with mediastinal contours being normal. Bony overlap in the lung apices could obscure a small pulmonary nodule. The impression suggests that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "3903_1",
            "caption": "The x-ray shows a heart that is slightly enlarged, but still within normal limits. The pulmonary blood vessels are normal in appearance, and there are no signs of fluid or air in the lungs. Additionally, there are no acute bone abnormalities visible. Overall, the x-ray indicates no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3903_2",
            "caption": "The x-ray shows a heart that is slightly enlarged, but still within normal limits. The pulmonary blood vessels are normal in appearance, and there are no signs of fluid or air in the lungs. Additionally, there are no acute bone abnormalities visible. Overall, the x-ray indicates no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "470_1",
            "caption": "Based on the x-ray image, findings indicate that the cardiac and mediastinal contours are normal, with well-inflated clear lungs and no focal consolidation, pneumothorax, or effusion noted. The bony structures of the thorax appear unremarkable. Additionally, there is no acute cardiopulmonary process observed, and the chest appears to have a stable appearance."
        },
        {
            "image_id": "470_2",
            "caption": "Based on the x-ray image, findings indicate that the cardiac and mediastinal contours are normal, with well-inflated clear lungs and no focal consolidation, pneumothorax, or effusion noted. The bony structures of the thorax appear unremarkable. Additionally, there is no acute cardiopulmonary process observed, and the chest appears to have a stable appearance."
        },
        {
            "image_id": "3095_1",
            "caption": "The X-ray report shows that the heart size is mildly enlarged, and there are diffusely increased interstitial opacities in both lungs. However, there is no focal consolidation, pneumothorax, or pleural effusion detected, and the bony structures of the chest appear normal. The impression suggests that these findings could indicate interstitial edema or infection. It is important to follow up with a healthcare provider for further evaluation and treatment if necessary."
        },
        {
            "image_id": "3095_2",
            "caption": "The X-ray report shows that the heart size is mildly enlarged, and there are diffusely increased interstitial opacities in both lungs. However, there is no focal consolidation, pneumothorax, or pleural effusion detected, and the bony structures of the chest appear normal. The impression suggests that these findings could indicate interstitial edema or infection. It is important to follow up with a healthcare provider for further evaluation and treatment if necessary."
        },
        {
            "image_id": "1682_1",
            "caption": "The X-ray image shows a possible lobulated contour in the right paratracheal stripe, which can further be evaluated with CT scan. However, the rest of the cardiomediastinal silhouette is normal, with no focal areas of pulmonary consolidation, pneumothorax or pleural effusion. The thoracic spine also appears intact. Overall, there are no acute intrathoracic abnormalities, except for the right paratracheal stripe."
        },
        {
            "image_id": "1682_2",
            "caption": "The X-ray image shows a possible lobulated contour in the right paratracheal stripe, which can further be evaluated with CT scan. However, the rest of the cardiomediastinal silhouette is normal, with no focal areas of pulmonary consolidation, pneumothorax or pleural effusion. The thoracic spine also appears intact. Overall, there are no acute intrathoracic abnormalities, except for the right paratracheal stripe."
        },
        {
            "image_id": "1696_1",
            "caption": "The x-ray shows that the heart is normal in size and shape. Moreover, the lungs are clear without any sign of infiltrate or pneumothorax. There is no effusion present in the lungs either. Hence, the impression is that no acute cardiopulmonary disease is found in the report."
        },
        {
            "image_id": "1696_2",
            "caption": "The x-ray shows that the heart is normal in size and shape. Moreover, the lungs are clear without any sign of infiltrate or pneumothorax. There is no effusion present in the lungs either. Hence, the impression is that no acute cardiopulmonary disease is found in the report."
        },
        {
            "image_id": "302_1",
            "caption": "The medical image shows that the heart is of normal size and so are the mediastinal and hilar contours; no focal alveolar consolidation or definite pleural effusion is seen. Also, there are no typical findings of pulmonary edema. Mild spine curvature is noted. The impression conveyed is that there are no acute findings in the image."
        },
        {
            "image_id": "3081_1",
            "caption": "The x-ray shows a normal sized heart and clear lungs without any notable abnormalities. The aorta is abnormally twisted and stretched, but there's nothing acutely concerning. The osseous structures are fully intact. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3081_2",
            "caption": "The x-ray shows a normal sized heart and clear lungs without any notable abnormalities. The aorta is abnormally twisted and stretched, but there's nothing acutely concerning. The osseous structures are fully intact. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "464_1",
            "caption": "The x-ray shows that the heart and lungs are normal in size and do not have any focal abnormalities. Additionally, there is no evidence of pneumothorax or pleural effusion. However, the right hemidiaphragm appears elevated and there are degenerative changes in the spine. According to the impression, there is no active disease observed in the image."
        },
        {
            "image_id": "464_2",
            "caption": "The x-ray shows that the heart and lungs are normal in size and do not have any focal abnormalities. Additionally, there is no evidence of pneumothorax or pleural effusion. However, the right hemidiaphragm appears elevated and there are degenerative changes in the spine. According to the impression, there is no active disease observed in the image."
        },
        {
            "image_id": "3268_1",
            "caption": "The X-ray image shows no acute abnormalities. The heart is normal in size and shape, and the pulmonary vascularity is within normal limits. There is no evidence of mediastinal widening or focal airspace disease. Both lungs are clear, with no pleural effusion or pneumothorax. The osseous structures, including the spine, are intact. Based on the findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2176_1",
            "caption": "The x-ray shows normal size and contour of the heart and cardiomediastinal silhouette. The lungs are clear, without evidence of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2176_2",
            "caption": "The x-ray shows normal size and contour of the heart and cardiomediastinal silhouette. The lungs are clear, without evidence of focal airspace disease, pneumothorax, or pleural effusion. There are no acute bony findings. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2610_1",
            "caption": "The x-ray shows that the size and contour of the cardiomediastinal silhouette are normal. Additionally, there are hyperexpanded lungs, but without any signs of focal consolidation, pneumothorax, or large pleural effusion. Some scarring/atelectasis is present in the right upper lobe, while aortic calcifications are also visible. The impression is that there are hyperexpanded lungs, and some right upper lobe scarring/atelectasis, but no focal pneumonia."
        },
        {
            "image_id": "2610_2",
            "caption": "The x-ray shows that the size and contour of the cardiomediastinal silhouette are normal. Additionally, there are hyperexpanded lungs, but without any signs of focal consolidation, pneumothorax, or large pleural effusion. Some scarring/atelectasis is present in the right upper lobe, while aortic calcifications are also visible. The impression is that there are hyperexpanded lungs, and some right upper lobe scarring/atelectasis, but no focal pneumonia."
        },
        {
            "image_id": "855_1",
            "caption": "The x-ray image shows a normal-sized heart and unremarkable mediastinum. The lungs appear clear, indicating no evidence of acute disease present."
        },
        {
            "image_id": "855_2",
            "caption": "The x-ray image shows a normal-sized heart and unremarkable mediastinum. The lungs appear clear, indicating no evidence of acute disease present."
        },
        {
            "image_id": "1319_1",
            "caption": "The heart and lungs appear normal with no signs of acute disease or active abnormalities. The pulmonary vascularity and mediastinum are also within normal limits. There are no focal airspace diseases or pleural effusion, and no pneumothorax is seen."
        },
        {
            "image_id": "1319_2",
            "caption": "The heart and lungs appear normal with no signs of acute disease or active abnormalities. The pulmonary vascularity and mediastinum are also within normal limits. There are no focal airspace diseases or pleural effusion, and no pneumothorax is seen."
        },
        {
            "image_id": "15_1",
            "caption": "Upon examination of the x-ray, the cardiologist noted that the heart and pulmonary vasculature were of normal size with no acute findings. The lungs were found to be clear without any focal airspace disease, pneumothorax or pleural effusion. The x-ray showed evidence of prior granulomatous disease, but there were no acute osseous findings. The impression given by the cardiologist was that there were no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "15_2",
            "caption": "Upon examination of the x-ray, the cardiologist noted that the heart and pulmonary vasculature were of normal size with no acute findings. The lungs were found to be clear without any focal airspace disease, pneumothorax or pleural effusion. The x-ray showed evidence of prior granulomatous disease, but there were no acute osseous findings. The impression given by the cardiologist was that there were no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "841_1",
            "caption": "The X-ray shows no signs of acute disease in the heart, mediastinum or lungs. However, the left upper extremity PIC catheter tip was found within the left subclavian vein. The lungs are mildly hyperinflated but clear. An old injury has caused deformity of the lateral left 6th rib. As the findings are communicated with an unclear message, further follow up is needed. It is important to consult a physician regarding the X-ray findings."
        },
        {
            "image_id": "841_2",
            "caption": "The X-ray shows no signs of acute disease in the heart, mediastinum or lungs. However, the left upper extremity PIC catheter tip was found within the left subclavian vein. The lungs are mildly hyperinflated but clear. An old injury has caused deformity of the lateral left 6th rib. As the findings are communicated with an unclear message, further follow up is needed. It is important to consult a physician regarding the X-ray findings."
        },
        {
            "image_id": "699_1",
            "caption": "There is stable enlargement of the cardiac silhouette and increased interstitial markings in the central lungs and bases, more on the right than on the left. Additionally, there is opacity seen on the lateral view over the heart which was also present on the previous exam, indicating chronic subsegmental atelectasis or scarring. No pleural effusion is seen. The findings suggest cardiomegaly and increased interstitial opacities which may be indicative of mild pulmonary edema. The differential diagnosis includes infection, inflammation, or aspiration. This imaging shows that there may be an issue with the patient's heart and lungs, which could be caused by various conditions. It is important for the patient to receive further evaluation by a medical professional to determine the underlying cause of these findings and begin appropriate treatment."
        },
        {
            "image_id": "699_2",
            "caption": "There is stable enlargement of the cardiac silhouette and increased interstitial markings in the central lungs and bases, more on the right than on the left. Additionally, there is opacity seen on the lateral view over the heart which was also present on the previous exam, indicating chronic subsegmental atelectasis or scarring. No pleural effusion is seen. The findings suggest cardiomegaly and increased interstitial opacities which may be indicative of mild pulmonary edema. The differential diagnosis includes infection, inflammation, or aspiration. This imaging shows that there may be an issue with the patient's heart and lungs, which could be caused by various conditions. It is important for the patient to receive further evaluation by a medical professional to determine the underlying cause of these findings and begin appropriate treatment."
        },
        {
            "image_id": "2162_1",
            "caption": "The chest X-ray shows no signs of acute disease. However, there is an unchanged moderate enlargement of the cardiac silhouette due to epicardial fat pads, and interstitial prominence which may be due to technical factors. There is also evidence of spondylosis in the spine. Overall, the X-ray indicates no immediate cause for concern but highlights the importance of continued monitoring of the patient's condition."
        },
        {
            "image_id": "2162_2",
            "caption": "The chest X-ray shows no signs of acute disease. However, there is an unchanged moderate enlargement of the cardiac silhouette due to epicardial fat pads, and interstitial prominence which may be due to technical factors. There is also evidence of spondylosis in the spine. Overall, the X-ray indicates no immediate cause for concern but highlights the importance of continued monitoring of the patient's condition."
        },
        {
            "image_id": "3254_1",
            "caption": "The chest X-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any pleural effusion or pneumothorax. The impression is that there are no acute abnormalities seen in the cardiopulmonary system."
        },
        {
            "image_id": "3254_2",
            "caption": "The chest X-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any pleural effusion or pneumothorax. The impression is that there are no acute abnormalities seen in the cardiopulmonary system."
        },
        {
            "image_id": "1443_1",
            "caption": "A chest examination was obtained which indicates normal heart size and contour. The lungs demonstrate increased interstitial markings, which may suggest COPD, and there is calcified hilar lymph present. However, there is no acute pulmonary disease or effusion or pneumothorax observed."
        },
        {
            "image_id": "1443_2",
            "caption": "A chest examination was obtained which indicates normal heart size and contour. The lungs demonstrate increased interstitial markings, which may suggest COPD, and there is calcified hilar lymph present. However, there is no acute pulmonary disease or effusion or pneumothorax observed."
        },
        {
            "image_id": "869_1",
            "caption": "The x-ray examination shows a normal heart size and unremarkable mediastinum. The lungs are clear with no signs of pleural effusion or pneumothorax. The impression indicates no acute abnormalities for the cardiopulmonary system."
        },
        {
            "image_id": "869_2",
            "caption": "The x-ray examination shows a normal heart size and unremarkable mediastinum. The lungs are clear with no signs of pleural effusion or pneumothorax. The impression indicates no acute abnormalities for the cardiopulmonary system."
        },
        {
            "image_id": "3532_1",
            "caption": "The X-ray image shows that there is no change in the heart and lungs since the previous examination. There are no signs of pneumonia or other lung diseases. Also, the heart size and mediastinum look normal. Considering the findings, there is no evidence of active disease in the patient."
        },
        {
            "image_id": "3532_2",
            "caption": "The X-ray image shows that there is no change in the heart and lungs since the previous examination. There are no signs of pneumonia or other lung diseases. Also, the heart size and mediastinum look normal. Considering the findings, there is no evidence of active disease in the patient."
        },
        {
            "image_id": "3532_3",
            "caption": "The X-ray image shows that there is no change in the heart and lungs since the previous examination. There are no signs of pneumonia or other lung diseases. Also, the heart size and mediastinum look normal. Considering the findings, there is no evidence of active disease in the patient."
        },
        {
            "image_id": "2638_1",
            "caption": "The x-ray showed that the heart and lungs appear normal without any concerning abnormalities. The cardiomediastinal silhouette is within normal limits and the lungs are appropriately inflated. No focal airspace disease, pleural effusion, pneumothorax or other acute radiographic cardiopulmonary processes were detected. Additionally, the osseous structures appeared normal for the patient's age. These findings suggest a healthy cardiopulmonary status."
        },
        {
            "image_id": "2638_2",
            "caption": "The x-ray showed that the heart and lungs appear normal without any concerning abnormalities. The cardiomediastinal silhouette is within normal limits and the lungs are appropriately inflated. No focal airspace disease, pleural effusion, pneumothorax or other acute radiographic cardiopulmonary processes were detected. Additionally, the osseous structures appeared normal for the patient's age. These findings suggest a healthy cardiopulmonary status."
        },
        {
            "image_id": "3526_1",
            "caption": "The chest X-ray shows diminished lung volumes with hypoventilatory changes. However, there is no evidence of acute cardiopulmonary process. The cardiac silhouette is not enlarged and there is mild tortuosity of the thoracic aorta. Surgical clips are visible in the upper abdomen. Overall pulmonary vascularity is within normal limits and there is no focal airspace disease. Additionally, no pleural effusion, pneumothorax or acute osseous abnormalities are demonstrated."
        },
        {
            "image_id": "3526_2",
            "caption": "The chest X-ray shows diminished lung volumes with hypoventilatory changes. However, there is no evidence of acute cardiopulmonary process. The cardiac silhouette is not enlarged and there is mild tortuosity of the thoracic aorta. Surgical clips are visible in the upper abdomen. Overall pulmonary vascularity is within normal limits and there is no focal airspace disease. Additionally, no pleural effusion, pneumothorax or acute osseous abnormalities are demonstrated."
        },
        {
            "image_id": "1331_1",
            "caption": "The chest x-ray shows that the heart is normal in size and the mediastinum is unremarkable. However, the lungs are hypoinflated with bibasilar opacities suggesting bronchovascular crowding. There is no evidence of focal consolidation or pleural effusion. Although there are low lung volumes, there is no acute infiltrate found."
        },
        {
            "image_id": "1457_1",
            "caption": "The chest x-ray shows a normal size heart and no sign of pulmonary edema or pneumothorax. The pacemaker electrodes appear to be in their expected positions. The lungs show no focal consolidation, pleural effusion or significant abnormalities. Based on the x-ray findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3240_1",
            "caption": "The finding indicates that the cardiac contours are normal, however the lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. No focal consolidation is observed but thoracic spondylosis is present. The impression is that the patient has emphysema without superimposed pneumonia."
        },
        {
            "image_id": "3240_2",
            "caption": "The finding indicates that the cardiac contours are normal, however the lungs are hyperinflated with flattening of the diaphragms and tapering of the distal pulmonary vasculature. No focal consolidation is observed but thoracic spondylosis is present. The impression is that the patient has emphysema without superimposed pneumonia."
        },
        {
            "image_id": "128_1",
            "caption": "The chest x-ray shows old granulomatous disease and pulmonary fibrosis with hyperinflated lungs and flattening of the diaphragms. No acute abnormalities such as pleural effusion or pneumothorax are found. Additionally, prominet interstitial markings are observed predominantly in the lower lobe and peripheral regions. The heart and mediastinum are stable with atherosclerotic vascular disease. Overall, the appearance of the chest x-ray suggests stable conditions and the presence of pulmonary fibrosis."
        },
        {
            "image_id": "128_2",
            "caption": "The chest x-ray shows old granulomatous disease and pulmonary fibrosis with hyperinflated lungs and flattening of the diaphragms. No acute abnormalities such as pleural effusion or pneumothorax are found. Additionally, prominet interstitial markings are observed predominantly in the lower lobe and peripheral regions. The heart and mediastinum are stable with atherosclerotic vascular disease. Overall, the appearance of the chest x-ray suggests stable conditions and the presence of pulmonary fibrosis."
        },
        {
            "image_id": "896_1",
            "caption": "The x-ray images show no acute abnormalities. The heart, lungs, and mediastinum appear normal, and there are no signs of pleural effusion or pneumothorax. The osseous structures appear within normal limits. In summary, the patient's x-ray indicates no acute cardiopulmonary findings."
        },
        {
            "image_id": "896_2",
            "caption": "The x-ray images show no acute abnormalities. The heart, lungs, and mediastinum appear normal, and there are no signs of pleural effusion or pneumothorax. The osseous structures appear within normal limits. In summary, the patient's x-ray indicates no acute cardiopulmonary findings."
        },
        {
            "image_id": "896_3",
            "caption": "The x-ray images show no acute abnormalities. The heart, lungs, and mediastinum appear normal, and there are no signs of pleural effusion or pneumothorax. The osseous structures appear within normal limits. In summary, the patient's x-ray indicates no acute cardiopulmonary findings."
        },
        {
            "image_id": "1480_1",
            "caption": "The x-ray report shows no evidence of any acute abnormalities in the heart and lungs. The cardiac silhouette is within normal limits for size and contour. The lungs are clear without any significant pleural effusion, pneumothorax or focal airspace disease. There is no damage to the sensitive parts of the x-ray machine during the procedure. Overall, the x-ray report does not show any acute cardiopulmonary abnormalities or any significant concerns."
        },
        {
            "image_id": "1480_2",
            "caption": "The x-ray report shows no evidence of any acute abnormalities in the heart and lungs. The cardiac silhouette is within normal limits for size and contour. The lungs are clear without any significant pleural effusion, pneumothorax or focal airspace disease. There is no damage to the sensitive parts of the x-ray machine during the procedure. Overall, the x-ray report does not show any acute cardiopulmonary abnormalities or any significant concerns."
        },
        {
            "image_id": "114_1",
            "caption": "The x-ray shows that the heart is normal in size and there is no widening of the mediastinal silhouette. The lungs are clear and there are no signs of pneumothorax, pleural effusions, or focal consolidations. The osseous structures are intact. Overall, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "114_2",
            "caption": "The x-ray shows that the heart is normal in size and there is no widening of the mediastinal silhouette. The lungs are clear and there are no signs of pneumothorax, pleural effusions, or focal consolidations. The osseous structures are intact. Overall, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "2189_1",
            "caption": "The x-ray image shows no acute abnormalities in the heart or lungs. The heart size and mediastinal contours are normal, and the pulmonary vascularity is within normal limits. The lungs are clear without any signs of consolidation, opacity, pneumothorax, or pleural effusion. The osseous structures are intact as well. According to the impression, there is no acute cardiopulmonary abnormality, which indicates a healthy chest x-ray."
        },
        {
            "image_id": "2189_2",
            "caption": "The x-ray image shows no acute abnormalities in the heart or lungs. The heart size and mediastinal contours are normal, and the pulmonary vascularity is within normal limits. The lungs are clear without any signs of consolidation, opacity, pneumothorax, or pleural effusion. The osseous structures are intact as well. According to the impression, there is no acute cardiopulmonary abnormality, which indicates a healthy chest x-ray."
        },
        {
            "image_id": "3297_1",
            "caption": "The chest x-ray shows a normal heart size and mediastinum without any acute disease or abnormality, with just mild emphysematous changes noted. The lungs are clear with no evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "3297_2",
            "caption": "The chest x-ray shows a normal heart size and mediastinum without any acute disease or abnormality, with just mild emphysematous changes noted. The lungs are clear with no evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "2837_1",
            "caption": "On the chest X-ray, there is no evidence of acute cardiopulmonary abnormalities. A rounded 1.4 cm opacity is seen projecting retrosternally on lateral view only, but it's indeterminate and of unknown clinical significance. Clinical correlation and possible follow-up chest X-ray is recommended. Degenerative changes of the thoracic spine are minimal. No other acute abnormalities are present."
        },
        {
            "image_id": "2837_2",
            "caption": "On the chest X-ray, there is no evidence of acute cardiopulmonary abnormalities. A rounded 1.4 cm opacity is seen projecting retrosternally on lateral view only, but it's indeterminate and of unknown clinical significance. Clinical correlation and possible follow-up chest X-ray is recommended. Degenerative changes of the thoracic spine are minimal. No other acute abnormalities are present."
        },
        {
            "image_id": "666_1",
            "caption": "The patient's x-ray image showed borderline cardiomegaly with mild chronic changes. Specifically, the heart was mildly enlarged and the aorta was atherosclerotic and ectatic. There were chronic parenchymal changes with mild scarring and/or subsegmental atelectasis in the right lung base. However, there were no acute infiltrate and no focal consolidation or significant pleural effusion identified. Costophrenic angles were blunted."
        },
        {
            "image_id": "666_2",
            "caption": "The patient's x-ray image showed borderline cardiomegaly with mild chronic changes. Specifically, the heart was mildly enlarged and the aorta was atherosclerotic and ectatic. There were chronic parenchymal changes with mild scarring and/or subsegmental atelectasis in the right lung base. However, there were no acute infiltrate and no focal consolidation or significant pleural effusion identified. Costophrenic angles were blunted."
        },
        {
            "image_id": "3283_1",
            "caption": "The chest x-ray indicates clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum are of normal size and contour. There is no focal lung opacity or significant abnormalities detected in the x-ray."
        },
        {
            "image_id": "3283_2",
            "caption": "The chest x-ray indicates clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum are of normal size and contour. There is no focal lung opacity or significant abnormalities detected in the x-ray."
        },
        {
            "image_id": "3283_3",
            "caption": "The chest x-ray indicates clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum are of normal size and contour. There is no focal lung opacity or significant abnormalities detected in the x-ray."
        },
        {
            "image_id": "100_1",
            "caption": "Based on the X-ray images, both lungs are clear and properly expanded, and the heart and mediastinum appear normal, indicating no ongoing or active disease. The results suggest that the patient's chest is free from any acute abnormalities that may require medical attention at present."
        },
        {
            "image_id": "100_2",
            "caption": "Based on the X-ray images, both lungs are clear and properly expanded, and the heart and mediastinum appear normal, indicating no ongoing or active disease. The results suggest that the patient's chest is free from any acute abnormalities that may require medical attention at present."
        },
        {
            "image_id": "670_1",
            "caption": "The chest x-ray shows a slightly enlarged heart and atherosclerosis in the aorta, along with mild chronic changes but no acute infiltrate or effusion. This suggests mild cardiomegaly and atherosclerosis, but no active disease."
        },
        {
            "image_id": "670_2",
            "caption": "The chest x-ray shows a slightly enlarged heart and atherosclerosis in the aorta, along with mild chronic changes but no acute infiltrate or effusion. This suggests mild cardiomegaly and atherosclerosis, but no active disease."
        },
        {
            "image_id": "2835_1",
            "caption": "The X-ray shows that the heart is of normal size, and there are no focal airspace consolidations, pneumothorax or pleural effusion. The lung volumes are low but there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2835_2",
            "caption": "The X-ray shows that the heart is of normal size, and there are no focal airspace consolidations, pneumothorax or pleural effusion. The lung volumes are low but there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2835_3",
            "caption": "The X-ray shows that the heart is of normal size, and there are no focal airspace consolidations, pneumothorax or pleural effusion. The lung volumes are low but there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "116_1",
            "caption": "The x-ray shows stable postsurgical changes with no radiographic evidence of acute cardiopulmonary disease. The heart, mediastinum, and lungs are unremarkable with no focal consolidation or pleural effusion noted. There is a stable calcified small granuloma in the left base."
        },
        {
            "image_id": "116_2",
            "caption": "The x-ray shows stable postsurgical changes with no radiographic evidence of acute cardiopulmonary disease. The heart, mediastinum, and lungs are unremarkable with no focal consolidation or pleural effusion noted. There is a stable calcified small granuloma in the left base."
        },
        {
            "image_id": "1482_1",
            "caption": "Upon review of the x-ray, it was found that the heart size was normal and there were no signs of cardiopulmonary abnormalities such as pleural effusions, pneumothorax, focal consolidations or pulmonary edema. The impression is that there are no acute cardiopulmonary findings detected from the x-ray."
        },
        {
            "image_id": "102_1",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary abnormality noted. The heart appears normal in size with clear and hyperaerated lungs. There is no evidence of pneumothorax or pleural effusion. A possible pectus deformity is noted as a substernal density. Overall, the x-ray is normal without any significant concerning findings."
        },
        {
            "image_id": "102_2",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary abnormality noted. The heart appears normal in size with clear and hyperaerated lungs. There is no evidence of pneumothorax or pleural effusion. A possible pectus deformity is noted as a substernal density. Overall, the x-ray is normal without any significant concerning findings."
        },
        {
            "image_id": "3281_1",
            "caption": "The heart size is normal and the cardiomediastinal contour is normal. There is a small nodule measuring 8 mm on the upper right lobe. Trachea is midline, and the lungs are otherwise clear. Soft tissues are unremarkable. A pulmonary nodule is seen on the upper right lobe, which may represent a granuloma. Further evaluation is recommended to determine the nature of the nodule."
        },
        {
            "image_id": "3281_2",
            "caption": "The heart size is normal and the cardiomediastinal contour is normal. There is a small nodule measuring 8 mm on the upper right lobe. Trachea is midline, and the lungs are otherwise clear. Soft tissues are unremarkable. A pulmonary nodule is seen on the upper right lobe, which may represent a granuloma. Further evaluation is recommended to determine the nature of the nodule."
        },
        {
            "image_id": "3281_3",
            "caption": "The heart size is normal and the cardiomediastinal contour is normal. There is a small nodule measuring 8 mm on the upper right lobe. Trachea is midline, and the lungs are otherwise clear. Soft tissues are unremarkable. A pulmonary nodule is seen on the upper right lobe, which may represent a granuloma. Further evaluation is recommended to determine the nature of the nodule."
        },
        {
            "image_id": "2821_1",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormalities. The heart size, cardiomediastinal contour, and pulmonary vasculature are all within normal limits. There are aortic calcifications and tortuosity as well as degenerative changes of the thoracic spine but no acute osseous findings. Lungs are clear indicating no pleural effusion or pneumothorax."
        },
        {
            "image_id": "2821_2",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormalities. The heart size, cardiomediastinal contour, and pulmonary vasculature are all within normal limits. There are aortic calcifications and tortuosity as well as degenerative changes of the thoracic spine but no acute osseous findings. Lungs are clear indicating no pleural effusion or pneumothorax."
        },
        {
            "image_id": "664_1",
            "caption": "The x-ray image shows no acute radiographic cardiopulmonary process. The heart and mediastinal contours appear normal and the pulmonary vasculature is unremarkable. The lungs appear clear without any focal infiltrate and there are no pleural effusions or signs of pneumothorax. The bony structures also appear unremarkable with no displaced rib fractures. However, a right nipple ring is noted."
        },
        {
            "image_id": "664_2",
            "caption": "The x-ray image shows no acute radiographic cardiopulmonary process. The heart and mediastinal contours appear normal and the pulmonary vasculature is unremarkable. The lungs appear clear without any focal infiltrate and there are no pleural effusions or signs of pneumothorax. The bony structures also appear unremarkable with no displaced rib fractures. However, a right nipple ring is noted."
        },
        {
            "image_id": "880_1",
            "caption": "The X-ray shows that the cardiac contours are within normal limits and the lungs are clear. Additionally, there is thoracic spondylosis present. The impression is that there is no acute process observed in the X-ray."
        },
        {
            "image_id": "880_2",
            "caption": "The X-ray shows that the cardiac contours are within normal limits and the lungs are clear. Additionally, there is thoracic spondylosis present. The impression is that there is no acute process observed in the X-ray."
        },
        {
            "image_id": "658_1",
            "caption": "The x-ray shows no abnormalities. Both the lungs are clear without any consolidation or pleural effusion. The heart and pulmonary vasculature appear normal without any significant changes in size or contour. The bones and soft tissues appear normal. The impression suggests no acute cardiopulmonary disease. It is important to have a follow-up with a healthcare provider for further evaluation and interpretation of the findings."
        },
        {
            "image_id": "658_2",
            "caption": "The x-ray shows no abnormalities. Both the lungs are clear without any consolidation or pleural effusion. The heart and pulmonary vasculature appear normal without any significant changes in size or contour. The bones and soft tissues appear normal. The impression suggests no acute cardiopulmonary disease. It is important to have a follow-up with a healthcare provider for further evaluation and interpretation of the findings."
        },
        {
            "image_id": "1327_1",
            "caption": "The findings show a normal size and appearance of the heart and cardiomediastinal silhouette, clear lungs without any space-occupying lesion, pleural effusion or pneumothorax, and a normal osseous structure with only degenerative changes in the thoracic spine. The impression is that there is no acute cardiopulmonary finding."
        },
        {
            "image_id": "1327_2",
            "caption": "The findings show a normal size and appearance of the heart and cardiomediastinal silhouette, clear lungs without any space-occupying lesion, pleural effusion or pneumothorax, and a normal osseous structure with only degenerative changes in the thoracic spine. The impression is that there is no acute cardiopulmonary finding."
        },
        {
            "image_id": "1441_1",
            "caption": "The x-ray shows that the heart is of normal size and the mediastinum is within normal limits. The lungs appear to be hypoinflated, but there is no focal consolidation. Also, there is a retrocardiac density that corresponds to the patient's known hiatal hernia. It is concluded that there are no acute cardiopulmonary diseases that can be detected from the x-ray. However, the retrocardiac density can be attributed to the hiatal hernia that the patient had already been diagnosed with."
        },
        {
            "image_id": "1441_2",
            "caption": "The x-ray shows that the heart is of normal size and the mediastinum is within normal limits. The lungs appear to be hypoinflated, but there is no focal consolidation. Also, there is a retrocardiac density that corresponds to the patient's known hiatal hernia. It is concluded that there are no acute cardiopulmonary diseases that can be detected from the x-ray. However, the retrocardiac density can be attributed to the hiatal hernia that the patient had already been diagnosed with."
        },
        {
            "image_id": "2148_1",
            "caption": "The X-ray image shows no significant abnormalities. The cardiac and mediastinal contours are normal, the lungs are clear, and the bony structures are intact. The overall impression is that there are no acute preoperative findings."
        },
        {
            "image_id": "2148_2",
            "caption": "The X-ray image shows no significant abnormalities. The cardiac and mediastinal contours are normal, the lungs are clear, and the bony structures are intact. The overall impression is that there are no acute preoperative findings."
        },
        {
            "image_id": "3256_1",
            "caption": "The x-ray shows mild cardiomegaly and small bilateral pleural effusions with left basilar opacities. No pneumothorax is observed. Additionally, mild degenerative changes of the thoracic spine can be seen. The impression is that there is cardiomegaly with small bilateral pleural effusions and left basilar atelectasis, indicating no acute condition."
        },
        {
            "image_id": "3256_2",
            "caption": "The x-ray shows mild cardiomegaly and small bilateral pleural effusions with left basilar opacities. No pneumothorax is observed. Additionally, mild degenerative changes of the thoracic spine can be seen. The impression is that there is cardiomegaly with small bilateral pleural effusions and left basilar atelectasis, indicating no acute condition."
        },
        {
            "image_id": "3242_1",
            "caption": "Based on the results of the X-ray, there is no acute cardiopulmonary finding. The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. However, multilevel degenerative changes are detected in the thoracic spine. It is recommended to consult a physician for further evaluation and management."
        },
        {
            "image_id": "3242_2",
            "caption": "Based on the results of the X-ray, there is no acute cardiopulmonary finding. The heart and cardiomediastinal silhouette are normal in size and contour. There is no focal air space opacity, pleural effusion, or pneumothorax. However, multilevel degenerative changes are detected in the thoracic spine. It is recommended to consult a physician for further evaluation and management."
        },
        {
            "image_id": "1455_1",
            "caption": "The x-ray showed that the lungs are clear and there is no acute pulmonary disease. Additionally, a calcified granuloma was detected in the left midlung zone. The heart, mediastinum and skeletal structures are normal with no pleural effusion or pneumothorax."
        },
        {
            "image_id": "1455_2",
            "caption": "The x-ray showed that the lungs are clear and there is no acute pulmonary disease. Additionally, a calcified granuloma was detected in the left midlung zone. The heart, mediastinum and skeletal structures are normal with no pleural effusion or pneumothorax."
        },
        {
            "image_id": "1333_1",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and pulmonary vascularity are normal. There is a stable Morgagni hernia. The lungs are clear without air space disease, consolidation, pneumothorax or pleural effusion. However, there is diffuse demineralization, and stable anterior wedging at lower thoracic levels. The overall impression is that there is no acute cardiopulmonary abnormality, but further evaluation may be necessary for the demineralization found."
        },
        {
            "image_id": "1333_2",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and pulmonary vascularity are normal. There is a stable Morgagni hernia. The lungs are clear without air space disease, consolidation, pneumothorax or pleural effusion. However, there is diffuse demineralization, and stable anterior wedging at lower thoracic levels. The overall impression is that there is no acute cardiopulmonary abnormality, but further evaluation may be necessary for the demineralization found."
        },
        {
            "image_id": "3524_1",
            "caption": "The patient's x-ray revealed no acute abnormalities in the heart and lungs. The cardiomegaly, pleural effusions, pneumothorax and other cardiopulmonary abnormalities were not identified on the image. The bony structures and skeletal system appear to be intact. These results suggest that the patient may not have any underlying cardiopulmonary diseases or conditions. However, it is important to consult with a doctor or specialist to fully understand the implications of these findings on the patient's overall health."
        },
        {
            "image_id": "3524_2",
            "caption": "The patient's x-ray revealed no acute abnormalities in the heart and lungs. The cardiomegaly, pleural effusions, pneumothorax and other cardiopulmonary abnormalities were not identified on the image. The bony structures and skeletal system appear to be intact. These results suggest that the patient may not have any underlying cardiopulmonary diseases or conditions. However, it is important to consult with a doctor or specialist to fully understand the implications of these findings on the patient's overall health."
        },
        {
            "image_id": "17_1",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The heart size and mediastinal silhouette are within normal limits, and no suspicious pulmonary opacities or focal areas of consolidation are seen. There is no evidence of pleural effusions or pneumothorax, and the osseous structures appear intact. This x-ray suggests that the patient's cardiopulmonary health is normal."
        },
        {
            "image_id": "17_2",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The heart size and mediastinal silhouette are within normal limits, and no suspicious pulmonary opacities or focal areas of consolidation are seen. There is no evidence of pleural effusions or pneumothorax, and the osseous structures appear intact. This x-ray suggests that the patient's cardiopulmonary health is normal."
        },
        {
            "image_id": "857_1",
            "caption": "Upon review of the x-ray, the heart size and pulmonary vascularity appear normal. There are no focal areas of airspace disease, pleural effusion or pneumothorax. The x-ray indicates no evidence of active disease, making it a normal finding."
        },
        {
            "image_id": "857_2",
            "caption": "Upon review of the x-ray, the heart size and pulmonary vascularity appear normal. There are no focal areas of airspace disease, pleural effusion or pneumothorax. The x-ray indicates no evidence of active disease, making it a normal finding."
        },
        {
            "image_id": "2612_1",
            "caption": "The x-ray image shows that the heart, lungs, and bony structures are all normal. No acute cardiopulmonary abnormalities were found, making it clear of any active disease, suspected pulmonary opacities, pneumonia, or pleural effusion. The lungs are free of focal airspace disease, pneumothorax, or pleural effusion, and there are no acute bony findings."
        },
        {
            "image_id": "2612_2",
            "caption": "The x-ray image shows that the heart, lungs, and bony structures are all normal. No acute cardiopulmonary abnormalities were found, making it clear of any active disease, suspected pulmonary opacities, pneumonia, or pleural effusion. The lungs are free of focal airspace disease, pneumothorax, or pleural effusion, and there are no acute bony findings."
        },
        {
            "image_id": "2174_1",
            "caption": "The chest x-ray shows normal findings with no acute abnormalities. The radiographs of the chest appear unremarkable. The cardiomediastinal contours, lungs, pleura, and osseous structures are all normal. The findings are not indicative of any active disease or abnormalities in the chest region."
        },
        {
            "image_id": "2174_2",
            "caption": "The chest x-ray shows normal findings with no acute abnormalities. The radiographs of the chest appear unremarkable. The cardiomediastinal contours, lungs, pleura, and osseous structures are all normal. The findings are not indicative of any active disease or abnormalities in the chest region."
        },
        {
            "image_id": "1469_1",
            "caption": "Based on the chest X-ray examination, the cardiopulmonary system appears to be normal with no acute findings such as pleural effusion, focal airspace disease, or pneumothorax. The heart size and pulmonary vascularity are normal with no suspicious pulmonary opacities. There are no acute bony abnormalities noted. The radiographs of the chest appear unremarkable, indicating the absence of any significant pathology."
        },
        {
            "image_id": "1469_2",
            "caption": "Based on the chest X-ray examination, the cardiopulmonary system appears to be normal with no acute findings such as pleural effusion, focal airspace disease, or pneumothorax. The heart size and pulmonary vascularity are normal with no suspicious pulmonary opacities. There are no acute bony abnormalities noted. The radiographs of the chest appear unremarkable, indicating the absence of any significant pathology."
        },
        {
            "image_id": "2160_1",
            "caption": "After reviewing the x-ray image, it has been found that the heart size, pulmonary vasculature, and the cardiomediastinal contours are within normal limits. The lungs are also clear of any focal airspace disease, pleural effusion or pneumothorax, with no acute osseous abnormality. Therefore, there is no evidence of acute cardiopulmonary process present in the x-ray image."
        },
        {
            "image_id": "2160_2",
            "caption": "After reviewing the x-ray image, it has been found that the heart size, pulmonary vasculature, and the cardiomediastinal contours are within normal limits. The lungs are also clear of any focal airspace disease, pleural effusion or pneumothorax, with no acute osseous abnormality. Therefore, there is no evidence of acute cardiopulmonary process present in the x-ray image."
        },
        {
            "image_id": "3518_1",
            "caption": "The x-ray image shows that the heart, lungs, and mediastinum are all within normal limits with no signs of acute abnormality. There is no presence of focal airspace disease, large effusion or pneumothorax in the lungs. Although there are some degenerative T-spine osteophytes, they are not causing any acute issues. Overall, the radiograph is unremarkable and does not show any concerning findings."
        },
        {
            "image_id": "3518_2",
            "caption": "The x-ray image shows that the heart, lungs, and mediastinum are all within normal limits with no signs of acute abnormality. There is no presence of focal airspace disease, large effusion or pneumothorax in the lungs. Although there are some degenerative T-spine osteophytes, they are not causing any acute issues. Overall, the radiograph is unremarkable and does not show any concerning findings."
        },
        {
            "image_id": "2606_1",
            "caption": "The x-ray examination shows stable prominence of the pulmonary interstitium and calcification of the aortic walls with stable tortuosity and/or ectasia of the thoracic aorta. Alongside these findings, there is a stable moderate sized hiatal hernia adjacent to the heart. However, there is no evidence of pleural effusion, focal airspace disease, or pneumothorax. Additionally, the x-ray shows stable exaggerated kyphosis of the thoracic spine and anterior wedge deformities of at least two thoracic vertebral bodies. The impression from the x-ray suggests that there is no acute pulmonary disease with the exception of the stable, moderate hiatal hernia."
        },
        {
            "image_id": "843_1",
            "caption": "The X-ray image showcases the presence of a calcified granuloma in the right lower lobe and degenerative changes in the spine, which do not indicate any acute cardiac or pulmonary problem. It is a normal X-ray without any concerning issues."
        },
        {
            "image_id": "843_2",
            "caption": "The X-ray image showcases the presence of a calcified granuloma in the right lower lobe and degenerative changes in the spine, which do not indicate any acute cardiac or pulmonary problem. It is a normal X-ray without any concerning issues."
        },
        {
            "image_id": "314_1",
            "caption": "The x-ray image shows normal findings with no evidence of acute cardiopulmonary abnormalities. The lungs are clear and there is no pneumothorax or pleural effusion. The heart size is within normal limits and the trachea is midline. Low lung volumes were observed. Overall, these results are indicative of a healthy cardiopulmonary system."
        },
        {
            "image_id": "314_2",
            "caption": "The x-ray image shows normal findings with no evidence of acute cardiopulmonary abnormalities. The lungs are clear and there is no pneumothorax or pleural effusion. The heart size is within normal limits and the trachea is midline. Low lung volumes were observed. Overall, these results are indicative of a healthy cardiopulmonary system."
        },
        {
            "image_id": "2389_1",
            "caption": "The x-ray shows normal heart size and clear lungs with no fluid buildup, collapsed lungs or solid masses. The chest and bone structure appear normal without any acute abnormality. The radiologist did not find any signs of acute cardiopulmonary disease, heart failure, or pneumonia in the x-ray. Overall, the x-ray shows a healthy result."
        },
        {
            "image_id": "2389_2",
            "caption": "The x-ray shows normal heart size and clear lungs with no fluid buildup, collapsed lungs or solid masses. The chest and bone structure appear normal without any acute abnormality. The radiologist did not find any signs of acute cardiopulmonary disease, heart failure, or pneumonia in the x-ray. Overall, the x-ray shows a healthy result."
        },
        {
            "image_id": "3097_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal, but vascular calcification and a calcified granuloma in the right lower lobe are present. However, no other nodules, pneumothorax, pleural effusion or focal airspace disease is seen. The impression is that there is no evidence of active disease in the x-ray."
        },
        {
            "image_id": "472_1",
            "caption": "The X-ray reveals that the heart size and mediastinal contours are normal. There is no focal airspace consolidation, pleural effusion or pneumothorax observed. Additionally, there are stable postoperative and degenerative changes of the X-ray, along with stable degenerative disc disease of the thoracic spine. The impression from the report suggests there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "472_2",
            "caption": "The X-ray reveals that the heart size and mediastinal contours are normal. There is no focal airspace consolidation, pleural effusion or pneumothorax observed. Additionally, there are stable postoperative and degenerative changes of the X-ray, along with stable degenerative disc disease of the thoracic spine. The impression from the report suggests there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "466_1",
            "caption": "The chest x-ray shows a normal heart size with mild tortuosity of the aorta, and no evidence of pneumothorax, pleural effusion, or suspicious airspace opacity. Additionally, mild levoscoliosis of the lumbar spine is observed. The impression is that there is no acute abnormality seen."
        },
        {
            "image_id": "466_2",
            "caption": "The chest x-ray shows a normal heart size with mild tortuosity of the aorta, and no evidence of pneumothorax, pleural effusion, or suspicious airspace opacity. Additionally, mild levoscoliosis of the lumbar spine is observed. The impression is that there is no acute abnormality seen."
        },
        {
            "image_id": "3083_1",
            "caption": "The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Based on the x-ray images, there is no acute pulmonary abnormality detected. This indicates that the patient's lung and heart health are within normal limits."
        },
        {
            "image_id": "3083_2",
            "caption": "The lungs and pleural spaces show no acute abnormality. Heart size and pulmonary vascularity within normal limits. Based on the x-ray images, there is no acute pulmonary abnormality detected. This indicates that the patient's lung and heart health are within normal limits."
        },
        {
            "image_id": "300_1",
            "caption": "The chest X-ray shows mild hyperinflation of the lungs and a stable left mid lung calcified granuloma. There is no focal airspace disease, pneumothorax or effusions. The heart size is normal with mild pectus excavatum deformity. The impression suggests changes of chronic lung disease with no acute cardiopulmonary finding."
        },
        {
            "image_id": "300_2",
            "caption": "The chest X-ray shows mild hyperinflation of the lungs and a stable left mid lung calcified granuloma. There is no focal airspace disease, pneumothorax or effusions. The heart size is normal with mild pectus excavatum deformity. The impression suggests changes of chronic lung disease with no acute cardiopulmonary finding."
        },
        {
            "image_id": "1694_1",
            "caption": "The x-ray reveals clear lungs and a normal heart and pulmonary vasculature. The pleural spaces are also clear. However, there is a vague increased sclerotic focus overlying the posterior spine on lateral view, which requires further investigation to rule out bone metastasis. The mediastinal contours are normal, but it is unclear whether the minimal sclerotic change overlying the midthoracic spine is a pulmonary finding or a skeletal finding. The radiologist recommends a bone scan to evaluate for potential metastatic disease."
        },
        {
            "image_id": "1694_2",
            "caption": "The x-ray reveals clear lungs and a normal heart and pulmonary vasculature. The pleural spaces are also clear. However, there is a vague increased sclerotic focus overlying the posterior spine on lateral view, which requires further investigation to rule out bone metastasis. The mediastinal contours are normal, but it is unclear whether the minimal sclerotic change overlying the midthoracic spine is a pulmonary finding or a skeletal finding. The radiologist recommends a bone scan to evaluate for potential metastatic disease."
        },
        {
            "image_id": "1864_1",
            "caption": "The x-ray shows a borderline enlarged heart size with no acute pulmonary findings. There is no definite pleural effusion or typical findings of pulmonary edema observed. However, a dense nodule in the right lower lobe suggests a previous granulomatous process."
        },
        {
            "image_id": "1864_2",
            "caption": "The x-ray shows a borderline enlarged heart size with no acute pulmonary findings. There is no definite pleural effusion or typical findings of pulmonary edema observed. However, a dense nodule in the right lower lobe suggests a previous granulomatous process."
        },
        {
            "image_id": "328_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. There is no evidence of acute disease such as focal airspace disease, pleural effusion, or pneumothorax. The overall impression is that there is no active disease present in the x-ray."
        },
        {
            "image_id": "328_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. There is no evidence of acute disease such as focal airspace disease, pleural effusion, or pneumothorax. The overall impression is that there is no active disease present in the x-ray."
        },
        {
            "image_id": "3915_1",
            "caption": "The chest X-ray reveals a catheter in the left chest with the tip located in the superior portion of the chest. The size of the heart is slightly enlarged but remains stable. Minimal pulmonary vascular congestion is observed. No acute pulmonary consolidation or pneumothorax is seen. Additionally, there are stable mild interstitial lung changes in the form of edema or fibrosis. Overall, the X-ray indicates stable cardiomegaly with no signs of acute infiltrate or effusion."
        },
        {
            "image_id": "3915_2",
            "caption": "The chest X-ray reveals a catheter in the left chest with the tip located in the superior portion of the chest. The size of the heart is slightly enlarged but remains stable. Minimal pulmonary vascular congestion is observed. No acute pulmonary consolidation or pneumothorax is seen. Additionally, there are stable mild interstitial lung changes in the form of edema or fibrosis. Overall, the X-ray indicates stable cardiomegaly with no signs of acute infiltrate or effusion."
        },
        {
            "image_id": "3901_1",
            "caption": "On examination of the x-ray, the heart was found to be normal in size and the mediastinum was stable, with postsurgical changes of esophagectomy and gastric pull-through being stable. The bibasilar air space opacities have significantly improved, hypoinflation of lungs continues with blunted costophrenic angle. Pneumothorax was not identified. The impression was that there are stable postsurgical changes of esophagectomy with improved bibasilar airspace opacities/atelectasis."
        },
        {
            "image_id": "3901_2",
            "caption": "On examination of the x-ray, the heart was found to be normal in size and the mediastinum was stable, with postsurgical changes of esophagectomy and gastric pull-through being stable. The bibasilar air space opacities have significantly improved, hypoinflation of lungs continues with blunted costophrenic angle. Pneumothorax was not identified. The impression was that there are stable postsurgical changes of esophagectomy with improved bibasilar airspace opacities/atelectasis."
        },
        {
            "image_id": "1870_1",
            "caption": "The chest X-ray shows marked cardiomegaly and low lung volumes. There is no evidence of any focal airspace consolidation, pleural effusion, or pneumothorax. There are prominent interstitial markings, most likely due to low lung volumes, and an elevated right hemidiaphragm. Further evaluation may be necessary to determine the cause of the questionable dilation of the pulmonary arteries."
        },
        {
            "image_id": "1870_2",
            "caption": "The chest X-ray shows marked cardiomegaly and low lung volumes. There is no evidence of any focal airspace consolidation, pleural effusion, or pneumothorax. There are prominent interstitial markings, most likely due to low lung volumes, and an elevated right hemidiaphragm. Further evaluation may be necessary to determine the cause of the questionable dilation of the pulmonary arteries."
        },
        {
            "image_id": "3054_1",
            "caption": "The patient has undergone Coronary Artery Bypass Grafting (CABG). The X-ray report shows that the heart and pulmonary vascularity are within normal limits and there is no focal airspace disease, pneumothorax, or pleural effusion. The X-ray also shows the presence of degenerative changes in the spine and ureteral stents on the right. The conclusion states that there is no evidence of active disease."
        },
        {
            "image_id": "3054_2",
            "caption": "The patient has undergone Coronary Artery Bypass Grafting (CABG). The X-ray report shows that the heart and pulmonary vascularity are within normal limits and there is no focal airspace disease, pneumothorax, or pleural effusion. The X-ray also shows the presence of degenerative changes in the spine and ureteral stents on the right. The conclusion states that there is no evidence of active disease."
        },
        {
            "image_id": "1643_1",
            "caption": "The x-ray shows no acute abnormalities in the heart, lungs, or bones. Specifically, the heart size and pulmonary vascularity are normal, and there is no focal airspace disease or pleural effusion. Additionally, there are no acute bony findings. In summary, the x-ray indicates no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "1643_2",
            "caption": "The x-ray shows no acute abnormalities in the heart, lungs, or bones. Specifically, the heart size and pulmonary vascularity are normal, and there is no focal airspace disease or pleural effusion. Additionally, there are no acute bony findings. In summary, the x-ray indicates no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "1643_3",
            "caption": "The x-ray shows no acute abnormalities in the heart, lungs, or bones. Specifically, the heart size and pulmonary vascularity are normal, and there is no focal airspace disease or pleural effusion. Additionally, there are no acute bony findings. In summary, the x-ray indicates no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "1125_1",
            "caption": "The finding shows a slightly enlarged heart and calcifications. The lungs are hyperinflated, with interstitial markings suggesting emphysema, and bilateral streaky opacities. Pulmonary vascular congestion is seen, but there is no evidence of acute bony abnormality or focal airspace disease. The impression indicates a diagnosis of emphysema and bibasilar streaky airspace opacities along with pulmonary vascular congestion."
        },
        {
            "image_id": "1125_2",
            "caption": "The finding shows a slightly enlarged heart and calcifications. The lungs are hyperinflated, with interstitial markings suggesting emphysema, and bilateral streaky opacities. Pulmonary vascular congestion is seen, but there is no evidence of acute bony abnormality or focal airspace disease. The impression indicates a diagnosis of emphysema and bibasilar streaky airspace opacities along with pulmonary vascular congestion."
        },
        {
            "image_id": "3732_1",
            "caption": "The chest X-ray shows a calcified lymph node in the left hilar region but no other abnormality in the lungs or mediastinum. There is no evidence of acute cardiopulmonary disease. Overall, the results are normal."
        },
        {
            "image_id": "3732_2",
            "caption": "The chest X-ray shows a calcified lymph node in the left hilar region but no other abnormality in the lungs or mediastinum. There is no evidence of acute cardiopulmonary disease. Overall, the results are normal."
        },
        {
            "image_id": "2438_1",
            "caption": "The x-ray shows that the individual has no acute pulmonary abnormality. Specifically, the lungs and pleural spaces appear normal and there are no abnormalities in the heart size or pulmonary vascularity."
        },
        {
            "image_id": "2438_2",
            "caption": "The x-ray shows that the individual has no acute pulmonary abnormality. Specifically, the lungs and pleural spaces appear normal and there are no abnormalities in the heart size or pulmonary vascularity."
        },
        {
            "image_id": "3726_1",
            "caption": "The patient's chest x-ray shows a normal heart size with clear lungs. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses, resulting in a normal chest x-ray."
        },
        {
            "image_id": "3726_2",
            "caption": "The patient's chest x-ray shows a normal heart size with clear lungs. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses, resulting in a normal chest x-ray."
        },
        {
            "image_id": "1131_1",
            "caption": "The chest x-ray images show a calcified granuloma at the base of the right lung, but there is no evidence of any acute cardiopulmonary abnormality. The heart size and pulmonary vasculature were found to be normal, and no focal consolidation, pleural effusion, or pneumothorax was identified. The mediastinal contour is unremarkable, and there were no convincing acute bony findings. Overall, the x-ray appears normal, except for the aforementioned calcified granuloma that does not require follow-up."
        },
        {
            "image_id": "1131_2",
            "caption": "The chest x-ray images show a calcified granuloma at the base of the right lung, but there is no evidence of any acute cardiopulmonary abnormality. The heart size and pulmonary vasculature were found to be normal, and no focal consolidation, pleural effusion, or pneumothorax was identified. The mediastinal contour is unremarkable, and there were no convincing acute bony findings. Overall, the x-ray appears normal, except for the aforementioned calcified granuloma that does not require follow-up."
        },
        {
            "image_id": "1657_1",
            "caption": "The x-ray image shows a normal heart size and mediastinum. The lungs appear clear with no evidence of acute disease. The impression is that there is no acute abnormality identified in the image."
        },
        {
            "image_id": "1657_2",
            "caption": "The x-ray image shows a normal heart size and mediastinum. The lungs appear clear with no evidence of acute disease. The impression is that there is no acute abnormality identified in the image."
        },
        {
            "image_id": "3040_1",
            "caption": "The x-ray images reveal no acute disease. The heart size and pulmonary vascularity are normal, and no focal consolidation, pleural effusion, or pneumothorax is present. Only minimal degenerative changes of the thoracic spine are observed, and there is an anterior fusion visible at the cervicothoracic junction. Therefore, the impression is that there is no acute cardiopulmonary process identified in the x-ray."
        },
        {
            "image_id": "2376_1",
            "caption": "The radiographs of the chest are unremarkable, with normal cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen. There is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2376_2",
            "caption": "The radiographs of the chest are unremarkable, with normal cardiomediastinal contours, lungs, pleura, osseous structures and visualized upper abdomen. There is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2410_1",
            "caption": "The X-ray examination revealed that the heart size and cardiomediastinal silhouette are normal. Additionally, there is a stable calcified lymph node on the left hilar and a calcified nodule on the lower lobe representing a granuloma. Although the lungs are hyperinflated, they are clear bilaterally. The impression is that there is severe hyperinflation and stable left calcified hilar lymph nodes were observed."
        },
        {
            "image_id": "2410_2",
            "caption": "The X-ray examination revealed that the heart size and cardiomediastinal silhouette are normal. Additionally, there is a stable calcified lymph node on the left hilar and a calcified nodule on the lower lobe representing a granuloma. Although the lungs are hyperinflated, they are clear bilaterally. The impression is that there is severe hyperinflation and stable left calcified hilar lymph nodes were observed."
        },
        {
            "image_id": "1119_1",
            "caption": "The chest x-ray reveals low lung volumes with bronchovascular crowding, indicating sequela of prior granulomatous disease, and a stable severe L1 vertebral deformity. However, the heart size is normal and there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1119_2",
            "caption": "The chest x-ray reveals low lung volumes with bronchovascular crowding, indicating sequela of prior granulomatous disease, and a stable severe L1 vertebral deformity. However, the heart size is normal and there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "499_1",
            "caption": "The findings show no acute abnormalities in the cardiopulmonary region. The lungs are clear with no evidence of consolidation, pleural effusion or pneumothorax. The heart size is normal and there is no evidence of suspicious pulmonary opacities. This suggests a healthy cardio and pulmonary system."
        },
        {
            "image_id": "499_2",
            "caption": "The findings show no acute abnormalities in the cardiopulmonary region. The lungs are clear with no evidence of consolidation, pleural effusion or pneumothorax. The heart size is normal and there is no evidence of suspicious pulmonary opacities. This suggests a healthy cardio and pulmonary system."
        },
        {
            "image_id": "2362_1",
            "caption": "The patient's x-ray shows that there are no signs of acute cardiopulmonary abnormality. The lungs are clear bilaterally with normal pulmonary vasculature. There is no evidence of pleural effusions, pneumothorax, or acute bony abnormality. The cardiac and mediastinal silhouettes are normal, indicating no presence of focal areas of consolidation, suspicious pulmonary opacities, or enlargement of the heart size."
        },
        {
            "image_id": "2362_2",
            "caption": "The patient's x-ray shows that there are no signs of acute cardiopulmonary abnormality. The lungs are clear bilaterally with normal pulmonary vasculature. There is no evidence of pleural effusions, pneumothorax, or acute bony abnormality. The cardiac and mediastinal silhouettes are normal, indicating no presence of focal areas of consolidation, suspicious pulmonary opacities, or enlargement of the heart size."
        },
        {
            "image_id": "260_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The lungs are clear bilaterally, and the cardiac and mediastinal silhouettes are normal. There is no evidence of pneumothorax or pleural effusion. The x-ray also shows a stable electronic device in the left anterior chest wall and a 38mm lucent lesion with thin sclerotic margin in the right humeral head, which may be a large geode. Additional imaging may be helpful for further characterization of the lesion."
        },
        {
            "image_id": "260_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The lungs are clear bilaterally, and the cardiac and mediastinal silhouettes are normal. There is no evidence of pneumothorax or pleural effusion. The x-ray also shows a stable electronic device in the left anterior chest wall and a 38mm lucent lesion with thin sclerotic margin in the right humeral head, which may be a large geode. Additional imaging may be helpful for further characterization of the lesion."
        },
        {
            "image_id": "3685_1",
            "caption": "The findings revealed a calcified thoracic aorta with mild rightward deviation of the trachea, unchanged from a previous examination possibly due to a goiter. The heart size was normal with no focal airspace disease, pneumothorax or effusions. However, advanced degenerative changes of the thoracic spine were observed. The impression was that there were no acute cardiopulmonary findings."
        },
        {
            "image_id": "3685_2",
            "caption": "The findings revealed a calcified thoracic aorta with mild rightward deviation of the trachea, unchanged from a previous examination possibly due to a goiter. The heart size was normal with no focal airspace disease, pneumothorax or effusions. However, advanced degenerative changes of the thoracic spine were observed. The impression was that there were no acute cardiopulmonary findings."
        },
        {
            "image_id": "1092_1",
            "caption": "The X-ray image shows no significant findings in the heart, mediastinum, bony structures, and lung fields. The radiologist concludes that there is no acute cardiopulmonary disease seen in the X-ray image. The absence of any pathological condition indicates that the patient's heart, lungs, and chest area are healthy."
        },
        {
            "image_id": "1092_2",
            "caption": "The X-ray image shows no significant findings in the heart, mediastinum, bony structures, and lung fields. The radiologist concludes that there is no acute cardiopulmonary disease seen in the X-ray image. The absence of any pathological condition indicates that the patient's heart, lungs, and chest area are healthy."
        },
        {
            "image_id": "506_1",
            "caption": "The x-ray findings suggest a normal cardiopulmonary system with no signs of consolidation or effusion. The bony structures appear intact as well. More importantly, there are no indications of metastatic disease arising from other parts of the body. However, additional imaging tests can provide a comprehensive evaluation of other underlying conditions that may not have visible signs on the x-ray. It is essential to consult a medical professional to interpret and discuss the findings with the patient."
        },
        {
            "image_id": "506_2",
            "caption": "The x-ray findings suggest a normal cardiopulmonary system with no signs of consolidation or effusion. The bony structures appear intact as well. More importantly, there are no indications of metastatic disease arising from other parts of the body. However, additional imaging tests can provide a comprehensive evaluation of other underlying conditions that may not have visible signs on the x-ray. It is essential to consult a medical professional to interpret and discuss the findings with the patient."
        },
        {
            "image_id": "512_1",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. Specifically, there are no focal areas of consolidation, suspicious bony opacities or evidence of pneumothorax. Heart size is normal and there are no pleural effusions. Additionally, mild degenerative changes of the thoracic spine were observed."
        },
        {
            "image_id": "1086_1",
            "caption": "The x-ray image shows clear lungs without any focal airspace disease or pleural effusion. No evidence of acute cardiopulmonary abnormality is found. However, there is an irregularity in the right posterior 5th rib, possibly due to an old rib fracture. Other bony structures are grossly intact and show no acute findings."
        },
        {
            "image_id": "1086_2",
            "caption": "The x-ray image shows clear lungs without any focal airspace disease or pleural effusion. No evidence of acute cardiopulmonary abnormality is found. However, there is an irregularity in the right posterior 5th rib, possibly due to an old rib fracture. Other bony structures are grossly intact and show no acute findings."
        },
        {
            "image_id": "3849_1",
            "caption": "The x-ray shows no major issues with the heart, lungs, or thoracic spine. There is no evidence of acute cardiopulmonary disease or abnormalities. The report mentions mild degenerative changes in the thoracic spine, but nothing of immediate concern is noted."
        },
        {
            "image_id": "3849_2",
            "caption": "The x-ray shows no major issues with the heart, lungs, or thoracic spine. There is no evidence of acute cardiopulmonary disease or abnormalities. The report mentions mild degenerative changes in the thoracic spine, but nothing of immediate concern is noted."
        },
        {
            "image_id": "3691_1",
            "caption": "The x-ray image shows no signs of acute disease. The heart is normal in size, and the mediastinum is stable. Atherosclerotic calcifications of the aorta were identified. Additionally, there are no focal consolidations, pleural effusions or pneumothoraxes within the lungs. However, degenerative changes are observed in the thoracic spine."
        },
        {
            "image_id": "3691_2",
            "caption": "The x-ray image shows no signs of acute disease. The heart is normal in size, and the mediastinum is stable. Atherosclerotic calcifications of the aorta were identified. Additionally, there are no focal consolidations, pleural effusions or pneumothoraxes within the lungs. However, degenerative changes are observed in the thoracic spine."
        },
        {
            "image_id": "274_1",
            "caption": "The X-ray image shows no concerning findings in the heart, lungs or bony structures. Specifically, there are no areas of consolidation, pneumothorax or pleural effusion. There are, however, degenerative endplate changes in the thoracic spine and an age-indeterminate, mild wedge deformity of a midthoracic vertebral body. Atherosclerotic calcifications of the thoracic aorta were also identified. Despite these findings, there is no acute cardiopulmonary process. The healthcare provider may recommend further evaluation or monitoring of the vertebral deformity."
        },
        {
            "image_id": "274_2",
            "caption": "The X-ray image shows no concerning findings in the heart, lungs or bony structures. Specifically, there are no areas of consolidation, pneumothorax or pleural effusion. There are, however, degenerative endplate changes in the thoracic spine and an age-indeterminate, mild wedge deformity of a midthoracic vertebral body. Atherosclerotic calcifications of the thoracic aorta were also identified. Despite these findings, there is no acute cardiopulmonary process. The healthcare provider may recommend further evaluation or monitoring of the vertebral deformity."
        },
        {
            "image_id": "1938_1",
            "caption": "The X-ray shows that there are no focal areas of concern in the lungs or pleural cavity, and no signs of pneumothorax. The cardiomediastinal silhouette is also unremarkable. Based on these findings, there is no evidence of acute cardiopulmonary disease. These results suggest normal and healthy pulmonary function, and no immediate intervention is required."
        },
        {
            "image_id": "1938_2",
            "caption": "The X-ray shows that there are no focal areas of concern in the lungs or pleural cavity, and no signs of pneumothorax. The cardiomediastinal silhouette is also unremarkable. Based on these findings, there is no evidence of acute cardiopulmonary disease. These results suggest normal and healthy pulmonary function, and no immediate intervention is required."
        },
        {
            "image_id": "3861_1",
            "caption": "The chest X-ray reveals no evidence of acute cardiopulmonary disease. There are no signs of pneumothorax, pleural effusion or focal airspace disease. The heart size appears normal and bony structures are intact. The cardiomediastinal silhouette is clear. Additionally, no fractures are identified."
        },
        {
            "image_id": "3861_2",
            "caption": "The chest X-ray reveals no evidence of acute cardiopulmonary disease. There are no signs of pneumothorax, pleural effusion or focal airspace disease. The heart size appears normal and bony structures are intact. The cardiomediastinal silhouette is clear. Additionally, no fractures are identified."
        },
        {
            "image_id": "3875_1",
            "caption": "The x-ray image reveals stable left lower lung interstitial infiltrates or fibrosis with no focal alveolar opacities. Low lung volumes and normal heart size are observed without any pneumothorax or pleural effusions. On the whole, the image does not indicate any acute cardiopulmonary findings."
        },
        {
            "image_id": "248_1",
            "caption": "The X-ray image shows no signs of acute cardiopulmonary disease such as pneumothorax, pleural effusion or airspace consolidation. The heart size and pulmonary vasculature look normal. However, a small calcified granuloma is present in the right midlung, which doesn't indicate any acute cardiorespiratory abnormality."
        },
        {
            "image_id": "248_2",
            "caption": "The X-ray image shows no signs of acute cardiopulmonary disease such as pneumothorax, pleural effusion or airspace consolidation. The heart size and pulmonary vasculature look normal. However, a small calcified granuloma is present in the right midlung, which doesn't indicate any acute cardiorespiratory abnormality."
        },
        {
            "image_id": "3120_1",
            "caption": "The x-ray shows that the heart is normal in size and shape, and there is no widening of the mediastinum. Both lungs are clear with no signs of effusion or pneumothorax. However, there are fractures on the posterior left 4th, 5th, and 6th ribs which are of an age-indeterminate nature. While there are no signs of any acute cardiopulmonary abnormalities, the age of the fractures cannot be determined."
        },
        {
            "image_id": "3120_2",
            "caption": "The x-ray shows that the heart is normal in size and shape, and there is no widening of the mediastinum. Both lungs are clear with no signs of effusion or pneumothorax. However, there are fractures on the posterior left 4th, 5th, and 6th ribs which are of an age-indeterminate nature. While there are no signs of any acute cardiopulmonary abnormalities, the age of the fractures cannot be determined."
        },
        {
            "image_id": "1737_1",
            "caption": "The chest x-ray shows that the heart is of normal size and the pulmonary vascularity is normal in appearance. There are no focal airspace opacities, pleural effusions, or pneumothorax. Additionally, there are no acute bony abnormalities. As a result, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "1737_2",
            "caption": "The chest x-ray shows that the heart is of normal size and the pulmonary vascularity is normal in appearance. There are no focal airspace opacities, pleural effusions, or pneumothorax. Additionally, there are no acute bony abnormalities. As a result, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "1051_1",
            "caption": "The x-ray shows a normal heart size and pulmonary vascularity, with clear lungs and no pleural effusions or pneumothoraces. There is no acute cardiopulmonary abnormality. This means that the patient's heart and lungs appear to be functioning normally based on the x-ray results."
        },
        {
            "image_id": "1051_2",
            "caption": "The x-ray shows a normal heart size and pulmonary vascularity, with clear lungs and no pleural effusions or pneumothoraces. There is no acute cardiopulmonary abnormality. This means that the patient's heart and lungs appear to be functioning normally based on the x-ray results."
        },
        {
            "image_id": "3646_1",
            "caption": "The findings indicate that the lungs are clear and the heart size is normal, with no evidence of a pneumothorax. The overall impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3646_2",
            "caption": "The findings indicate that the lungs are clear and the heart size is normal, with no evidence of a pneumothorax. The overall impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2558_1",
            "caption": "Upon examination of the chest x-ray, there is no evidence of acute cardiopulmonary abnormalities. Specifically, there are no focal consolidations, pneumothoraxes, or large pleural effusions. The cardiomediastinal contours are unremarkable, and the size of the heart is within normal limits."
        },
        {
            "image_id": "2558_2",
            "caption": "Upon examination of the chest x-ray, there is no evidence of acute cardiopulmonary abnormalities. Specifically, there are no focal consolidations, pneumothoraxes, or large pleural effusions. The cardiomediastinal contours are unremarkable, and the size of the heart is within normal limits."
        },
        {
            "image_id": "3652_1",
            "caption": "Based on the X-ray image, the patient shows no evidence of acute cardiopulmonary disease. It was also noted that there are no pneumothorax, pleural effusion, or airspace consolidation. The heart size and pulmonary vasculature were observed to be normal. There were also calcified right hilar granulomas and mild thoracic dextroscoliosis, but they were not significant as per the impression."
        },
        {
            "image_id": "3652_2",
            "caption": "Based on the X-ray image, the patient shows no evidence of acute cardiopulmonary disease. It was also noted that there are no pneumothorax, pleural effusion, or airspace consolidation. The heart size and pulmonary vasculature were observed to be normal. There were also calcified right hilar granulomas and mild thoracic dextroscoliosis, but they were not significant as per the impression."
        },
        {
            "image_id": "1045_1",
            "caption": "The findings show no acute abnormalities. The heart and mediastinum are stable and there is no evidence of lung abnormalities such as pleural effusion or pulmonary edema. A chronic deformity of the right posterolateral 7th rib is noted, suggestive of an old injury. In summary, the X-ray does not indicate any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1045_2",
            "caption": "The findings show no acute abnormalities. The heart and mediastinum are stable and there is no evidence of lung abnormalities such as pleural effusion or pulmonary edema. A chronic deformity of the right posterolateral 7th rib is noted, suggestive of an old injury. In summary, the X-ray does not indicate any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1723_1",
            "caption": "The x-ray shows a normal heart size and no signs of airspace disease, pneumothorax, or pleural effusion. However, there are densely calcified mediastinal and right hilar lymph nodes which suggest prior exposure to histoplasmosis. No acute abnormality was identified."
        },
        {
            "image_id": "1723_2",
            "caption": "The x-ray shows a normal heart size and no signs of airspace disease, pneumothorax, or pleural effusion. However, there are densely calcified mediastinal and right hilar lymph nodes which suggest prior exposure to histoplasmosis. No acute abnormality was identified."
        },
        {
            "image_id": "3134_1",
            "caption": "The x-ray shows clear lungs and normal heart and pulmonary vessels. No pleural effusions or pneumothorax are present, and the mediastinal contours are normal. There is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3134_2",
            "caption": "The x-ray shows clear lungs and normal heart and pulmonary vessels. No pleural effusions or pneumothorax are present, and the mediastinal contours are normal. There is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2564_1",
            "caption": "The X-ray shows a clear image of the heart, which appears normal in size and with an unremarkable silhouette. The pulmonary vasculature and lungs also appear normal without any signs of diseases such as pneumothorax or pleural effusion. There is no active or acute cardiopulmonary abnormality present in the scan. Overall, the X-ray is normal and suggests a healthy heart and lungs."
        },
        {
            "image_id": "2564_2",
            "caption": "The X-ray shows a clear image of the heart, which appears normal in size and with an unremarkable silhouette. The pulmonary vasculature and lungs also appear normal without any signs of diseases such as pneumothorax or pleural effusion. There is no active or acute cardiopulmonary abnormality present in the scan. Overall, the X-ray is normal and suggests a healthy heart and lungs."
        },
        {
            "image_id": "1079_1",
            "caption": "The X-ray image shows low lung volumes with a minimal right basilar atelectasis, but no acute abnormalities such as consolidation or pneumothorax. The heart size and upper mediastinum appear normal with no pulmonary vascular congestion. Additionally, the osseous structures are intact. Overall, the findings suggest no acute cardiopulmonary anomalies."
        },
        {
            "image_id": "1079_2",
            "caption": "The X-ray image shows low lung volumes with a minimal right basilar atelectasis, but no acute abnormalities such as consolidation or pneumothorax. The heart size and upper mediastinum appear normal with no pulmonary vascular congestion. Additionally, the osseous structures are intact. Overall, the findings suggest no acute cardiopulmonary anomalies."
        },
        {
            "image_id": "2570_1",
            "caption": "Based on the x-ray, there has been an increase in the size of the cardiac silhouette and pulmonary vasculature, indicating possible cardiomegaly with mild pulmonary edema. This requires further evaluation and management by a specialist to ensure appropriate treatment."
        },
        {
            "image_id": "2570_2",
            "caption": "Based on the x-ray, there has been an increase in the size of the cardiac silhouette and pulmonary vasculature, indicating possible cardiomegaly with mild pulmonary edema. This requires further evaluation and management by a specialist to ensure appropriate treatment."
        },
        {
            "image_id": "2216_1",
            "caption": "The findings of the X-ray image show that the heart size and the mediastinal contours are normal. Moreover, there is no visible pleural effusion or pneumothorax and the pulmonary vasculature is unremarkable. However, there is mild elevation in the right hemidiaphragm and mild degenerative changes along the thoracic spine. The impression is that there is no acute cardiopulmonary abnormality seen apart from the mildly elevated right hemidiaphragm."
        },
        {
            "image_id": "2216_2",
            "caption": "The findings of the X-ray image show that the heart size and the mediastinal contours are normal. Moreover, there is no visible pleural effusion or pneumothorax and the pulmonary vasculature is unremarkable. However, there is mild elevation in the right hemidiaphragm and mild degenerative changes along the thoracic spine. The impression is that there is no acute cardiopulmonary abnormality seen apart from the mildly elevated right hemidiaphragm."
        },
        {
            "image_id": "3108_1",
            "caption": "The chest X-ray indicates pneumonia in the right lower lobe, which could be the reason for the patient's symptoms. The rest of the lungs looks clear, and there is no acute abnormality detected in the heart and pulmonary vasculature. The medial contours seem normal. The patient needs prompt treatment for pneumonia to avoid further complications."
        },
        {
            "image_id": "3108_2",
            "caption": "The chest X-ray indicates pneumonia in the right lower lobe, which could be the reason for the patient's symptoms. The rest of the lungs looks clear, and there is no acute abnormality detected in the heart and pulmonary vasculature. The medial contours seem normal. The patient needs prompt treatment for pneumonia to avoid further complications."
        },
        {
            "image_id": "3108_3",
            "caption": "The chest X-ray indicates pneumonia in the right lower lobe, which could be the reason for the patient's symptoms. The rest of the lungs looks clear, and there is no acute abnormality detected in the heart and pulmonary vasculature. The medial contours seem normal. The patient needs prompt treatment for pneumonia to avoid further complications."
        },
        {
            "image_id": "704_1",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. There is no focal consolidation, pneumothorax, or large pleural effusion. The exam is negative for any acute bone abnormality. The exam is negative for any acute abnormality. This means that no significant abnormalities related to the heart or lungs were seen on the X-ray, and there are no signs of pneumonia, pneumothorax, or bone injuries."
        },
        {
            "image_id": "704_2",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. There is no focal consolidation, pneumothorax, or large pleural effusion. The exam is negative for any acute bone abnormality. The exam is negative for any acute abnormality. This means that no significant abnormalities related to the heart or lungs were seen on the X-ray, and there are no signs of pneumonia, pneumothorax, or bone injuries."
        },
        {
            "image_id": "1290_1",
            "caption": "The X-ray shows a 22 x 14 mm calcified nodule in the left lower lobe, and a moderate hiatal hernia. However, there are no signs of acute cardiopulmonary disease, consolidation, pneumothorax or any other significant abnormality. The cardiomediastinal silhouette, pulmonary vasculature, osseous structures, and soft tissues all appear normal. The calcified nodule is suspected to be a left paraesophageal or intrapulmonary lymph node."
        },
        {
            "image_id": "3487_1",
            "caption": "The x-ray image shows no acute abnormality in the lungs and pleural spaces. Both the heart size and pulmonary vascularity appear within normal limits. Overall, there is no acute pulmonary abnormality detected in the patient's chest x-ray."
        },
        {
            "image_id": "3487_2",
            "caption": "The x-ray image shows no acute abnormality in the lungs and pleural spaces. Both the heart size and pulmonary vascularity appear within normal limits. Overall, there is no acute pulmonary abnormality detected in the patient's chest x-ray."
        },
        {
            "image_id": "2941_1",
            "caption": "The chest x-ray shows clear lungs with no focal airspace opacities, pleural effusion, or pneumothorax. Cardiac and mediastinal contours are normal and pulmonary vascularity is within normal limits. The findings suggest no acute pulmonary abnormality present."
        },
        {
            "image_id": "2941_2",
            "caption": "The chest x-ray shows clear lungs with no focal airspace opacities, pleural effusion, or pneumothorax. Cardiac and mediastinal contours are normal and pulmonary vascularity is within normal limits. The findings suggest no acute pulmonary abnormality present."
        },
        {
            "image_id": "2799_1",
            "caption": "The x-ray shows clear lungs bilaterally with normal cardiac and mediastinal contours. Pulmonary vasculature is normal and there is no evidence of pneumothorax or pleural effusion. The imaging does not reveal any acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2799_2",
            "caption": "The x-ray shows clear lungs bilaterally with normal cardiac and mediastinal contours. Pulmonary vasculature is normal and there is no evidence of pneumothorax or pleural effusion. The imaging does not reveal any acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3493_1",
            "caption": "The x-ray shows normal heart size and midline trachea. Lung volumes are slightly low but there are no acute cardiopulmonary abnormalities found. Lungs are clear without any focal consolidation, pleural effusion or pneumothorax. Bony and soft tissue structures appear normal."
        },
        {
            "image_id": "3493_2",
            "caption": "The x-ray shows normal heart size and midline trachea. Lung volumes are slightly low but there are no acute cardiopulmonary abnormalities found. Lungs are clear without any focal consolidation, pleural effusion or pneumothorax. Bony and soft tissue structures appear normal."
        },
        {
            "image_id": "1284_1",
            "caption": "The X-ray reveals left-sided dual (pacemaker) cardiac leads in stable position with no acute changes. The heart is normal in size. There is a decrease in the left basilar opacity while there is an increase in the right lung base. No pneumothorax or large effusion is observed. Pulmonary vascularity is unremarkable. Additionally, there is calcification of the thoracic aorta. The impression drawn from the findings is an increase in right and decrease in left basilar atelectasis."
        },
        {
            "image_id": "710_1",
            "caption": "The chest X-ray shows that the heart and lungs are normal with no acute abnormality. There is no evidence of any active airspace disease, pneumothorax or pleural effusion. The impression states that there is no active/acute cardiopulmonary disease. However, there is a calcified granuloma in the right upper lobe and the X-ray is otherwise unremarkable."
        },
        {
            "image_id": "710_2",
            "caption": "The chest X-ray shows that the heart and lungs are normal with no acute abnormality. There is no evidence of any active airspace disease, pneumothorax or pleural effusion. The impression states that there is no active/acute cardiopulmonary disease. However, there is a calcified granuloma in the right upper lobe and the X-ray is otherwise unremarkable."
        },
        {
            "image_id": "738_1",
            "caption": "The chest x-ray shows that there is no acute or active cardiopulmonary disease. The heart and mediastinal contours are normal, and the lungs are clear without any pleural effusion or pneumothorax. No bony or soft tissue abnormalities are noted. In summary, the findings indicate no signs of any abnormalities or illnesses in the chest area."
        },
        {
            "image_id": "738_2",
            "caption": "The chest x-ray shows that there is no acute or active cardiopulmonary disease. The heart and mediastinal contours are normal, and the lungs are clear without any pleural effusion or pneumothorax. No bony or soft tissue abnormalities are noted. In summary, the findings indicate no signs of any abnormalities or illnesses in the chest area."
        },
        {
            "image_id": "2969_1",
            "caption": "The x-ray shows stable heart size and mediastinal contours, with atherosclerotic calcifications of the aorta. Emphysema is present, indicated by moderate severe hyperexpansion of the lungs, and decreased peripheral vascular markings. There is also stable biapical pleural-parenchymal scarring and scattered granulomas. No abnormal airspace consolidation, pneumothorax or pleural effusion were observed, indicating no active or acute disease."
        },
        {
            "image_id": "2969_2",
            "caption": "The x-ray shows stable heart size and mediastinal contours, with atherosclerotic calcifications of the aorta. Emphysema is present, indicated by moderate severe hyperexpansion of the lungs, and decreased peripheral vascular markings. There is also stable biapical pleural-parenchymal scarring and scattered granulomas. No abnormal airspace consolidation, pneumothorax or pleural effusion were observed, indicating no active or acute disease."
        },
        {
            "image_id": "2982_1",
            "caption": "The findings reveal that the heart is normal in size and the mediastinum is unremarkable. Additionally, some scarring is noted in the lingula, but overall the lungs are clear, and there is no acute disease."
        },
        {
            "image_id": "2982_2",
            "caption": "The findings reveal that the heart is normal in size and the mediastinum is unremarkable. Additionally, some scarring is noted in the lingula, but overall the lungs are clear, and there is no acute disease."
        },
        {
            "image_id": "1253_1",
            "caption": "The x-ray shows that the heart and pulmonary vascularity look normal. Additionally, the lungs appear free of focal airspace disease and there is no presence of pleural effusion or pneumothorax. As per the impression, there is no evidence of active disease."
        },
        {
            "image_id": "1253_2",
            "caption": "The x-ray shows that the heart and pulmonary vascularity look normal. Additionally, the lungs appear free of focal airspace disease and there is no presence of pleural effusion or pneumothorax. As per the impression, there is no evidence of active disease."
        },
        {
            "image_id": "1535_1",
            "caption": "Based on the X-ray image, there is no evidence of active disease. The heart size and mediastinal contours appears within normal limits and there is no cardiopulmonary abnormality. The lungs are free of airspace disease, pneumothorax or pleural effusion. The visualized osseous structures appear intact."
        },
        {
            "image_id": "1535_2",
            "caption": "Based on the X-ray image, there is no evidence of active disease. The heart size and mediastinal contours appears within normal limits and there is no cardiopulmonary abnormality. The lungs are free of airspace disease, pneumothorax or pleural effusion. The visualized osseous structures appear intact."
        },
        {
            "image_id": "3322_1",
            "caption": "Based on the x-ray image, there is no active cardiopulmonary disease observed. The heart and lungs appear normal and clear, and there is no evidence of pleural effusion or pneumothorax. In addition, the visualized osseous structures appear intact. This strongly suggests that the patient is currently free from any critical health conditions."
        },
        {
            "image_id": "3322_2",
            "caption": "Based on the x-ray image, there is no active cardiopulmonary disease observed. The heart and lungs appear normal and clear, and there is no evidence of pleural effusion or pneumothorax. In addition, the visualized osseous structures appear intact. This strongly suggests that the patient is currently free from any critical health conditions."
        },
        {
            "image_id": "3336_1",
            "caption": "The X-ray shows that the heart, pulmonary vasculature, and mediastinum are all within normal limits, and there is no evidence of pleural effusion or pneumothorax. The X-ray does not show any focal airspace opacity suggesting pneumonia, but there are age-indeterminate left-sided rib fractures, along with basilar calcified granulomas and minimal degenerative changes of the spine. A calcified right hilar lymph node is also present. The impression is that there are multiple age-indeterminate left-sided rib fractures, and further evaluation may be necessary to determine the cause and extent of these injuries."
        },
        {
            "image_id": "3336_2",
            "caption": "The X-ray shows that the heart, pulmonary vasculature, and mediastinum are all within normal limits, and there is no evidence of pleural effusion or pneumothorax. The X-ray does not show any focal airspace opacity suggesting pneumonia, but there are age-indeterminate left-sided rib fractures, along with basilar calcified granulomas and minimal degenerative changes of the spine. A calcified right hilar lymph node is also present. The impression is that there are multiple age-indeterminate left-sided rib fractures, and further evaluation may be necessary to determine the cause and extent of these injuries."
        },
        {
            "image_id": "2028_1",
            "caption": "The finding from the x-ray shows that the heart size is normal and there is no evidence of a focal airspace disease, pneumothorax or effusion. The impression indicates that there is no acute cardiopulmonary finding. Overall, the x-ray shows that there are no current issues related to the cardiovascular or respiratory system."
        },
        {
            "image_id": "2028_2",
            "caption": "The finding from the x-ray shows that the heart size is normal and there is no evidence of a focal airspace disease, pneumothorax or effusion. The impression indicates that there is no acute cardiopulmonary finding. Overall, the x-ray shows that there are no current issues related to the cardiovascular or respiratory system."
        },
        {
            "image_id": "1521_1",
            "caption": "Upon review of the three available images, the heart appears normal in size and the mediastinal contour is unremarkable. The lungs do not show any focal infiltrates or nodules. No pneumothorax or pleural fluid is visible. Additionally, there is no evidence of free intraperitoneal air under the diaphragm. The impression indicates no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1521_2",
            "caption": "Upon review of the three available images, the heart appears normal in size and the mediastinal contour is unremarkable. The lungs do not show any focal infiltrates or nodules. No pneumothorax or pleural fluid is visible. Additionally, there is no evidence of free intraperitoneal air under the diaphragm. The impression indicates no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1521_3",
            "caption": "Upon review of the three available images, the heart appears normal in size and the mediastinal contour is unremarkable. The lungs do not show any focal infiltrates or nodules. No pneumothorax or pleural fluid is visible. Additionally, there is no evidence of free intraperitoneal air under the diaphragm. The impression indicates no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3450_1",
            "caption": "The X-ray image shows that the heart and mediastinum appear normal in size and shape. Pulmonary vasculatures are within normal limits. Lungs appear clear without focal opacities, pneumothorax or pleural effusion. Osseous structures appear intact without any acute bony pathology. The overall impression is that no acute disease is observed in the X-ray image."
        },
        {
            "image_id": "3450_2",
            "caption": "The X-ray image shows that the heart and mediastinum appear normal in size and shape. Pulmonary vasculatures are within normal limits. Lungs appear clear without focal opacities, pneumothorax or pleural effusion. Osseous structures appear intact without any acute bony pathology. The overall impression is that no acute disease is observed in the X-ray image."
        },
        {
            "image_id": "3478_1",
            "caption": "The x-ray report shows no abnormalities in the heart and lungs. There is no evidence of focal airspace disease, pleural effusion or pneumothorax. The bony structures also appear normal, except for mild scoliosis. Overall, the x-ray suggests no active disease and clear lungs."
        },
        {
            "image_id": "3478_2",
            "caption": "The x-ray report shows no abnormalities in the heart and lungs. There is no evidence of focal airspace disease, pleural effusion or pneumothorax. The bony structures also appear normal, except for mild scoliosis. Overall, the x-ray suggests no active disease and clear lungs."
        },
        {
            "image_id": "2000_1",
            "caption": "The finding shows that the heart is within normal size and appearance, and the lungs are clear of infiltrate, pneumothorax, or effusion. There is no acute cardiopulmonary disease detected."
        },
        {
            "image_id": "2000_2",
            "caption": "The finding shows that the heart is within normal size and appearance, and the lungs are clear of infiltrate, pneumothorax, or effusion. There is no acute cardiopulmonary disease detected."
        },
        {
            "image_id": "1509_1",
            "caption": "The x-ray shows clear lungs bilaterally, with no visible focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1509_2",
            "caption": "The x-ray shows clear lungs bilaterally, with no visible focal consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. There is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "2014_1",
            "caption": "The frontal and lateral views of the chest revealed a normal cardiomediastinal silhouette and pulmonary vasculature. The lungs were clear with no signs of airspace consolidation or pleural effusion. The impression suggested no acute or active cardiopulmonary or pleural disease, whereas the pneumoperitoneum was attributed to the patient's recent abdominal surgery."
        },
        {
            "image_id": "2014_2",
            "caption": "The frontal and lateral views of the chest revealed a normal cardiomediastinal silhouette and pulmonary vasculature. The lungs were clear with no signs of airspace consolidation or pleural effusion. The impression suggested no acute or active cardiopulmonary or pleural disease, whereas the pneumoperitoneum was attributed to the patient's recent abdominal surgery."
        },
        {
            "image_id": "937_1",
            "caption": "The x-ray shows that the heart and lungs are normal in size and shape. There is no presence of airspace disease, pneumothorax, or acute osseous deformity. Additionally, the thoracic spine appears normal. In other words, the chest x-ray is unremarkable and does not show any concerning findings."
        },
        {
            "image_id": "937_2",
            "caption": "The x-ray shows that the heart and lungs are normal in size and shape. There is no presence of airspace disease, pneumothorax, or acute osseous deformity. Additionally, the thoracic spine appears normal. In other words, the chest x-ray is unremarkable and does not show any concerning findings."
        },
        {
            "image_id": "2015_1",
            "caption": "The chest x-ray shows that the heart size and mediastinal contours are within normal limits. The pulmonary vascularity is also within normal limits. No areas of concern, such as consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion, are present. The visualized osseous structures appear intact. In summary, there is no acute cardiopulmonary abnormality seen on the x-ray."
        },
        {
            "image_id": "2015_2",
            "caption": "The chest x-ray shows that the heart size and mediastinal contours are within normal limits. The pulmonary vascularity is also within normal limits. No areas of concern, such as consolidation, suspicious pulmonary opacity, pneumothorax or definite pleural effusion, are present. The visualized osseous structures appear intact. In summary, there is no acute cardiopulmonary abnormality seen on the x-ray."
        },
        {
            "image_id": "936_1",
            "caption": "The chest X-ray shows that the heart is normal in size and the mediastinum is unremarkable. The lungs are also clear. Based on these findings, there is no acute disease present."
        },
        {
            "image_id": "2773_1",
            "caption": "Based on the results of the x-ray, there is no evidence of acute cardiopulmonary disease. The heart and lungs both appear normal and clear, without any signs of infiltrate, pneumothorax, or effusion. However, mild degenerative changes were noted at the lower thoracic spine. It is important to follow up with the healthcare provider for any concerns or further recommendations."
        },
        {
            "image_id": "2773_2",
            "caption": "Based on the results of the x-ray, there is no evidence of acute cardiopulmonary disease. The heart and lungs both appear normal and clear, without any signs of infiltrate, pneumothorax, or effusion. However, mild degenerative changes were noted at the lower thoracic spine. It is important to follow up with the healthcare provider for any concerns or further recommendations."
        },
        {
            "image_id": "3479_1",
            "caption": "The findings from the soft tissue neck x-ray show no abnormalities with the airway or cervical spine. Moving on to the chest x-ray, the results indicate a large heart with diffuse parahilar and alveolar consolidations, as well as bilateral costophrenic blunting. In other words, there are signs of heart failure with pulmonary edema and pleural effusion."
        },
        {
            "image_id": "3479_2",
            "caption": "The findings from the soft tissue neck x-ray show no abnormalities with the airway or cervical spine. Moving on to the chest x-ray, the results indicate a large heart with diffuse parahilar and alveolar consolidations, as well as bilateral costophrenic blunting. In other words, there are signs of heart failure with pulmonary edema and pleural effusion."
        },
        {
            "image_id": "2767_1",
            "caption": "The x-ray shows clear lungs with no pleural effusion, pneumothorax or evidence of active disease. The cardiomediastinal silhouette is normal and there are minimal degenerative changes of the spine. As per the impression, there is no evidence of active disease in the x-ray, indicating that the patient\u2019s cardiopulmonary health is stable."
        },
        {
            "image_id": "2767_2",
            "caption": "The x-ray shows clear lungs with no pleural effusion, pneumothorax or evidence of active disease. The cardiomediastinal silhouette is normal and there are minimal degenerative changes of the spine. As per the impression, there is no evidence of active disease in the x-ray, indicating that the patient\u2019s cardiopulmonary health is stable."
        },
        {
            "image_id": "922_1",
            "caption": "The X-ray findings show a slightly enlarged heart, but otherwise normal pulmonary structures without any infiltrates. There is no evidence of heart failure or pneumonia. This indicates a generally healthy cardiopulmonary system with minor cardiac enlargement."
        },
        {
            "image_id": "922_2",
            "caption": "The X-ray findings show a slightly enlarged heart, but otherwise normal pulmonary structures without any infiltrates. There is no evidence of heart failure or pneumonia. This indicates a generally healthy cardiopulmonary system with minor cardiac enlargement."
        },
        {
            "image_id": "1508_1",
            "caption": "This X-ray shows no significant changes in the heart and lungs since the last X-ray. Both lungs are clear and expanded, and the heart and mediastinum appear normal. There is no evidence of any active disease at present. It is important to continue monitoring the patient regularly to ensure any changes are caught early."
        },
        {
            "image_id": "1508_2",
            "caption": "This X-ray shows no significant changes in the heart and lungs since the last X-ray. Both lungs are clear and expanded, and the heart and mediastinum appear normal. There is no evidence of any active disease at present. It is important to continue monitoring the patient regularly to ensure any changes are caught early."
        },
        {
            "image_id": "1520_1",
            "caption": "The X-ray report shows that the cardiomediastinal silhouette is normal and there is no acute cardiopulmonary disease. The lungs are clear and there is no evidence of consolidation, pneumothorax or large pleural effusion. Pulmonary vasculature is normal. The patient has postsurgical changes of the cervical spine."
        },
        {
            "image_id": "1520_2",
            "caption": "The X-ray report shows that the cardiomediastinal silhouette is normal and there is no acute cardiopulmonary disease. The lungs are clear and there is no evidence of consolidation, pneumothorax or large pleural effusion. Pulmonary vasculature is normal. The patient has postsurgical changes of the cervical spine."
        },
        {
            "image_id": "2029_1",
            "caption": "On examination, the heart appears to be of normal size and the mediastinal contours are normal. The visualized osseous structures appear unremarkable. There is no focal airspace disease, pleural effusion or pneumothorax. Furthermore, no acute cardiopulmonary abnormalities are observed."
        },
        {
            "image_id": "2029_2",
            "caption": "On examination, the heart appears to be of normal size and the mediastinal contours are normal. The visualized osseous structures appear unremarkable. There is no focal airspace disease, pleural effusion or pneumothorax. Furthermore, no acute cardiopulmonary abnormalities are observed."
        },
        {
            "image_id": "3337_1",
            "caption": "The X-ray image shows clear and expanded lungs and a normal-sized heart. A calcified pleural plaque in the right subpulmonic area has not changed since the abdomen CT. The left and right knees, joint spaces, and soft tissues are normal. Overall, there is no evidence of active disease in the chest or knees."
        },
        {
            "image_id": "3337_2",
            "caption": "The X-ray image shows clear and expanded lungs and a normal-sized heart. A calcified pleural plaque in the right subpulmonic area has not changed since the abdomen CT. The left and right knees, joint spaces, and soft tissues are normal. Overall, there is no evidence of active disease in the chest or knees."
        },
        {
            "image_id": "2997_1",
            "caption": "The x-ray shows clear lungs without any signs of consolidation, effusion, or pneumothorax. The heart appears normal in size, and there are no abnormalities detected in the bony thorax and soft tissues. The impression indicates that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2997_2",
            "caption": "The x-ray shows clear lungs without any signs of consolidation, effusion, or pneumothorax. The heart appears normal in size, and there are no abnormalities detected in the bony thorax and soft tissues. The impression indicates that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "3451_1",
            "caption": "The medical imaging examination showed that the heart has a normal size and stable mediastinum. However, there are calcified AP lymph seen, and a small pleural effusion on the right side is suspected, along with a right inferior rib deformity. The overall impression suggests small pleural effusion versus thickening and associated healed right rib deformities."
        },
        {
            "image_id": "3451_2",
            "caption": "The medical imaging examination showed that the heart has a normal size and stable mediastinum. However, there are calcified AP lymph seen, and a small pleural effusion on the right side is suspected, along with a right inferior rib deformity. The overall impression suggests small pleural effusion versus thickening and associated healed right rib deformities."
        },
        {
            "image_id": "1246_1",
            "caption": "The x-ray image shows that the cardiac and mediastinal contours are normal. The lungs appear to be clear, but there is evidence of thoracic spondylosis. Additionally, there are bilateral breast prostheses with calcification. Overall, there are no current acute findings."
        },
        {
            "image_id": "1246_2",
            "caption": "The x-ray image shows that the cardiac and mediastinal contours are normal. The lungs appear to be clear, but there is evidence of thoracic spondylosis. Additionally, there are bilateral breast prostheses with calcification. Overall, there are no current acute findings."
        },
        {
            "image_id": "2983_1",
            "caption": "The x-ray shows that there are no acute cardiopulmonary abnormalities or any acute bony abnormalities. The cardiomediastinal silhouette is normal and there is no focal consolidation. However, there is right lower lobe scarring and granulomas present. Additionally, there is no pneumothorax or large pleural effusion."
        },
        {
            "image_id": "2983_2",
            "caption": "The x-ray shows that there are no acute cardiopulmonary abnormalities or any acute bony abnormalities. The cardiomediastinal silhouette is normal and there is no focal consolidation. However, there is right lower lobe scarring and granulomas present. Additionally, there is no pneumothorax or large pleural effusion."
        },
        {
            "image_id": "3445_1",
            "caption": "Based on the chest X-Ray findings, there is no evidence of acute illness. The lungs are clear with no signs of fluid or collapse, and the heart is of normal size. The thoracic cavity and bony structures are unremarkable. The X-Ray shows no indication of any immediate cardiopulmonary abnormalities that require attention."
        },
        {
            "image_id": "3445_2",
            "caption": "Based on the chest X-Ray findings, there is no evidence of acute illness. The lungs are clear with no signs of fluid or collapse, and the heart is of normal size. The thoracic cavity and bony structures are unremarkable. The X-Ray shows no indication of any immediate cardiopulmonary abnormalities that require attention."
        },
        {
            "image_id": "3323_1",
            "caption": "The radiographic image shows that the heart is within normal limits in size. The aorta may look tortuous and ectatic, but it is unchanged from the comparison exam, and there is a stable dual ICD/pacemaker on the left side of the chest. No signs of focal consolidation, large pleural effusion, or pneumothorax are seen, and the visualized osseous structures are grossly intact. Thus, the exam indicates no acute cardiopulmonary abnormality, and the lung volumes have improved."
        },
        {
            "image_id": "1534_1",
            "caption": "The x-ray image shows a normal-sized cardiomediastinal silhouette, but with aortic atherosclerosis and hyperexpanded lungs. There is a density noted in the mid-right lung, and streaky bibasilar opacities. A nodular opacity is also seen at the left apex, which may require further evaluation. The midthoracic vertebral column has a fracture. Overall, there is no focal airspace consolidation, and the impression states that further evaluation may be necessary for the nodular opacity found in the left apex."
        },
        {
            "image_id": "1534_2",
            "caption": "The x-ray image shows a normal-sized cardiomediastinal silhouette, but with aortic atherosclerosis and hyperexpanded lungs. There is a density noted in the mid-right lung, and streaky bibasilar opacities. A nodular opacity is also seen at the left apex, which may require further evaluation. The midthoracic vertebral column has a fracture. Overall, there is no focal airspace consolidation, and the impression states that further evaluation may be necessary for the nodular opacity found in the left apex."
        },
        {
            "image_id": "2968_1",
            "caption": "Right paratracheal mass, possibly lymphadenopathy. If there are no previous chest x-rays from elsewhere, a CT scan with contrast may be of further benefit. Dr. [Name] discussed these findings in the [Department] approximately [time] hours ago, [date]. Cardiac and pulmonary evaluation revealed no acute abnormalities."
        },
        {
            "image_id": "2968_2",
            "caption": "Right paratracheal mass, possibly lymphadenopathy. If there are no previous chest x-rays from elsewhere, a CT scan with contrast may be of further benefit. Dr. [Name] discussed these findings in the [Department] approximately [time] hours ago, [date]. Cardiac and pulmonary evaluation revealed no acute abnormalities."
        },
        {
            "image_id": "739_1",
            "caption": "During the examination, anterior-posterior and lateral views of the chest were obtained using X-rays. The lung volumes were low normal and there were no pleural effusions, and the lungs were found clear. The mediastinum shows no abnormalities, and the bony structures were normal. No acute cardiopulmonary abnormalities were detected in the examination. The examination report concludes at this point."
        },
        {
            "image_id": "739_2",
            "caption": "During the examination, anterior-posterior and lateral views of the chest were obtained using X-rays. The lung volumes were low normal and there were no pleural effusions, and the lungs were found clear. The mediastinum shows no abnormalities, and the bony structures were normal. No acute cardiopulmonary abnormalities were detected in the examination. The examination report concludes at this point."
        },
        {
            "image_id": "711_1",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormalities. There are calcified granulomas present in the lung bases. The cardiac silhouette and mediastinal contours are normal, and there is no pneumothorax or large pleural effusion. Minimal retrolisthesis of two lower thoracic vertebral bodies is observed. Based on the findings, the impression is that there is no acute cardiopulmonary disease, but the patient does have retrolisthesis of two lower thoracic vertebral bodies."
        },
        {
            "image_id": "1285_1",
            "caption": "The chest x-ray images show the cardiomediastinal silhouette in normal size and configuration. Lung volumes are low and there is slight crowding. No evidence of pneumothorax, pleural effusion or focal air space consolidation is observed. This indicates that the patient's lungs are functioning moderately. Follow-up evaluation is suggested to monitor any potential changes."
        },
        {
            "image_id": "1285_2",
            "caption": "The chest x-ray images show the cardiomediastinal silhouette in normal size and configuration. Lung volumes are low and there is slight crowding. No evidence of pneumothorax, pleural effusion or focal air space consolidation is observed. This indicates that the patient's lungs are functioning moderately. Follow-up evaluation is suggested to monitor any potential changes."
        },
        {
            "image_id": "1285_3",
            "caption": "The chest x-ray images show the cardiomediastinal silhouette in normal size and configuration. Lung volumes are low and there is slight crowding. No evidence of pneumothorax, pleural effusion or focal air space consolidation is observed. This indicates that the patient's lungs are functioning moderately. Follow-up evaluation is suggested to monitor any potential changes."
        },
        {
            "image_id": "2954_1",
            "caption": "There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable. The findings reveal an obscuration of the bilateral lung bases, which could be a combination of atelectasis, infiltrate or effusions. Further evaluation is recommended, including a follow-up imaging study and clinical correlation. Early diagnosis and prompt treatment can lead to better health outcomes."
        },
        {
            "image_id": "2954_2",
            "caption": "There is obscuration of the bilateral lung bases with lower lung volumes compared to prior examination. Stable atelectatic/fibrotic changes of the visualized lung, and stable left-sided calcified granuloma. No acute osseous abnormalities identified. Cardiomediastinal silhouette unremarkable. The findings reveal an obscuration of the bilateral lung bases, which could be a combination of atelectasis, infiltrate or effusions. Further evaluation is recommended, including a follow-up imaging study and clinical correlation. Early diagnosis and prompt treatment can lead to better health outcomes."
        },
        {
            "image_id": "3492_1",
            "caption": "The lungs are hyperexpanded without any masses or infiltrates. There are no pleural or mediastinal air collections and the heart size is normal. The patient has chronic obstructive pulmonary disease with no acute findings seen in the X-ray. Regular monitoring and management of the condition is recommended. Do you have any questions or concerns regarding the findings and impression?"
        },
        {
            "image_id": "3492_2",
            "caption": "The lungs are hyperexpanded without any masses or infiltrates. There are no pleural or mediastinal air collections and the heart size is normal. The patient has chronic obstructive pulmonary disease with no acute findings seen in the X-ray. Regular monitoring and management of the condition is recommended. Do you have any questions or concerns regarding the findings and impression?"
        },
        {
            "image_id": "2940_1",
            "caption": "On examination of the chest X-ray, the heart size, and mediastinal contour appear normal. The lungs are clear, and there is no evidence of pleural effusions or pneumothoraces. There are degenerative changes in the thoracic spine. The impression is that of a normal chest with age-related changes in the spine."
        },
        {
            "image_id": "2940_2",
            "caption": "On examination of the chest X-ray, the heart size, and mediastinal contour appear normal. The lungs are clear, and there is no evidence of pleural effusions or pneumothoraces. There are degenerative changes in the thoracic spine. The impression is that of a normal chest with age-related changes in the spine."
        },
        {
            "image_id": "3486_1",
            "caption": "The chest x-ray reveals a normal heart size and mediastinum without any acute abnormalities. The lungs are clear without the presence of pleural effusion, pneumothorax, or focal airspace disease. However, mild chronic degenerative changes were observed in the spine. The x-ray impression indicates no acute cardiopulmonary abnormality in the patient."
        },
        {
            "image_id": "3486_2",
            "caption": "The chest x-ray reveals a normal heart size and mediastinum without any acute abnormalities. The lungs are clear without the presence of pleural effusion, pneumothorax, or focal airspace disease. However, mild chronic degenerative changes were observed in the spine. The x-ray impression indicates no acute cardiopulmonary abnormality in the patient."
        },
        {
            "image_id": "1291_1",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits, and the lungs are clear. Only a mild prominence is present in the left hilar contour, while the bony structures are intact. Based on the results, there are no acute preoperative findings found."
        },
        {
            "image_id": "1291_2",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits, and the lungs are clear. Only a mild prominence is present in the left hilar contour, while the bony structures are intact. Based on the results, there are no acute preoperative findings found."
        },
        {
            "image_id": "2571_1",
            "caption": "The chest x-ray was done to evaluate the patient's cardiopulmonary health. The results show that there are no immediate concerns, as the heart and lungs are functioning normally with no signs of abnormality or disease. While some mild degeneration is visible in the spine, this is not considered a significant cause for concern. Overall, the test results indicate that the patient is in good health, and there are no immediate concerns to be addressed."
        },
        {
            "image_id": "1078_1",
            "caption": "After analyzing the x-ray image of the patient, it has been found that there are no acute pulmonary abnormalities. The lungs are clear and there is no presence of pleural effusion or pneumothorax. The heart and mediastinum appear to be normal and there are no skeletal abnormalities. The patient is advised to follow up with their healthcare provider as per their recommendation."
        },
        {
            "image_id": "1078_2",
            "caption": "After analyzing the x-ray image of the patient, it has been found that there are no acute pulmonary abnormalities. The lungs are clear and there is no presence of pleural effusion or pneumothorax. The heart and mediastinum appear to be normal and there are no skeletal abnormalities. The patient is advised to follow up with their healthcare provider as per their recommendation."
        },
        {
            "image_id": "3109_1",
            "caption": "The patient's x-ray image shows a clear chest with no evidence of acute respiratory illness or cardiopulmonary abnormalities. The heart and mediastinum are of normal size, and there is no pleural effusion, pneumothorax, or focal airspace disease. The bony structures show degenerative changes while the lungs are well aerated, with no areas of consolidation or suspicious pulmonary opacities. Based on this x-ray examination, there is no acute cardiopulmonary disease or preoperative findings for the patient."
        },
        {
            "image_id": "3109_2",
            "caption": "The patient's x-ray image shows a clear chest with no evidence of acute respiratory illness or cardiopulmonary abnormalities. The heart and mediastinum are of normal size, and there is no pleural effusion, pneumothorax, or focal airspace disease. The bony structures show degenerative changes while the lungs are well aerated, with no areas of consolidation or suspicious pulmonary opacities. Based on this x-ray examination, there is no acute cardiopulmonary disease or preoperative findings for the patient."
        },
        {
            "image_id": "2217_1",
            "caption": "The x-ray shows that the heart is borderline enlarged, and there is a right hemidiaphragm eventration. However, there are no focal areas of alveolar consolidation, no pleural effusion, and no signs of pulmonary edema seen. The impression is that there are no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "2217_2",
            "caption": "The x-ray shows that the heart is borderline enlarged, and there is a right hemidiaphragm eventration. However, there are no focal areas of alveolar consolidation, no pleural effusion, and no signs of pulmonary edema seen. The impression is that there are no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "2203_1",
            "caption": "The x-ray of the chest shows that the heart and mediastinum are within normal limits, and the lungs are well aerated without any acute pulmonary disease. Moreover, there are no signs of pleural effusion, pneumothorax, or focal air space consolidation. Only old right rib fractures were observed. Thus, the impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2203_2",
            "caption": "The x-ray of the chest shows that the heart and mediastinum are within normal limits, and the lungs are well aerated without any acute pulmonary disease. Moreover, there are no signs of pleural effusion, pneumothorax, or focal air space consolidation. Only old right rib fractures were observed. Thus, the impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2565_1",
            "caption": "The radiographic examination revealed that the heart is of normal size and the aorta is twisted. The lungs appear to be underinflated and there is no sign of pleural effusion or focal consolidation. Additionally, an old fracture of the right rib was noticed. Based on the observation, it was concluded that there is no acute infiltrate in the lungs, and the aorta shows mild ectasia and tortuosity."
        },
        {
            "image_id": "2565_2",
            "caption": "The radiographic examination revealed that the heart is of normal size and the aorta is twisted. The lungs appear to be underinflated and there is no sign of pleural effusion or focal consolidation. Additionally, an old fracture of the right rib was noticed. Based on the observation, it was concluded that there is no acute infiltrate in the lungs, and the aorta shows mild ectasia and tortuosity."
        },
        {
            "image_id": "1044_1",
            "caption": "The x-ray reveals no acute abnormalities in the heart, pulmonary vascularity, or lungs. However, the lungs appear hyperexpanded - a typical sign of emphysema. The previous left base airspace opacities have cleared up. The absence of pneumothorax or pleural effusion indicates that there is no acute disease present."
        },
        {
            "image_id": "1044_2",
            "caption": "The x-ray reveals no acute abnormalities in the heart, pulmonary vascularity, or lungs. However, the lungs appear hyperexpanded - a typical sign of emphysema. The previous left base airspace opacities have cleared up. The absence of pneumothorax or pleural effusion indicates that there is no acute disease present."
        },
        {
            "image_id": "3653_1",
            "caption": "The chest X-ray reveals that there are diminished lung volumes with minimal bibasilar atelectasis. There is no evidence of acute cardiac or pulmonary disease, demonstrated by the absence of focal consolidation, pleural effusion, or pneumothorax. Although there is mild to moderate tortuosity of the thoracic aorta and thoracic spondylosis, there is no significant interval change. The findings suggest low lung volumes with minimal atelectasis, requiring further medical attention to determine the underlying cause."
        },
        {
            "image_id": "3653_2",
            "caption": "The chest X-ray reveals that there are diminished lung volumes with minimal bibasilar atelectasis. There is no evidence of acute cardiac or pulmonary disease, demonstrated by the absence of focal consolidation, pleural effusion, or pneumothorax. Although there is mild to moderate tortuosity of the thoracic aorta and thoracic spondylosis, there is no significant interval change. The findings suggest low lung volumes with minimal atelectasis, requiring further medical attention to determine the underlying cause."
        },
        {
            "image_id": "3135_1",
            "caption": "The X-ray examination findings reveal clear bilaterally lungs, an unremarkable cardiomediastinal silhouette, and no evidence of focal consolidation, pneumothorax, or pleural effusion. The visualized osseous structures of the thorax appear normal. The impression is that there is no acute cardiopulmonary abnormality detected in the X-ray image."
        },
        {
            "image_id": "3135_2",
            "caption": "The X-ray examination findings reveal clear bilaterally lungs, an unremarkable cardiomediastinal silhouette, and no evidence of focal consolidation, pneumothorax, or pleural effusion. The visualized osseous structures of the thorax appear normal. The impression is that there is no acute cardiopulmonary abnormality detected in the X-ray image."
        },
        {
            "image_id": "1722_1",
            "caption": "The x-ray image shows hyperexpansion consistent with a previous diagnosis of lung issue. However, there is no acute cardiopulmonary abnormality, and no sign of acute infiltrate, consolidation, pneumothorax or pleural effusion. The lungs are clear bilaterally, and heart size and pulmonary vascularity within normal limits. There are nodular densities over the posterior 9th ribs bilaterally which are not concerning."
        },
        {
            "image_id": "1736_1",
            "caption": "The radiograph shows no signs of acute abnormalities in the heart or lungs. There are no pleural effusions, pneumothorax or lung consolidations detected. Mildly low lung volumes are observed in the findings. Mid sternotomy is noted on the examination. The Impression states that there are no acute cardiopulmonary abnormalities identified."
        },
        {
            "image_id": "1736_2",
            "caption": "The radiograph shows no signs of acute abnormalities in the heart or lungs. There are no pleural effusions, pneumothorax or lung consolidations detected. Mildly low lung volumes are observed in the findings. Mid sternotomy is noted on the examination. The Impression states that there are no acute cardiopulmonary abnormalities identified."
        },
        {
            "image_id": "3121_1",
            "caption": "The x-ray image shows that the heart size and mediastinal contour are normal. A calcified granuloma is observed in the right midlung. There is no evidence of focal airspace consolidation, pneumothorax, or large pleural effusion. However, degenerative changes in the thoracic spine is seen. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3121_2",
            "caption": "The x-ray image shows that the heart size and mediastinal contour are normal. A calcified granuloma is observed in the right midlung. There is no evidence of focal airspace consolidation, pneumothorax, or large pleural effusion. However, degenerative changes in the thoracic spine is seen. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2559_1",
            "caption": "The x-ray examination shows that the heart and pulmonary vascularity are normal in size. The lungs do not display any focal airspace disease, pleural effusion or pneumothorax. Hence, there is no evidence of active disease."
        },
        {
            "image_id": "2559_2",
            "caption": "The x-ray examination shows that the heart and pulmonary vascularity are normal in size. The lungs do not display any focal airspace disease, pleural effusion or pneumothorax. Hence, there is no evidence of active disease."
        },
        {
            "image_id": "3647_1",
            "caption": "The X-ray examination showed clear lungs and a normal-sized heart with a midline trachea. There were no signs of acute cardiopulmonary abnormalities, including no evidence of pneumothorax or large pleural effusion. The overall impression is of no acute cardiopulmonary findings."
        },
        {
            "image_id": "3647_2",
            "caption": "The X-ray examination showed clear lungs and a normal-sized heart with a midline trachea. There were no signs of acute cardiopulmonary abnormalities, including no evidence of pneumothorax or large pleural effusion. The overall impression is of no acute cardiopulmonary findings."
        },
        {
            "image_id": "1050_1",
            "caption": "The X-ray shows decreased lung volumes with associated bronchopulmonary crowding but no evidence of any acute lung or heart disease. The osseous structures also appear intact. However, there is a mild nonspecific prominence of the mediastinum that might require a repeat X-ray in the future if there is any concern for vascular processes."
        },
        {
            "image_id": "1050_2",
            "caption": "The X-ray shows decreased lung volumes with associated bronchopulmonary crowding but no evidence of any acute lung or heart disease. The osseous structures also appear intact. However, there is a mild nonspecific prominence of the mediastinum that might require a repeat X-ray in the future if there is any concern for vascular processes."
        },
        {
            "image_id": "3874_1",
            "caption": "The x-ray showed mild calcification of the aortic wall due to atherosclerosis and there were moderate degenerative changes of the spine. The lung volumes were low with bronchovascular crowding, but no acute pulmonary process was observed. The heart and mediastinum appeared unremarkable, and no effusion or pneumothorax was observed."
        },
        {
            "image_id": "3874_2",
            "caption": "The x-ray showed mild calcification of the aortic wall due to atherosclerosis and there were moderate degenerative changes of the spine. The lung volumes were low with bronchovascular crowding, but no acute pulmonary process was observed. The heart and mediastinum appeared unremarkable, and no effusion or pneumothorax was observed."
        },
        {
            "image_id": "1905_1",
            "caption": "The x-ray image shows an enlarged cardiac contour with stable calcification of vasculature. Prior granulomatous disease sequelae are seen. However, there is no consolidation, overt pulmonary edema, or pleural effusion. The patient also seems to have mild thoracic spondylosis. The impression is that there are no acute findings, but there is stable cardiac enlargement."
        },
        {
            "image_id": "1905_2",
            "caption": "The x-ray image shows an enlarged cardiac contour with stable calcification of vasculature. Prior granulomatous disease sequelae are seen. However, there is no consolidation, overt pulmonary edema, or pleural effusion. The patient also seems to have mild thoracic spondylosis. The impression is that there are no acute findings, but there is stable cardiac enlargement."
        },
        {
            "image_id": "249_1",
            "caption": "The x-ray reveals a lobulated mass in the right middle lobe measuring 4.5 x 6.8 cm, which is highly suspicious for malignancy. A CT scan of the chest/abdomen with intravenous contrast is recommended for further evaluation. However, the lungs are clear without focal consolidation, pneumothorax, or pleural effusion, and the cardiomediastinal silhouette is within normal limits. The patient should seek immediate medical attention."
        },
        {
            "image_id": "249_2",
            "caption": "The x-ray reveals a lobulated mass in the right middle lobe measuring 4.5 x 6.8 cm, which is highly suspicious for malignancy. A CT scan of the chest/abdomen with intravenous contrast is recommended for further evaluation. However, the lungs are clear without focal consolidation, pneumothorax, or pleural effusion, and the cardiomediastinal silhouette is within normal limits. The patient should seek immediate medical attention."
        },
        {
            "image_id": "1911_1",
            "caption": "The X-ray shows that the cardiac and mediastinal contours are normal, and there are no indications of active pulmonary disease, such as pneumothorax or pleural effusion. No active disease."
        },
        {
            "image_id": "1911_2",
            "caption": "The X-ray shows that the cardiac and mediastinal contours are normal, and there are no indications of active pulmonary disease, such as pneumothorax or pleural effusion. No active disease."
        },
        {
            "image_id": "3860_1",
            "caption": "The x-ray image shows that the heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear with no pneumothorax or pleural effusions. Additionally, there are no acute cardiopulmonary abnormalities identified, indicating that the patient's condition seems stable."
        },
        {
            "image_id": "3860_2",
            "caption": "The x-ray image shows that the heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear with no pneumothorax or pleural effusions. Additionally, there are no acute cardiopulmonary abnormalities identified, indicating that the patient's condition seems stable."
        },
        {
            "image_id": "3690_1",
            "caption": "The finding shows an enlarged heart and tortuous aorta, while the lungs are hypoinflated but clear, without any pleural effusion or pneumothorax. There are no acute cardiopulmonary abnormalities, indicating stable cardiomegaly without any acute disease."
        },
        {
            "image_id": "3690_2",
            "caption": "The finding shows an enlarged heart and tortuous aorta, while the lungs are hypoinflated but clear, without any pleural effusion or pneumothorax. There are no acute cardiopulmonary abnormalities, indicating stable cardiomegaly without any acute disease."
        },
        {
            "image_id": "3848_1",
            "caption": "The x-ray shows that the heart is moderately to severely enlarged and there is prominence of the central pulmonary vessels which may suggest pulmonary artery hypertension. There has been removal of the right-sided PICC line. The left basilar airspace opacity and left costophrenic blunting is still persistent and visible on the x-ray. However, there is no evidence of pneumothorax. Also, there are mild degenerative changes of the spine. Based on the findings, we suspect moderate-to-severe cardiomegaly with probable pulmonary artery hypertension. Further evaluation may be necessary to confirm the diagnosis."
        },
        {
            "image_id": "3848_2",
            "caption": "The x-ray shows that the heart is moderately to severely enlarged and there is prominence of the central pulmonary vessels which may suggest pulmonary artery hypertension. There has been removal of the right-sided PICC line. The left basilar airspace opacity and left costophrenic blunting is still persistent and visible on the x-ray. However, there is no evidence of pneumothorax. Also, there are mild degenerative changes of the spine. Based on the findings, we suspect moderate-to-severe cardiomegaly with probable pulmonary artery hypertension. Further evaluation may be necessary to confirm the diagnosis."
        },
        {
            "image_id": "1087_1",
            "caption": "The patient has an old calcified granuloma in the left upper lobe and calcified left hilar and mediastinal lymph nodes. However, there is no evidence of acute pulmonary disease and the heart appears normal. Some senescent changes are noted in the skeletal structures."
        },
        {
            "image_id": "1087_2",
            "caption": "The patient has an old calcified granuloma in the left upper lobe and calcified left hilar and mediastinal lymph nodes. However, there is no evidence of acute pulmonary disease and the heart appears normal. Some senescent changes are noted in the skeletal structures."
        },
        {
            "image_id": "513_1",
            "caption": "The x-ray shows enlargement of the right and left atria with an overall enlarged cardiac silhouette. No acute pulmonary abnormality is seen, although there is mild pulmonary hyperexpansion, left apical pleural thickening, and moderate degenerative changes of the thoracic spine noted. The mediastinal contours appear normal, and there is no pneumothorax or pleural effusion observed. The chest x-ray suggests the presence of cardiomegaly, which requires further evaluation."
        },
        {
            "image_id": "513_2",
            "caption": "The x-ray shows enlargement of the right and left atria with an overall enlarged cardiac silhouette. No acute pulmonary abnormality is seen, although there is mild pulmonary hyperexpansion, left apical pleural thickening, and moderate degenerative changes of the thoracic spine noted. The mediastinal contours appear normal, and there is no pneumothorax or pleural effusion observed. The chest x-ray suggests the presence of cardiomegaly, which requires further evaluation."
        },
        {
            "image_id": "1939_1",
            "caption": "The findings from the X-ray examination suggest that the lungs are clear and there is no evidence of acute cardiopulmonary disease. The heart size appears normal and there is no presence of pneumothorax. It is noted that there may be left costophrenic opacity, but this could either be pleural or pericardial fat. In summary, the impression is that there is no acute cardiopulmonary abnormality observed from the X-ray image."
        },
        {
            "image_id": "275_1",
            "caption": "The X-ray shows clear lungs with no signs of acute cardiopulmonary abnormality. There is no presence of focal consolidation, pleural effusion, pneumothoraces or other concerning signs. The cardiomediastinal silhouette is within normal limits and the overall impression suggests a healthy set of lungs and heart."
        },
        {
            "image_id": "275_2",
            "caption": "The X-ray shows clear lungs with no signs of acute cardiopulmonary abnormality. There is no presence of focal consolidation, pleural effusion, pneumothoraces or other concerning signs. The cardiomediastinal silhouette is within normal limits and the overall impression suggests a healthy set of lungs and heart."
        },
        {
            "image_id": "261_1",
            "caption": "Based on the X-ray findings, there are no acute abnormalities in the cardiopulmonary system. The heart size, lungs, pleural area, and osseous structures seem to be within normal limits, and there is no evidence of pneumothorax or focal consolidation. The impression is that the patient's cardiopulmonary health appears to be normal."
        },
        {
            "image_id": "261_2",
            "caption": "Based on the X-ray findings, there are no acute abnormalities in the cardiopulmonary system. The heart size, lungs, pleural area, and osseous structures seem to be within normal limits, and there is no evidence of pneumothorax or focal consolidation. The impression is that the patient's cardiopulmonary health appears to be normal."
        },
        {
            "image_id": "261_3",
            "caption": "Based on the X-ray findings, there are no acute abnormalities in the cardiopulmonary system. The heart size, lungs, pleural area, and osseous structures seem to be within normal limits, and there is no evidence of pneumothorax or focal consolidation. The impression is that the patient's cardiopulmonary health appears to be normal."
        },
        {
            "image_id": "507_1",
            "caption": "The patient's x-ray showed no signs of acute cardiopulmonary abnormality as there was no airspace disease, pleural effusion, or noncalcified nodule present. The heart size and mediastinum were within normal limits, and the visualized chest is normal as well."
        },
        {
            "image_id": "507_2",
            "caption": "The patient's x-ray showed no signs of acute cardiopulmonary abnormality as there was no airspace disease, pleural effusion, or noncalcified nodule present. The heart size and mediastinum were within normal limits, and the visualized chest is normal as well."
        },
        {
            "image_id": "1093_1",
            "caption": "The x-ray shows that the heart and lungs are normal with no focal airspace disease, pleural effusion, or pneumothorax. There is also no evidence of active disease."
        },
        {
            "image_id": "1093_2",
            "caption": "The x-ray shows that the heart and lungs are normal with no focal airspace disease, pleural effusion, or pneumothorax. There is also no evidence of active disease."
        },
        {
            "image_id": "498_1",
            "caption": "A large mass lesion in the medial right upper lobe measuring 5.8 cm x 6.0 cm in diameter is highly concerning for primary lung cancer. Further evaluation with a contrast-enhanced CT scan of the chest is recommended. No pneumothorax or pleural effusion is detected. The lungs are clear and heart size is normal. Degenerative changes in the thoracic spine are noted. The patient's physician was notified of the result and accepted receipt. Results were faxed for prompt review."
        },
        {
            "image_id": "498_2",
            "caption": "A large mass lesion in the medial right upper lobe measuring 5.8 cm x 6.0 cm in diameter is highly concerning for primary lung cancer. Further evaluation with a contrast-enhanced CT scan of the chest is recommended. No pneumothorax or pleural effusion is detected. The lungs are clear and heart size is normal. Degenerative changes in the thoracic spine are noted. The patient's physician was notified of the result and accepted receipt. Results were faxed for prompt review."
        },
        {
            "image_id": "2363_1",
            "caption": "The heart size is near upper limits of normal, and the pulmonary vasculature and mediastinum appear unremarkable. However, there is an opacity in the right basilar air space. The impression is suggestive of a right middle and lower lobe pneumonia. The recommendation is to follow up with radiographs in 8-12 weeks after undergoing appropriate therapy to exclude an underlying condition."
        },
        {
            "image_id": "2363_2",
            "caption": "The heart size is near upper limits of normal, and the pulmonary vasculature and mediastinum appear unremarkable. However, there is an opacity in the right basilar air space. The impression is suggestive of a right middle and lower lobe pneumonia. The recommendation is to follow up with radiographs in 8-12 weeks after undergoing appropriate therapy to exclude an underlying condition."
        },
        {
            "image_id": "2377_1",
            "caption": "The X-ray reveals that the heart size and pulmonary vascularity are normal, while the lungs are free of focal airspace disease. There is no evidence of pleural effusion or pneumothorax. The impression is that there is no evidence of active disease, indicating a healthy result."
        },
        {
            "image_id": "2377_2",
            "caption": "The X-ray reveals that the heart size and pulmonary vascularity are normal, while the lungs are free of focal airspace disease. There is no evidence of pleural effusion or pneumothorax. The impression is that there is no evidence of active disease, indicating a healthy result."
        },
        {
            "image_id": "3069_1",
            "caption": "The patient has been diagnosed with right upper lobe pneumonia. The x-ray shows right upper lobe airspace disease consistent with pneumonia. However, the lungs are clear and there is no evidence of pleural effusions or pneumothoraces. The heart and mediastinum appear normal in size and contour. This finding indicates an active infection that would require targeted therapy. Early diagnosis and prompt treatment of pneumonia is necessary to prevent complications."
        },
        {
            "image_id": "3069_2",
            "caption": "The patient has been diagnosed with right upper lobe pneumonia. The x-ray shows right upper lobe airspace disease consistent with pneumonia. However, the lungs are clear and there is no evidence of pleural effusions or pneumothoraces. The heart and mediastinum appear normal in size and contour. This finding indicates an active infection that would require targeted therapy. Early diagnosis and prompt treatment of pneumonia is necessary to prevent complications."
        },
        {
            "image_id": "1118_1",
            "caption": "The chest x-ray shows no acute abnormality in both lungs and pleural spaces. Heart size and pulmonary vascularity are within normal limits. As per the impression, there is no acute pulmonary abnormality identified in the x-ray."
        },
        {
            "image_id": "1118_2",
            "caption": "The chest x-ray shows no acute abnormality in both lungs and pleural spaces. Heart size and pulmonary vascularity are within normal limits. As per the impression, there is no acute pulmonary abnormality identified in the x-ray."
        },
        {
            "image_id": "2411_1",
            "caption": "The x-ray reveals mild cardiomegaly with stable mediastinal contours. There is no focal alveolar consolidation, pleural effusion or typical findings of pulmonary edema. The lungs and pleural spaces show no acute abnormality. The heart size and pulmonary vascularity are within normal limits. Based on these findings, there is no evidence of acute pulmonary abnormality."
        },
        {
            "image_id": "2411_2",
            "caption": "The x-ray reveals mild cardiomegaly with stable mediastinal contours. There is no focal alveolar consolidation, pleural effusion or typical findings of pulmonary edema. The lungs and pleural spaces show no acute abnormality. The heart size and pulmonary vascularity are within normal limits. Based on these findings, there is no evidence of acute pulmonary abnormality."
        },
        {
            "image_id": "1130_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal, and a calcified granuloma is present in the right base. An ill-defined oblong opacity is found in the lateral right base, which was not present on the previous x-ray. The exact cause of the opacity is unclear, and a follow-up x-ray is recommended to confirm clearing or stability. No pneumothorax or pleural effusion is seen."
        },
        {
            "image_id": "1130_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal, and a calcified granuloma is present in the right base. An ill-defined oblong opacity is found in the lateral right base, which was not present on the previous x-ray. The exact cause of the opacity is unclear, and a follow-up x-ray is recommended to confirm clearing or stability. No pneumothorax or pleural effusion is seen."
        },
        {
            "image_id": "3727_1",
            "caption": "The chest x-ray shows hypoinflation with no visible active cardiopulmonary disease. Specifically, lung volumes are low and there are no focal infiltrates. The heart and pulmonary areas appear normal. Notably, an indwelling catheter from the left has its tip at the superior vena cava."
        },
        {
            "image_id": "3727_2",
            "caption": "The chest x-ray shows hypoinflation with no visible active cardiopulmonary disease. Specifically, lung volumes are low and there are no focal infiltrates. The heart and pulmonary areas appear normal. Notably, an indwelling catheter from the left has its tip at the superior vena cava."
        },
        {
            "image_id": "2439_1",
            "caption": "The patient has emphysema without any acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs have biapical scarring and are hyperinflated. No acute infiltrate or pleural effusion seen."
        },
        {
            "image_id": "2439_2",
            "caption": "The patient has emphysema without any acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs have biapical scarring and are hyperinflated. No acute infiltrate or pleural effusion seen."
        },
        {
            "image_id": "3041_1",
            "caption": "The X-ray shows a normal chest with no visible abnormalities or signs of disease. The heart is of regular size, and the lungs are clear. There is no presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression of the X-ray is that the chest appears normal and healthy."
        },
        {
            "image_id": "3041_2",
            "caption": "The X-ray shows a normal chest with no visible abnormalities or signs of disease. The heart is of regular size, and the lungs are clear. There is no presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression of the X-ray is that the chest appears normal and healthy."
        },
        {
            "image_id": "1656_1",
            "caption": "The chest x-ray shows clear lungs and normal heart size without any acute abnormalities. It is a good sign indicating no presence of pneumonia, edema, or pneumothorax. The impression of the radiologist is a clear chest with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1656_2",
            "caption": "The chest x-ray shows clear lungs and normal heart size without any acute abnormalities. It is a good sign indicating no presence of pneumonia, edema, or pneumothorax. The impression of the radiologist is a clear chest with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1642_1",
            "caption": "After examining the X-ray image, the findings suggest clear lungs with no visible signs of acute abnormalities such as focal infiltrates, nodules or masses, pleural effusion, pneumothorax or cardiopulmonary edema. The heart size is within normal limits, whereas the thoracic spine shows degenerative changes. Postoperative changes are also visible, consistent with CABG. The impression indicates clear lungs, thus indicating that the X-ray does not reveal any significant issues in the patient's lungs."
        },
        {
            "image_id": "1642_2",
            "caption": "After examining the X-ray image, the findings suggest clear lungs with no visible signs of acute abnormalities such as focal infiltrates, nodules or masses, pleural effusion, pneumothorax or cardiopulmonary edema. The heart size is within normal limits, whereas the thoracic spine shows degenerative changes. Postoperative changes are also visible, consistent with CABG. The impression indicates clear lungs, thus indicating that the X-ray does not reveal any significant issues in the patient's lungs."
        },
        {
            "image_id": "3733_1",
            "caption": "The X-ray image shows an enlarged heart and unchanged cardiomedistinal contours since the previous exam. There is blunting of the right costophrenic angle indicating an old pleural scar. However, the lungs are clear bilaterally except for the left upper lobe granuloma which appears unchanged. The thoracic spine shows kyphosis with anterior osteophyte formations. Also, aortic ectasia is seen in the ascending aorta and another location. Overall, the impression made is that of cardiomegaly without failure and ectatic aorta. "
        },
        {
            "image_id": "3733_2",
            "caption": "The X-ray image shows an enlarged heart and unchanged cardiomedistinal contours since the previous exam. There is blunting of the right costophrenic angle indicating an old pleural scar. However, the lungs are clear bilaterally except for the left upper lobe granuloma which appears unchanged. The thoracic spine shows kyphosis with anterior osteophyte formations. Also, aortic ectasia is seen in the ascending aorta and another location. Overall, the impression made is that of cardiomegaly without failure and ectatic aorta. "
        },
        {
            "image_id": "1124_1",
            "caption": "The x-ray shows postoperative changes of sternotomy and aortic atherosclerotic vascular calcification. While the heart size is within normal limits, the lungs are mildly hyperexpanded, suggestive of obstructive lung disease. However, there is no focal airspace consolidation, pleural effusion or pneumothorax. The presence of diffuse degenerative changes of the spine is also observed."
        },
        {
            "image_id": "1124_2",
            "caption": "The x-ray shows postoperative changes of sternotomy and aortic atherosclerotic vascular calcification. While the heart size is within normal limits, the lungs are mildly hyperexpanded, suggestive of obstructive lung disease. However, there is no focal airspace consolidation, pleural effusion or pneumothorax. The presence of diffuse degenerative changes of the spine is also observed."
        },
        {
            "image_id": "1871_1",
            "caption": "The findings from the chest x-ray reveal no abnormalities that require further investigation. The heart and lungs appear within normal limits, and there are no signs of pneumonia, effusions, or pneumothorax. The impression suggests no acute cardiopulmonary abnormality, and the patient's condition seems stable."
        },
        {
            "image_id": "1871_2",
            "caption": "The findings from the chest x-ray reveal no abnormalities that require further investigation. The heart and lungs appear within normal limits, and there are no signs of pneumonia, effusions, or pneumothorax. The impression suggests no acute cardiopulmonary abnormality, and the patient's condition seems stable."
        },
        {
            "image_id": "329_1",
            "caption": "The chest x-ray shows a stable borderline enlarged cardiac contour with calcified mediastinal lymph nodes and a prominent right paratracheal stripe. Emphysema and mild spondylosis are also seen, but there is no evidence of active pulmonary disease. Overall, the chest appears stable based on comparison with previous images."
        },
        {
            "image_id": "329_2",
            "caption": "The chest x-ray shows a stable borderline enlarged cardiac contour with calcified mediastinal lymph nodes and a prominent right paratracheal stripe. Emphysema and mild spondylosis are also seen, but there is no evidence of active pulmonary disease. Overall, the chest appears stable based on comparison with previous images."
        },
        {
            "image_id": "1865_1",
            "caption": "The chest x-ray shows a normal heart size with clear lungs and no pleural effusions or pneumothoraces. A calcified granuloma and lymph node are present in the right upper lobe, but the hilar and mediastinal contours are normal. The pulmonary vascularity also appears normal. There is no acute abnormality observed in the x-ray."
        },
        {
            "image_id": "1865_2",
            "caption": "The chest x-ray shows a normal heart size with clear lungs and no pleural effusions or pneumothoraces. A calcified granuloma and lymph node are present in the right upper lobe, but the hilar and mediastinal contours are normal. The pulmonary vascularity also appears normal. There is no acute abnormality observed in the x-ray."
        },
        {
            "image_id": "3914_1",
            "caption": "The x-ray reveals no acute cardiopulmonary abnormality. The cardiomediastinal silhouette, pulmonary vasculature, and lung fields are normal in appearance with no evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation or other concerning findings."
        },
        {
            "image_id": "467_1",
            "caption": "The x-ray reveals a normal appearance of the lungs, cardiac and mediastinal silhouette and pulmonary vasculature. No acute abnormality is found, including pneumothorax or pleural effusion. The impression given is \"No acute cardiopulmonary abnormality\", which suggests that the patient's chest is in good health."
        },
        {
            "image_id": "1695_1",
            "caption": "The chest x-ray shows a normal heart and pulmonary vasculature. There is no evidence of pleural effusion or pneumothorax, and no suggestive signs of pneumonia. A calcified granuloma is present in the left lung base. The soft tissue neck x-ray suggests a possible 3 x 1 mm density in one of the piriform sinuses. The cervical lordosis appears reversed, which could indicate muscle spasm or a positional phenomenon. However, there is no prevertebral soft tissue anomaly or epiglottic abnormality. The impression is that there is no acute cardiopulmonary disease, but further evaluation may be needed for the small density in the piriform sinus."
        },
        {
            "image_id": "1695_2",
            "caption": "The chest x-ray shows a normal heart and pulmonary vasculature. There is no evidence of pleural effusion or pneumothorax, and no suggestive signs of pneumonia. A calcified granuloma is present in the left lung base. The soft tissue neck x-ray suggests a possible 3 x 1 mm density in one of the piriform sinuses. The cervical lordosis appears reversed, which could indicate muscle spasm or a positional phenomenon. However, there is no prevertebral soft tissue anomaly or epiglottic abnormality. The impression is that there is no acute cardiopulmonary disease, but further evaluation may be needed for the small density in the piriform sinus."
        },
        {
            "image_id": "301_1",
            "caption": "The x-ray image shows normal results with clear lungs and no noticeable abnormalities in the heart or mediastinum. There is also no presence of pneumothorax or large effusions. The impression indicates that there is no acute cardiopulmonary abnormality, suggesting a healthy status."
        },
        {
            "image_id": "301_2",
            "caption": "The x-ray image shows normal results with clear lungs and no noticeable abnormalities in the heart or mediastinum. There is also no presence of pneumothorax or large effusions. The impression indicates that there is no acute cardiopulmonary abnormality, suggesting a healthy status."
        },
        {
            "image_id": "3082_1",
            "caption": "The chest x-ray shows cardiomegaly and interstitial opacities in the lower lobes indicative of interstitial pulmonary edema. However, there is no sign of pneumothorax or large pleural effusion. These findings suggest the patient is suffering from interstitial pulmonary edema."
        },
        {
            "image_id": "3082_2",
            "caption": "The chest x-ray shows cardiomegaly and interstitial opacities in the lower lobes indicative of interstitial pulmonary edema. However, there is no sign of pneumothorax or large pleural effusion. These findings suggest the patient is suffering from interstitial pulmonary edema."
        },
        {
            "image_id": "3096_1",
            "caption": "The heart is normal in size. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact. Right mid lung mass with mild right paratracheal soft tissue may be secondary to associated lymphadenopathy. Further imaging with CT of the chest is recommended."
        },
        {
            "image_id": "3096_2",
            "caption": "The heart is normal in size. Rounded mass in the right middle lobe measures approximately 4.6 cm x 3.7 cm. There is mild surrounding airspace disease and/or atelectasis. No pleural effusions noted. The visualized bony thorax appears grossly intact. Right mid lung mass with mild right paratracheal soft tissue may be secondary to associated lymphadenopathy. Further imaging with CT of the chest is recommended."
        },
        {
            "image_id": "2388_1",
            "caption": "The chest x-ray reveals a normal heart size and clear lungs. No signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses were detected. Therefore, the impression is that the chest x-ray is normal."
        },
        {
            "image_id": "1681_1",
            "caption": "The patient's x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating no active disease."
        },
        {
            "image_id": "1681_2",
            "caption": "The patient's x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating no active disease."
        },
        {
            "image_id": "3928_1",
            "caption": "The chest x-ray shows normal cardiac contours with aortic calcification and prior granulomatous disease. The lungs are clear with thoracic spondylosis. Overall, there is no acute process seen in the x-ray."
        },
        {
            "image_id": "3928_2",
            "caption": "The chest x-ray shows normal cardiac contours with aortic calcification and prior granulomatous disease. The lungs are clear with thoracic spondylosis. Overall, there is no acute process seen in the x-ray."
        },
        {
            "image_id": "2161_1",
            "caption": "The X-ray scan shows that while the heart size is slightly larger than normal, there is no acute cardiopulmonary abnormality. The mediastinal contour and pulmonary vascularity appear normal, and there are no focal consolidations, large pleural effusions, or pneumothorax. The visualized osseous structures also appear intact. It is important to discuss these findings with a healthcare provider for proper evaluation and follow-up as needed."
        },
        {
            "image_id": "2161_2",
            "caption": "The X-ray scan shows that while the heart size is slightly larger than normal, there is no acute cardiopulmonary abnormality. The mediastinal contour and pulmonary vascularity appear normal, and there are no focal consolidations, large pleural effusions, or pneumothorax. The visualized osseous structures also appear intact. It is important to discuss these findings with a healthcare provider for proper evaluation and follow-up as needed."
        },
        {
            "image_id": "1468_1",
            "caption": "The patient's x-ray shows clear lungs without any focal airspace disease or evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours appear normal. Radiographically, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1468_2",
            "caption": "The patient's x-ray shows clear lungs without any focal airspace disease or evidence of pneumothorax or large pleural effusion. The cardiac and mediastinal contours appear normal. Radiographically, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "842_1",
            "caption": "The x-ray shows that the heart, lungs, and mediastinum are all normal. No acute abnormalities were found, including no evidence of pneumonia, effusion, edema, or pneumothorax. Furthermore, there is no radiodense foreign body or acute osseous findings visible. Based on the x-ray results, there is no acute cardiopulmonary disease evident."
        },
        {
            "image_id": "842_2",
            "caption": "The x-ray shows that the heart, lungs, and mediastinum are all normal. No acute abnormalities were found, including no evidence of pneumonia, effusion, edema, or pneumothorax. Furthermore, there is no radiodense foreign body or acute osseous findings visible. Based on the x-ray results, there is no acute cardiopulmonary disease evident."
        },
        {
            "image_id": "3519_1",
            "caption": "There is a large opacity present in the lower lobe of the left lung. However, there is no evidence of pneumothorax or significant mediastinal shift. The mediastinal contours are normal although the cardiac silhouette cannot be fully evaluated. The large opacity in the left lower lobe is likely due to a large layering pleural effusion. Meanwhile, the right lung appears clear with no abnormalities. It is recommended to undergo further imaging to monitor the condition."
        },
        {
            "image_id": "3519_2",
            "caption": "There is a large opacity present in the lower lobe of the left lung. However, there is no evidence of pneumothorax or significant mediastinal shift. The mediastinal contours are normal although the cardiac silhouette cannot be fully evaluated. The large opacity in the left lower lobe is likely due to a large layering pleural effusion. Meanwhile, the right lung appears clear with no abnormalities. It is recommended to undergo further imaging to monitor the condition."
        },
        {
            "image_id": "856_1",
            "caption": "The chest x-ray shows limited evaluation on the lateral view due to rotation and frontal view due to motion artifact but overall the finding suggests stable mild cardiomegaly and normal pulmonary vascularity. The lungs are clear with no focal consolidation, visible pneumothorax, or large pleural effusions. The posterior sulci are clear. Additionally, degenerative changes of the spine are noted. The impression is that there is no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "856_2",
            "caption": "The chest x-ray shows limited evaluation on the lateral view due to rotation and frontal view due to motion artifact but overall the finding suggests stable mild cardiomegaly and normal pulmonary vascularity. The lungs are clear with no focal consolidation, visible pneumothorax, or large pleural effusions. The posterior sulci are clear. Additionally, degenerative changes of the spine are noted. The impression is that there is no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "2175_1",
            "caption": "The X-ray shows a clear and well-expanded lungs with intact bony thorax structures. The cardiac and mediastinal contours appear normal and there are no focal airspace opacities or pneumothorax. The impression suggests no evidence of acute cardiopulmonary process and a stable chest appearance. Overall, the results indicate a healthy chest without any significant abnormalities."
        },
        {
            "image_id": "1454_1",
            "caption": "The X-ray image shows that the heart is within normal size. The lungs appear clear and the mediastinum looks unremarkable. There is no visible evidence of acute disease. This indicates that the patient's chest x-ray looks normal with no cause for immediate medical concern."
        },
        {
            "image_id": "1454_2",
            "caption": "The X-ray image shows that the heart is within normal size. The lungs appear clear and the mediastinum looks unremarkable. There is no visible evidence of acute disease. This indicates that the patient's chest x-ray looks normal with no cause for immediate medical concern."
        },
        {
            "image_id": "3243_1",
            "caption": "Normal heart size. Diffuse bilateral reticulonodular interstitial opacities. There are no indications of a large pleural effusion. There is no evidence of pneumothorax. Lymph nodes are unremarkable. Compared to the previous scan, there are more extensive bilateral reticulonodular interstitial opacities, concerning for atypical infection. Result notification will be sent to the Primary Care Physician.  This suggests that there may be an underlying atypical infection that is causing the increase in interstitial opacities. It is important to follow up with a healthcare provider for proper management and treatment."
        },
        {
            "image_id": "3525_1",
            "caption": "Upon evaluation of the chest x-ray, it was found that the heart size is normal and there is no evidence of pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures also appear to be intact. While there is a radiodensity overlying the right shoulder, it is external to the patient and clinical correlation is recommended. In addition, there are scattered calcified granulomas. Overall, there is no acute cardiopulmonary abnormality with no fracture visualized."
        },
        {
            "image_id": "3525_2",
            "caption": "Upon evaluation of the chest x-ray, it was found that the heart size is normal and there is no evidence of pneumothorax, pleural effusion, or focal airspace disease. The visualized bony structures also appear to be intact. While there is a radiodensity overlying the right shoulder, it is external to the patient and clinical correlation is recommended. In addition, there are scattered calcified granulomas. Overall, there is no acute cardiopulmonary abnormality with no fracture visualized."
        },
        {
            "image_id": "3531_1",
            "caption": "The X-ray finding shows a normal heart size with mild unfolding of the thoracic aorta. The lungs appear clear and there are no signs of pleural effusion or pneumothorax. The visualized bone structures are normal too.Most importantly, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3531_2",
            "caption": "The X-ray finding shows a normal heart size with mild unfolding of the thoracic aorta. The lungs appear clear and there are no signs of pleural effusion or pneumothorax. The visualized bone structures are normal too.Most importantly, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3257_1",
            "caption": "Based on the X-ray findings, there is no evidence of any acute abnormalities. The cardiac contours are normal, while the lungs are clear. In addition, thoracic spondylosis is observed. It is important to consult a doctor to understand the implications of this condition. Overall, it is important to maintain a healthy lifestyle to prevent any complications in the future."
        },
        {
            "image_id": "3257_2",
            "caption": "Based on the X-ray findings, there is no evidence of any acute abnormalities. The cardiac contours are normal, while the lungs are clear. In addition, thoracic spondylosis is observed. It is important to consult a doctor to understand the implications of this condition. Overall, it is important to maintain a healthy lifestyle to prevent any complications in the future."
        },
        {
            "image_id": "2149_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal in appearance. The lungs are clear, without any consolidation or effusion. There is no evidence of pneumothorax. The spine shows minimal osteophytes. The overall impression of the x-ray is that there are no acute abnormalities. However, a calcified granuloma has been found in the left upper lobe, which may require further investigation."
        },
        {
            "image_id": "2149_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal in appearance. The lungs are clear, without any consolidation or effusion. There is no evidence of pneumothorax. The spine shows minimal osteophytes. The overall impression of the x-ray is that there are no acute abnormalities. However, a calcified granuloma has been found in the left upper lobe, which may require further investigation."
        },
        {
            "image_id": "1440_1",
            "caption": "The x-ray image shows no signs of acute abnormalities. The cardiac and mediastinal contours are within normal limits and the lungs are clear. The bony structures also appear to be intact. The impression given is that there are no acute preoperative findings."
        },
        {
            "image_id": "1440_2",
            "caption": "The x-ray image shows no signs of acute abnormalities. The cardiac and mediastinal contours are within normal limits and the lungs are clear. The bony structures also appear to be intact. The impression given is that there are no acute preoperative findings."
        },
        {
            "image_id": "659_1",
            "caption": "The x-ray shows that the heart is normal in size and the aorta is tortuous. The lung volumes are low but there is no evidence of specific abnormality such as consolidation or pneumothorax. The spine appears to have moderate degenerative changes in the middle of the thoracic region. The impression of the x-ray is that there are no acute abnormalities related to the heart or lungs found in the x-ray."
        },
        {
            "image_id": "659_2",
            "caption": "The x-ray shows that the heart is normal in size and the aorta is tortuous. The lung volumes are low but there is no evidence of specific abnormality such as consolidation or pneumothorax. The spine appears to have moderate degenerative changes in the middle of the thoracic region. The impression of the x-ray is that there are no acute abnormalities related to the heart or lungs found in the x-ray."
        },
        {
            "image_id": "881_1",
            "caption": "The results of the X-ray image show that the patient has a normal heart size, and there are no signs of acute cardiopulmonary abnormalities. The lungs are clear, with no focal airspace opacity, pneumothorax, or large pleural effusion present. The cardiomediastinal silhouette is within normal limits for size and shape. This indicates that the patient's cardiopulmonary health is stable and there is no need for further investigation."
        },
        {
            "image_id": "881_2",
            "caption": "The results of the X-ray image show that the patient has a normal heart size, and there are no signs of acute cardiopulmonary abnormalities. The lungs are clear, with no focal airspace opacity, pneumothorax, or large pleural effusion present. The cardiomediastinal silhouette is within normal limits for size and shape. This indicates that the patient's cardiopulmonary health is stable and there is no need for further investigation."
        },
        {
            "image_id": "2808_1",
            "caption": "The x-ray shows sequelae of old granulomatous disease, but the lungs are clear without any focal consolidation, pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour, indicating no acute cardiopulmonary abnormality. Overall, a clear chest x-ray."
        },
        {
            "image_id": "2808_2",
            "caption": "The x-ray shows sequelae of old granulomatous disease, but the lungs are clear without any focal consolidation, pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour, indicating no acute cardiopulmonary abnormality. Overall, a clear chest x-ray."
        },
        {
            "image_id": "3280_1",
            "caption": "The chest X-ray shows a presence of right middle lobe opacity which may represent a focal area of consolidation or atelectasis. The cardiac silhouette and mediastinal contours are normal in size and shape with no evidence of pneumothorax or large pleural effusion. Further evaluation is recommended to rule out possible underlying conditions."
        },
        {
            "image_id": "3280_2",
            "caption": "The chest X-ray shows a presence of right middle lobe opacity which may represent a focal area of consolidation or atelectasis. The cardiac silhouette and mediastinal contours are normal in size and shape with no evidence of pneumothorax or large pleural effusion. Further evaluation is recommended to rule out possible underlying conditions."
        },
        {
            "image_id": "103_1",
            "caption": "On the current chest x-ray, the lungs are clear, and there is no evidence of pneumonia or pleural effusion. The cardiac silhouette appears normal. However, compared to a previous x-ray, there is a prominence of the mediastinal contour near the right hilum. This finding may indicate ascending aorta or mediastinal lymphadenopathy. To investigate further, a CT chest with contrast may be necessary. Additionally, there are mild degenerative changes in the thoracic spine. The radiologist recommends further evaluation with a CT scan for better assessment of the mediastinal prominence."
        },
        {
            "image_id": "103_2",
            "caption": "On the current chest x-ray, the lungs are clear, and there is no evidence of pneumonia or pleural effusion. The cardiac silhouette appears normal. However, compared to a previous x-ray, there is a prominence of the mediastinal contour near the right hilum. This finding may indicate ascending aorta or mediastinal lymphadenopathy. To investigate further, a CT chest with contrast may be necessary. Additionally, there are mild degenerative changes in the thoracic spine. The radiologist recommends further evaluation with a CT scan for better assessment of the mediastinal prominence."
        },
        {
            "image_id": "1497_1",
            "caption": "Upon examination of the x-ray, the heart size and pulmonary vascularity appear normal, and no pneumothorax or pleural effusion is present. However, an ill-defined opacity in the lingula is noted. This may represent increased atelectasis or scarring. Mild deformity in the mid-thoracic spine is also observed. It is recommended to seek further evaluation for the lingula opacity to determine the nature of the condition."
        },
        {
            "image_id": "1497_2",
            "caption": "Upon examination of the x-ray, the heart size and pulmonary vascularity appear normal, and no pneumothorax or pleural effusion is present. However, an ill-defined opacity in the lingula is noted. This may represent increased atelectasis or scarring. Mild deformity in the mid-thoracic spine is also observed. It is recommended to seek further evaluation for the lingula opacity to determine the nature of the condition."
        },
        {
            "image_id": "2820_1",
            "caption": "The chest X-ray shows normal findings with no acute disease. The heart is normal in size, while the mediastinal contours and lungs are clear. Additionally, there are no pleural effusions or pneumothorax observed in the X-ray."
        },
        {
            "image_id": "2820_2",
            "caption": "The chest X-ray shows normal findings with no acute disease. The heart is normal in size, while the mediastinal contours and lungs are clear. Additionally, there are no pleural effusions or pneumothorax observed in the X-ray."
        },
        {
            "image_id": "671_1",
            "caption": "A chest examination was taken, revealing that the heart is of normal size and shape. Evidence of old granulomatous infection is shown through calcified pulmonary nodules in the mediastinal perihilar region. No sign of acute lung infiltrates, effusion, or pneumothorax. Overall, there are no current pulmonary issues present."
        },
        {
            "image_id": "1483_1",
            "caption": "The X-ray shows normal pulmonary vascularity and cardiac silhouette, with no signs of acute pulmonary disease or active disease. There is no evidence of pleural effusion or pneumothorax, but the right hemidiaphragm has eventration, and the descending thoracic aorta is tortuous. Overall, the findings suggest no urgent medical concern, but further evaluation may be necessary for the eventration and aortic tortuosity."
        },
        {
            "image_id": "1483_2",
            "caption": "The X-ray shows normal pulmonary vascularity and cardiac silhouette, with no signs of acute pulmonary disease or active disease. There is no evidence of pleural effusion or pneumothorax, but the right hemidiaphragm has eventration, and the descending thoracic aorta is tortuous. Overall, the findings suggest no urgent medical concern, but further evaluation may be necessary for the eventration and aortic tortuosity."
        },
        {
            "image_id": "3294_1",
            "caption": "The chest x-ray reveals a normal cardiomediastinal silhouette with a tortuous thoracic aorta. Thankfully, no pulmonary consolidation, pneumothorax, or pleural effusion was identified. However, a calcified granuloma was observed in the right middle lobe. Additionally, the thoracic spine appeared intact, and there were no acute displaced rib fractures. Overall, the impression of the x-ray shows no acute intrathoracic abnormality, but the presence of a calcified granuloma warrants further evaluation."
        },
        {
            "image_id": "3294_2",
            "caption": "The chest x-ray reveals a normal cardiomediastinal silhouette with a tortuous thoracic aorta. Thankfully, no pulmonary consolidation, pneumothorax, or pleural effusion was identified. However, a calcified granuloma was observed in the right middle lobe. Additionally, the thoracic spine appeared intact, and there were no acute displaced rib fractures. Overall, the impression of the x-ray shows no acute intrathoracic abnormality, but the presence of a calcified granuloma warrants further evaluation."
        },
        {
            "image_id": "891_1",
            "caption": "The x-ray image shows that the heart size and pulmonary vascularity are normal, with no evidence of active disease. The lungs also appear to be clear of any focal airspace disease, and there is no pleural effusion or pneumothorax present."
        },
        {
            "image_id": "891_2",
            "caption": "The x-ray image shows that the heart size and pulmonary vascularity are normal, with no evidence of active disease. The lungs also appear to be clear of any focal airspace disease, and there is no pleural effusion or pneumothorax present."
        },
        {
            "image_id": "649_1",
            "caption": "The x-ray shows stable postsurgical changes in the left hemithorax with resolution of a small apical pneumothorax and basilar opacities in the left lung base, and a clear right lung. This indicates a positive outcome after surgery."
        },
        {
            "image_id": "649_2",
            "caption": "The x-ray shows stable postsurgical changes in the left hemithorax with resolution of a small apical pneumothorax and basilar opacities in the left lung base, and a clear right lung. This indicates a positive outcome after surgery."
        },
        {
            "image_id": "885_1",
            "caption": "The X-ray study shows that the heart size, mediastinal contour, and pulmonary vascularity are within normal limits. No focal consolidation, suspicious pulmonary opacity, large pleural effusion or pneumothorax is identified. The patient has undergone several postsurgical changes including left chest pacemaker/ICD with wire tips over the right atrium and right ventricle, sternotomy wires, graft markers, and upper anterior mediastinal surgical clips. The visualized osseous structures appear intact. The impression is that there is no acute cardiopulmonary abnormality, but there are postsurgical changes as described above."
        },
        {
            "image_id": "2818_1",
            "caption": "The X-ray shows a stable cavity in the right apex, indicating prior tuberculosis infection, while there is increased opacity in the left upper lobe peripherally, pointing to pulmonary hyperexpansion. There is no large effusion or pneumothorax visible in the X-ray. However, the increased right upper lobe opacities require immediate attention as they could be indicative of reactivation of tuberculosis or other infections."
        },
        {
            "image_id": "2818_2",
            "caption": "The X-ray shows a stable cavity in the right apex, indicating prior tuberculosis infection, while there is increased opacity in the left upper lobe peripherally, pointing to pulmonary hyperexpansion. There is no large effusion or pneumothorax visible in the X-ray. However, the increased right upper lobe opacities require immediate attention as they could be indicative of reactivation of tuberculosis or other infections."
        },
        {
            "image_id": "113_1",
            "caption": "The X-ray of the chest shows normal findings with no indication of acute cardiopulmonary disease. However, there are two subcentimeter hyperdense nodular opacities noted in the right lung, which could be interpreted as calcified granulomas. There is no evidence of infiltrate, effusion, or pneumothorax, indicating stable lung function."
        },
        {
            "image_id": "113_2",
            "caption": "The X-ray of the chest shows normal findings with no indication of acute cardiopulmonary disease. However, there are two subcentimeter hyperdense nodular opacities noted in the right lung, which could be interpreted as calcified granulomas. There is no evidence of infiltrate, effusion, or pneumothorax, indicating stable lung function."
        },
        {
            "image_id": "113_3",
            "caption": "The X-ray of the chest shows normal findings with no indication of acute cardiopulmonary disease. However, there are two subcentimeter hyperdense nodular opacities noted in the right lung, which could be interpreted as calcified granulomas. There is no evidence of infiltrate, effusion, or pneumothorax, indicating stable lung function."
        },
        {
            "image_id": "1487_1",
            "caption": "The heart and lungs have shown no changes in the interval. Both lungs are clear and expanded. Heart and mediastinum are normal.  The X-ray shows no evidence of active disease."
        },
        {
            "image_id": "1487_2",
            "caption": "The heart and lungs have shown no changes in the interval. Both lungs are clear and expanded. Heart and mediastinum are normal.  The X-ray shows no evidence of active disease."
        },
        {
            "image_id": "675_1",
            "caption": "The X-ray shows normal cardiac contours, with cardiac valve replacement. The lungs are clear, and thoracic spondylosis is observed. Overall, there is no acute process detected from the X-ray image."
        },
        {
            "image_id": "675_2",
            "caption": "The X-ray shows normal cardiac contours, with cardiac valve replacement. The lungs are clear, and thoracic spondylosis is observed. Overall, there is no acute process detected from the X-ray image."
        },
        {
            "image_id": "2824_1",
            "caption": "The chest X-ray shows hyperexpanded lungs, but no acute abnormality in the lungs and pleural spaces. A calcified granuloma in the right upper lobe remains unchanged. The heart size and pulmonary vascularity appear normal, and there are no displaced rib fractures. Overall, there is no evidence of acute pulmonary disease, but the hyperexpansion suggests a chronic lung condition that may require further evaluation."
        },
        {
            "image_id": "2824_2",
            "caption": "The chest X-ray shows hyperexpanded lungs, but no acute abnormality in the lungs and pleural spaces. A calcified granuloma in the right upper lobe remains unchanged. The heart size and pulmonary vascularity appear normal, and there are no displaced rib fractures. Overall, there is no evidence of acute pulmonary disease, but the hyperexpansion suggests a chronic lung condition that may require further evaluation."
        },
        {
            "image_id": "661_1",
            "caption": "The X-ray shows a spinal stimulator. There are no signs of acute respiratory disease such as airspace disease, pleural effusions, or pneumothoraces. The heart and mediastinum appear to be of normal size and contour. Degenerative changes are observed in the thoracic spine. In conclusion, the lungs are clear with no sign of any respiratory issues."
        },
        {
            "image_id": "661_2",
            "caption": "The X-ray shows a spinal stimulator. There are no signs of acute respiratory disease such as airspace disease, pleural effusions, or pneumothoraces. The heart and mediastinum appear to be of normal size and contour. Degenerative changes are observed in the thoracic spine. In conclusion, the lungs are clear with no sign of any respiratory issues."
        },
        {
            "image_id": "107_1",
            "caption": "The x-ray shows clear lungs without any signs of abnormality such as consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette and visualized osseous structures of the thorax are also normal. Based on these findings, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "107_2",
            "caption": "The x-ray shows clear lungs without any signs of abnormality such as consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette and visualized osseous structures of the thorax are also normal. Based on these findings, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "3284_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal, with no focal airspace disease in the lungs, pleural effusion or pneumothorax. The impression is that there is no evidence of active disease. This indicates that the patient's cardiopulmonary health is normal and there is nothing to be concerned about."
        },
        {
            "image_id": "2171_1",
            "caption": "The X-ray shows that there are no changes in the lungs or heart from the last time the patient was imaged. The lungs are clear and expanded, and there is a small calcified granuloma in the right upper lobe that has remained unchanged. The impression is that there is no active disease present in the patient. This information is important to monitor the health of the patient and make informed decisions about their medical care."
        },
        {
            "image_id": "2171_2",
            "caption": "The X-ray shows that there are no changes in the lungs or heart from the last time the patient was imaged. The lungs are clear and expanded, and there is a small calcified granuloma in the right upper lobe that has remained unchanged. The impression is that there is no active disease present in the patient. This information is important to monitor the health of the patient and make informed decisions about their medical care."
        },
        {
            "image_id": "1478_1",
            "caption": "The x-ray shows a stable cardiomediastinal silhouette with no acute findings. The heart is of normal size and there are mediastinal calcifications indicating a previous granulomatous process. There are apical irregularities suggestive of scarring. The lungs are clear and show no focal alveolar consolidation, pleural effusion or pulmonary edema. There is no evidence of pneumothorax."
        },
        {
            "image_id": "1478_2",
            "caption": "The x-ray shows a stable cardiomediastinal silhouette with no acute findings. The heart is of normal size and there are mediastinal calcifications indicating a previous granulomatous process. There are apical irregularities suggestive of scarring. The lungs are clear and show no focal alveolar consolidation, pleural effusion or pulmonary edema. There is no evidence of pneumothorax."
        },
        {
            "image_id": "1478_3",
            "caption": "The x-ray shows a stable cardiomediastinal silhouette with no acute findings. The heart is of normal size and there are mediastinal calcifications indicating a previous granulomatous process. There are apical irregularities suggestive of scarring. The lungs are clear and show no focal alveolar consolidation, pleural effusion or pulmonary edema. There is no evidence of pneumothorax."
        },
        {
            "image_id": "12_1",
            "caption": "The patient's x-ray results showed clear lungs bilaterally and normal cardiac and mediastinal silhouettes. Additionally, the pulmonary vasculature was normal and there was no evidence of pneumothorax, pleural effusion, or acute bony abnormality. The impression from these results is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "12_2",
            "caption": "The patient's x-ray results showed clear lungs bilaterally and normal cardiac and mediastinal silhouettes. Additionally, the pulmonary vasculature was normal and there was no evidence of pneumothorax, pleural effusion, or acute bony abnormality. The impression from these results is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3509_1",
            "caption": "The X-ray shows normal heart size and clear left lung. Although, there is a small right pleural effusion which appears to have increased compared to the previous scan. No pneumothorax was identified but some scattered atelectasis is present in the right base. Also, surgical clips remain in place. These findings suggest a need for further evaluation and monitoring."
        },
        {
            "image_id": "3509_2",
            "caption": "The X-ray shows normal heart size and clear left lung. Although, there is a small right pleural effusion which appears to have increased compared to the previous scan. No pneumothorax was identified but some scattered atelectasis is present in the right base. Also, surgical clips remain in place. These findings suggest a need for further evaluation and monitoring."
        },
        {
            "image_id": "3509_3",
            "caption": "The X-ray shows normal heart size and clear left lung. Although, there is a small right pleural effusion which appears to have increased compared to the previous scan. No pneumothorax was identified but some scattered atelectasis is present in the right base. Also, surgical clips remain in place. These findings suggest a need for further evaluation and monitoring."
        },
        {
            "image_id": "2617_1",
            "caption": "The X-ray image reveals that the heart is normal in size and shape and there is no widening of the mediastinum. The lungs appear hyperexpanded without any signs of focal airspace disease, large pleural effusion, or pneumothorax. However, there is an exaggerated kyphosis. The impression from the image is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2617_2",
            "caption": "The X-ray image reveals that the heart is normal in size and shape and there is no widening of the mediastinum. The lungs appear hyperexpanded without any signs of focal airspace disease, large pleural effusion, or pneumothorax. However, there is an exaggerated kyphosis. The impression from the image is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "846_1",
            "caption": "The x-ray shows the heart and pulmonary vascularity to be within normal limits, with no evidence of acute disease in the lungs, pleural space or pneumothorax. Callus and granulomas have been identified, but there is no evidence of active disease. Based on these observations, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "846_2",
            "caption": "The x-ray shows the heart and pulmonary vascularity to be within normal limits, with no evidence of acute disease in the lungs, pleural space or pneumothorax. Callus and granulomas have been identified, but there is no evidence of active disease. Based on these observations, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "846_3",
            "caption": "The x-ray shows the heart and pulmonary vascularity to be within normal limits, with no evidence of acute disease in the lungs, pleural space or pneumothorax. Callus and granulomas have been identified, but there is no evidence of active disease. Based on these observations, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "846_4",
            "caption": "The x-ray shows the heart and pulmonary vascularity to be within normal limits, with no evidence of acute disease in the lungs, pleural space or pneumothorax. Callus and granulomas have been identified, but there is no evidence of active disease. Based on these observations, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2165_1",
            "caption": "The x-ray shows low lung volumes with the heart and pulmonary vascularity appearing normal. Bibasilar opacities have appeared since the last exam, with the right base opacity suggesting atelectasis. The left base opacities could either be atelectasis or early signs of pneumonia. No pneumothorax or effusion is identified. Based on these findings, the radiologist recommends follow-up imaging to monitor any changes and further evaluate the condition."
        },
        {
            "image_id": "2165_2",
            "caption": "The x-ray shows low lung volumes with the heart and pulmonary vascularity appearing normal. Bibasilar opacities have appeared since the last exam, with the right base opacity suggesting atelectasis. The left base opacities could either be atelectasis or early signs of pneumonia. No pneumothorax or effusion is identified. Based on these findings, the radiologist recommends follow-up imaging to monitor any changes and further evaluate the condition."
        },
        {
            "image_id": "1444_1",
            "caption": "There is a healing fracture of the left posterolateral 7th rib and some deformity of the 8th vertebral body which may be due to the patient's multiple myeloma. The lungs, heart, and pulmonary vessels are all normal and clear. The pleural spaces and mediastinal contours also appear normal. The x-ray does not show any acute cardiopulmonary disease, although some bony lesions may be present."
        },
        {
            "image_id": "3253_1",
            "caption": "The chest x-ray showed no signs of acute cardiopulmonary abnormality. Specifically, the heart and lungs were normal in size and configuration, with no pneumothorax, pleural effusion or focal airspace consolidation present. Both the PA and lateral views of the chest were obtained, with the cardiomediastinal silhouette appearing well-aerated on both."
        },
        {
            "image_id": "3253_2",
            "caption": "The chest x-ray showed no signs of acute cardiopulmonary abnormality. Specifically, the heart and lungs were normal in size and configuration, with no pneumothorax, pleural effusion or focal airspace consolidation present. Both the PA and lateral views of the chest were obtained, with the cardiomediastinal silhouette appearing well-aerated on both."
        },
        {
            "image_id": "3535_1",
            "caption": "The X-ray shows no signs of acute cardiopulmonary disease. Specifically, the lungs, heart, pulmonary vasculature, and mediastinal contours all appear normal, with clear pleural spaces and no evidence of pneumothorax, pleural effusion, or focal airspace disease. This is a reassuring finding, indicating that there are no immediate issues with the patient's cardiopulmonary health."
        },
        {
            "image_id": "3535_2",
            "caption": "The X-ray shows no signs of acute cardiopulmonary disease. Specifically, the lungs, heart, pulmonary vasculature, and mediastinal contours all appear normal, with clear pleural spaces and no evidence of pneumothorax, pleural effusion, or focal airspace disease. This is a reassuring finding, indicating that there are no immediate issues with the patient's cardiopulmonary health."
        },
        {
            "image_id": "1322_1",
            "caption": "The x-ray image shows normal findings with clear lungs, normal heart and pulmonary contours, and no pleural effusions or focal airspace disease. Based on the results, there is no acute cardiopulmonary disease detected."
        },
        {
            "image_id": "1336_1",
            "caption": "The x-ray shows stable left-sided ICD device and leads. The cardiac silhouette is enlarged but stable. There are no signs of focal airspace consolidation, pneumothorax, or pleural effusion. Also, no acute bony abnormality can be observed. Overall, the findings suggest stable cardiomegaly without acute cardiopulmonary disease."
        },
        {
            "image_id": "3521_1",
            "caption": "The chest X-ray examination shows no evidence of acute cardiopulmonary process. The cardiomediastinal contours are normal and there is no focal consolidation, pleural effusion or pneumothorax identified. However, degenerative changes of the thoracic spine are observed. The patient also has right greater than left biapical bullous emphysema."
        },
        {
            "image_id": "3521_2",
            "caption": "The chest X-ray examination shows no evidence of acute cardiopulmonary process. The cardiomediastinal contours are normal and there is no focal consolidation, pleural effusion or pneumothorax identified. However, degenerative changes of the thoracic spine are observed. The patient also has right greater than left biapical bullous emphysema."
        },
        {
            "image_id": "3521_3",
            "caption": "The chest X-ray examination shows no evidence of acute cardiopulmonary process. The cardiomediastinal contours are normal and there is no focal consolidation, pleural effusion or pneumothorax identified. However, degenerative changes of the thoracic spine are observed. The patient also has right greater than left biapical bullous emphysema."
        },
        {
            "image_id": "2159_1",
            "caption": "The patient\u2019s X-ray shows that the lungs and pleural spaces are clear and there is no acute abnormality observed. Additionally, heart size and pulmonary vascularity are within normal limits. Thus, there is no evidence of acute pulmonary abnormality."
        },
        {
            "image_id": "2159_2",
            "caption": "The patient\u2019s X-ray shows that the lungs and pleural spaces are clear and there is no acute abnormality observed. Additionally, heart size and pulmonary vascularity are within normal limits. Thus, there is no evidence of acute pulmonary abnormality."
        },
        {
            "image_id": "1450_1",
            "caption": "The chest x-ray showed no signs of acute abnormalities. The heart and lungs appeared normal, with no evidence of focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette was also within normal limits. The impression is negative for any acute abnormality."
        },
        {
            "image_id": "1450_2",
            "caption": "The chest x-ray showed no signs of acute abnormalities. The heart and lungs appeared normal, with no evidence of focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal silhouette was also within normal limits. The impression is negative for any acute abnormality."
        },
        {
            "image_id": "3910_1",
            "caption": "Based on the chest X-ray findings, the heart and lungs appear normal. There is no evidence of pneumonia, collapsed lung, or excess fluid in the pleural spaces. However, degenerative changes are noted in the spine. Overall, there is no acute cardiopulmonary disease observed in the X-ray examination."
        },
        {
            "image_id": "3910_2",
            "caption": "Based on the chest X-ray findings, the heart and lungs appear normal. There is no evidence of pneumonia, collapsed lung, or excess fluid in the pleural spaces. However, degenerative changes are noted in the spine. Overall, there is no acute cardiopulmonary disease observed in the X-ray examination."
        },
        {
            "image_id": "1861_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no evidence of acute cardiopulmonary disease. There are no focal consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities seen. Based on these findings, there is currently no indication of any acute cardiopulmonary issues."
        },
        {
            "image_id": "1861_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no evidence of acute cardiopulmonary disease. There are no focal consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities seen. Based on these findings, there is currently no indication of any acute cardiopulmonary issues."
        },
        {
            "image_id": "1875_1",
            "caption": "Based on the X-ray image, heart size and mediastinal contour appear normal. Pulmonary vascularity also appears normal without any acute abnormality observed. Lungs appear clear with no pleural effusions or pneumothoraces identified. Mild tortuosity of the aorta and degenerative changes in the thoracic spine are also noted. Overall, based on the findings, no acute cardiopulmonary process is observed."
        },
        {
            "image_id": "1875_2",
            "caption": "Based on the X-ray image, heart size and mediastinal contour appear normal. Pulmonary vascularity also appears normal without any acute abnormality observed. Lungs appear clear with no pleural effusions or pneumothoraces identified. Mild tortuosity of the aorta and degenerative changes in the thoracic spine are also noted. Overall, based on the findings, no acute cardiopulmonary process is observed."
        },
        {
            "image_id": "3904_1",
            "caption": "Based on the X-ray images obtained, the cardiomediastinal silhouettes, pulmonary vascularity and bony thorax are within normal limits. The lungs are well-aerated without any focal consolidation, pneumothorax or pleural effusion. There are no acute cardiopulmonary abnormalities noted."
        },
        {
            "image_id": "3904_2",
            "caption": "Based on the X-ray images obtained, the cardiomediastinal silhouettes, pulmonary vascularity and bony thorax are within normal limits. The lungs are well-aerated without any focal consolidation, pneumothorax or pleural effusion. There are no acute cardiopulmonary abnormalities noted."
        },
        {
            "image_id": "477_1",
            "caption": "Based on the x-ray image, the finding shows that the cardiomediastinal silhouette is normal in size and contour, and the lungs are free from pleural effusion, pneumothorax and focal airspace disease. The osseous structures are also normal according to the patient's age. As per the impression, there is no acute radiographic cardiopulmonary process identified. Overall, the x-ray image indicates that the patient has no evidence of any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "477_2",
            "caption": "Based on the x-ray image, the finding shows that the cardiomediastinal silhouette is normal in size and contour, and the lungs are free from pleural effusion, pneumothorax and focal airspace disease. The osseous structures are also normal according to the patient's age. As per the impression, there is no acute radiographic cardiopulmonary process identified. Overall, the x-ray image indicates that the patient has no evidence of any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1685_1",
            "caption": "The lungs appear hyperinflated with a mildly flattened posterior diaphragm, and no focal alveolar consolidation or pleural effusion are observed. The heart is of normal size, and there are no typical findings of pulmonary edema. The X-ray suggests hyperinflated lungs. Further examination by a physician may be necessary to determine the cause and potential treatment options."
        },
        {
            "image_id": "1685_2",
            "caption": "The lungs appear hyperinflated with a mildly flattened posterior diaphragm, and no focal alveolar consolidation or pleural effusion are observed. The heart is of normal size, and there are no typical findings of pulmonary edema. The X-ray suggests hyperinflated lungs. Further examination by a physician may be necessary to determine the cause and potential treatment options."
        },
        {
            "image_id": "3092_1",
            "caption": "The patient's heart size and pulmonary vascularity are normal. No abnormalities were found in the lung's focal airspace. The X-ray did not show any pneumothorax or pleural effusion, however, the patient was found to have levoscoliosis of the thoracolumbar spine. Overall, there is no evidence of active disease found in the X-ray examination."
        },
        {
            "image_id": "3092_2",
            "caption": "The patient's heart size and pulmonary vascularity are normal. No abnormalities were found in the lung's focal airspace. The X-ray did not show any pneumothorax or pleural effusion, however, the patient was found to have levoscoliosis of the thoracolumbar spine. Overall, there is no evidence of active disease found in the X-ray examination."
        },
        {
            "image_id": "2398_1",
            "caption": "The radiograph shows that the patient is rotated with mild cardiomegaly. The lung volumes are low and the hemidiaphragms are elevated, more on the right side. This was also identified in a previous thoracic study. No acute findings such as pneumothorax, large pleural effusion or focal infiltrate were seen. Radiological impression is there is cardiomegaly with elevated right hemidiaphragms and no acute findings. It is important for the patient to follow up with their healthcare provider for further evaluation and management."
        },
        {
            "image_id": "2398_2",
            "caption": "The radiograph shows that the patient is rotated with mild cardiomegaly. The lung volumes are low and the hemidiaphragms are elevated, more on the right side. This was also identified in a previous thoracic study. No acute findings such as pneumothorax, large pleural effusion or focal infiltrate were seen. Radiological impression is there is cardiomegaly with elevated right hemidiaphragms and no acute findings. It is important for the patient to follow up with their healthcare provider for further evaluation and management."
        },
        {
            "image_id": "2398_3",
            "caption": "The radiograph shows that the patient is rotated with mild cardiomegaly. The lung volumes are low and the hemidiaphragms are elevated, more on the right side. This was also identified in a previous thoracic study. No acute findings such as pneumothorax, large pleural effusion or focal infiltrate were seen. Radiological impression is there is cardiomegaly with elevated right hemidiaphragms and no acute findings. It is important for the patient to follow up with their healthcare provider for further evaluation and management."
        },
        {
            "image_id": "3086_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality, including airspace disease, effusion or noncalcified nodule. Bilateral calcified granuloma is visible, and the heart size appears normal. A nodular soft tissue contour containing liver is present in the elevated right hemidiaphragm. Degenerative changes are seen in the thoracic spine, and a neurostimulator is also visible in the mid and lower thoracic spine area."
        },
        {
            "image_id": "3086_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality, including airspace disease, effusion or noncalcified nodule. Bilateral calcified granuloma is visible, and the heart size appears normal. A nodular soft tissue contour containing liver is present in the elevated right hemidiaphragm. Degenerative changes are seen in the thoracic spine, and a neurostimulator is also visible in the mid and lower thoracic spine area."
        },
        {
            "image_id": "1849_1",
            "caption": "The X-ray shows that the heart is of normal size. There is a small 8mm calcified granuloma in the right base, but no other focal airspace consolidations, pneumothorax or effusion are seen. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1849_2",
            "caption": "The X-ray shows that the heart is of normal size. There is a small 8mm calcified granuloma in the right base, but no other focal airspace consolidations, pneumothorax or effusion are seen. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "305_1",
            "caption": "The x-ray shows that the heart size is mildly enlarged, but there is no acute cardiopulmonary disease. Mediastinum is within normal limits, and there is no pleural effusion or pneumothorax. Additionally, there is no focal air space opacity to suggest a pneumonia."
        },
        {
            "image_id": "1691_1",
            "caption": "The X-ray shows persistent low lung volumes with stable streaky left lower lobe airspace disease and a probable residual left pneumothorax. There are no large pleural effusions, and the cardiomediastinal contour is stable. Left-sided rib fractures are better visualized on the previous chest X-ray comparison. The impression states there is a probable residual left pneumothorax and stable left basilar airspace disease, possibly atelectasis. Overall, this X-ray indicates no acute cardiopulmonary abnormalities but suggests a need for further evaluation of the potential pneumothorax and baseline lung function."
        },
        {
            "image_id": "1691_2",
            "caption": "The X-ray shows persistent low lung volumes with stable streaky left lower lobe airspace disease and a probable residual left pneumothorax. There are no large pleural effusions, and the cardiomediastinal contour is stable. Left-sided rib fractures are better visualized on the previous chest X-ray comparison. The impression states there is a probable residual left pneumothorax and stable left basilar airspace disease, possibly atelectasis. Overall, this X-ray indicates no acute cardiopulmonary abnormalities but suggests a need for further evaluation of the potential pneumothorax and baseline lung function."
        },
        {
            "image_id": "463_1",
            "caption": "The x-ray image shows a approximately 4 cm opacity with one margin being ill-defined in the lateral lower left lung on the PA view. No pneumothorax or pleural effusion is observed. The cardiac silhouette is normal, and T-spine osteophytes are present. Calcified hilar lymph nodes are also seen. The impression suggests that there is a possibility of a mass in the left lower hemithorax; it is recommended to undergo a CT scan for further evaluation. It is a critical result, and notification is documented through Primordial."
        },
        {
            "image_id": "463_2",
            "caption": "The x-ray image shows a approximately 4 cm opacity with one margin being ill-defined in the lateral lower left lung on the PA view. No pneumothorax or pleural effusion is observed. The cardiac silhouette is normal, and T-spine osteophytes are present. Calcified hilar lymph nodes are also seen. The impression suggests that there is a possibility of a mass in the left lower hemithorax; it is recommended to undergo a CT scan for further evaluation. It is a critical result, and notification is documented through Primordial."
        },
        {
            "image_id": "3938_1",
            "caption": "The x-ray shows a normal heart size and clear lungs. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses are present. In other words, a normal chest."
        },
        {
            "image_id": "3938_2",
            "caption": "The x-ray shows a normal heart size and clear lungs. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses are present. In other words, a normal chest."
        },
        {
            "image_id": "2415_1",
            "caption": "The chest x-ray shows a mildly enlarged heart and hypoinflated lungs with a mildly elevated left hemidiaphragm. There is a patchy opacity in the left lung base that could be due to atelectasis or possible infiltrate. Increased markings are noted throughout and were present on a prior CT. Underlying emphysematous changes are also identified. Follow-up evaluation within 2 to 4 weeks is suggested for the possible left basilar infiltrate versus atelectasis. The radiologist recommends additional imaging, like a CT chest, for further assessment."
        },
        {
            "image_id": "2415_2",
            "caption": "The chest x-ray shows a mildly enlarged heart and hypoinflated lungs with a mildly elevated left hemidiaphragm. There is a patchy opacity in the left lung base that could be due to atelectasis or possible infiltrate. Increased markings are noted throughout and were present on a prior CT. Underlying emphysematous changes are also identified. Follow-up evaluation within 2 to 4 weeks is suggested for the possible left basilar infiltrate versus atelectasis. The radiologist recommends additional imaging, like a CT chest, for further assessment."
        },
        {
            "image_id": "488_1",
            "caption": "The chest x-ray shows a stable surgical site in the left hilar area and an unremarkable bony structure. The cardiomediastinal silhouette is stable, and pulmonary vasculatures are within normal limits. No acute pulmonary findings suggest focal consolidation, pleural effusion or pneumothorax."
        },
        {
            "image_id": "2373_1",
            "caption": "The x-ray image demonstrates a normal heart size and no focal airspace consolidation. However, there are dilated pulmonary arteries and atherosclerotic calcifications of the aorta. Moderate hyperexpansion of the lungs is observed, which is consistent with obstructive pulmonary disease. No pleural effusion or pneumothorax is seen. The impression indicates moderate hyperinflation of the lungs and dilated pulmonary arteries, which may suggest pulmonary hypertension. Further evaluation is recommended for proper diagnosis and treatment."
        },
        {
            "image_id": "3079_1",
            "caption": "The chest X-ray examination showed that the cardiomediastinal contours and pulmonary vascularity are normal, and there are no signs of focal consolidation, pleural effusion, or pneumothorax. However, multilevel degenerative changes are seen in the thoracic spine, and there are mild bilateral acromioclavicular joint osteoarthritis and surgical anchors over the left humeral head. The visualized upper abdomen is grossly unremarkable. Overall, there is no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "3079_2",
            "caption": "The chest X-ray examination showed that the cardiomediastinal contours and pulmonary vascularity are normal, and there are no signs of focal consolidation, pleural effusion, or pneumothorax. However, multilevel degenerative changes are seen in the thoracic spine, and there are mild bilateral acromioclavicular joint osteoarthritis and surgical anchors over the left humeral head. The visualized upper abdomen is grossly unremarkable. Overall, there is no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "2367_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality, with normal cardiomediastinal contours and heart size within normal limits. There are no focal consolidations or large pleural effusions, and no pneumothorax. The report is indicative of a normal chest x-ray examination."
        },
        {
            "image_id": "1108_1",
            "caption": "The radiographic evaluation shows clear and hyperinflated lungs with a normal heart size and no evidence of pneumothorax. There are no acute cardiopulmonary abnormalities detected at this time. It is important to maintain regular monitoring for any changes in lung function and respiratory symptoms."
        },
        {
            "image_id": "1108_2",
            "caption": "The radiographic evaluation shows clear and hyperinflated lungs with a normal heart size and no evidence of pneumothorax. There are no acute cardiopulmonary abnormalities detected at this time. It is important to maintain regular monitoring for any changes in lung function and respiratory symptoms."
        },
        {
            "image_id": "2401_1",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormality. The heart and lungs are within normal limits without any focal consolidation, pneumothorax, or pleural effusion. Limited bone evaluation reveals no acute abnormality. The pulmonary vascularity is unremarkable and the cardiomediastinal silhouette is within normal limits of size and appearance."
        },
        {
            "image_id": "2401_2",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormality. The heart and lungs are within normal limits without any focal consolidation, pneumothorax, or pleural effusion. Limited bone evaluation reveals no acute abnormality. The pulmonary vascularity is unremarkable and the cardiomediastinal silhouette is within normal limits of size and appearance."
        },
        {
            "image_id": "1120_1",
            "caption": "The chest X-ray reveals normal heart size and mediastinal contours. Though low lung volumes are observed, there is no significant airspace consolidation, pleural effusion, or pneumothorax. In addition, osseous structures appear unremarkable in appearance. The impression suggests a limited low lung volume examination but finding no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3737_1",
            "caption": "The X-ray shows that the heart is normal in size and there is no focal airspace disease, pneumothorax or pleural effusion. Overall, there are no acute cardiopulmonary findings detected in the exam."
        },
        {
            "image_id": "3737_2",
            "caption": "The X-ray shows that the heart is normal in size and there is no focal airspace disease, pneumothorax or pleural effusion. Overall, there are no acute cardiopulmonary findings detected in the exam."
        },
        {
            "image_id": "3051_1",
            "caption": "The x-ray image shows clear lungs with intact bony structures and no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits, indicating no acute cardiopulmonary process."
        },
        {
            "image_id": "3051_2",
            "caption": "The x-ray image shows clear lungs with intact bony structures and no pneumothorax or pleural effusion. The heart and mediastinum are within normal limits, indicating no acute cardiopulmonary process."
        },
        {
            "image_id": "1646_1",
            "caption": "The radiograph shows clear lungs with no signs of acute abnormalities such as focal consolidation, pneumothorax or pleural effusion. The cardio mediastinal silhouette appears unremarkable and the visualized thorax bones are without acute abnormalities. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1646_2",
            "caption": "The radiograph shows clear lungs with no signs of acute abnormalities such as focal consolidation, pneumothorax or pleural effusion. The cardio mediastinal silhouette appears unremarkable and the visualized thorax bones are without acute abnormalities. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1652_1",
            "caption": "The patient has been diagnosed with dextroscoliosis of the thoracic spine. However, there is no acute bony abnormality observed, and the lungs appear clear bilaterally, with no evidence of pneumothorax or pleural effusion."
        },
        {
            "image_id": "1652_2",
            "caption": "The patient has been diagnosed with dextroscoliosis of the thoracic spine. However, there is no acute bony abnormality observed, and the lungs appear clear bilaterally, with no evidence of pneumothorax or pleural effusion."
        },
        {
            "image_id": "3045_1",
            "caption": "Based on the X-ray image, the heart size and vascularity are normal, and the mediastinal contour is normal. The lungs are also clear, with no pleural effusions or pneumothoraces observed. Overall, the X-ray indicates a normal chest with no acute cardiopulmonary findings."
        },
        {
            "image_id": "3045_2",
            "caption": "Based on the X-ray image, the heart size and vascularity are normal, and the mediastinal contour is normal. The lungs are also clear, with no pleural effusions or pneumothoraces observed. Overall, the X-ray indicates a normal chest with no acute cardiopulmonary findings."
        },
        {
            "image_id": "3723_1",
            "caption": "The X-ray shows that the lungs are clear and the cardiac and mediastinal silhouettes are within normal limits. There is also no evidence of pneumothorax, pleural effusion or acute bony abnormality. Based on these results, there is no acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "3723_2",
            "caption": "The X-ray shows that the lungs are clear and the cardiac and mediastinal silhouettes are within normal limits. There is also no evidence of pneumothorax, pleural effusion or acute bony abnormality. Based on these results, there is no acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "1134_1",
            "caption": "The X-ray shows a left chest tube with tip in the mid SVC, but no other issues. The heart and mediastinal contours are normal, and the lungs are clear with no signs of pneumothorax or pleural effusions. The bones are intact. In summary, there are no acute cardiopulmonary abnormalities, but the left chest tube is visible in the image."
        },
        {
            "image_id": "1134_2",
            "caption": "The X-ray shows a left chest tube with tip in the mid SVC, but no other issues. The heart and mediastinal contours are normal, and the lungs are clear with no signs of pneumothorax or pleural effusions. The bones are intact. In summary, there are no acute cardiopulmonary abnormalities, but the left chest tube is visible in the image."
        },
        {
            "image_id": "259_1",
            "caption": "From the finding, we see that the heart and cardiomediastinal structure appear to be normal in size and contour. No focal airspace opacity, pleural effusion, or pneumothorax can be observed. Additionally, the osseous structures seem intact. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "259_2",
            "caption": "From the finding, we see that the heart and cardiomediastinal structure appear to be normal in size and contour. No focal airspace opacity, pleural effusion, or pneumothorax can be observed. Additionally, the osseous structures seem intact. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1915_1",
            "caption": "Upon examination of the x-ray, it was found that both lungs are clear and expanded, and the heart and mediastinum appear normal in size and shape. No acute abnormalities were noticed in the image. Hence, the conclusion is that there is no active disease present."
        },
        {
            "image_id": "1915_2",
            "caption": "Upon examination of the x-ray, it was found that both lungs are clear and expanded, and the heart and mediastinum appear normal in size and shape. No acute abnormalities were noticed in the image. Hence, the conclusion is that there is no active disease present."
        },
        {
            "image_id": "1901_1",
            "caption": "The chest X-ray shows that there has been a previous coronary artery bypass grafting (CABG) surgery as indicated by surgical clips in the epigastric region. However, there is no evidence of acute cardiopulmonary disease. The heart, mediastinum, and pulmonary vascularity are all within normal limits. There are no signs of focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures also appear unremarkable. Overall, the X-ray results suggest a stable condition and the need for continued monitoring due to the previous CABG surgery."
        },
        {
            "image_id": "1901_2",
            "caption": "The chest X-ray shows that there has been a previous coronary artery bypass grafting (CABG) surgery as indicated by surgical clips in the epigastric region. However, there is no evidence of acute cardiopulmonary disease. The heart, mediastinum, and pulmonary vascularity are all within normal limits. There are no signs of focal consolidation, pleural effusion, or pneumothorax. The visualized osseous structures also appear unremarkable. Overall, the X-ray results suggest a stable condition and the need for continued monitoring due to the previous CABG surgery."
        },
        {
            "image_id": "3858_1",
            "caption": "The x-ray shows normal heart size and clear lungs without any pleural effusion or pneumothorax. Mild tortuosity of the thoracic aorta and costochondral calcifications are present. An old left clavicle fracture is also noted. Overall, there is no acute abnormality identified in the x-ray."
        },
        {
            "image_id": "3858_2",
            "caption": "The x-ray shows normal heart size and clear lungs without any pleural effusion or pneumothorax. Mild tortuosity of the thoracic aorta and costochondral calcifications are present. An old left clavicle fracture is also noted. Overall, there is no acute abnormality identified in the x-ray."
        },
        {
            "image_id": "3858_3",
            "caption": "The x-ray shows normal heart size and clear lungs without any pleural effusion or pneumothorax. Mild tortuosity of the thoracic aorta and costochondral calcifications are present. An old left clavicle fracture is also noted. Overall, there is no acute abnormality identified in the x-ray."
        },
        {
            "image_id": "3680_1",
            "caption": "The chest x-ray reveals a normal heart size and shape with no widening of the mediastinum. Some findings include streaky bibasilar opacities and scattered calcified granulomas. Additionally, there is a vague opacity in the right midlung which could reflect a small focus of atelectasis or infiltrate. No pleural effusion or pneumothorax is identified. The overall impression suggests the presence of bibasilar airspace opacities with possible atelectasis, and a vague opacity in the right midlung. Close clinical correlation and further imaging may be necessary to evaluate the findings."
        },
        {
            "image_id": "3680_2",
            "caption": "The chest x-ray reveals a normal heart size and shape with no widening of the mediastinum. Some findings include streaky bibasilar opacities and scattered calcified granulomas. Additionally, there is a vague opacity in the right midlung which could reflect a small focus of atelectasis or infiltrate. No pleural effusion or pneumothorax is identified. The overall impression suggests the presence of bibasilar airspace opacities with possible atelectasis, and a vague opacity in the right midlung. Close clinical correlation and further imaging may be necessary to evaluate the findings."
        },
        {
            "image_id": "1097_1",
            "caption": "The x-ray shows that the heart and mediastinal contours are normal. The diffuse bilateral calcified sequelae indicates prior granulomatous infection. No visible signs of edema, pulmonary vascular congestion, or focal consolidation present. Additionally, there is no evidence of pleural effusion or pneumothorax. However, there is mild anterior wedging of a lower thoracic vertebra at T11 level. The patient has no acute cardiopulmonary abnormality, but mild age indeterminate anterior wedging has been identified."
        },
        {
            "image_id": "1097_2",
            "caption": "The x-ray shows that the heart and mediastinal contours are normal. The diffuse bilateral calcified sequelae indicates prior granulomatous infection. No visible signs of edema, pulmonary vascular congestion, or focal consolidation present. Additionally, there is no evidence of pleural effusion or pneumothorax. However, there is mild anterior wedging of a lower thoracic vertebra at T11 level. The patient has no acute cardiopulmonary abnormality, but mild age indeterminate anterior wedging has been identified."
        },
        {
            "image_id": "503_1",
            "caption": "The chest X-ray shows clear lungs bilaterally with no evidence of focal infiltrate, pleural effusion or pneumothoraces. The heart and mediastinal contours are within normal limits, and the soft tissues and osseous structures are unremarkable. The impression is that there are no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "503_2",
            "caption": "The chest X-ray shows clear lungs bilaterally with no evidence of focal infiltrate, pleural effusion or pneumothoraces. The heart and mediastinal contours are within normal limits, and the soft tissues and osseous structures are unremarkable. The impression is that there are no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "1929_1",
            "caption": "The x-ray shows a fracture deformity proximal right humerus, with hyperinflation of the lungs but no pulmonary consolidation. The cardiomediastinal silhouette appears unremarkable, but there is mild atherosclerotic calcification in the aorta. Prior chest surgery is also noted. "
        },
        {
            "image_id": "1929_2",
            "caption": "The x-ray shows a fracture deformity proximal right humerus, with hyperinflation of the lungs but no pulmonary consolidation. The cardiomediastinal silhouette appears unremarkable, but there is mild atherosclerotic calcification in the aorta. Prior chest surgery is also noted. "
        },
        {
            "image_id": "271_1",
            "caption": "The X-ray image shows no significant abnormality in the chest area. There are no signs of lung collapse, fluid buildup or bone fractures. The overall heart size and shape is normal. The findings indicate that there is no acute condition or injury present in the patient's chest."
        },
        {
            "image_id": "271_2",
            "caption": "The X-ray image shows no significant abnormality in the chest area. There are no signs of lung collapse, fluid buildup or bone fractures. The overall heart size and shape is normal. The findings indicate that there is no acute condition or injury present in the patient's chest."
        },
        {
            "image_id": "1083_1",
            "caption": "The chest X-ray shows a normal size and configuration of the cardiac silhouette, normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. The X-ray also reveals no pleural effusion and some gastro-esophageal junction and epigastric postsurgical changes, but there is no acute or active cardiac, pulmonary or pleural disease."
        },
        {
            "image_id": "1083_2",
            "caption": "The chest X-ray shows a normal size and configuration of the cardiac silhouette, normal mediastinal contour, pulmonary and vasculature, central airways and aeration of the lungs. The X-ray also reveals no pleural effusion and some gastro-esophageal junction and epigastric postsurgical changes, but there is no acute or active cardiac, pulmonary or pleural disease."
        },
        {
            "image_id": "3694_1",
            "caption": "Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion. The X-ray shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3694_2",
            "caption": "Interval removal of left-sided chest tube. Small residual left apical pneumothorax has increased slightly in size the prior exam, now measuring approximately 0.9 cm from the thoracic apex. Stable cardiomediastinal silhouette. No focal airspace consolidation. No pleural effusion. The X-ray shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2561_1",
            "caption": "The findings of the chest X-ray indicate clear lungs, a normal cardiac silhouette and mediastinum, normal pulmonary vasculature, and absence of pneumothorax, pleural effusion, or acute bony abnormalities. The impression derived from these findings is that there is no acute cardiopulmonary abnormality present in the patient."
        },
        {
            "image_id": "2207_1",
            "caption": "The x-ray shows that the heart size is normal but there are mild degenerative changes throughout the thoracic spine and the thoracic aorta is tortuous. There is patchy right base airspace disease indicating right lower lobe pneumonia, however, no pneumothorax or pleural effusion is identified."
        },
        {
            "image_id": "2207_2",
            "caption": "The x-ray shows that the heart size is normal but there are mild degenerative changes throughout the thoracic spine and the thoracic aorta is tortuous. There is patchy right base airspace disease indicating right lower lobe pneumonia, however, no pneumothorax or pleural effusion is identified."
        },
        {
            "image_id": "3119_1",
            "caption": "The chest x-ray shows a normal heart size without any focal airspace consolidation, pneumothorax or pleural effusion. The findings reveal no acute osseous abnormalities. Additionally, the impression suggests no acute cardiopulmonary findings."
        },
        {
            "image_id": "3119_2",
            "caption": "The chest x-ray shows a normal heart size without any focal airspace consolidation, pneumothorax or pleural effusion. The findings reveal no acute osseous abnormalities. Additionally, the impression suggests no acute cardiopulmonary findings."
        },
        {
            "image_id": "2213_1",
            "caption": "The x-ray report indicates that the heart size and mediastinum are normal. However, multiple nodules were found in the lungs, indicating a possible calcification. The lungs are clear of any acute infiltrate or effusion, but there is a presence of lingular scarring and/or atelectasis. Overall, there are no acute diseases present in the x-ray image."
        },
        {
            "image_id": "2213_2",
            "caption": "The x-ray report indicates that the heart size and mediastinum are normal. However, multiple nodules were found in the lungs, indicating a possible calcification. The lungs are clear of any acute infiltrate or effusion, but there is a presence of lingular scarring and/or atelectasis. Overall, there are no acute diseases present in the x-ray image."
        },
        {
            "image_id": "2575_1",
            "caption": "The x-ray image shows clear lungs and a normal heart size with no pneumothorax. The spine displays endplate changes. Based on the findings, there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "2575_2",
            "caption": "The x-ray image shows clear lungs and a normal heart size with no pneumothorax. The spine displays endplate changes. Based on the findings, there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "1054_1",
            "caption": "The x-ray image shows that the heart is of normal size and the mediastinal contour is stable. No suspicious pulmonary opacity, pneumothorax, or pleural effusion is identified. A mild degenerative change is seen in the thoracic spine. The report concludes that there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "1054_2",
            "caption": "The x-ray image shows that the heart is of normal size and the mediastinal contour is stable. No suspicious pulmonary opacity, pneumothorax, or pleural effusion is identified. A mild degenerative change is seen in the thoracic spine. The report concludes that there is no acute cardiopulmonary abnormality detected in the image."
        },
        {
            "image_id": "3125_1",
            "caption": "The x-ray shows clear lungs without any focal airspace opacity. The size and contour of the heart and mediastinum are normal and stable. There is no pneumothorax or large pleural effusion, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3125_2",
            "caption": "The x-ray shows clear lungs without any focal airspace opacity. The size and contour of the heart and mediastinum are normal and stable. There is no pneumothorax or large pleural effusion, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1732_1",
            "caption": "Based on the x-ray image examination, the cardiac and mediastinal silhouette are unremarkable. The lungs are clear with no focal consolidation, pneumothorax, or pleural effusion identified. The impression is that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1732_2",
            "caption": "Based on the x-ray image examination, the cardiac and mediastinal silhouette are unremarkable. The lungs are clear with no focal consolidation, pneumothorax, or pleural effusion identified. The impression is that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1726_1",
            "caption": "The patient's x-ray results show no evidence of acute cardiopulmonary abnormalities. The lungs are clear, the heart and mediastinum are normal, and there is no focal consolidation, pneumothorax or pleural effusion identified. The findings are consistent with no active disease."
        },
        {
            "image_id": "1726_2",
            "caption": "The patient's x-ray results show no evidence of acute cardiopulmonary abnormalities. The lungs are clear, the heart and mediastinum are normal, and there is no focal consolidation, pneumothorax or pleural effusion identified. The findings are consistent with no active disease."
        },
        {
            "image_id": "3657_1",
            "caption": "The x-ray shows a normal heart size and no acute abnormalities such as infiltrates, effusions or pneumothorax. However, there is vascular congestion in bilateral hilar areas and the lungs appear hyperexpanded with flattened diaphragms. The impression suggests that the chest x-ray is otherwise normal except for these two findings - the lungs being hyperexpanded and no other cardiopulmonary abnormalities being identified."
        },
        {
            "image_id": "3657_2",
            "caption": "The x-ray shows a normal heart size and no acute abnormalities such as infiltrates, effusions or pneumothorax. However, there is vascular congestion in bilateral hilar areas and the lungs appear hyperexpanded with flattened diaphragms. The impression suggests that the chest x-ray is otherwise normal except for these two findings - the lungs being hyperexpanded and no other cardiopulmonary abnormalities being identified."
        },
        {
            "image_id": "2549_1",
            "caption": "The chest x-ray shows that the heart and lungs appear normal. There are no signs of congestion, consolidation, effusion, or pneumothorax. Furthermore, there are no acute bony or pulmonary abnormalities. The x-ray impression indicates that there are no acute cardiopulmonary abnormalities present in the individual."
        },
        {
            "image_id": "2549_2",
            "caption": "The chest x-ray shows that the heart and lungs appear normal. There are no signs of congestion, consolidation, effusion, or pneumothorax. Furthermore, there are no acute bony or pulmonary abnormalities. The x-ray impression indicates that there are no acute cardiopulmonary abnormalities present in the individual."
        },
        {
            "image_id": "2978_1",
            "caption": "The findings reveal a normal cardiomediastinal silhouette and pulmonary vasculature. Minimal calcified nodules are observed in one of the lung segments, suggesting an old granulomatous infection. No other acute abnormalities were detected. The impression is overall normal with no acute findings. Please consult a doctor for further information and interpretation of the results."
        },
        {
            "image_id": "2978_2",
            "caption": "The findings reveal a normal cardiomediastinal silhouette and pulmonary vasculature. Minimal calcified nodules are observed in one of the lung segments, suggesting an old granulomatous infection. No other acute abnormalities were detected. The impression is overall normal with no acute findings. Please consult a doctor for further information and interpretation of the results."
        },
        {
            "image_id": "729_1",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormality. Although there is a nodular opacity within the right hilum measuring 1.7cm, which may be a partially calcified granuloma or lymphadenopathy, further evaluation is required to determine the nature of the opacity. Scattered calcified granulomas are also visualized. However, there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The heart size is upper limit normal, and there are no acute bony abnormalities. Follow-up chest radiograph is recommended to assess stability."
        },
        {
            "image_id": "729_2",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormality. Although there is a nodular opacity within the right hilum measuring 1.7cm, which may be a partially calcified granuloma or lymphadenopathy, further evaluation is required to determine the nature of the opacity. Scattered calcified granulomas are also visualized. However, there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The heart size is upper limit normal, and there are no acute bony abnormalities. Follow-up chest radiograph is recommended to assess stability."
        },
        {
            "image_id": "701_1",
            "caption": "The x-ray image shows that there are some postsurgical and postradiation changes on the left lung as well as a hyperdense scar in the upper thorax. Due to the changes, there is loss of lung volume towards the left along with some deviation. On the other hand, the right lung is hyperexpanded and appears clear. The heart size and vascularity are within normal limits. Based on the findings, there are no acute abnormalities but there are postsurgical and postradiation changes present."
        },
        {
            "image_id": "701_2",
            "caption": "The x-ray image shows that there are some postsurgical and postradiation changes on the left lung as well as a hyperdense scar in the upper thorax. Due to the changes, there is loss of lung volume towards the left along with some deviation. On the other hand, the right lung is hyperexpanded and appears clear. The heart size and vascularity are within normal limits. Based on the findings, there are no acute abnormalities but there are postsurgical and postradiation changes present."
        },
        {
            "image_id": "1295_1",
            "caption": "The x-ray image shows that the lungs have low volumes, but there is no evidence of active disease. The heart size and pulmonary vascularity look normal, and there is no focal airspace disease, pleural effusion, or pneumothorax. There are only mild degenerative changes in the spine. With these findings, there is no need to worry about any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1295_2",
            "caption": "The x-ray image shows that the lungs have low volumes, but there is no evidence of active disease. The heart size and pulmonary vascularity look normal, and there is no focal airspace disease, pleural effusion, or pneumothorax. There are only mild degenerative changes in the spine. With these findings, there is no need to worry about any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3482_1",
            "caption": "The patient's x-ray shows severe emphysematous disease with multifocal areas of scarring that are unchanged from previous images. The heart size appears to be normal and there is no sign of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3482_2",
            "caption": "The patient's x-ray shows severe emphysematous disease with multifocal areas of scarring that are unchanged from previous images. The heart size appears to be normal and there is no sign of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2950_1",
            "caption": "The findings of the chest x-ray reveal that the heart and mediastinum are normal in size and unremarkable in appearance. The lungs appear clear and there is no indication of acute disease. This information is important for evaluating any potential cardiopulmonary conditions and monitoring the overall health of the individual."
        },
        {
            "image_id": "2950_2",
            "caption": "The findings of the chest x-ray reveal that the heart and mediastinum are normal in size and unremarkable in appearance. The lungs appear clear and there is no indication of acute disease. This information is important for evaluating any potential cardiopulmonary conditions and monitoring the overall health of the individual."
        },
        {
            "image_id": "3496_1",
            "caption": "The x-ray image shows a normal heart size and mediastinum. The lungs are clear of any nodules or masses, and there is no visible pneumothorax or pleural fluid. The abdominal organs also appear normal without any free intraperitoneal air. In other words, there is no sign of acute radiographic cardiopulmonary process in this x-ray."
        },
        {
            "image_id": "2788_1",
            "caption": "The X-ray shows no signs of acute cardiopulmonary abnormalities. The heart appears normal in size and the cardiomediastinal contours are unremarkable. No focal consolidation, pneumothorax or large pleural effusion are found."
        },
        {
            "image_id": "2788_2",
            "caption": "The X-ray shows no signs of acute cardiopulmonary abnormalities. The heart appears normal in size and the cardiomediastinal contours are unremarkable. No focal consolidation, pneumothorax or large pleural effusion are found."
        },
        {
            "image_id": "1281_1",
            "caption": "The heart size and mediastinal contours are normal. Lungs are clear without any pneumothorax or pleural effusion. However, degenerative changes are observed in the spine. No acute cardiopulmonary process is found."
        },
        {
            "image_id": "715_1",
            "caption": "The x-ray shows chronic asymmetric elevation of the right hemidiaphragm with mildly increased right basilar airspace disease, which could be atelectasis or infiltrate. The hilar prominence is stable and there is no evidence of pneumothorax or large pleural effusion. The heart size is normal and stable. No acute bony abnormalities were identified. The impression suggests follow-up imaging may be necessary to aid in the differentiation of atelectasis versus infiltrate."
        },
        {
            "image_id": "715_2",
            "caption": "The x-ray shows chronic asymmetric elevation of the right hemidiaphragm with mildly increased right basilar airspace disease, which could be atelectasis or infiltrate. The hilar prominence is stable and there is no evidence of pneumothorax or large pleural effusion. The heart size is normal and stable. No acute bony abnormalities were identified. The impression suggests follow-up imaging may be necessary to aid in the differentiation of atelectasis versus infiltrate."
        },
        {
            "image_id": "2005_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses were found. The findings indicate a normal chest without any acute cardiopulmonary process."
        },
        {
            "image_id": "2005_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses were found. The findings indicate a normal chest without any acute cardiopulmonary process."
        },
        {
            "image_id": "926_1",
            "caption": "The x-ray shows normal cardiomediastinal silhouette with clear pulmonary vasculature. There are no signs of consolidation, pneumothorax, or large pleural effusion. Osseous structures and soft tissues are also normal. These findings indicate no acute cardiopulmonary disease."
        },
        {
            "image_id": "926_2",
            "caption": "The x-ray shows normal cardiomediastinal silhouette with clear pulmonary vasculature. There are no signs of consolidation, pneumothorax, or large pleural effusion. Osseous structures and soft tissues are also normal. These findings indicate no acute cardiopulmonary disease."
        },
        {
            "image_id": "2763_1",
            "caption": "The x-ray shows no evidence of acute disease. Heart size and pulmonary vascularity appear normal. In addition, the lungs are free of focal airspace disease, pleural effusion, or pneumothorax. There is mild prominence of the interstitial markings; however, they remain unchanged."
        },
        {
            "image_id": "2763_2",
            "caption": "The x-ray shows no evidence of acute disease. Heart size and pulmonary vascularity appear normal. In addition, the lungs are free of focal airspace disease, pleural effusion, or pneumothorax. There is mild prominence of the interstitial markings; however, they remain unchanged."
        },
        {
            "image_id": "2777_1",
            "caption": "The chest X-ray was performed from both front and side (PA and lateral) views which showed the normal size and shape of the heart and mediastinum. Lungs appeared healthy with no signs of pneumothorax, pleural effusion or any tissue consolidation, and were well aerated. Minimal scarring or atelectasis was seen at the base of the left lung. The overall impression was that there was no acute cardiopulmonary disease present in the chest X-ray."
        },
        {
            "image_id": "2777_2",
            "caption": "The chest X-ray was performed from both front and side (PA and lateral) views which showed the normal size and shape of the heart and mediastinum. Lungs appeared healthy with no signs of pneumothorax, pleural effusion or any tissue consolidation, and were well aerated. Minimal scarring or atelectasis was seen at the base of the left lung. The overall impression was that there was no acute cardiopulmonary disease present in the chest X-ray."
        },
        {
            "image_id": "3469_1",
            "caption": "The patient's X-ray showed normal heart size and pulmonary vascularity. However, there were changes consistent with chronic lung disease, such as hyperinflated lungs and streaky opacities. The radiologist noted the interval placement of the chest tube with the tip in the superior location. There were no signs of acute cardiopulmonary disease, including a focal infiltrate, pneumothorax, or pleural effusion. The impression is that the patient has chronic changes, but there is no acute cardiopulmonary disease identified."
        },
        {
            "image_id": "3469_2",
            "caption": "The patient's X-ray showed normal heart size and pulmonary vascularity. However, there were changes consistent with chronic lung disease, such as hyperinflated lungs and streaky opacities. The radiologist noted the interval placement of the chest tube with the tip in the superior location. There were no signs of acute cardiopulmonary disease, including a focal infiltrate, pneumothorax, or pleural effusion. The impression is that the patient has chronic changes, but there is no acute cardiopulmonary disease identified."
        },
        {
            "image_id": "932_1",
            "caption": "The chest x-ray shows no acute abnormalities or signs of cardiopulmonary disease. The heart is normal in size and the cardiomediastinal silhouette is within normal limits. There is no evidence of gross consolidation, atelectasis, or infiltrate in the lungs. Additionally, there is no pneumothorax, pleural effusion, or pleural fluid collection. Based on these findings, there are no acute cardiopulmonary issues present."
        },
        {
            "image_id": "932_2",
            "caption": "The chest x-ray shows no acute abnormalities or signs of cardiopulmonary disease. The heart is normal in size and the cardiomediastinal silhouette is within normal limits. There is no evidence of gross consolidation, atelectasis, or infiltrate in the lungs. Additionally, there is no pneumothorax, pleural effusion, or pleural fluid collection. Based on these findings, there are no acute cardiopulmonary issues present."
        },
        {
            "image_id": "932_3",
            "caption": "The chest x-ray shows no acute abnormalities or signs of cardiopulmonary disease. The heart is normal in size and the cardiomediastinal silhouette is within normal limits. There is no evidence of gross consolidation, atelectasis, or infiltrate in the lungs. Additionally, there is no pneumothorax, pleural effusion, or pleural fluid collection. Based on these findings, there are no acute cardiopulmonary issues present."
        },
        {
            "image_id": "1518_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormalities. Specifically, there is no focal consolidation, pneumothorax, or pleural effusion, and the cardiomediastinal silhouette appears stable and unremarkable. Additionally, no acute osseous abnormalities are detected. Overall, the findings suggest a normal chest x-ray without any immediate concerns for acute disease."
        },
        {
            "image_id": "1518_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormalities. Specifically, there is no focal consolidation, pneumothorax, or pleural effusion, and the cardiomediastinal silhouette appears stable and unremarkable. Additionally, no acute osseous abnormalities are detected. Overall, the findings suggest a normal chest x-ray without any immediate concerns for acute disease."
        },
        {
            "image_id": "2011_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with no focal consolidation, pneumothorax or large pleural effusion. The bony structure appears normal with no acute abnormalities. Contrast is seen within the bilateral kidneys from a prior examination. Based on these findings, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2011_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with no focal consolidation, pneumothorax or large pleural effusion. The bony structure appears normal with no acute abnormalities. Contrast is seen within the bilateral kidneys from a prior examination. Based on these findings, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1530_1",
            "caption": "The X-ray report shows normal mediastinal contours and clear lungs without any sign of pneumothorax or pleural effusion indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1530_2",
            "caption": "The X-ray report shows normal mediastinal contours and clear lungs without any sign of pneumothorax or pleural effusion indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3327_1",
            "caption": "Upon examination, it was found that the cardiac silhouette is enlarged, and a focal opacity is present in the right upper lung. Dense calcification of the thoracic aorta was also noted. However, there is no evidence of pneumothorax or large pleural effusion. The impression suggests that the right upper lobe opacity may represent a focal area of infection/pneumonia and further evaluation, such as a CT scan, should be considered. The enlargement of the cardiac silhouette is also noted."
        },
        {
            "image_id": "3327_2",
            "caption": "Upon examination, it was found that the cardiac silhouette is enlarged, and a focal opacity is present in the right upper lung. Dense calcification of the thoracic aorta was also noted. However, there is no evidence of pneumothorax or large pleural effusion. The impression suggests that the right upper lobe opacity may represent a focal area of infection/pneumonia and further evaluation, such as a CT scan, should be considered. The enlargement of the cardiac silhouette is also noted."
        },
        {
            "image_id": "2039_1",
            "caption": "The x-ray shows no acute pulmonary findings with normal cardiac and mediastinal contours. However, there are large calcified granulomas in the right hilum and evidence of prior anterior cervical fusion. It is important to follow up on the granulomas with clinical correlation to assess for any possible underlying conditions."
        },
        {
            "image_id": "2039_2",
            "caption": "The x-ray shows no acute pulmonary findings with normal cardiac and mediastinal contours. However, there are large calcified granulomas in the right hilum and evidence of prior anterior cervical fusion. It is important to follow up on the granulomas with clinical correlation to assess for any possible underlying conditions."
        },
        {
            "image_id": "3441_1",
            "caption": "The x-ray image shows that there is no acute cardiopulmonary abnormality. The heart size and mediastinal contour appear normal, with no focal airspace consolidation, pneumothorax, or large pleural effusion, and no acute osseous abnormality."
        },
        {
            "image_id": "3441_2",
            "caption": "The x-ray image shows that there is no acute cardiopulmonary abnormality. The heart size and mediastinal contour appear normal, with no focal airspace consolidation, pneumothorax, or large pleural effusion, and no acute osseous abnormality."
        },
        {
            "image_id": "1256_1",
            "caption": "On this image, the heart appears normal with no signs of disease or abnormalities. The lungs also appear clear, with no presence of fluid build-up, and no evidence of pneumothorax or infiltrate. Radiographic findings show mild calcification of the transverse region, while further scanning identifies degenerative midthoracic spine changes. Overall, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1256_2",
            "caption": "On this image, the heart appears normal with no signs of disease or abnormalities. The lungs also appear clear, with no presence of fluid build-up, and no evidence of pneumothorax or infiltrate. Radiographic findings show mild calcification of the transverse region, while further scanning identifies degenerative midthoracic spine changes. Overall, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1242_1",
            "caption": "The patient's x-ray report shows no acute cardiopulmonary abnormalities. The heart appears normal in size and contour, and there is no evidence of infiltrate, pneumothorax, or effusion. The report notes chronic changes, particularly in the lung apices, reflecting the sequela of known sarcoidosis. However, there is no acute disease. The mediastinum is stable, but there is a tortuous aorta. Degenerative changes of the midthoracic spine are also noted."
        },
        {
            "image_id": "1242_2",
            "caption": "The patient's x-ray report shows no acute cardiopulmonary abnormalities. The heart appears normal in size and contour, and there is no evidence of infiltrate, pneumothorax, or effusion. The report notes chronic changes, particularly in the lung apices, reflecting the sequela of known sarcoidosis. However, there is no acute disease. The mediastinum is stable, but there is a tortuous aorta. Degenerative changes of the midthoracic spine are also noted."
        },
        {
            "image_id": "2993_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear, without any focal consolidation, effusion, or pneumothorax. Additionally, the heart is of normal size and the bony thorax and soft tissues are unremarkable."
        },
        {
            "image_id": "2993_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear, without any focal consolidation, effusion, or pneumothorax. Additionally, the heart is of normal size and the bony thorax and soft tissues are unremarkable."
        },
        {
            "image_id": "3455_1",
            "caption": "The x-ray shows central vascular prominence and diffuse bilateral interstitial and alveolar opacities. There are also left basilar airspace opacities, but no signs of pneumothorax or large pleural effusion. The heart appears enlarged while the other areas are unremarkable. The patient is suffering from pulmonary edema and left basilar atelectasis/airspace disease. It is recommended to consult with a healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "3455_2",
            "caption": "The x-ray shows central vascular prominence and diffuse bilateral interstitial and alveolar opacities. There are also left basilar airspace opacities, but no signs of pneumothorax or large pleural effusion. The heart appears enlarged while the other areas are unremarkable. The patient is suffering from pulmonary edema and left basilar atelectasis/airspace disease. It is recommended to consult with a healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "3333_1",
            "caption": "The chest X-ray shows a normal heart size with intact bony structures, no evidence of a pneumothorax, pleural effusion or focal airspace disease. The trachea and pulmonary bronchi are also unremarkable. Therefore, the impression is a normal chest radiograph."
        },
        {
            "image_id": "1524_1",
            "caption": "The chest x-ray shows normal heart size and normal pulmonary vascularity. Residuals from prior granulomatous infection were observed, but lungs are otherwise clear. There are degenerative changes in the spine. The impression is that there is no acute cardiopulmonary process, but the patient has a tortuous aorta, and an ascending aortic aneurysm cannot be ruled out. It is recommended that the patient undergoes further evaluation for the aneurysm."
        },
        {
            "image_id": "1524_2",
            "caption": "The chest x-ray shows normal heart size and normal pulmonary vascularity. Residuals from prior granulomatous infection were observed, but lungs are otherwise clear. There are degenerative changes in the spine. The impression is that there is no acute cardiopulmonary process, but the patient has a tortuous aorta, and an ascending aortic aneurysm cannot be ruled out. It is recommended that the patient undergoes further evaluation for the aneurysm."
        },
        {
            "image_id": "2992_1",
            "caption": "On the X-ray image, the lungs appear clear and the heart is of normal size. No pneumothorax is observed. However, there is a calcified granuloma at the base of the right lung. Overall, there is no acute cardiopulmonary abnormality found in the X-ray."
        },
        {
            "image_id": "2992_2",
            "caption": "On the X-ray image, the lungs appear clear and the heart is of normal size. No pneumothorax is observed. However, there is a calcified granuloma at the base of the right lung. Overall, there is no acute cardiopulmonary abnormality found in the X-ray."
        },
        {
            "image_id": "1243_1",
            "caption": "The cardiothoracic evaluation shows an enlarged cardiac silhouette, but no significant changes from previous findings. A left-sided central line is visible with a decreased lumen. The mediastinal structures appear to be within normal limits, with the exception of bibasilar opacity. No pneumothorax or pleural effusion is appreciated, except for a left-sided effusion with adjacent atelectasis. The impression indicates that cardiomegaly without overt edema is present, and that a right-sided effusion could be present as well."
        },
        {
            "image_id": "1243_2",
            "caption": "The cardiothoracic evaluation shows an enlarged cardiac silhouette, but no significant changes from previous findings. A left-sided central line is visible with a decreased lumen. The mediastinal structures appear to be within normal limits, with the exception of bibasilar opacity. No pneumothorax or pleural effusion is appreciated, except for a left-sided effusion with adjacent atelectasis. The impression indicates that cardiomegaly without overt edema is present, and that a right-sided effusion could be present as well."
        },
        {
            "image_id": "1243_3",
            "caption": "The cardiothoracic evaluation shows an enlarged cardiac silhouette, but no significant changes from previous findings. A left-sided central line is visible with a decreased lumen. The mediastinal structures appear to be within normal limits, with the exception of bibasilar opacity. No pneumothorax or pleural effusion is appreciated, except for a left-sided effusion with adjacent atelectasis. The impression indicates that cardiomegaly without overt edema is present, and that a right-sided effusion could be present as well."
        },
        {
            "image_id": "1525_1",
            "caption": "The chest x-ray shows a large hydropneumothorax and complete collapse of the left lung. There are increased opacities and airspace within the right lung apex and right upper lobe with an ovoid lucency, indicating a possible cavitation. Tuberculosis should be ruled out clinically. The left-sided cardiomediastinal contours are hidden due to the collapsed lung. There are no acute bony abnormalities."
        },
        {
            "image_id": "1525_2",
            "caption": "The chest x-ray shows a large hydropneumothorax and complete collapse of the left lung. There are increased opacities and airspace within the right lung apex and right upper lobe with an ovoid lucency, indicating a possible cavitation. Tuberculosis should be ruled out clinically. The left-sided cardiomediastinal contours are hidden due to the collapsed lung. There are no acute bony abnormalities."
        },
        {
            "image_id": "1525_3",
            "caption": "The chest x-ray shows a large hydropneumothorax and complete collapse of the left lung. There are increased opacities and airspace within the right lung apex and right upper lobe with an ovoid lucency, indicating a possible cavitation. Tuberculosis should be ruled out clinically. The left-sided cardiomediastinal contours are hidden due to the collapsed lung. There are no acute bony abnormalities."
        },
        {
            "image_id": "1525_4",
            "caption": "The chest x-ray shows a large hydropneumothorax and complete collapse of the left lung. There are increased opacities and airspace within the right lung apex and right upper lobe with an ovoid lucency, indicating a possible cavitation. Tuberculosis should be ruled out clinically. The left-sided cardiomediastinal contours are hidden due to the collapsed lung. There are no acute bony abnormalities."
        },
        {
            "image_id": "3332_1",
            "caption": "Upon reviewing the chest x-ray image, it was found that the heart is normal in size and shape, and there is no enlargement of the mediastinum. Additionally, there is no evidence of focal airspace or pleural disease, or pneumothorax. The bony structures of the chest appear to be intact. The observations and findings, indicate that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3332_2",
            "caption": "Upon reviewing the chest x-ray image, it was found that the heart is normal in size and shape, and there is no enlargement of the mediastinum. Additionally, there is no evidence of focal airspace or pleural disease, or pneumothorax. The bony structures of the chest appear to be intact. The observations and findings, indicate that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3332_3",
            "caption": "Upon reviewing the chest x-ray image, it was found that the heart is normal in size and shape, and there is no enlargement of the mediastinum. Additionally, there is no evidence of focal airspace or pleural disease, or pneumothorax. The bony structures of the chest appear to be intact. The observations and findings, indicate that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2038_1",
            "caption": "The finding taken from the x-ray image shows that the heart size and cardiomediastinal silhouette are normal. No focal airspace opacity, pleural effusion, or pneumothorax is present. Also, osseous structures are intact. The impression is that no acute cardiopulmonary finding is present."
        },
        {
            "image_id": "2038_2",
            "caption": "The finding taken from the x-ray image shows that the heart size and cardiomediastinal silhouette are normal. No focal airspace opacity, pleural effusion, or pneumothorax is present. Also, osseous structures are intact. The impression is that no acute cardiopulmonary finding is present."
        },
        {
            "image_id": "1531_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormalities. The heart size and cardiomediastinal silhouette are normal with stable mediastinal contours. The osseous structures are intact. There are no focal airspace opacity, pleural effusion or pneumothorax. Based on the x-ray results, there are no acute findings."
        },
        {
            "image_id": "1531_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormalities. The heart size and cardiomediastinal silhouette are normal with stable mediastinal contours. The osseous structures are intact. There are no focal airspace opacity, pleural effusion or pneumothorax. Based on the x-ray results, there are no acute findings."
        },
        {
            "image_id": "1257_1",
            "caption": "The X-ray shows mild cardiomegaly and hypoinflation of the lungs. There is a right basilar opacity that may represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. There is sclerosis of the humeral and vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones. The impression is that there are stigmata of a possible underlying health condition and cholelithiasis, which is the presence of gallstones. It is suggested to follow up with further evaluations to diagnose the underlying condition accurately."
        },
        {
            "image_id": "1257_2",
            "caption": "The X-ray shows mild cardiomegaly and hypoinflation of the lungs. There is a right basilar opacity that may represent atelectasis. There is no focal consolidation, pleural effusion, or pneumothorax. There is sclerosis of the humeral and vertebral body endplates with central depression. Calcifications in the right hemiabdomen may represent calcified gallstones. The impression is that there are stigmata of a possible underlying health condition and cholelithiasis, which is the presence of gallstones. It is suggested to follow up with further evaluations to diagnose the underlying condition accurately."
        },
        {
            "image_id": "3440_1",
            "caption": "Upon reviewing the X-ray, it was found that there was mild dextroscoliosis of the lower thoracic spine. However, the cardiomediastinal silhouette was normal and the pulmonary vascularity was unremarkable. The lungs appeared to be clear without any airspace disease and no pneumothorax or pleural effusion was detected. Overall, no acute cardiopulmonary abnormality was observed."
        },
        {
            "image_id": "3440_2",
            "caption": "Upon reviewing the X-ray, it was found that there was mild dextroscoliosis of the lower thoracic spine. However, the cardiomediastinal silhouette was normal and the pulmonary vascularity was unremarkable. The lungs appeared to be clear without any airspace disease and no pneumothorax or pleural effusion was detected. Overall, no acute cardiopulmonary abnormality was observed."
        },
        {
            "image_id": "2986_1",
            "caption": "The X-ray image shows no significant abnormalities in the heart and lungs. The spinal curvature appears mildly deviated to the right, but could be positional. There are no signs of acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion. Overall, the results are normal."
        },
        {
            "image_id": "2986_2",
            "caption": "The X-ray image shows no significant abnormalities in the heart and lungs. The spinal curvature appears mildly deviated to the right, but could be positional. There are no signs of acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion. Overall, the results are normal."
        },
        {
            "image_id": "2986_3",
            "caption": "The X-ray image shows no significant abnormalities in the heart and lungs. The spinal curvature appears mildly deviated to the right, but could be positional. There are no signs of acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion. Overall, the results are normal."
        },
        {
            "image_id": "933_1",
            "caption": "The X-ray shows no significant changes. Both lungs are clear, expanded and the heart and mediastinum are normal. The impression is that there is no active disease or visible cardiopulmonary injuries."
        },
        {
            "image_id": "933_2",
            "caption": "The X-ray shows no significant changes. Both lungs are clear, expanded and the heart and mediastinum are normal. The impression is that there is no active disease or visible cardiopulmonary injuries."
        },
        {
            "image_id": "3468_1",
            "caption": "The heart appears to be slightly enlarged and there are signs of atherosclerosis in the aorta. The lungs appear hyperexpanded with some biapical opacities that seem to be stable, suggesting possible scarring. No significant pleural effusion or pneumothorax was found, and there is no focal airspace consolidation. However, there are mild degenerative changes to the spine noted. These findings suggest emphysema and indicate no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3468_2",
            "caption": "The heart appears to be slightly enlarged and there are signs of atherosclerosis in the aorta. The lungs appear hyperexpanded with some biapical opacities that seem to be stable, suggesting possible scarring. No significant pleural effusion or pneumothorax was found, and there is no focal airspace consolidation. However, there are mild degenerative changes to the spine noted. These findings suggest emphysema and indicate no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3468_3",
            "caption": "The heart appears to be slightly enlarged and there are signs of atherosclerosis in the aorta. The lungs appear hyperexpanded with some biapical opacities that seem to be stable, suggesting possible scarring. No significant pleural effusion or pneumothorax was found, and there is no focal airspace consolidation. However, there are mild degenerative changes to the spine noted. These findings suggest emphysema and indicate no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3468_4",
            "caption": "The heart appears to be slightly enlarged and there are signs of atherosclerosis in the aorta. The lungs appear hyperexpanded with some biapical opacities that seem to be stable, suggesting possible scarring. No significant pleural effusion or pneumothorax was found, and there is no focal airspace consolidation. However, there are mild degenerative changes to the spine noted. These findings suggest emphysema and indicate no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "1519_1",
            "caption": "The x-ray depicts mildly hypoinflated lungs with uncertain chronicity and mild basilar bronchovascular crowding. The heart is normal in size for low lung volumes and the technique used. No evidence of focal airspace disease, pneumothorax or large pleural effusion are present. Overall, the exam shows no acute findings, but it should be correlated with clinical evaluation."
        },
        {
            "image_id": "1519_2",
            "caption": "The x-ray depicts mildly hypoinflated lungs with uncertain chronicity and mild basilar bronchovascular crowding. The heart is normal in size for low lung volumes and the technique used. No evidence of focal airspace disease, pneumothorax or large pleural effusion are present. Overall, the exam shows no acute findings, but it should be correlated with clinical evaluation."
        },
        {
            "image_id": "2762_1",
            "caption": "The x-ray shows a normal cardiac and mediastinal silhouette with no signs of pleural effusion or pneumothorax. The pulmonary vascularity is within normal limits and there are no focal airspace opacities. There is an evidence of granulomatous disease present. The x-ray shows clear lungs with no acute findings but there is an evidence of granulomatous disease. It is recommended to perform further clinical examination to evaluate the extent of the disease and start appropriate treatment."
        },
        {
            "image_id": "2762_2",
            "caption": "The x-ray shows a normal cardiac and mediastinal silhouette with no signs of pleural effusion or pneumothorax. The pulmonary vascularity is within normal limits and there are no focal airspace opacities. There is an evidence of granulomatous disease present. The x-ray shows clear lungs with no acute findings but there is an evidence of granulomatous disease. It is recommended to perform further clinical examination to evaluate the extent of the disease and start appropriate treatment."
        },
        {
            "image_id": "927_1",
            "caption": "The x-ray report shows that the heart, mediastinal contour, and pulmonary vascularity are normal; however, there is stable tortuosity of the thoracic aorta. There is no focal consolidation, pleural effusion, or pneumothorax, and no acute osseous abnormality is identified. The impression is that there are no acute cardiopulmonary abnormalities, indicating a normal report."
        },
        {
            "image_id": "927_2",
            "caption": "The x-ray report shows that the heart, mediastinal contour, and pulmonary vascularity are normal; however, there is stable tortuosity of the thoracic aorta. There is no focal consolidation, pleural effusion, or pneumothorax, and no acute osseous abnormality is identified. The impression is that there are no acute cardiopulmonary abnormalities, indicating a normal report."
        },
        {
            "image_id": "714_1",
            "caption": "Based on the chest x-ray, there is stable scarring near the right lung apex along the lateral aspect and degenerative changes in the spine. However, there are no signs of acute abnormalities, pleural effusions or pneumothoraces. The lungs are clear, and the heart and mediastinum are of normal size and contour."
        },
        {
            "image_id": "714_2",
            "caption": "Based on the chest x-ray, there is stable scarring near the right lung apex along the lateral aspect and degenerative changes in the spine. However, there are no signs of acute abnormalities, pleural effusions or pneumothoraces. The lungs are clear, and the heart and mediastinum are of normal size and contour."
        },
        {
            "image_id": "714_3",
            "caption": "Based on the chest x-ray, there is stable scarring near the right lung apex along the lateral aspect and degenerative changes in the spine. However, there are no signs of acute abnormalities, pleural effusions or pneumothoraces. The lungs are clear, and the heart and mediastinum are of normal size and contour."
        },
        {
            "image_id": "1280_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. There are no signs of pulmonary edema, pneumothorax or pleural effusion. There is no focal consolidation in the lungs. The impression is that the x-ray does not show any acute abnormality."
        },
        {
            "image_id": "1280_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. There are no signs of pulmonary edema, pneumothorax or pleural effusion. There is no focal consolidation in the lungs. The impression is that the x-ray does not show any acute abnormality."
        },
        {
            "image_id": "2789_1",
            "caption": "The X-ray shows that the heart is slightly enlarged, but within normal limits, with mild aortic ectasia size tortuosity. Additionally, there are mediastinal calcifications and a dense nodule in the lingula indicating a previous granulomatous process. No signs of acute cardiopulmonary abnormality were detected, although there is no focal alveolar consolidation or pleural effusion, and typical findings of pulmonary edema were absent."
        },
        {
            "image_id": "2789_2",
            "caption": "The X-ray shows that the heart is slightly enlarged, but within normal limits, with mild aortic ectasia size tortuosity. Additionally, there are mediastinal calcifications and a dense nodule in the lingula indicating a previous granulomatous process. No signs of acute cardiopulmonary abnormality were detected, although there is no focal alveolar consolidation or pleural effusion, and typical findings of pulmonary edema were absent."
        },
        {
            "image_id": "3497_1",
            "caption": "Upon assessment of the patient's chest x-ray, there were no visible abnormalities observed. The lungs were clear without any signs of consolidation, pneumothorax, or pleural effusion. There were multiple calcified granulomas present bilaterally, and the cardio mediastinal silhouette appeared to be normal. The visualized osseous structures of the thorax showed no acute abnormality. Overall, there were no acute cardiopulmonary abnormalities reported in the x-ray."
        },
        {
            "image_id": "2951_1",
            "caption": "The chest X-ray shows no sign of active disease or cardiopulmonary injuries. The heart and lungs are clear and expanded, with no pleural air collections, and the mediastinum is normal. However, there is a vague lucency in the anterior aspect of the left 7th rib which may indicate a nondisplaced fracture. Further evaluation may be necessary to confirm this finding."
        },
        {
            "image_id": "2951_2",
            "caption": "The chest X-ray shows no sign of active disease or cardiopulmonary injuries. The heart and lungs are clear and expanded, with no pleural air collections, and the mediastinum is normal. However, there is a vague lucency in the anterior aspect of the left 7th rib which may indicate a nondisplaced fracture. Further evaluation may be necessary to confirm this finding."
        },
        {
            "image_id": "3483_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. No focal airspace disease, pneumothorax or pleural effusion is seen. There is no evidence of active disease."
        },
        {
            "image_id": "3483_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. No focal airspace disease, pneumothorax or pleural effusion is seen. There is no evidence of active disease."
        },
        {
            "image_id": "2945_1",
            "caption": "The X-ray reveals diffuse bilateral coarse interstitial markings that are unchanged. However, no signs of acute cardiac or pulmonary abnormality are found, such as focal consolidation, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits, and the soft tissues are unremarkable. Additionally, degenerative changes are noted in the shoulder."
        },
        {
            "image_id": "2945_2",
            "caption": "The X-ray reveals diffuse bilateral coarse interstitial markings that are unchanged. However, no signs of acute cardiac or pulmonary abnormality are found, such as focal consolidation, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits, and the soft tissues are unremarkable. Additionally, degenerative changes are noted in the shoulder."
        },
        {
            "image_id": "1294_1",
            "caption": "The X-ray shows that there is no active disease present. Both the lungs are clear, and there is no evidence of pleural effusion or pneumothorax. The heart, mediastinum, skeletal structures, and soft tissues have no abnormalities detected."
        },
        {
            "image_id": "1294_2",
            "caption": "The X-ray shows that there is no active disease present. Both the lungs are clear, and there is no evidence of pleural effusion or pneumothorax. The heart, mediastinum, skeletal structures, and soft tissues have no abnormalities detected."
        },
        {
            "image_id": "700_1",
            "caption": "The x-ray image indicates a stable appearance of the chest with no acute findings. The heart is normal in size and contour. A calcified granuloma is observed in the right lower lung, without evidence of infiltrate. The lungs appear clear, with no presence of pneumothorax or effusion. Mild degenerative changes of the thoracic spine with osteopenia are noted."
        },
        {
            "image_id": "700_2",
            "caption": "The x-ray image indicates a stable appearance of the chest with no acute findings. The heart is normal in size and contour. A calcified granuloma is observed in the right lower lung, without evidence of infiltrate. The lungs appear clear, with no presence of pneumothorax or effusion. Mild degenerative changes of the thoracic spine with osteopenia are noted."
        },
        {
            "image_id": "728_1",
            "caption": "The x-ray image shows in the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary structures are normal. The nodule is suspicious and requires further examination. The differential diagnosis includes round pneumonia and parenchymal mass. CT may be of further assistance in determining the nature of the nodule. It is important to monitor any changes in the nodule over time. Discuss with your doctor about whether additional testing or monitoring is recommended."
        },
        {
            "image_id": "728_2",
            "caption": "The x-ray image shows in the interval, a 2 cm diameter nodule has developed in the posterior segment of the left lower lobe. It is not calcified. No other infiltrates or masses in the lungs. Heart and pulmonary structures are normal. The nodule is suspicious and requires further examination. The differential diagnosis includes round pneumonia and parenchymal mass. CT may be of further assistance in determining the nature of the nodule. It is important to monitor any changes in the nodule over time. Discuss with your doctor about whether additional testing or monitoring is recommended."
        },
        {
            "image_id": "2979_1",
            "caption": "The x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not enlarged, but calcified mediastinal lymph nodes are observed, as well as atherosclerotic changes in the aorta. Additionally, arthritic changes in the skeletal structures are noted. There are no signs of acute pulmonary disease. Further evaluation may be needed for the calcified lymph nodes and atherosclerotic changes."
        },
        {
            "image_id": "2979_2",
            "caption": "The x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not enlarged, but calcified mediastinal lymph nodes are observed, as well as atherosclerotic changes in the aorta. Additionally, arthritic changes in the skeletal structures are noted. There are no signs of acute pulmonary disease. Further evaluation may be needed for the calcified lymph nodes and atherosclerotic changes."
        },
        {
            "image_id": "3130_1",
            "caption": "On the two x-ray images, the heart size appears enlarged but stable, and there are atherosclerotic calcifications in the thoracic aorta. There is a region of dense consolidation within the left lower lobe behind the heart, and patchy airspace opacity within the perihilar region of the right lung. No pleural effusion or pneumothorax is observed. The impression is that pneumonia or infection could be the cause of the observed findings, and follow-up radiography is recommended following treatment to ensure resolution. However, if clinical findings do not match, further evaluation such as a CT scan is suggested."
        },
        {
            "image_id": "3130_2",
            "caption": "On the two x-ray images, the heart size appears enlarged but stable, and there are atherosclerotic calcifications in the thoracic aorta. There is a region of dense consolidation within the left lower lobe behind the heart, and patchy airspace opacity within the perihilar region of the right lung. No pleural effusion or pneumothorax is observed. The impression is that pneumonia or infection could be the cause of the observed findings, and follow-up radiography is recommended following treatment to ensure resolution. However, if clinical findings do not match, further evaluation such as a CT scan is suggested."
        },
        {
            "image_id": "1727_1",
            "caption": "The X-ray shows a right-sided internal jugular central venous catheter with the tip located around the right atrium. Postsurgical changes of the mediastinum are also visible. The left lung depicts an opacity, which was not clear on the earlier exam, indicating a possible area of airspace disease. The left base opacities appear stable and could be due to scarring or atelectasis. No sign of pneumothorax is visible, but low lung volumes are noted. Additionally, the X-ray shows degenerative changes in the thoracic spine. Considering the findings, the impression is suggestive of left midlung opacity that can be due to low-grade infection or an early neoplasm. It is suggested to follow up with appropriate diagnostic measures and interventions. The postsurgical changes and stable left base opacities indicate scarring or atelectasis."
        },
        {
            "image_id": "1727_2",
            "caption": "The X-ray shows a right-sided internal jugular central venous catheter with the tip located around the right atrium. Postsurgical changes of the mediastinum are also visible. The left lung depicts an opacity, which was not clear on the earlier exam, indicating a possible area of airspace disease. The left base opacities appear stable and could be due to scarring or atelectasis. No sign of pneumothorax is visible, but low lung volumes are noted. Additionally, the X-ray shows degenerative changes in the thoracic spine. Considering the findings, the impression is suggestive of left midlung opacity that can be due to low-grade infection or an early neoplasm. It is suggested to follow up with appropriate diagnostic measures and interventions. The postsurgical changes and stable left base opacities indicate scarring or atelectasis."
        },
        {
            "image_id": "1041_1",
            "caption": "The chest x-ray reveals no abnormality in the lungs or mediastinal region. However, there is a lucency across the 10th left posterior rib. This may indicate a fracture, which needs to be further assessed for correlation with any tenderness. The visualized portions of the thoracic spine appear normal, and there is no pneumothorax or pleural effusion."
        },
        {
            "image_id": "1041_2",
            "caption": "The chest x-ray reveals no abnormality in the lungs or mediastinal region. However, there is a lucency across the 10th left posterior rib. This may indicate a fracture, which needs to be further assessed for correlation with any tenderness. The visualized portions of the thoracic spine appear normal, and there is no pneumothorax or pleural effusion."
        },
        {
            "image_id": "3656_1",
            "caption": "Upon assessment, there is no evidence of acute cardiopulmonary disease. The heart appears to be borderline enlarged with a stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion is visible, and there is no focal airspace disease identified. Mild degenerative disease of the thoracic spine is apparent, while the bony structures appear to be intact. Nodular densities are observed, which may indicate chronic granulomatous disease."
        },
        {
            "image_id": "3656_2",
            "caption": "Upon assessment, there is no evidence of acute cardiopulmonary disease. The heart appears to be borderline enlarged with a stable cardiomediastinal silhouette. No pneumothorax or large pleural effusion is visible, and there is no focal airspace disease identified. Mild degenerative disease of the thoracic spine is apparent, while the bony structures appear to be intact. Nodular densities are observed, which may indicate chronic granulomatous disease."
        },
        {
            "image_id": "3642_1",
            "caption": "The X-ray report shows that there are no signs of acute cardiopulmonary disease. The heart size and pulmonary vascularity are within normal limits. Also, there is no evidence of pneumothorax or pleural effusion. Mild degenerative changes are found in both the thoracic spine. However, there is tortuous aorta. Further medical evaluation may be required for better diagnosis and appropriate treatment."
        },
        {
            "image_id": "3642_2",
            "caption": "The X-ray report shows that there are no signs of acute cardiopulmonary disease. The heart size and pulmonary vascularity are within normal limits. Also, there is no evidence of pneumothorax or pleural effusion. Mild degenerative changes are found in both the thoracic spine. However, there is tortuous aorta. Further medical evaluation may be required for better diagnosis and appropriate treatment."
        },
        {
            "image_id": "1055_1",
            "caption": "The x-ray image shows a normal heart size and clear lungs with no evidence of infiltrate, pneumothorax or effusion. The impression suggests no acute cardiopulmonary disease. It's a good report!"
        },
        {
            "image_id": "1055_2",
            "caption": "The x-ray image shows a normal heart size and clear lungs with no evidence of infiltrate, pneumothorax or effusion. The impression suggests no acute cardiopulmonary disease. It's a good report!"
        },
        {
            "image_id": "3124_1",
            "caption": "The x-ray shows persistent and marked enlargement of the pulmonary arteries, but the heart size is normal. There is no evidence of pneumonia or other acute cardiopulmonary abnormality. No focal airspace consolidation, pleural effusion or pneumothorax is observed. Visualized osseous structures appear unremarkable. The findings suggest the possibility of previous/chronic pulmonary embolism or pulmonary arterial hypertension. Further evaluation may be needed to determine the underlying cause."
        },
        {
            "image_id": "3124_2",
            "caption": "The x-ray shows persistent and marked enlargement of the pulmonary arteries, but the heart size is normal. There is no evidence of pneumonia or other acute cardiopulmonary abnormality. No focal airspace consolidation, pleural effusion or pneumothorax is observed. Visualized osseous structures appear unremarkable. The findings suggest the possibility of previous/chronic pulmonary embolism or pulmonary arterial hypertension. Further evaluation may be needed to determine the underlying cause."
        },
        {
            "image_id": "2212_1",
            "caption": "The findings indicate that the lungs, heart, mediastinum, skeletal structures, and soft tissues all have normal appearances, with no evidence of acute pulmonary disease or pleural effusion."
        },
        {
            "image_id": "2212_2",
            "caption": "The findings indicate that the lungs, heart, mediastinum, skeletal structures, and soft tissues all have normal appearances, with no evidence of acute pulmonary disease or pleural effusion."
        },
        {
            "image_id": "1069_1",
            "caption": "The x-ray shows that the heart is normal in size with no acute findings. However, there is mild hyperexpansion with flattening diaphragms and bronchovascular crowding in the lung bases indicative of emphysema. There is no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax, which suggests that it is a chronic condition and not an acute abnormality."
        },
        {
            "image_id": "2560_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart and mediastinum appear normal and the pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is identified. The left upper lung shows a stable calcified granuloma. No acute bony abnormality is seen."
        },
        {
            "image_id": "2560_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart and mediastinum appear normal and the pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is identified. The left upper lung shows a stable calcified granuloma. No acute bony abnormality is seen."
        },
        {
            "image_id": "2560_3",
            "caption": "The chest x-ray shows no acute abnormalities. The heart and mediastinum appear normal and the pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is identified. The left upper lung shows a stable calcified granuloma. No acute bony abnormality is seen."
        },
        {
            "image_id": "2560_4",
            "caption": "The chest x-ray shows no acute abnormalities. The heart and mediastinum appear normal and the pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is identified. The left upper lung shows a stable calcified granuloma. No acute bony abnormality is seen."
        },
        {
            "image_id": "3118_1",
            "caption": "The chest x-ray indicates that there is no acute abnormality in the heart or lungs. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease. Some nodular densities are present, which may indicate chronic granulomatous disease. The bony structures look normal. Based on the findings, there is no indication of acute cardiopulmonary disease that requires immediate attention."
        },
        {
            "image_id": "3118_2",
            "caption": "The chest x-ray indicates that there is no acute abnormality in the heart or lungs. There is no evidence of pneumothorax, pleural effusion, or focal airspace disease. Some nodular densities are present, which may indicate chronic granulomatous disease. The bony structures look normal. Based on the findings, there is no indication of acute cardiopulmonary disease that requires immediate attention."
        },
        {
            "image_id": "2206_1",
            "caption": "The x-ray image showed minimal right-sided perihilar atelectasis, but overall the findings indicate no acute cardiopulmonary disease or active disease present. The heart size and trachea were normal and no pneumothorax or pleural effusion was observed. This suggests the patient's lungs and heart are currently functioning well."
        },
        {
            "image_id": "2206_2",
            "caption": "The x-ray image showed minimal right-sided perihilar atelectasis, but overall the findings indicate no acute cardiopulmonary disease or active disease present. The heart size and trachea were normal and no pneumothorax or pleural effusion was observed. This suggests the patient's lungs and heart are currently functioning well."
        },
        {
            "image_id": "270_1",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. There are also no acute bony findings seen. In short, the person has a healthy cardiopulmonary system."
        },
        {
            "image_id": "270_2",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. There are also no acute bony findings seen. In short, the person has a healthy cardiopulmonary system."
        },
        {
            "image_id": "3695_1",
            "caption": "The x-ray shows mildly prominent central vascular markings and heart size at the upper limits of normal. However, no acute cardiopulmonary abnormality is detected. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion, and there is no acute bony abnormality. The central vascular prominence may indicate some congestion, but there is no evidence of an acute condition."
        },
        {
            "image_id": "3695_2",
            "caption": "The x-ray shows mildly prominent central vascular markings and heart size at the upper limits of normal. However, no acute cardiopulmonary abnormality is detected. The lungs are clear of focal airspace disease, pneumothorax, or pleural effusion, and there is no acute bony abnormality. The central vascular prominence may indicate some congestion, but there is no evidence of an acute condition."
        },
        {
            "image_id": "1082_1",
            "caption": "The patient's X-ray shows stable cardiomegaly and tortuosity of the aorta, with no signs of focal airspace opacities, pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. The impression is that the patient has clear lungs, however the cardiomegaly is stable. It is important for the patient to follow up with their healthcare provider for further evaluation and management."
        },
        {
            "image_id": "516_1",
            "caption": "The x-ray image shows a normal heart with calcified right hilar granulomas and no focal infiltrate. The trachea appears midline, and there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "516_2",
            "caption": "The x-ray image shows a normal heart with calcified right hilar granulomas and no focal infiltrate. The trachea appears midline, and there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "502_1",
            "caption": "The chest x-ray shows a normal heart size and midline trachea. There is no evidence of pneumothorax, pleural effusion, or focal airspace consolidation. The abdominal x-ray is negative for pneumoperitoneum and obstruction. The bowel pattern is normal with air and stool visible throughout the entire large colon, including the rectum. There are no abnormally dilated small bowel loops or evidence for intussusception. Pathologic calcifications are not visible in the abdomen or pelvis. Mild degenerative changes are seen throughout the lumbar spine. A small hiatal hernia is also noted. Overall, there is no acute cardiopulmonary abnormality or intra-abdominal process."
        },
        {
            "image_id": "502_2",
            "caption": "The chest x-ray shows a normal heart size and midline trachea. There is no evidence of pneumothorax, pleural effusion, or focal airspace consolidation. The abdominal x-ray is negative for pneumoperitoneum and obstruction. The bowel pattern is normal with air and stool visible throughout the entire large colon, including the rectum. There are no abnormally dilated small bowel loops or evidence for intussusception. Pathologic calcifications are not visible in the abdomen or pelvis. Mild degenerative changes are seen throughout the lumbar spine. A small hiatal hernia is also noted. Overall, there is no acute cardiopulmonary abnormality or intra-abdominal process."
        },
        {
            "image_id": "1096_1",
            "caption": "Based on the x-ray image, the heart size is normal and there are no signs of focal airspace opacities, pneumothorax, pleural effusion, or displaced rib fractures. As such, there are no acute findings to report at this time. It's always important to continue monitoring and addressing any health concerns or symptoms with your healthcare provider."
        },
        {
            "image_id": "3681_1",
            "caption": "The x-ray image does not show any abnormality, but it reveals lower lung volumes and central bronchovascular crowding. Further observations indicate there is a volume loss in the medial right upper lobe that is not well demonstrated on radiography. There is no lobar consolidation, pleural effusion, or pneumothorax. Overall, no acute abnormality is identified."
        },
        {
            "image_id": "3681_2",
            "caption": "The x-ray image does not show any abnormality, but it reveals lower lung volumes and central bronchovascular crowding. Further observations indicate there is a volume loss in the medial right upper lobe that is not well demonstrated on radiography. There is no lobar consolidation, pleural effusion, or pneumothorax. Overall, no acute abnormality is identified."
        },
        {
            "image_id": "1928_1",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits and the lungs are clear without any acute findings. Additionally, bony structures appear intact."
        },
        {
            "image_id": "1928_2",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits and the lungs are clear without any acute findings. Additionally, bony structures appear intact."
        },
        {
            "image_id": "264_1",
            "caption": "After reviewing the X-ray image, the radiologist found no signs of acute cardiopulmonary disease. The heart size, mediastinum, bony structures, and lungs all appeared normal and unremarkable. Furthermore, there were no infiltrates observed."
        },
        {
            "image_id": "264_2",
            "caption": "After reviewing the X-ray image, the radiologist found no signs of acute cardiopulmonary disease. The heart size, mediastinum, bony structures, and lungs all appeared normal and unremarkable. Furthermore, there were no infiltrates observed."
        },
        {
            "image_id": "1900_1",
            "caption": "The X-ray image shows no serious or acute abnormality. The heart and mediastinum structures are within normal limits in size. Additionally, there are no signs of focal infiltrate, pneumothorax, or pleural effusion, only scattered calcified granulomas throughout both lungs. Aortic calcification and mild degenerative changes of the thoracic spine are present. Overall, the chest appears stable, and there is no acute process identified."
        },
        {
            "image_id": "1900_2",
            "caption": "The X-ray image shows no serious or acute abnormality. The heart and mediastinum structures are within normal limits in size. Additionally, there are no signs of focal infiltrate, pneumothorax, or pleural effusion, only scattered calcified granulomas throughout both lungs. Aortic calcification and mild degenerative changes of the thoracic spine are present. Overall, the chest appears stable, and there is no acute process identified."
        },
        {
            "image_id": "3865_1",
            "caption": "The x-ray image reveals that the heart is normal in size with a stable mediastinum. There are no signs of acute diseases in the lungs, and there are no pleural effusion or pneumothorax. However, bilateral rib deformities are noted, which could possibly be old fractures. The impression remained the same, stating that there is no acute disease found in the x-ray."
        },
        {
            "image_id": "3865_2",
            "caption": "The x-ray image reveals that the heart is normal in size with a stable mediastinum. There are no signs of acute diseases in the lungs, and there are no pleural effusion or pneumothorax. However, bilateral rib deformities are noted, which could possibly be old fractures. The impression remained the same, stating that there is no acute disease found in the x-ray."
        },
        {
            "image_id": "1914_1",
            "caption": "The patient's X-ray shows a stable heart size and diffuse bilateral interstitial opacities, with no acute bony abnormalities, pneumothorax or effusions. The findings suggest scarring or infiltrate, and a CT scan is recommended for further characterization."
        },
        {
            "image_id": "1914_2",
            "caption": "The patient's X-ray shows a stable heart size and diffuse bilateral interstitial opacities, with no acute bony abnormalities, pneumothorax or effusions. The findings suggest scarring or infiltrate, and a CT scan is recommended for further characterization."
        },
        {
            "image_id": "258_1",
            "caption": "The x-ray shows hyperexpanded, but clear lungs with flattening of the diaphragms, which is consistent with obstructive lung disease. The heart and mediastinum are of normal size and contour. There are no pleural effusions or pneumothoraces observed. Additionally, degenerative changes in the spine are also noted. The impression is that the patient has hyperexpanded, yet clear lungs."
        },
        {
            "image_id": "258_2",
            "caption": "The x-ray shows hyperexpanded, but clear lungs with flattening of the diaphragms, which is consistent with obstructive lung disease. The heart and mediastinum are of normal size and contour. There are no pleural effusions or pneumothoraces observed. Additionally, degenerative changes in the spine are also noted. The impression is that the patient has hyperexpanded, yet clear lungs."
        },
        {
            "image_id": "3044_1",
            "caption": "The chest X-Ray examination reveals that the cardiomediastinal contours and pulmonary vascularity are normal, and there are no signs of consolidation, pleural effusion, or pneumothorax. The osseous structures and upper abdomen appear normal as well. Additionally, there is no evidence of an acute cardiopulmonary process. However, external monitor leads can be seen on the thorax."
        },
        {
            "image_id": "3044_2",
            "caption": "The chest X-Ray examination reveals that the cardiomediastinal contours and pulmonary vascularity are normal, and there are no signs of consolidation, pleural effusion, or pneumothorax. The osseous structures and upper abdomen appear normal as well. Additionally, there is no evidence of an acute cardiopulmonary process. However, external monitor leads can be seen on the thorax."
        },
        {
            "image_id": "1653_1",
            "caption": "There is a pacemaker generator in the left chest in a stable position. The two leads are also in stable position, one terminating in the right atrium and the other in the right ventricle. The sternotomy wires appear stable. There are no signs of pneumothorax, pleural effusion or focal airspace disease, except for minimal fluid within the right horizontal fissure. The pacemaker generator and leads are stable, and there is no pneumothorax present."
        },
        {
            "image_id": "1135_1",
            "caption": "The X-ray scan shows that the heart, mediastinum, bony structures, and lungs are unremarkable. There is a stable small calcified granuloma at the left base, but no other acute findings, opacities or infiltrates are noted. As per the impression, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1135_2",
            "caption": "The X-ray scan shows that the heart, mediastinum, bony structures, and lungs are unremarkable. There is a stable small calcified granuloma at the left base, but no other acute findings, opacities or infiltrates are noted. As per the impression, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3722_1",
            "caption": "The chest x-ray examination shows clear lungs and normal heart size with no pneumothorax. There is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3722_2",
            "caption": "The chest x-ray examination shows clear lungs and normal heart size with no pneumothorax. There is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3736_1",
            "caption": "The x-ray shows a normal size heart and clear mediastinal contours. There is no evidence of any focal airspace consolidation, pleural effusion or pneumothorax. The spinal cord, however, has shown mild degenerative disc disease. The impression is that there are no indications of any acute cardiopulmonary abnormalities in the x-ray."
        },
        {
            "image_id": "2428_1",
            "caption": "The X-ray shows mildly hyperinflated lungs, with possibly either air trapping or an inspiratory artifact. There is no evidence of any focal alveolar consolidation or pleural effusion, but left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. The heart is within normal limits with a prominent right atrial convexity, but no features supporting pulmonary edema are seen. There is no pneumothorax. However, mild right atrial enlargement is unclear and can be better characterized by a future CT or echocardiography."
        },
        {
            "image_id": "2428_2",
            "caption": "The X-ray shows mildly hyperinflated lungs, with possibly either air trapping or an inspiratory artifact. There is no evidence of any focal alveolar consolidation or pleural effusion, but left hilar calcifications and dense left lower lobe nodules suggest a previous granulomatous process. The heart is within normal limits with a prominent right atrial convexity, but no features supporting pulmonary edema are seen. There is no pneumothorax. However, mild right atrial enlargement is unclear and can be better characterized by a future CT or echocardiography."
        },
        {
            "image_id": "1121_1",
            "caption": "The x-ray shows clear lungs without any pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. However, there are some old rib fractures on the left side. Overall, there is no evidence of acute pulmonary disease seen in the x-ray."
        },
        {
            "image_id": "1121_2",
            "caption": "The x-ray shows clear lungs without any pleural effusion or pneumothorax. The heart and mediastinum are unremarkable. However, there are some old rib fractures on the left side. Overall, there is no evidence of acute pulmonary disease seen in the x-ray."
        },
        {
            "image_id": "1647_1",
            "caption": "Upon examining the x-ray image, it was found that there were no focal abnormalities such as consolidation, pneumothorax, or pleural effusion in the clear lungs. The cardio mediastinal silhouette appeared normal and there were no acute abnormalities in visualized osseous structures. As per impression, there was no occurrence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1647_2",
            "caption": "Upon examining the x-ray image, it was found that there were no focal abnormalities such as consolidation, pneumothorax, or pleural effusion in the clear lungs. The cardio mediastinal silhouette appeared normal and there were no acute abnormalities in visualized osseous structures. As per impression, there was no occurrence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3050_1",
            "caption": "The chest X-ray indicates both lungs are clear and well-expanded, and the heart and mediastinum appear normal. There is no evidence of active disease. This finding suggests that the patient's cardiopulmonary system is functioning properly without any acute or chronic conditions requiring further evaluation or treatment. It is imperative to continue monitoring the patient's health and conducting regular screenings to maintain optimal health."
        },
        {
            "image_id": "3078_1",
            "caption": "The radiograph shows no serious cardiopulmonary abnormality, except for a right lower lobe pneumonia that needs follow-up. The cardiomediastinal silhouette is normal and pulmonary vasculature is within normal limits. No pleural effusion or pneumothorax is observed."
        },
        {
            "image_id": "3078_2",
            "caption": "The radiograph shows no serious cardiopulmonary abnormality, except for a right lower lobe pneumonia that needs follow-up. The cardiomediastinal silhouette is normal and pulmonary vasculature is within normal limits. No pleural effusion or pneumothorax is observed."
        },
        {
            "image_id": "1109_1",
            "caption": "The x-ray shows that there is no acute cardiopulmonary abnormality. The heart size and mediastinal contours are normal, with pulmonary vascularity being within normal limits. Focal consolidation, suspicious pulmonary opacity, pneumothorax, and definite pleural effusion are all absent. Additionally, the visualized osseous structures appear to be intact."
        },
        {
            "image_id": "1109_2",
            "caption": "The x-ray shows that there is no acute cardiopulmonary abnormality. The heart size and mediastinal contours are normal, with pulmonary vascularity being within normal limits. Focal consolidation, suspicious pulmonary opacity, pneumothorax, and definite pleural effusion are all absent. Additionally, the visualized osseous structures appear to be intact."
        },
        {
            "image_id": "489_1",
            "caption": "The findings revealed that there were no focal consolidation, pneumothorax or pleural effusion, and the cardiomedistinal silhouette was within the normal limit. However, there were multiple granulomas and no acute bony abnormalities. Based on the impression by the doctor, there were no acute cardiopulmonary and bony abnormalities. In case there is still concern for an occult fracture, a dedicated rib series could be considered."
        },
        {
            "image_id": "489_2",
            "caption": "The findings revealed that there were no focal consolidation, pneumothorax or pleural effusion, and the cardiomedistinal silhouette was within the normal limit. However, there were multiple granulomas and no acute bony abnormalities. Based on the impression by the doctor, there were no acute cardiopulmonary and bony abnormalities. In case there is still concern for an occult fracture, a dedicated rib series could be considered."
        },
        {
            "image_id": "2414_1",
            "caption": "The patient has a mildly rotated position, and a mild curvature of the thoracic spine. Borderline cardiac enlargement is stable. Patchy airspace disease is observed in the left lower lobe on the lateral view, which is probably mostly atelectasis from an elevated left diaphragm. However, a superimposed pneumonia cannot be completely excluded. No significant pleural effusion or pneumothorax is found. An extensive fusion of the posterior cervical spine is observed. The findings suggest underinflated lungs with an elevation of the left diaphragm. It is recommended to consider follow-up imaging to assess for resolution and potential pneumonia."
        },
        {
            "image_id": "2372_1",
            "caption": "The x-ray shows low lung volumes with bandlike opacities present in the right lung, suggestive of atelectasis. The heart size and pulmonary vascularity are within normal limits, and there is no evidence of pneumothorax or pleural effusion. Based on these findings, the impression is bandlike opacities in the right lung, with appearance suggestive of atelectasis."
        },
        {
            "image_id": "2372_2",
            "caption": "The x-ray shows low lung volumes with bandlike opacities present in the right lung, suggestive of atelectasis. The heart size and pulmonary vascularity are within normal limits, and there is no evidence of pneumothorax or pleural effusion. Based on these findings, the impression is bandlike opacities in the right lung, with appearance suggestive of atelectasis."
        },
        {
            "image_id": "304_1",
            "caption": "The chest X-ray examination revealed no abnormality suggestive of acute cardiopulmonary disease. However, low lung volumes and patient rotation made the cardiomediastinal contours appear within normal limits. There was no evidence of consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "304_2",
            "caption": "The chest X-ray examination revealed no abnormality suggestive of acute cardiopulmonary disease. However, low lung volumes and patient rotation made the cardiomediastinal contours appear within normal limits. There was no evidence of consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "304_3",
            "caption": "The chest X-ray examination revealed no abnormality suggestive of acute cardiopulmonary disease. However, low lung volumes and patient rotation made the cardiomediastinal contours appear within normal limits. There was no evidence of consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "1848_1",
            "caption": "The x-ray examination shows normal findings. The trachea is in the midline and the cardiomediastinal silhouette is normal. Small round calcific density nodules are found bilaterally, which is consistent with prior granulomatous disease. However, there is no acute infiltrate or effusion, masses or pneumothorax observed in the lungs. Visualized bony structures also reveal no acute abnormalities. Thus, no acute cardiopulmonary abnormalities are detected in the x-ray report."
        },
        {
            "image_id": "1848_2",
            "caption": "The x-ray examination shows normal findings. The trachea is in the midline and the cardiomediastinal silhouette is normal. Small round calcific density nodules are found bilaterally, which is consistent with prior granulomatous disease. However, there is no acute infiltrate or effusion, masses or pneumothorax observed in the lungs. Visualized bony structures also reveal no acute abnormalities. Thus, no acute cardiopulmonary abnormalities are detected in the x-ray report."
        },
        {
            "image_id": "3087_1",
            "caption": "The heart is enlarged and the lungs are clear. A large hiatal hernia is identified containing the stomach and colon along with possible small bowel loops. There is compressive atelectasis adjacent to it. The x-ray does not show any acute disease. The large hiatal hernia appears stable and its contents include the stomach and large bowel and possible small bowel loops."
        },
        {
            "image_id": "3087_2",
            "caption": "The heart is enlarged and the lungs are clear. A large hiatal hernia is identified containing the stomach and colon along with possible small bowel loops. There is compressive atelectasis adjacent to it. The x-ray does not show any acute disease. The large hiatal hernia appears stable and its contents include the stomach and large bowel and possible small bowel loops."
        },
        {
            "image_id": "3939_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. Both lungs are clear and properly inflated, with no signs of fluid or air accumulation. The skeletal structure appears normal for the patient's age. Overall, the x-ray does not indicate any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3939_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. Both lungs are clear and properly inflated, with no signs of fluid or air accumulation. The skeletal structure appears normal for the patient's age. Overall, the x-ray does not indicate any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "462_1",
            "caption": "The x-ray image shows mild cardiomegaly and mild unfolding of the thoracic aorta. However, there are no focal airspace opacity, pleural effusion or pneumothorax present. The visualized osseous structures appear unremarkable in appearance. Based on the findings, there are no acute cardiopulmonary abnormalities found except for mild cardiomegaly."
        },
        {
            "image_id": "462_2",
            "caption": "The x-ray image shows mild cardiomegaly and mild unfolding of the thoracic aorta. However, there are no focal airspace opacity, pleural effusion or pneumothorax present. The visualized osseous structures appear unremarkable in appearance. Based on the findings, there are no acute cardiopulmonary abnormalities found except for mild cardiomegaly."
        },
        {
            "image_id": "476_1",
            "caption": "The chest x-ray shows no active disease. The lungs are clear without any pleural effusion. The heart appears normal. Aortic calcifications are seen on the image, but no acute abnormalities relating to that are present. The skeletal structure also appear normal."
        },
        {
            "image_id": "3093_1",
            "caption": "The patient's X-ray shows hyperexpanded lungs with bullae in the upper lobes, consistent with COPD. No acute findings are seen, and the heart size appears normal. It is important for the patient to continue managing their COPD symptoms with their healthcare provider."
        },
        {
            "image_id": "3093_2",
            "caption": "The patient's X-ray shows hyperexpanded lungs with bullae in the upper lobes, consistent with COPD. No acute findings are seen, and the heart size appears normal. It is important for the patient to continue managing their COPD symptoms with their healthcare provider."
        },
        {
            "image_id": "310_1",
            "caption": "The chest radiographs show no signs of abnormality in the heart, lungs or bones. Similarly, the thoracic spine and sternum radiographs are unremarkable, with no evidence of injury or fractures. Overall, there is no indication of acute thoracic abnormalities in the X-ray images."
        },
        {
            "image_id": "310_2",
            "caption": "The chest radiographs show no signs of abnormality in the heart, lungs or bones. Similarly, the thoracic spine and sternum radiographs are unremarkable, with no evidence of injury or fractures. Overall, there is no indication of acute thoracic abnormalities in the X-ray images."
        },
        {
            "image_id": "1684_1",
            "caption": "The patient's x-ray report shows no acute cardiopulmonary abnormalities. The heart is normal in size, and there are no focal air space opacities, pleural effusions or pneumothorax found. Additionally, there are no acute bony abnormalities, and pulmonary vascularity is within normal limits."
        },
        {
            "image_id": "1684_2",
            "caption": "The patient's x-ray report shows no acute cardiopulmonary abnormalities. The heart is normal in size, and there are no focal air space opacities, pleural effusions or pneumothorax found. Additionally, there are no acute bony abnormalities, and pulmonary vascularity is within normal limits."
        },
        {
            "image_id": "338_1",
            "caption": "The patient's heart, pulmonary system, and mediastinum all appear to be within normal limits based on the findings of the X-ray. Additionally, there is no indication of pleural effusion, pneumothorax, or pneumonia. It is noted that the patient was shielded during the X-ray. Overall, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "338_2",
            "caption": "The patient's heart, pulmonary system, and mediastinum all appear to be within normal limits based on the findings of the X-ray. Additionally, there is no indication of pleural effusion, pneumothorax, or pneumonia. It is noted that the patient was shielded during the X-ray. Overall, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1874_1",
            "caption": "The patient has a thin right apical pneumothorax measuring approximately 5 mm in thickness and extensive subcutaneous emphysema in the right chest wall and neck. Multiple right-sided rib fractures involving at least the right anterior 5th through 9th ribs with mild displacement are also present. Additionally, there is mild right basilar airspace disease, which could be atelectasis or contusion. The left lung is clear, and there is a small hiatal hernia. Furthermore, there is an intrathecal catheter ending in the lower thoracic spine. It is important to closely monitor these findings and provide appropriate treatment."
        },
        {
            "image_id": "1874_2",
            "caption": "The patient has a thin right apical pneumothorax measuring approximately 5 mm in thickness and extensive subcutaneous emphysema in the right chest wall and neck. Multiple right-sided rib fractures involving at least the right anterior 5th through 9th ribs with mild displacement are also present. Additionally, there is mild right basilar airspace disease, which could be atelectasis or contusion. The left lung is clear, and there is a small hiatal hernia. Furthermore, there is an intrathecal catheter ending in the lower thoracic spine. It is important to closely monitor these findings and provide appropriate treatment."
        },
        {
            "image_id": "3905_1",
            "caption": "The patient's x-ray shows stable cardiomegaly without acute cardiopulmonary abnormalities. The heart is enlarged but stable compared to the previous exam, and the mediastinum appears unremarkable. There is no evidence of pleural effusion, pneumothorax, or focal airspace disease."
        },
        {
            "image_id": "3905_2",
            "caption": "The patient's x-ray shows stable cardiomegaly without acute cardiopulmonary abnormalities. The heart is enlarged but stable compared to the previous exam, and the mediastinum appears unremarkable. There is no evidence of pleural effusion, pneumothorax, or focal airspace disease."
        },
        {
            "image_id": "1860_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. However, there is scoliotic curvature of the spine with a deformity in T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted. Follow-up with a specialist is recommended to evaluate vertebral abnormalities."
        },
        {
            "image_id": "1860_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. However, there is scoliotic curvature of the spine with a deformity in T9 vertebral body. Levocurvature of the lumbar spine with significant degenerative change is also noted. Follow-up with a specialist is recommended to evaluate vertebral abnormalities."
        },
        {
            "image_id": "3520_1",
            "caption": "The x-ray report indicates that there are no acute abnormalities related to heart, pulmonary or mediastinal function. The left lung has minimal streaky atelectasis. Also, the report shows evidence of thoracic spondylosis."
        },
        {
            "image_id": "3520_2",
            "caption": "The x-ray report indicates that there are no acute abnormalities related to heart, pulmonary or mediastinal function. The left lung has minimal streaky atelectasis. Also, the report shows evidence of thoracic spondylosis."
        },
        {
            "image_id": "1451_1",
            "caption": "The chest X-ray shows a calcified granuloma in the left lower lobe and mild emphysema. Additionally, there is mild medial right atelectasis. However, there are no signs of any acute pulmonary disease."
        },
        {
            "image_id": "1451_2",
            "caption": "The chest X-ray shows a calcified granuloma in the left lower lobe and mild emphysema. Additionally, there is mild medial right atelectasis. However, there are no signs of any acute pulmonary disease."
        },
        {
            "image_id": "3246_1",
            "caption": "The x-ray shows no acute process. The cardiac contours are normal with prominent pulmonary arteries. The lungs are clear and thoracic spondylosis is noted."
        },
        {
            "image_id": "3246_2",
            "caption": "The x-ray shows no acute process. The cardiac contours are normal with prominent pulmonary arteries. The lungs are clear and thoracic spondylosis is noted."
        },
        {
            "image_id": "2158_1",
            "caption": "The X-ray shows diffuse increased interstitial markings in both lungs, indicating pulmonary fibrosis. The fibrosis seems to have slightly increased in severity compared to the previous examination, in some areas. However, there is no sign of acute infiltrate, pneumothorax or pleural effusion. Additionally, the heart size is within normal limits. Based on these findings, it is redemonstrated that the patient has pulmonary fibrosis without any current acute abnormalities."
        },
        {
            "image_id": "2158_2",
            "caption": "The X-ray shows diffuse increased interstitial markings in both lungs, indicating pulmonary fibrosis. The fibrosis seems to have slightly increased in severity compared to the previous examination, in some areas. However, there is no sign of acute infiltrate, pneumothorax or pleural effusion. Additionally, the heart size is within normal limits. Based on these findings, it is redemonstrated that the patient has pulmonary fibrosis without any current acute abnormalities."
        },
        {
            "image_id": "3252_1",
            "caption": "Upon examination, the chest x-ray shows no signs of acute cardiopulmonary abnormality. There is no evidence of airspace opacity, effusion, noncalcified nodules or pneumothorax. The heart size and mediastinum are normal."
        },
        {
            "image_id": "3252_2",
            "caption": "Upon examination, the chest x-ray shows no signs of acute cardiopulmonary abnormality. There is no evidence of airspace opacity, effusion, noncalcified nodules or pneumothorax. The heart size and mediastinum are normal."
        },
        {
            "image_id": "1445_1",
            "caption": "The x-ray shows stable cardiomediastinal silhouette. There has been an interval removal of a right chest tube with increased elevation of the right hemidiaphragm and resulting right basilar atelectasis. Additionally, there is left basilar airspace disease and pleural effusion present, but no other focal consolidation or pneumothorax is detected. The left PICC is stable, with its tip overlying the mid SVC, and a large feeding tube courses below the diaphragm. Overall, the impression is that the patient has an increased elevation of right hemidiaphragm with right basilar atelectasis, and left basilar airspace disease and pleural effusion remain unchanged after the interval removal of the right chest tube. The x-ray indicates no signs of pneumothorax."
        },
        {
            "image_id": "1445_2",
            "caption": "The x-ray shows stable cardiomediastinal silhouette. There has been an interval removal of a right chest tube with increased elevation of the right hemidiaphragm and resulting right basilar atelectasis. Additionally, there is left basilar airspace disease and pleural effusion present, but no other focal consolidation or pneumothorax is detected. The left PICC is stable, with its tip overlying the mid SVC, and a large feeding tube courses below the diaphragm. Overall, the impression is that the patient has an increased elevation of right hemidiaphragm with right basilar atelectasis, and left basilar airspace disease and pleural effusion remain unchanged after the interval removal of the right chest tube. The x-ray indicates no signs of pneumothorax."
        },
        {
            "image_id": "1323_1",
            "caption": "The x-ray shows that the heart size and mediastinal silhouette are normal. The lungs are clear without any pneumothorax or pleural effusions. Overall, there are no acute cardiopulmonary abnormalities detected in the examination."
        },
        {
            "image_id": "1323_2",
            "caption": "The x-ray shows that the heart size and mediastinal silhouette are normal. The lungs are clear without any pneumothorax or pleural effusions. Overall, there are no acute cardiopulmonary abnormalities detected in the examination."
        },
        {
            "image_id": "3534_1",
            "caption": "The chest x-ray shows clear lungs bilaterally with no signs of pneumonia, fluid collection between lungs and chest walls, or collapsed lung. The heart appears normal in size. The presence of a calcified lymph node previously seen on a chest CT scan is noted as stable. The X-ray findings indicate no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3534_2",
            "caption": "The chest x-ray shows clear lungs bilaterally with no signs of pneumonia, fluid collection between lungs and chest walls, or collapsed lung. The heart appears normal in size. The presence of a calcified lymph node previously seen on a chest CT scan is noted as stable. The X-ray findings indicate no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "847_1",
            "caption": "The trachea is midline. The heart size is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise, the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. The X-ray shows no acute cardiopulmonary abnormalities. However, the heart appears slightly large and there are low lung volumes causing bronchovascular crowding, which should be further evaluated by a medical professional."
        },
        {
            "image_id": "847_2",
            "caption": "The trachea is midline. The heart size is slightly large. There are low lung volumes causing bronchovascular crowding. Otherwise, the lungs appear clear, without evidence of acute infiltrate or effusion. There is no pneumothorax. Visualized bony structures reveal no acute abnormalities. The X-ray shows no acute cardiopulmonary abnormalities. However, the heart appears slightly large and there are low lung volumes causing bronchovascular crowding, which should be further evaluated by a medical professional."
        },
        {
            "image_id": "2616_1",
            "caption": "The x-ray shows a normal size and configuration of the cardiac silhouette, but there is a right-sided small pleural effusion and a right base fluid level. The left lung is clear. The atypical location for a hiatal hernia cannot exclude a right lower lobe cavity, and correlation with a scan is recommended. However, it does not appear to be a hydropneumothorax or empyema. Thus, timely medical attention is required."
        },
        {
            "image_id": "2616_2",
            "caption": "The x-ray shows a normal size and configuration of the cardiac silhouette, but there is a right-sided small pleural effusion and a right base fluid level. The left lung is clear. The atypical location for a hiatal hernia cannot exclude a right lower lobe cavity, and correlation with a scan is recommended. However, it does not appear to be a hydropneumothorax or empyema. Thus, timely medical attention is required."
        },
        {
            "image_id": "3508_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The examination reveals stable features of the heart size, mediastinal contour, and pulmonary vascularity. Minimal streaky atelectasis is evident in the left lung base, but with no focal consolidation, suspicious pulmonary opacity, large pleural effusion or pneumothorax. Thoracic spondylosis is also observed. Overall, no acute process is found, and redemonstration of pulmonary fibrosis without acute infiltrate is present. The report mentions a stable left PICC with a tip lying over the mid SVC and large feeding tube courses below diaphragm. Mild degenerative changes of the thoracic spine are also present. Additionally, there is right upper and left lower lobe airspace disease present. The frontal and lateral views reveal a small right pleural effusion and right base fluid level possibly indicating atypical location for hiatal hernia or cavity. Stable pleural effusions and thickening, right worse than left and stable right apical thickening/atelectasis with volume loss suggests prior radiation or surgery. Clinical correlation is recommended to investigate the findings further."
        },
        {
            "image_id": "3508_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The examination reveals stable features of the heart size, mediastinal contour, and pulmonary vascularity. Minimal streaky atelectasis is evident in the left lung base, but with no focal consolidation, suspicious pulmonary opacity, large pleural effusion or pneumothorax. Thoracic spondylosis is also observed. Overall, no acute process is found, and redemonstration of pulmonary fibrosis without acute infiltrate is present. The report mentions a stable left PICC with a tip lying over the mid SVC and large feeding tube courses below diaphragm. Mild degenerative changes of the thoracic spine are also present. Additionally, there is right upper and left lower lobe airspace disease present. The frontal and lateral views reveal a small right pleural effusion and right base fluid level possibly indicating atypical location for hiatal hernia or cavity. Stable pleural effusions and thickening, right worse than left and stable right apical thickening/atelectasis with volume loss suggests prior radiation or surgery. Clinical correlation is recommended to investigate the findings further."
        },
        {
            "image_id": "13_1",
            "caption": "Upon reviewing the X-ray, the findings show that the cardiac silhouette appears to be borderline enlarged, but there are no other signs of acute pulmonary disease observed. The mediastinal contours are within normal limits, and there is no large pleural effusion or pneumothorax. Based on these results, the impression is that there is a borderline enlargement of the cardiac silhouette without any acute pulmonary disease present. It is recommended to consult with a healthcare professional for further evaluation and interpretation of these findings."
        },
        {
            "image_id": "13_2",
            "caption": "Upon reviewing the X-ray, the findings show that the cardiac silhouette appears to be borderline enlarged, but there are no other signs of acute pulmonary disease observed. The mediastinal contours are within normal limits, and there is no large pleural effusion or pneumothorax. Based on these results, the impression is that there is a borderline enlargement of the cardiac silhouette without any acute pulmonary disease present. It is recommended to consult with a healthcare professional for further evaluation and interpretation of these findings."
        },
        {
            "image_id": "660_1",
            "caption": "The x-ray image shows no acute abnormalities. There is no consolidation, pulmonary opacity, or pleural effusion. The cardiac silhouette and pulmonary vasculature are normal, with a stable mediastinal contour. The presence of calcified hilar lymph nodes is noted. Additionally, the visualized osseous structures appear unremarkable. Overall, there is no acute cardiopulmonary abnormality observed in the x-ray."
        },
        {
            "image_id": "660_2",
            "caption": "The x-ray image shows no acute abnormalities. There is no consolidation, pulmonary opacity, or pleural effusion. The cardiac silhouette and pulmonary vasculature are normal, with a stable mediastinal contour. The presence of calcified hilar lymph nodes is noted. Additionally, the visualized osseous structures appear unremarkable. Overall, there is no acute cardiopulmonary abnormality observed in the x-ray."
        },
        {
            "image_id": "2825_1",
            "caption": "The examination reveals normal cardiopulmonary structures. Specifically, there is no evidence of pulmonary abnormalities such as focal consolidation, pneumothorax or pleural effusion. Moreover, the cardio-mediastinal silhouette appears unremarkable and the osseous structures of the thorax do not show any acute abnormality. Overall, the impression is of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3285_1",
            "caption": "The chest x-ray shows clear lungs and a normal cardiomediastinal silhouette without any signs of pneumothorax or pleural effusion, indicating a negative result. No acute cardiopulmonary abnormality is observed."
        },
        {
            "image_id": "3285_2",
            "caption": "The chest x-ray shows clear lungs and a normal cardiomediastinal silhouette without any signs of pneumothorax or pleural effusion, indicating a negative result. No acute cardiopulmonary abnormality is observed."
        },
        {
            "image_id": "106_1",
            "caption": "The x-ray image shows that the heart and mediastinal contour are normal in size and shape. The pulmonary vascularity is also normal, and the lungs are clear without any evidence of pleural effusions or pneumothoraces. The impression suggests that there is no acute cardiopulmonary process, but if there is any concern for soft tissue, bone or bony abnormality of the thorax, further investigation is recommended."
        },
        {
            "image_id": "106_2",
            "caption": "The x-ray image shows that the heart and mediastinal contour are normal in size and shape. The pulmonary vascularity is also normal, and the lungs are clear without any evidence of pleural effusions or pneumothoraces. The impression suggests that there is no acute cardiopulmonary process, but if there is any concern for soft tissue, bone or bony abnormality of the thorax, further investigation is recommended."
        },
        {
            "image_id": "1492_1",
            "caption": "The findings of the x-ray suggest no acute issues with the patient's cardiopulmonary health. Specifically, the lungs, heart, and mediastinal contours appear normal with clear pleural spaces. Additionally, there is a stable lucency in the right mid clavicle dating back to a previous date. However, if the patient has any concerns about soft tissue or bony abnormality of the thorax, further examination is recommended."
        },
        {
            "image_id": "1492_2",
            "caption": "The findings of the x-ray suggest no acute issues with the patient's cardiopulmonary health. Specifically, the lungs, heart, and mediastinal contours appear normal with clear pleural spaces. Additionally, there is a stable lucency in the right mid clavicle dating back to a previous date. However, if the patient has any concerns about soft tissue or bony abnormality of the thorax, further examination is recommended."
        },
        {
            "image_id": "112_1",
            "caption": "The chest X-ray shows hyperexpanded lungs without any focal consolidation or pleural effusions. There are no pneumothoraces or abnormalities in the heart and mediastinum. However, degenerative changes in the spine and previous lower spine cervical fusion are observed. These findings suggest obstructive lung disease. Further evaluation and management are recommended for the same."
        },
        {
            "image_id": "112_2",
            "caption": "The chest X-ray shows hyperexpanded lungs without any focal consolidation or pleural effusions. There are no pneumothoraces or abnormalities in the heart and mediastinum. However, degenerative changes in the spine and previous lower spine cervical fusion are observed. These findings suggest obstructive lung disease. Further evaluation and management are recommended for the same."
        },
        {
            "image_id": "3291_1",
            "caption": "The chest X-ray shows no evidence of any acute cardiopulmonary disease. The lungs are clear, pleural spaces are normal and mediastinal contours within the normal limits. It is important to discuss the findings with the healthcare provider for further evaluation and diagnosis, if needed."
        },
        {
            "image_id": "3291_2",
            "caption": "The chest X-ray shows no evidence of any acute cardiopulmonary disease. The lungs are clear, pleural spaces are normal and mediastinal contours within the normal limits. It is important to discuss the findings with the healthcare provider for further evaluation and diagnosis, if needed."
        },
        {
            "image_id": "674_1",
            "caption": "There are low lung volumes and bronchovascular crowding with no focal infiltrate or effusion, pneumothorax or osseous abnormality. Heart and mediastinal contours appear normal. No acute cardiopulmonary abnormality was detected on this examination. The observed low volumes and bronchovascular crowding may suggest a chronic respiratory condition. Please consider scheduling a follow-up appointment with a healthcare provider to further discuss these findings. If you have any questions about this examination, we would be happy to assist you."
        },
        {
            "image_id": "674_2",
            "caption": "There are low lung volumes and bronchovascular crowding with no focal infiltrate or effusion, pneumothorax or osseous abnormality. Heart and mediastinal contours appear normal. No acute cardiopulmonary abnormality was detected on this examination. The observed low volumes and bronchovascular crowding may suggest a chronic respiratory condition. Please consider scheduling a follow-up appointment with a healthcare provider to further discuss these findings. If you have any questions about this examination, we would be happy to assist you."
        },
        {
            "image_id": "2819_1",
            "caption": "The heart and lungs have remained stable in the interval. Both lungs are clear and expanded. Heart and mediastinum look normal. No change in the mediastinal surgical clips is noted. The X-ray shows no evidence of active disease."
        },
        {
            "image_id": "884_1",
            "caption": "The x-ray shows clear lungs bilaterally, with no signs of focal consolidation, pneumothorax, or pleural effusion. A calcified granuloma is noted in the right basilar region. The cardio mediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "884_2",
            "caption": "The x-ray shows clear lungs bilaterally, with no signs of focal consolidation, pneumothorax, or pleural effusion. A calcified granuloma is noted in the right basilar region. The cardio mediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "648_1",
            "caption": "The x-ray shows no acute abnormality. The cardiomediastinal size and contour is normal. A calcified granuloma is observed in the right lower lobe. The lungs are mildly hypoinflated but clear as evidenced by the absence of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are observed. Further consultation with a specialist is recommended if required."
        },
        {
            "image_id": "648_2",
            "caption": "The x-ray shows no acute abnormality. The cardiomediastinal size and contour is normal. A calcified granuloma is observed in the right lower lobe. The lungs are mildly hypoinflated but clear as evidenced by the absence of focal airspace disease, pneumothorax or pleural effusion. No acute, displaced fractures are observed. Further consultation with a specialist is recommended if required."
        },
        {
            "image_id": "890_1",
            "caption": "The patient has no acute cardiopulmonary abnormality. The lungs are clear without any sign of focal consolidation, pneumothorax or pleural effusion. The heart and pulmonary vasculature are normal, with cardiac and mediastinal contours within normal limits. Visualized osseous structures are without acute abnormality. The radiologist found a calcified granuloma in the right lower lobe of the lungs. However, there is no need for immediate medical intervention as it is prior granulomatous disease. Bony structures are intact. Overall, no active disease or acute preoperative findings were identified."
        },
        {
            "image_id": "890_2",
            "caption": "The patient has no acute cardiopulmonary abnormality. The lungs are clear without any sign of focal consolidation, pneumothorax or pleural effusion. The heart and pulmonary vasculature are normal, with cardiac and mediastinal contours within normal limits. Visualized osseous structures are without acute abnormality. The radiologist found a calcified granuloma in the right lower lobe of the lungs. However, there is no need for immediate medical intervention as it is prior granulomatous disease. Bony structures are intact. Overall, no active disease or acute preoperative findings were identified."
        },
        {
            "image_id": "138_1",
            "caption": "The x-ray shows no abnormalities with the cardiac, mediastinal or bony structures. The lungs appear clear with no acute findings noted. Based on these results, there are no preoperative concerns."
        },
        {
            "image_id": "138_2",
            "caption": "The x-ray shows no abnormalities with the cardiac, mediastinal or bony structures. The lungs appear clear with no acute findings noted. Based on these results, there are no preoperative concerns."
        },
        {
            "image_id": "886_1",
            "caption": "The chest X-ray shows no signs of acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs appear clear without any abnormalities. This is a reassuring result for the patient."
        },
        {
            "image_id": "886_2",
            "caption": "The chest X-ray shows no signs of acute disease. The heart is normal in size and the mediastinum is unremarkable. The lungs appear clear without any abnormalities. This is a reassuring result for the patient."
        },
        {
            "image_id": "892_1",
            "caption": "The X-ray reveals hyperinflation and subtle scarring in the lateral right base, no pleural effusion, or pneumothorax. The heart is not significantly enlarged. Atherosclerotic changes in the aorta and arthritic changes in the skeletal structures are noted. The impression is that the patient suffers from COPD and probable right basilar scarring, with no acute pulmonary disease identified. It is recommended to consult with a healthcare provider for further diagnosis and treatment."
        },
        {
            "image_id": "892_2",
            "caption": "The X-ray reveals hyperinflation and subtle scarring in the lateral right base, no pleural effusion, or pneumothorax. The heart is not significantly enlarged. Atherosclerotic changes in the aorta and arthritic changes in the skeletal structures are noted. The impression is that the patient suffers from COPD and probable right basilar scarring, with no acute pulmonary disease identified. It is recommended to consult with a healthcare provider for further diagnosis and treatment."
        },
        {
            "image_id": "104_1",
            "caption": "The X-ray shows minimal left basilar subsegmental atelectasis or scarring, but no other acute findings. The heart is at the upper limit of normal, and there is aortic atherosclerotic vascular calcification, as well as calcified mediastinal and hilar lymph nodes consistent with prior granulomatous disease. The cardiac defibrillator appears intact, and there are minimal degenerative changes in the spine. Multiple calcified splenic granulomas are also noted, but there is no evidence of focal airspace consolidation, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "3287_1",
            "caption": "Heart size and mediastinal contour are normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax. Right midlung and left basilar airspace densities. The most recent study is not available for comparison. Our recommendation is to further evaluate with your physician and consider additional imaging such as CT scan for better assessment. Early diagnosis and treatment are important for a better outcome, and we are available to assist you in the care of your patient."
        },
        {
            "image_id": "3287_2",
            "caption": "Heart size and mediastinal contour are normal. There is a 2.5 cm vague nodular density in the right mid lung, probably within the middle lobe given the opacification on the lateral view. There is a subtle left retrocardiac density also noted, with obscuration of aortic contour. No pleural effusions or pneumothorax. Right midlung and left basilar airspace densities. The most recent study is not available for comparison. Our recommendation is to further evaluate with your physician and consider additional imaging such as CT scan for better assessment. Early diagnosis and treatment are important for a better outcome, and we are available to assist you in the care of your patient."
        },
        {
            "image_id": "2199_1",
            "caption": "The right catheter tip overlies the mid SVC. There are bronchiectatic changes with diffuse patchy airspace opacities. There is no evidence of pneumothorax or pleural effusion. The current exam shows similarities with changes observed in cystic fibrosis. There is no focal abnormality identified. Further detailed evaluation is suggested. As an AI language model, I am not able to provide medical advice. Please consult a qualified healthcare professional for diagnosis and treatment."
        },
        {
            "image_id": "2827_1",
            "caption": "The patient has an endotracheal tube that needs retraction to the carina level. There is right-sided pneumothorax with hemopneumothorax (blood in the pleural cavity) and axillary subcutaneous emphysema. The patient also has a right-sided bullet over the T10 vertebra and shrapnel overlying the right lower lobe. A probable lateral fracture of the right 8th rib is visible on the image. The heart size and mediastinum are normal. There are no focal bone abnormalities except for the probable fracture stated above. The patient needs prompt medical attention for further evaluation and treatment."
        },
        {
            "image_id": "2827_2",
            "caption": "The patient has an endotracheal tube that needs retraction to the carina level. There is right-sided pneumothorax with hemopneumothorax (blood in the pleural cavity) and axillary subcutaneous emphysema. The patient also has a right-sided bullet over the T10 vertebra and shrapnel overlying the right lower lobe. A probable lateral fracture of the right 8th rib is visible on the image. The heart size and mediastinum are normal. There are no focal bone abnormalities except for the probable fracture stated above. The patient needs prompt medical attention for further evaluation and treatment."
        },
        {
            "image_id": "662_1",
            "caption": "The x-ray image shows no abnormality in the heart size, shape or mediastinum, lung or bony structures. The radiologist's impression indicates the absence of acute cardiopulmonary disease based on the findings. It's a good sign of normal health, and follow-up tests may be necessary for those who may have symptoms."
        },
        {
            "image_id": "662_2",
            "caption": "The x-ray image shows no abnormality in the heart size, shape or mediastinum, lung or bony structures. The radiologist's impression indicates the absence of acute cardiopulmonary disease based on the findings. It's a good sign of normal health, and follow-up tests may be necessary for those who may have symptoms."
        },
        {
            "image_id": "676_1",
            "caption": "The chest X-ray shows clear lungs, with normal heart size and no indication of pneumothorax. There is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "676_2",
            "caption": "The chest X-ray shows clear lungs, with normal heart size and no indication of pneumothorax. There is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2833_1",
            "caption": "The x-ray shows that the heart, pulmonary structures, and mediastinum are all normal. There are no signs of pleural effusion or pneumothorax, and no appearance of pneumonia. The clavicles appear to be in normal conditions as well. Overall, the radiologist found no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2833_2",
            "caption": "The x-ray shows that the heart, pulmonary structures, and mediastinum are all normal. There are no signs of pleural effusion or pneumothorax, and no appearance of pneumonia. The clavicles appear to be in normal conditions as well. Overall, the radiologist found no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "110_1",
            "caption": "The chest x-ray shows normal limits for cardiac and mediastinal contours with no abnormalities in the lungs or bony structures. The impression is negative for any preoperative findings. This chest x-ray suggests a healthy chest and lungs."
        },
        {
            "image_id": "110_2",
            "caption": "The chest x-ray shows normal limits for cardiac and mediastinal contours with no abnormalities in the lungs or bony structures. The impression is negative for any preoperative findings. This chest x-ray suggests a healthy chest and lungs."
        },
        {
            "image_id": "1484_1",
            "caption": "The chest x-ray shows a calcified granuloma in the left lower lobe and degenerative changes of the thoracic spine, but no evidence of acute cardiopulmonary abnormality, such as consolidation, pleural effusions or pneumothorax, is found."
        },
        {
            "image_id": "1484_2",
            "caption": "The chest x-ray shows a calcified granuloma in the left lower lobe and degenerative changes of the thoracic spine, but no evidence of acute cardiopulmonary abnormality, such as consolidation, pleural effusions or pneumothorax, is found."
        },
        {
            "image_id": "2166_1",
            "caption": "The heart, lungs are stable in the interval with no significant changes noticed. Both lungs appear normal, clear and properly expanded. The heart and mediastinum also appear to be normal with no visible abnormalities. The X-ray shows no active disease, and the condition of the heart, lungs, and mediastinum appears to be normal."
        },
        {
            "image_id": "3278_1",
            "caption": "The chest x-ray shows normal heart size and maintained mediastinal contours. There is a mild pectus excavatum deformity but no evidence of focal infiltrate, pleural effusion, or pneumothorax. The right shoulder and right clavicle x-rays reveal no acute bony abnormality. However, the lateral most screw of the clavicular fixation device is fractured, a condition age-indeterminate due to no prior studies being available for comparison. Therefore, clinical correlation is necessary. Overall, no acute cardiopulmonary abnormality is identified on the x-ray images."
        },
        {
            "image_id": "2600_1",
            "caption": "The heart and lungs are normal. Lungs are clear and well-expanded. Also, there is a note on the placement of a retention device in the lower cervical spine. No active disease or abnormalities were found in the x-ray report."
        },
        {
            "image_id": "2600_2",
            "caption": "The heart and lungs are normal. Lungs are clear and well-expanded. Also, there is a note on the placement of a retention device in the lower cervical spine. No active disease or abnormalities were found in the x-ray report."
        },
        {
            "image_id": "1309_1",
            "caption": "The chest x-ray shows that the heart, pulmonary blood vessels, and mediastinum are normal in size. The lungs are clear without any signs of pneumonia, pneumothorax or pleural effusion. Additionally, no acute bone abnormality is visualized. Therefore, there is no active cardiopulmonary disease present on this x-ray examination."
        },
        {
            "image_id": "1309_2",
            "caption": "The chest x-ray shows that the heart, pulmonary blood vessels, and mediastinum are normal in size. The lungs are clear without any signs of pneumonia, pneumothorax or pleural effusion. Additionally, no acute bone abnormality is visualized. Therefore, there is no active cardiopulmonary disease present on this x-ray examination."
        },
        {
            "image_id": "845_1",
            "caption": "The chest X-ray shows no significant abnormalities. Minimal subsegmental atelectasis is noted posteriorly, but there are no pleural effusions or pneumothoraces present. The heart and mediastinum are of normal size and shape. There is no evidence of any focal lung opacity, pleural effusion, or pneumothorax. In other words, the chest X-ray reveals no acute findings or cardiopulmonary abnormalities."
        },
        {
            "image_id": "845_2",
            "caption": "The chest X-ray shows no significant abnormalities. Minimal subsegmental atelectasis is noted posteriorly, but there are no pleural effusions or pneumothoraces present. The heart and mediastinum are of normal size and shape. There is no evidence of any focal lung opacity, pleural effusion, or pneumothorax. In other words, the chest X-ray reveals no acute findings or cardiopulmonary abnormalities."
        },
        {
            "image_id": "689_1",
            "caption": "Three noncalcified lung nodules in left lower lobe and a nodule near right hilum. Normal appearance of mediastinum and heart. Presence of multiple nodules in both lungs indicates towards neoplasm. Further evaluation could be done with contrasted CT scan of the chest, abdomen and pelvis. Contact your healthcare provider for more information."
        },
        {
            "image_id": "689_2",
            "caption": "Three noncalcified lung nodules in left lower lobe and a nodule near right hilum. Normal appearance of mediastinum and heart. Presence of multiple nodules in both lungs indicates towards neoplasm. Further evaluation could be done with contrasted CT scan of the chest, abdomen and pelvis. Contact your healthcare provider for more information."
        },
        {
            "image_id": "11_1",
            "caption": "The X-ray shows that the heart, mediastinum, and pulmonary vasculature are normal. Lungs are clear with no signs of pneumothorax or pleural effusion. There are no acute bone findings. Based on these results, there are no signs of any immediate cardiopulmonary abnormalities."
        },
        {
            "image_id": "11_2",
            "caption": "The X-ray shows that the heart, mediastinum, and pulmonary vasculature are normal. Lungs are clear with no signs of pneumothorax or pleural effusion. There are no acute bone findings. Based on these results, there are no signs of any immediate cardiopulmonary abnormalities."
        },
        {
            "image_id": "851_1",
            "caption": "The finding shows normal cardiac contours but underinflated lungs and basilar atelectasis. Osteophytic degeneration of the thoracic spine is also visible, and mid to lower thoracic vertebroplasty has been performed. All of these findings indicate no active infiltrate."
        },
        {
            "image_id": "2614_1",
            "caption": "The chest x-ray reveals a normal size heart and clear lungs with no signs of pneumonia, pneumothorax or fluid accumulation. However, there are prominent right paratracheal opacities that indicate the presence of adenopathy. There are also no acute bone abnormalities seen. Based on these findings, further evaluation may be needed to determine the underlying cause of the adenopathy."
        },
        {
            "image_id": "2614_2",
            "caption": "The chest x-ray reveals a normal size heart and clear lungs with no signs of pneumonia, pneumothorax or fluid accumulation. However, there are prominent right paratracheal opacities that indicate the presence of adenopathy. There are also no acute bone abnormalities seen. Based on these findings, further evaluation may be needed to determine the underlying cause of the adenopathy."
        },
        {
            "image_id": "2172_1",
            "caption": "The chest x-ray shows that the cardiomediastinal silhouette is normal and there are no signs of focal consolidation, pneumothorax, or large pleural effusion. However, there is biapical fibronodular thickening/scarring and hyperexpanded lungs. The impression is that there is no acute abnormality."
        },
        {
            "image_id": "2172_2",
            "caption": "The chest x-ray shows that the cardiomediastinal silhouette is normal and there are no signs of focal consolidation, pneumothorax, or large pleural effusion. However, there is biapical fibronodular thickening/scarring and hyperexpanded lungs. The impression is that there is no acute abnormality."
        },
        {
            "image_id": "1453_1",
            "caption": "The x-ray shows normal cardiomediastinal contours without any evidence of acute cardiopulmonary abnormalities such as pneumothorax or large pleural effusions. However, the patient has low lung volumes indicating respiratory distress. It is recommended to investigate further to determine the cause of low lung volumes."
        },
        {
            "image_id": "1453_2",
            "caption": "The x-ray shows normal cardiomediastinal contours without any evidence of acute cardiopulmonary abnormalities such as pneumothorax or large pleural effusions. However, the patient has low lung volumes indicating respiratory distress. It is recommended to investigate further to determine the cause of low lung volumes."
        },
        {
            "image_id": "1335_1",
            "caption": "A chest x-ray was obtained, showing a normal heart size and shape, and unremarkable aortic contours. The lungs appear clear and there is no evidence of fluid or air in the pleural space. The impression notes no acute pulmonary disease, promoting a healthy result."
        },
        {
            "image_id": "1335_2",
            "caption": "A chest x-ray was obtained, showing a normal heart size and shape, and unremarkable aortic contours. The lungs appear clear and there is no evidence of fluid or air in the pleural space. The impression notes no acute pulmonary disease, promoting a healthy result."
        },
        {
            "image_id": "39_1",
            "caption": "The chest x-ray shows no active disease. The heart and mediastinum are normal in size and shape, and both lungs are clear and expanded. The finding indicates that there are no signs of acute illness or abnormalities in the chest."
        },
        {
            "image_id": "39_2",
            "caption": "The chest x-ray shows no active disease. The heart and mediastinum are normal in size and shape, and both lungs are clear and expanded. The finding indicates that there are no signs of acute illness or abnormalities in the chest."
        },
        {
            "image_id": "3522_1",
            "caption": "The chest X-ray shows clear lungs, normal heart size and mediastinum, intact bony structures, and no pneumothorax or pleural effusion. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "3522_2",
            "caption": "The chest X-ray shows clear lungs, normal heart size and mediastinum, intact bony structures, and no pneumothorax or pleural effusion. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "3536_1",
            "caption": "The chest x-ray reveals an enlarged heart without signs of any fluid accumulation. The pulmonary vasculature appears normal and there is no pneumothorax visible. However, a right pleural effusion appears to be present, evident by the blunting of the posterior costophrenic. The left lung base shows a subsegmental atelectasis. Additionally, the thoracolumbar spine shows evidence of multilevel degenerative disease.  Overall, the impression is of cardiomegaly without pulmonary edema, right medial basilar airspace disease, and left lower lobe subsegmental atelectasis."
        },
        {
            "image_id": "3536_2",
            "caption": "The chest x-ray reveals an enlarged heart without signs of any fluid accumulation. The pulmonary vasculature appears normal and there is no pneumothorax visible. However, a right pleural effusion appears to be present, evident by the blunting of the posterior costophrenic. The left lung base shows a subsegmental atelectasis. Additionally, the thoracolumbar spine shows evidence of multilevel degenerative disease.  Overall, the impression is of cardiomegaly without pulmonary edema, right medial basilar airspace disease, and left lower lobe subsegmental atelectasis."
        },
        {
            "image_id": "2628_1",
            "caption": "The x-ray shows that the heart and lungs are normal in size and the pulmonary vasculature is within normal limits. The lungs are mildly hypoinflated with minimal streaky atelectasis or scarring in the lung bases. However, there is no evidence of pulmonary disease, and no acute bony findings are present. There is only a stable calcified granuloma in the posterior left midlung. Thus, the impression is that there are mildly low lung volumes with atelectasis or scarring in the lung bases."
        },
        {
            "image_id": "2628_2",
            "caption": "The x-ray shows that the heart and lungs are normal in size and the pulmonary vasculature is within normal limits. The lungs are mildly hypoinflated with minimal streaky atelectasis or scarring in the lung bases. However, there is no evidence of pulmonary disease, and no acute bony findings are present. There is only a stable calcified granuloma in the posterior left midlung. Thus, the impression is that there are mildly low lung volumes with atelectasis or scarring in the lung bases."
        },
        {
            "image_id": "1447_1",
            "caption": "The chest x-ray shows no acute pulmonary disease. The lungs are clear and there is no pleural effusion or pneumothorax. The heart and mediastinum appear normal. Skeletal structures reveal short thready changes of the spine."
        },
        {
            "image_id": "1447_2",
            "caption": "The chest x-ray shows no acute pulmonary disease. The lungs are clear and there is no pleural effusion or pneumothorax. The heart and mediastinum appear normal. Skeletal structures reveal short thready changes of the spine."
        },
        {
            "image_id": "3250_1",
            "caption": "The lungs appear relatively clear with no definite pneumonia. The heart size is normal with an unfolded aorta. There is a moderate hiatal hernia. T-spine osteophytes and DISH are present. The impression notes the moderate hiatal hernia with no definite signs of pneumonia."
        },
        {
            "image_id": "3250_2",
            "caption": "The lungs appear relatively clear with no definite pneumonia. The heart size is normal with an unfolded aorta. There is a moderate hiatal hernia. T-spine osteophytes and DISH are present. The impression notes the moderate hiatal hernia with no definite signs of pneumonia."
        },
        {
            "image_id": "3250_3",
            "caption": "The lungs appear relatively clear with no definite pneumonia. The heart size is normal with an unfolded aorta. There is a moderate hiatal hernia. T-spine osteophytes and DISH are present. The impression notes the moderate hiatal hernia with no definite signs of pneumonia."
        },
        {
            "image_id": "3907_1",
            "caption": "The X-ray image shows stable mild enlargement of the cardiac and mediastinal silhouette, with low lung volumes and scattered opacities in both lungs, indicating some subsegmental atelectasis and airspace disease. There is no evidence of pneumothorax or pleural effusion, but there are some degenerative changes in the thoracic spine, possibly consistent with DISH. Overall, there are mild cardiopulmonary changes, but no acute disease or significant abnormalities are found."
        },
        {
            "image_id": "1876_1",
            "caption": "The chest x-ray shows no acute abnormalities in the heart or lungs. The lungs are clear without any visible signs of consolidation, pneumothorax, or pleural effusion. However, there is an observed right apical pleural retraction, hyperexpansion, flattening of diaphragms, and increased AP diameter. Additionally, degenerative disease is present in the thoracic spine."
        },
        {
            "image_id": "1876_2",
            "caption": "The chest x-ray shows no acute abnormalities in the heart or lungs. The lungs are clear without any visible signs of consolidation, pneumothorax, or pleural effusion. However, there is an observed right apical pleural retraction, hyperexpansion, flattening of diaphragms, and increased AP diameter. Additionally, degenerative disease is present in the thoracic spine."
        },
        {
            "image_id": "448_1",
            "caption": "The x-ray shows the heart size within normal limits and there is no evidence of any acute cardiopulmonary process. The lungs are clear and there is no focal airspace consolidation, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "460_1",
            "caption": "The x-ray examination showed that there were no acute abnormalities in the pulmonary system or pleural spaces, and the heart size as well as pulmonary vascularity were within normal limits. Additionally, there was a mild tortuosity of the thoracic aorta, which remained unchanged. Overall, the impression was that there were no acute pulmonary abnormalities found during the x-ray examination."
        },
        {
            "image_id": "460_2",
            "caption": "The x-ray examination showed that there were no acute abnormalities in the pulmonary system or pleural spaces, and the heart size as well as pulmonary vascularity were within normal limits. Additionally, there was a mild tortuosity of the thoracic aorta, which remained unchanged. Overall, the impression was that there were no acute pulmonary abnormalities found during the x-ray examination."
        },
        {
            "image_id": "3085_1",
            "caption": "The x-ray image shows normal cardiomediastinal contours without any focal lung consolidation, pleural effusions or pneumothorax, indicating that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3085_2",
            "caption": "The x-ray image shows normal cardiomediastinal contours without any focal lung consolidation, pleural effusions or pneumothorax, indicating that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "306_1",
            "caption": "The patient's chest x-ray shows clear lungs and a normal sized heart without any acute abnormalities. There's no evidence of pneumothorax or any other cardiopulmonary illness."
        },
        {
            "image_id": "306_2",
            "caption": "The patient's chest x-ray shows clear lungs and a normal sized heart without any acute abnormalities. There's no evidence of pneumothorax or any other cardiopulmonary illness."
        },
        {
            "image_id": "1686_1",
            "caption": "The heart and lungs have shown no changes in the interval. Both the lungs are clear and expanded, with a normal heart and mediastinum. No changes identified in the calcified aorticopulmonary lymph node. No active disease detected in the X-ray image."
        },
        {
            "image_id": "1686_2",
            "caption": "The heart and lungs have shown no changes in the interval. Both the lungs are clear and expanded, with a normal heart and mediastinum. No changes identified in the calcified aorticopulmonary lymph node. No active disease detected in the X-ray image."
        },
        {
            "image_id": "312_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with left-sided aortic findings. Pulmonary vasculatures are normal and central airways are clear. No focal consolidation or pleural effusion is seen, and the bony structures appear normal. The impression of the image is that there are no acute pulmonary findings to report."
        },
        {
            "image_id": "312_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with left-sided aortic findings. Pulmonary vasculatures are normal and central airways are clear. No focal consolidation or pleural effusion is seen, and the bony structures appear normal. The impression of the image is that there are no acute pulmonary findings to report."
        },
        {
            "image_id": "3091_1",
            "caption": "The x-ray shows mildly enlarged heart size, but the patient is post aortic valve replacement, and the previous sternotomy wires are intact, as observed in the image. The pulmonary vasculature and mediastinum are within normal limits. No pleural effusion or pneumothorax is seen, and there are no indications of pneumonia or focal airspace opacity. The spine shows mild degenerative changes. The impression is that there is no acute cardiopulmonary disease, and a critical result notification has been documented through Primordial."
        },
        {
            "image_id": "3091_2",
            "caption": "The x-ray shows mildly enlarged heart size, but the patient is post aortic valve replacement, and the previous sternotomy wires are intact, as observed in the image. The pulmonary vasculature and mediastinum are within normal limits. No pleural effusion or pneumothorax is seen, and there are no indications of pneumonia or focal airspace opacity. The spine shows mild degenerative changes. The impression is that there is no acute cardiopulmonary disease, and a critical result notification has been documented through Primordial."
        },
        {
            "image_id": "474_1",
            "caption": "The chest x-ray shows clear and normal lungs, with no abnormalities seen in the heart and mediastinum. There are also no issues with the skeletal structure. The impression is that there is no sign of acute pulmonary disease, indicating a healthy chest."
        },
        {
            "image_id": "474_2",
            "caption": "The chest x-ray shows clear and normal lungs, with no abnormalities seen in the heart and mediastinum. There are also no issues with the skeletal structure. The impression is that there is no sign of acute pulmonary disease, indicating a healthy chest."
        },
        {
            "image_id": "2402_1",
            "caption": "Based on the x-ray image, the heart and mediastinal contours appear normal. Low lung volumes are noted with left basilar subsegmental atelectasis, and there are no focal consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities. Overall, there are no acute cardiopulmonary findings present."
        },
        {
            "image_id": "2402_2",
            "caption": "Based on the x-ray image, the heart and mediastinal contours appear normal. Low lung volumes are noted with left basilar subsegmental atelectasis, and there are no focal consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities. Overall, there are no acute cardiopulmonary findings present."
        },
        {
            "image_id": "2364_1",
            "caption": "The lungs are clear, but hyperinflated which may suggest the presence of underlying emphysema. The heart and pulmonary vasculature appear normal, and the pleural spaces and mediastinal contours are clear with no acute cardiopulmonary disease identified."
        },
        {
            "image_id": "2364_2",
            "caption": "The lungs are clear, but hyperinflated which may suggest the presence of underlying emphysema. The heart and pulmonary vasculature appear normal, and the pleural spaces and mediastinal contours are clear with no acute cardiopulmonary disease identified."
        },
        {
            "image_id": "1679_1",
            "caption": "The X-ray shows that the heart size is normal and the lungs are clear. There are no signs of acute cardiopulmonary abnormality, including pneumonia, effusions, pneumothorax, nodules, masses, or edema. The mediastinal contours and structures are also normal. In summary, the chest X-ray shows no acute disease, indicating a normal chest."
        },
        {
            "image_id": "1679_2",
            "caption": "The X-ray shows that the heart size is normal and the lungs are clear. There are no signs of acute cardiopulmonary abnormality, including pneumonia, effusions, pneumothorax, nodules, masses, or edema. The mediastinal contours and structures are also normal. In summary, the chest X-ray shows no acute disease, indicating a normal chest."
        },
        {
            "image_id": "2370_1",
            "caption": "The X-ray shows consolidation and atelectasis in the right lower lobe and a clear left lung. The heart size is normal. The impression is suggestive of left lower lobe airspace disease indicating pneumonia, accompanied by right pleural effusion. Urgent medical attention is advised."
        },
        {
            "image_id": "2370_2",
            "caption": "The X-ray shows consolidation and atelectasis in the right lower lobe and a clear left lung. The heart size is normal. The impression is suggestive of left lower lobe airspace disease indicating pneumonia, accompanied by right pleural effusion. Urgent medical attention is advised."
        },
        {
            "image_id": "2416_1",
            "caption": "The x-ray image shows a slightly enlarged heart within normal limits. The lungs appear clear with no active tuberculosis. There are no significant changes from the previous exam."
        },
        {
            "image_id": "2416_2",
            "caption": "The x-ray image shows a slightly enlarged heart within normal limits. The lungs appear clear with no active tuberculosis. There are no significant changes from the previous exam."
        },
        {
            "image_id": "3708_1",
            "caption": "The X-ray shows decreased lung volumes and bronchovascular crowding, but with no focal airspace disease or pleural effusion/pneumothorax. The cardiomediastinal silhouette appears normal given the low lung volumes. There is no free subdiaphragmatic air and mild degenerative changes in the right lower thoracic spine. Overall, there is no acute pulmonary disease observed in the finding."
        },
        {
            "image_id": "3708_2",
            "caption": "The X-ray shows decreased lung volumes and bronchovascular crowding, but with no focal airspace disease or pleural effusion/pneumothorax. The cardiomediastinal silhouette appears normal given the low lung volumes. There is no free subdiaphragmatic air and mild degenerative changes in the right lower thoracic spine. Overall, there is no acute pulmonary disease observed in the finding."
        },
        {
            "image_id": "3720_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette and pulmonary vasculature are normal. There is no evidence of focal airspace disease, pneumothorax or pleural effusion, indicating no acute pulmonary disease. The x-ray also shows no acute bony abnormalities. Overall, the impression is a clear lung and no acute cardiopulmonary findings."
        },
        {
            "image_id": "3720_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette and pulmonary vasculature are normal. There is no evidence of focal airspace disease, pneumothorax or pleural effusion, indicating no acute pulmonary disease. The x-ray also shows no acute bony abnormalities. Overall, the impression is a clear lung and no acute cardiopulmonary findings."
        },
        {
            "image_id": "1889_1",
            "caption": "The findings on the x-ray indicate stable cardiomediastinal silhouette and degenerative changes of the thoracic spine. There is elevated right hemidiaphragm and atelectasis in the right lung base. However, there is no focal pulmonary consolidation, pleural effusion, or pneumothorax. Based on these findings, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1889_2",
            "caption": "The findings on the x-ray indicate stable cardiomediastinal silhouette and degenerative changes of the thoracic spine. There is elevated right hemidiaphragm and atelectasis in the right lung base. However, there is no focal pulmonary consolidation, pleural effusion, or pneumothorax. Based on these findings, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3046_1",
            "caption": "The x-ray shows a redemonstration of a previously identified azygos lobe and a left perihilar nodular opacity, which appears dense and may be granulomatous. The trachea is midline, and there is no evidence of pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal, and the exam was limited but did not show any evidence of displaced rib fracture. The impression suggests considering further characterization of the perihilar opacity with CT if desired, but overall, there is no acute cardiopulmonary abnormality present. Additionally, if there is a continued clinical concern regarding fractures, it is recommended to do a dedicated rib series."
        },
        {
            "image_id": "3046_2",
            "caption": "The x-ray shows a redemonstration of a previously identified azygos lobe and a left perihilar nodular opacity, which appears dense and may be granulomatous. The trachea is midline, and there is no evidence of pneumothorax, pleural effusion or focal airspace consolidation. The heart size is normal, and the exam was limited but did not show any evidence of displaced rib fracture. The impression suggests considering further characterization of the perihilar opacity with CT if desired, but overall, there is no acute cardiopulmonary abnormality present. Additionally, if there is a continued clinical concern regarding fractures, it is recommended to do a dedicated rib series."
        },
        {
            "image_id": "2358_1",
            "caption": "The finding of the X-ray shows that the heart is of normal size and the pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion or pneumothorax can be observed and there are no acute bony abnormalities. Based on these findings, the impression is that there are no immediate cardiopulmonary abnormalities found in the X-ray image."
        },
        {
            "image_id": "2358_2",
            "caption": "The finding of the X-ray shows that the heart is of normal size and the pulmonary vascularity is within normal limits. No focal air space opacities, pleural effusion or pneumothorax can be observed and there are no acute bony abnormalities. Based on these findings, the impression is that there are no immediate cardiopulmonary abnormalities found in the X-ray image."
        },
        {
            "image_id": "3052_1",
            "caption": "The x-ray shows a normal heart size with no acute cardiopulmonary abnormalities. Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. There are no focal airspace consolidations or degenerative disc disease."
        },
        {
            "image_id": "3052_2",
            "caption": "The x-ray shows a normal heart size with no acute cardiopulmonary abnormalities. Density surrounding superior mediastinum reflex combination of vascular, osseous common pleural structures. There are no focal airspace consolidations or degenerative disc disease."
        },
        {
            "image_id": "1645_1",
            "caption": "The chest x-ray shows stable chronic left basilar opacities, with no signs of focal consolidation or pleural effusions, and a normal-sized heart. There is no evidence of pneumothorax or osseous abnormalities, but there are degenerative changes in the thoracic spine. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1645_2",
            "caption": "The chest x-ray shows stable chronic left basilar opacities, with no signs of focal consolidation or pleural effusions, and a normal-sized heart. There is no evidence of pneumothorax or osseous abnormalities, but there are degenerative changes in the thoracic spine. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1123_1",
            "caption": "The x-ray shows that the pulmonary vascularity is unremarkable and there are no focal airspace disease or consolidation. The cardiomediastinal silhouette is stable, and there is no evidence of pneumothorax or pleural effusion. There are stable chronic coarse interstitial markings. The impression is that there are stable chronic lung changes without acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1123_2",
            "caption": "The x-ray shows that the pulmonary vascularity is unremarkable and there are no focal airspace disease or consolidation. The cardiomediastinal silhouette is stable, and there is no evidence of pneumothorax or pleural effusion. There are stable chronic coarse interstitial markings. The impression is that there are stable chronic lung changes without acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "3734_1",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The lungs are clear bilaterally, pulmonary vasculature is normal, and there is no evidence of pneumothorax or pleural effusion. The cardiac and mediastinal silhouettes are within normal limits, and there is no acute bony abnormality observed."
        },
        {
            "image_id": "3734_2",
            "caption": "The x-ray image shows no acute cardiopulmonary abnormality. The lungs are clear bilaterally, pulmonary vasculature is normal, and there is no evidence of pneumothorax or pleural effusion. The cardiac and mediastinal silhouettes are within normal limits, and there is no acute bony abnormality observed."
        },
        {
            "image_id": "1902_1",
            "caption": "The x-ray shows normal and stable cardiomediastinal contours. There is no evidence of any acute cardiopulmonary abnormalities, such as pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation is observed."
        },
        {
            "image_id": "1902_2",
            "caption": "The x-ray shows normal and stable cardiomediastinal contours. There is no evidence of any acute cardiopulmonary abnormalities, such as pneumothorax, pleural effusions or significant pulmonary edema. No focal lung consolidation is observed."
        },
        {
            "image_id": "1916_1",
            "caption": "The patient has stable findings of left costophrenic blunting and chronic appearing right basilar interstitial markings from previous examinations. The heart size is normal and there are no signs of acute cardiopulmonary abnormalities or pneumothorax. There is also stable bullous disease in the left and right upper lobes. These findings indicate no significant changes in the patient's condition."
        },
        {
            "image_id": "1916_2",
            "caption": "The patient has stable findings of left costophrenic blunting and chronic appearing right basilar interstitial markings from previous examinations. The heart size is normal and there are no signs of acute cardiopulmonary abnormalities or pneumothorax. There is also stable bullous disease in the left and right upper lobes. These findings indicate no significant changes in the patient's condition."
        },
        {
            "image_id": "3867_1",
            "caption": "The x-ray shows that the heart and pulmonary vasculature are normal in size. The lungs are also clear of any signs of lung disease, such as airspace disease, pneumothorax, or pleural effusion. Additionally, no acute bony abnormalities were found. As per the impression, there are no acute cardiopulmonary findings present in the x-ray."
        },
        {
            "image_id": "3867_2",
            "caption": "The x-ray shows that the heart and pulmonary vasculature are normal in size. The lungs are also clear of any signs of lung disease, such as airspace disease, pneumothorax, or pleural effusion. Additionally, no acute bony abnormalities were found. As per the impression, there are no acute cardiopulmonary findings present in the x-ray."
        },
        {
            "image_id": "514_1",
            "caption": "After conducting a radiological scan, the findings show that the heart and lungs are normal in size, there are no signs of pneumothorax or pleural effusion, and the bony structures are within normal limits. The overall impression is that there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "514_2",
            "caption": "After conducting a radiological scan, the findings show that the heart and lungs are normal in size, there are no signs of pneumothorax or pleural effusion, and the bony structures are within normal limits. The overall impression is that there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "2589_1",
            "caption": "The X-ray shows no acute osseous abnormalities and soft tissues are within normal limits. The heart is stable and enlarged with calcific aorta. The lungs are clear bilaterally without any focal area of consolidation, pleural effusion or pneumothorax. There is also a stable bilateral calcified granuloma. Based on the findings, there are no acute radiographic cardiopulmonary process present."
        },
        {
            "image_id": "2589_2",
            "caption": "The X-ray shows no acute osseous abnormalities and soft tissues are within normal limits. The heart is stable and enlarged with calcific aorta. The lungs are clear bilaterally without any focal area of consolidation, pleural effusion or pneumothorax. There is also a stable bilateral calcified granuloma. Based on the findings, there are no acute radiographic cardiopulmonary process present."
        },
        {
            "image_id": "3697_1",
            "caption": "The x-ray shows no acute abnormality in the heart and lungs. However, there are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. It also reveals left apical pleural-parenchymal scarring. The radiologist suggests monitoring the fibrotic changes in the lung and recommends follow-up imaging to assess the progression."
        },
        {
            "image_id": "3697_2",
            "caption": "The x-ray shows no acute abnormality in the heart and lungs. However, there are extensive fibrotic changes in the right lung with rightward shift of the trachea, similar to the previous exam. It also reveals left apical pleural-parenchymal scarring. The radiologist suggests monitoring the fibrotic changes in the lung and recommends follow-up imaging to assess the progression."
        },
        {
            "image_id": "272_1",
            "caption": "The x-ray shows clear lungs without any focal airspace disease, pleural effusion or pneumothorax. The size of heart and mediastinal contour are normal, and there is no evidence of active disease."
        },
        {
            "image_id": "272_2",
            "caption": "The x-ray shows clear lungs without any focal airspace disease, pleural effusion or pneumothorax. The size of heart and mediastinal contour are normal, and there is no evidence of active disease."
        },
        {
            "image_id": "266_1",
            "caption": "The x-ray image shows mildly enlarged heart and atherosclerotic calcifications, but no acute abnormality in the lungs and pleural spaces. Pulmonary vascularity is within normal limits. The impression is that there is no acute pulmonary abnormality, but mild cardiomegaly and atherosclerotic disease are present."
        },
        {
            "image_id": "266_2",
            "caption": "The x-ray image shows mildly enlarged heart and atherosclerotic calcifications, but no acute abnormality in the lungs and pleural spaces. Pulmonary vascularity is within normal limits. The impression is that there is no acute pulmonary abnormality, but mild cardiomegaly and atherosclerotic disease are present."
        },
        {
            "image_id": "3683_1",
            "caption": "The chest x-ray was performed with nipple markers. The heart and mediastinum appear normal in size without any abnormal features. The lungs are clear, except for a small nodule previously seen in the right lower lung, but not visible on the current study. This nodule may have been due to the summation of structures. Overall, there is no acute disease or abnormality found on the x-ray. The absence of visible abnormalities suggests that the patient may not require any further assessment at this time, but consult your doctor for a detailed evaluation."
        },
        {
            "image_id": "3683_2",
            "caption": "The chest x-ray was performed with nipple markers. The heart and mediastinum appear normal in size without any abnormal features. The lungs are clear, except for a small nodule previously seen in the right lower lung, but not visible on the current study. This nodule may have been due to the summation of structures. Overall, there is no acute disease or abnormality found on the x-ray. The absence of visible abnormalities suggests that the patient may not require any further assessment at this time, but consult your doctor for a detailed evaluation."
        },
        {
            "image_id": "1094_1",
            "caption": "On examination with normal nipple markers, there is no acute osseous abnormality and the soft tissues are within normal limits. Notably, the cardiomediastinal silhouette and hilar contours appear normal, and there is no focal area of consolidation, pleural effusion, or pneumothorax. However, there is a left lower lobe opacity with a density on the X-ray that could represent atelectasis. In summary, the impression is that there is no focal lung consolidation."
        },
        {
            "image_id": "1094_2",
            "caption": "On examination with normal nipple markers, there is no acute osseous abnormality and the soft tissues are within normal limits. Notably, the cardiomediastinal silhouette and hilar contours appear normal, and there is no focal area of consolidation, pleural effusion, or pneumothorax. However, there is a left lower lobe opacity with a density on the X-ray that could represent atelectasis. In summary, the impression is that there is no focal lung consolidation."
        },
        {
            "image_id": "500_1",
            "caption": "The chest X-ray shows an enlarged heart and a nerve stimulator device projecting over the left hemithorax. There is no evidence of acute disease or focal airspace disease, pneumothorax, or pleural effusion in the lungs. Overall, the impression is of cardiomegaly with no acute findings."
        },
        {
            "image_id": "2576_1",
            "caption": "The patient's x-ray shows stable findings with no acute abnormality or disease. The cardiopulmonary silhouette and pulmonary vasculature are normal in size. There is no visible focal airspace disease, pneumothorax, or pleural effusion. The soft tissues and bones are normal. The impression suggests a stable chest with no evidence for recurrence or metastasis. As an AI assistant, I highly recommend a routine checkup to ensure overall health and wellbeing."
        },
        {
            "image_id": "2210_1",
            "caption": "On examination, the cardiomediastinal silhouette and pulmonary vasculature are normal in appearance. There are no focal areas of pulmonary consolidation, pneumothorax, or pleural effusion. No acute cardiopulmonary process is observed. The thoracic spine appears intact."
        },
        {
            "image_id": "2210_2",
            "caption": "On examination, the cardiomediastinal silhouette and pulmonary vasculature are normal in appearance. There are no focal areas of pulmonary consolidation, pneumothorax, or pleural effusion. No acute cardiopulmonary process is observed. The thoracic spine appears intact."
        },
        {
            "image_id": "1719_1",
            "caption": "The x-ray image shows no acute abnormalities. The cardiopulmonary system appears normal, with no focal areas of consolidation, pleural effusion or pneumothorax. The bony structures also appear normal. The overall impression is of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1719_2",
            "caption": "The x-ray image shows no acute abnormalities. The cardiopulmonary system appears normal, with no focal areas of consolidation, pleural effusion or pneumothorax. The bony structures also appear normal. The overall impression is of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "299_1",
            "caption": "The X-ray shows a normal cardiomediastinal silhouette with clear lungs and intact bony structures. The impression indicates no acute findings except for a small hiatal hernia. It is necessary to be mindful of the hernia to prevent any complications."
        },
        {
            "image_id": "299_2",
            "caption": "The X-ray shows a normal cardiomediastinal silhouette with clear lungs and intact bony structures. The impression indicates no acute findings except for a small hiatal hernia. It is necessary to be mindful of the hernia to prevent any complications."
        },
        {
            "image_id": "2204_1",
            "caption": "The heart and lungs appear normal without any significant changes from the previous imaging. Both lungs are clear and expanded, and there are no acute bony abnormalities seen. Overall, no active disease or abnormalities are seen in the imaging studies. Regular radiological evaluations are advised for follow-up examinations."
        },
        {
            "image_id": "2204_2",
            "caption": "The heart and lungs appear normal without any significant changes from the previous imaging. Both lungs are clear and expanded, and there are no acute bony abnormalities seen. Overall, no active disease or abnormalities are seen in the imaging studies. Regular radiological evaluations are advised for follow-up examinations."
        },
        {
            "image_id": "2562_1",
            "caption": "The X-ray shows normal heart size and mediastinal contour. There are mild bibasilar opacities and atelectasis, but no focal infiltrates or masses. The thoracic spine shows stable degenerative change and retrolisthesis. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2562_2",
            "caption": "The X-ray shows normal heart size and mediastinal contour. There are mild bibasilar opacities and atelectasis, but no focal infiltrates or masses. The thoracic spine shows stable degenerative change and retrolisthesis. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3654_1",
            "caption": "There is a 6 mm nodular opacity in the right upper lobe. The lungs otherwise appear clear. No pleural effusion or pneumothorax is seen. Heart size and mediastinal contour appear within normal limits. The x-ray shows no acute traumatic findings. There is a possibility of a true pulmonary nodule in the right upper lobe, although it may be artifactual due to overlapping vascular structures. Further evaluation with dedicated PA and lateral chest radiographs is recommended. Please consult with a physician about the next steps for evaluation."
        },
        {
            "image_id": "1043_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with improved lung volumes bilaterally, especially the right and left lung bases, along with improvement in pleural effusions. However, a small left effusion remains, and there is questionable small right pleural effusion. Overall, there is interval improvement in aeration and effusions, but further evaluation may be necessary for the remaining effusions."
        },
        {
            "image_id": "1043_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with improved lung volumes bilaterally, especially the right and left lung bases, along with improvement in pleural effusions. However, a small left effusion remains, and there is questionable small right pleural effusion. Overall, there is interval improvement in aeration and effusions, but further evaluation may be necessary for the remaining effusions."
        },
        {
            "image_id": "1725_1",
            "caption": "The chest x-ray shows a right basilar opacity, which may indicate small pleural effusion, atelectasis, and/or consolidation. Further evaluation is suggested with right lateral decubitus films. Additionally, an interface is seen at the left hemidiaphragm which may be artifact. However, a better evaluation is recommended with right lateral decubitus views. The cardiac silhouette and mediastinal contours are within normal limits, and there is no visible pneumothorax. The rest of the lungs appear clear."
        },
        {
            "image_id": "1725_2",
            "caption": "The chest x-ray shows a right basilar opacity, which may indicate small pleural effusion, atelectasis, and/or consolidation. Further evaluation is suggested with right lateral decubitus films. Additionally, an interface is seen at the left hemidiaphragm which may be artifact. However, a better evaluation is recommended with right lateral decubitus views. The cardiac silhouette and mediastinal contours are within normal limits, and there is no visible pneumothorax. The rest of the lungs appear clear."
        },
        {
            "image_id": "3132_1",
            "caption": "The chest X-ray shows normal appearance of the soft tissue with unremarkable cardiac silhouette and mediastinum size. The trachea appears normal. Lungs appear clear with no abnormalities detected. Overall, the chest study appears unremarkable."
        },
        {
            "image_id": "3132_2",
            "caption": "The chest X-ray shows normal appearance of the soft tissue with unremarkable cardiac silhouette and mediastinum size. The trachea appears normal. Lungs appear clear with no abnormalities detected. Overall, the chest study appears unremarkable."
        },
        {
            "image_id": "2238_1",
            "caption": "The x-ray examination shows that the heart and mediastinum are within normal size and limits, respectively. The lungs appear clear with no acute disease detected. It indicates that there is currently no sign of any medical conditions."
        },
        {
            "image_id": "2238_2",
            "caption": "The x-ray examination shows that the heart and mediastinum are within normal size and limits, respectively. The lungs appear clear with no acute disease detected. It indicates that there is currently no sign of any medical conditions."
        },
        {
            "image_id": "3126_1",
            "caption": "A radiologist reviewed the X-ray images and reported that there were no acute abnormalities. The heart and mediastinum appeared normal, and the lungs showed no signs of consolidation, pneumothorax, or pleural effusion. The spinal column appeared intact, and there were no rib fractures. The radiologist's impression was that there was no acute intrathoracic abnormality found in the X-ray images."
        },
        {
            "image_id": "3126_2",
            "caption": "A radiologist reviewed the X-ray images and reported that there were no acute abnormalities. The heart and mediastinum appeared normal, and the lungs showed no signs of consolidation, pneumothorax, or pleural effusion. The spinal column appeared intact, and there were no rib fractures. The radiologist's impression was that there was no acute intrathoracic abnormality found in the X-ray images."
        },
        {
            "image_id": "1731_1",
            "caption": "The chest X-ray shows low lung volumes bilaterally but no evidence of any acute cardiopulmonary abnormality. The cardiomedistinal silhouette is unremarkable, and the visualized osseous structures appear normal. Specifically, there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The finding suggests that the patient's lungs and heart are in good condition."
        },
        {
            "image_id": "1731_2",
            "caption": "The chest X-ray shows low lung volumes bilaterally but no evidence of any acute cardiopulmonary abnormality. The cardiomedistinal silhouette is unremarkable, and the visualized osseous structures appear normal. Specifically, there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The finding suggests that the patient's lungs and heart are in good condition."
        },
        {
            "image_id": "1057_1",
            "caption": "The x-ray shows that the heart size, mediastinum, and pulmonary vascularity are all normal. Additionally, there are no signs of focal airspace disease, pleural effusion, or pneumothorax, nor are there any discrete nodules or adenopathy present. As a result, there is no evidence of active disease found in the x-ray."
        },
        {
            "image_id": "1057_2",
            "caption": "The x-ray shows that the heart size, mediastinum, and pulmonary vascularity are all normal. Additionally, there are no signs of focal airspace disease, pleural effusion, or pneumothorax, nor are there any discrete nodules or adenopathy present. As a result, there is no evidence of active disease found in the x-ray."
        },
        {
            "image_id": "3898_1",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal findings. The chest x-ray is negative for acute abnormality."
        },
        {
            "image_id": "3898_2",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Normal findings. The chest x-ray is negative for acute abnormality."
        },
        {
            "image_id": "2953_1",
            "caption": "The X-ray results show clear lungs, normal heart and mediastinal contours, and normal skeletal structures without any acute pulmonary disease, pleural effusion or pneumothorax."
        },
        {
            "image_id": "2953_2",
            "caption": "The X-ray results show clear lungs, normal heart and mediastinal contours, and normal skeletal structures without any acute pulmonary disease, pleural effusion or pneumothorax."
        },
        {
            "image_id": "3495_1",
            "caption": "The findings of the chest X-ray reveal normal size and contour of the cardiomediastinal silhouette. The lungs are also normal and without focal airspace disease, pleural effusion, or pneumothorax. Additionally, the skeletal structure is normal for the patient's age. The impression confirms the absence of acute radiographic cardiopulmonary disease."
        },
        {
            "image_id": "3495_2",
            "caption": "The findings of the chest X-ray reveal normal size and contour of the cardiomediastinal silhouette. The lungs are also normal and without focal airspace disease, pleural effusion, or pneumothorax. Additionally, the skeletal structure is normal for the patient's age. The impression confirms the absence of acute radiographic cardiopulmonary disease."
        },
        {
            "image_id": "3495_3",
            "caption": "The findings of the chest X-ray reveal normal size and contour of the cardiomediastinal silhouette. The lungs are also normal and without focal airspace disease, pleural effusion, or pneumothorax. Additionally, the skeletal structure is normal for the patient's age. The impression confirms the absence of acute radiographic cardiopulmonary disease."
        },
        {
            "image_id": "1282_1",
            "caption": "The x-ray shows normal heart size and mediastinal contour. However, there are patchy opacities in the right lower lobe which may indicate mild pneumonia. No pleural effusion or pneumothorax is seen in the lungs, and visualized osseous structures look normal. Further evaluation may be required to monitor the pneumonia and prevent complications."
        },
        {
            "image_id": "1282_2",
            "caption": "The x-ray shows normal heart size and mediastinal contour. However, there are patchy opacities in the right lower lobe which may indicate mild pneumonia. No pleural effusion or pneumothorax is seen in the lungs, and visualized osseous structures look normal. Further evaluation may be required to monitor the pneumonia and prevent complications."
        },
        {
            "image_id": "702_1",
            "caption": "The x-ray shows a large right pleural effusion causing partial collapse of the right middle and lower lobes while the left lung is normal. No evidence of focal consolidation, pneumothorax or acute osseous abnormality is noted. The cardio mediastinal silhouette appears stable compared to prior examinations. Further evaluation and management of the effusion may be needed."
        },
        {
            "image_id": "3481_1",
            "caption": "The chest X-ray shows no acute abnormality or radiographic cardiopulmonary process. The cardiomediastinal silhouette, vasculature, and lungs appear normal, without any focal airspace consolidation, pleural effusion, or pneumothorax. However, degenerative endplate changes of the spine are present."
        },
        {
            "image_id": "3481_2",
            "caption": "The chest X-ray shows no acute abnormality or radiographic cardiopulmonary process. The cardiomediastinal silhouette, vasculature, and lungs appear normal, without any focal airspace consolidation, pleural effusion, or pneumothorax. However, degenerative endplate changes of the spine are present."
        },
        {
            "image_id": "2012_1",
            "caption": "The x-ray shows normal findings with no evidence of acute cardiopulmonary abnormality. The heart, mediastinum and lungs are within normal limits without any focal airspace disease, pleural effusion or pneumothorax. The osseous structures are unremarkable."
        },
        {
            "image_id": "2012_2",
            "caption": "The x-ray shows normal findings with no evidence of acute cardiopulmonary abnormality. The heart, mediastinum and lungs are within normal limits without any focal airspace disease, pleural effusion or pneumothorax. The osseous structures are unremarkable."
        },
        {
            "image_id": "2774_1",
            "caption": "The x-ray image reveals normal lungs and pleural spaces without any acute abnormality. However, cardiomegaly, indicated by a mildly enlarged heart size, is identified. It is concluded that there is no acute pulmonary abnormality."
        },
        {
            "image_id": "2774_2",
            "caption": "The x-ray image reveals normal lungs and pleural spaces without any acute abnormality. However, cardiomegaly, indicated by a mildly enlarged heart size, is identified. It is concluded that there is no acute pulmonary abnormality."
        },
        {
            "image_id": "931_1",
            "caption": "Based on the X-ray image, the lungs and pleural spaces appear normal without any acute abnormality. The heart size and pulmonary vascularity are also within normal limits, indicating no acute pulmonary abnormality."
        },
        {
            "image_id": "931_2",
            "caption": "Based on the X-ray image, the lungs and pleural spaces appear normal without any acute abnormality. The heart size and pulmonary vascularity are also within normal limits, indicating no acute pulmonary abnormality."
        },
        {
            "image_id": "925_1",
            "caption": "The X-ray shows increased interstitial lung changes with superimposed pulmonary edema along with cardiomegaly. However, it is negative for effusion or pneumothorax, and degenerative changes of the thoracic spine are present. The impression suggests that there is cardiomegaly with pulmonary edema superimposed on chronic interstitial lung changes."
        },
        {
            "image_id": "925_2",
            "caption": "The X-ray shows increased interstitial lung changes with superimposed pulmonary edema along with cardiomegaly. However, it is negative for effusion or pneumothorax, and degenerative changes of the thoracic spine are present. The impression suggests that there is cardiomegaly with pulmonary edema superimposed on chronic interstitial lung changes."
        },
        {
            "image_id": "1269_1",
            "caption": "The x-ray image shows hyperexpanded lungs which are otherwise clear. There is no evidence of focal consolidation, pneumothorax or large pleural effusion. The heart size is normal and there is no acute bone abnormality. This indicates that the lungs are functioning normally and there are no signs of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1269_2",
            "caption": "The x-ray image shows hyperexpanded lungs which are otherwise clear. There is no evidence of focal consolidation, pneumothorax or large pleural effusion. The heart size is normal and there is no acute bone abnormality. This indicates that the lungs are functioning normally and there are no signs of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2760_1",
            "caption": "Based on the findings from the x-ray image, there is minimal scarring present in the left lung base but the lungs are otherwise clear with no signs of acute abnormality such as focal consolidation or pneumothorax. The heart size is normal and there is no evidence of cardiopulmonary abnormality. This information suggests that the patient's respiratory and cardiovascular systems are functioning as expected."
        },
        {
            "image_id": "2760_2",
            "caption": "Based on the findings from the x-ray image, there is minimal scarring present in the left lung base but the lungs are otherwise clear with no signs of acute abnormality such as focal consolidation or pneumothorax. The heart size is normal and there is no evidence of cardiopulmonary abnormality. This information suggests that the patient's respiratory and cardiovascular systems are functioning as expected."
        },
        {
            "image_id": "3318_1",
            "caption": "The x-ray image shows no acute findings. The cardiac and mediastinal contours are within normal limits. The lungs are otherwise clear, with prior granulomatous disease. Bony structures are intact."
        },
        {
            "image_id": "3318_2",
            "caption": "The x-ray image shows no acute findings. The cardiac and mediastinal contours are within normal limits. The lungs are otherwise clear, with prior granulomatous disease. Bony structures are intact."
        },
        {
            "image_id": "2006_1",
            "caption": "The x-ray shows a mildly enlarged heart, but without any acute abnormalities in the pulmonary or mediastinal regions. Moreover, there are no signs of pleural effusion, pneumothorax, or pneumonia. However, there is calcified granuloma in the right lung base, and mild degenerative changes in the spine. Additionally, there are some chronic increased interstitial markings, suggesting prior lung injury. Overall, the impression is that there is cardiomegaly without any superimposed acute disease identified."
        },
        {
            "image_id": "2006_2",
            "caption": "The x-ray shows a mildly enlarged heart, but without any acute abnormalities in the pulmonary or mediastinal regions. Moreover, there are no signs of pleural effusion, pneumothorax, or pneumonia. However, there is calcified granuloma in the right lung base, and mild degenerative changes in the spine. Additionally, there are some chronic increased interstitial markings, suggesting prior lung injury. Overall, the impression is that there is cardiomegaly without any superimposed acute disease identified."
        },
        {
            "image_id": "3330_1",
            "caption": "Based on the X-ray results, there are no significant findings of acute disease. The heart size and the mediastinum appear normal, and the lungs are clear. This indicates that there is no evidence of any acute pulmonary or cardio abnormality."
        },
        {
            "image_id": "3330_2",
            "caption": "Based on the X-ray results, there are no significant findings of acute disease. The heart size and the mediastinum appear normal, and the lungs are clear. This indicates that there is no evidence of any acute pulmonary or cardio abnormality."
        },
        {
            "image_id": "1527_1",
            "caption": "The radiographic findings indicate slightly enlarged heart with atherosclerotic calcifications in the aorta. Lungs are hyperexpanded with flattening of the diaphragms suggestive of emphysema. No focal airspace disease, pleural effusion, or pneumothorax is seen. Degenerative changes of the spine are also noted. The impression suggests emphysematous change without any acute cardiopulmonary disease."
        },
        {
            "image_id": "1241_1",
            "caption": "During the examination, the heart and pulmonary vascularity were found normal, and the lungs appeared clear without any indication of focal airspace disease. No pleural effusion or pneumothorax was observed either. However, a scoliosis of the thoracic spine was noticed, while the ribs appeared unremarkable. The impression drawn was that there is no evidence of active disease, but complete details of the report should be discussed with the concerned specialist."
        },
        {
            "image_id": "2748_1",
            "caption": "The patient has no acute radiographic abnormalities according to the findings of the X-ray. The lungs, heart size, and mediastinal contour appear normal. There is no evidence of focal airspace consolidation, suspicious pulmonary mass, nodule, pneumothorax, or pleural effusion. Hence, there is no evidence of active disease."
        },
        {
            "image_id": "2748_2",
            "caption": "The patient has no acute radiographic abnormalities according to the findings of the X-ray. The lungs, heart size, and mediastinal contour appear normal. There is no evidence of focal airspace consolidation, suspicious pulmonary mass, nodule, pneumothorax, or pleural effusion. Hence, there is no evidence of active disease."
        },
        {
            "image_id": "3456_1",
            "caption": "Based on the x-ray, it is found that the cardiomediastinal silhouette is normal in size and contour. The lung volumes are low, but there is no focal consolidation, pneumothorax or large pleural effusion. Acute bone abnormality is also ruled out. The impression suggests that the lungs are otherwise clear. The radiographic results indicate that there is no evidence of any alarming disease."
        },
        {
            "image_id": "3456_2",
            "caption": "Based on the x-ray, it is found that the cardiomediastinal silhouette is normal in size and contour. The lung volumes are low, but there is no focal consolidation, pneumothorax or large pleural effusion. Acute bone abnormality is also ruled out. The impression suggests that the lungs are otherwise clear. The radiographic results indicate that there is no evidence of any alarming disease."
        },
        {
            "image_id": "2984_1",
            "caption": "The chest x-ray reveals cardiomegaly, which means the heart is moderately enlarged. There is also a calcified lymph node and unfolded aorta. The kyphosis is causing low lung volumes. There is no acute pulmonary disease process, however, mild spondylosis is noted in the spine. Overall, the findings suggest that there are no major concerns as there is no acute disease."
        },
        {
            "image_id": "3442_1",
            "caption": "The chest x-ray image shows normal cardiomediastinal contours with low lung volumes. However, there are minimal left basilar opacities indicating either atelectasis or infiltrate. No pneumothorax or pleural effusions were found. This condition indicates low lung volumes, though the possibility of the left basilar atelectasis needs to be considered. It is advised to consult a medical practitioner for further diagnosis and treatment."
        },
        {
            "image_id": "3442_2",
            "caption": "The chest x-ray image shows normal cardiomediastinal contours with low lung volumes. However, there are minimal left basilar opacities indicating either atelectasis or infiltrate. No pneumothorax or pleural effusions were found. This condition indicates low lung volumes, though the possibility of the left basilar atelectasis needs to be considered. It is advised to consult a medical practitioner for further diagnosis and treatment."
        },
        {
            "image_id": "1255_1",
            "caption": "The chest x-ray shows the right-sided chest tube tip projecting outside the thoracic cavity, but there is no residual pneumothorax. Additionally, there is a small amount of subdiaphragmatic free air, likely due to a known colonic perforation. The cardiomediastinal silhouette is stable, while the lungs show low volumes with no focal airspace consolidation or large pleural effusion."
        },
        {
            "image_id": "1255_2",
            "caption": "The chest x-ray shows the right-sided chest tube tip projecting outside the thoracic cavity, but there is no residual pneumothorax. Additionally, there is a small amount of subdiaphragmatic free air, likely due to a known colonic perforation. The cardiomediastinal silhouette is stable, while the lungs show low volumes with no focal airspace consolidation or large pleural effusion."
        },
        {
            "image_id": "1533_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette and clear lungs with no pleural effusion identified, resulting in a normal chest film."
        },
        {
            "image_id": "1533_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette and clear lungs with no pleural effusion identified, resulting in a normal chest film."
        },
        {
            "image_id": "3324_1",
            "caption": "The X-ray shows no pleural effusion and a stable mediastinum with normal heart size. Atherosclerotic calcifications of the aorta are also present. The appearance of soft tissue density projected over the right mid-chest indicates a redemonstration of the patient's known large breast mass, which is compatible with breast cancer."
        },
        {
            "image_id": "3324_2",
            "caption": "The X-ray shows no pleural effusion and a stable mediastinum with normal heart size. Atherosclerotic calcifications of the aorta are also present. The appearance of soft tissue density projected over the right mid-chest indicates a redemonstration of the patient's known large breast mass, which is compatible with breast cancer."
        },
        {
            "image_id": "3324_3",
            "caption": "The X-ray shows no pleural effusion and a stable mediastinum with normal heart size. Atherosclerotic calcifications of the aorta are also present. The appearance of soft tissue density projected over the right mid-chest indicates a redemonstration of the patient's known large breast mass, which is compatible with breast cancer."
        },
        {
            "image_id": "1254_1",
            "caption": "The X-ray shows no signs of acute disease or abnormalities. The heart, lungs, and bony structures appear normal, with no evidence of focal airspace disease, pleural effusion, or pneumothorax. The results suggest that the individual is in good health and free of any acute cardiopulmonary issues."
        },
        {
            "image_id": "1254_2",
            "caption": "The X-ray shows no signs of acute disease or abnormalities. The heart, lungs, and bony structures appear normal, with no evidence of focal airspace disease, pleural effusion, or pneumothorax. The results suggest that the individual is in good health and free of any acute cardiopulmonary issues."
        },
        {
            "image_id": "918_1",
            "caption": "The X-ray reporting shows that the heart size is normal, and pulmonary vascularity is normal. Lungs are clear, and there are no focal consolidation or pleural effusions. The cardiomedial silhouette is within normal limits. There are no acute bony findings. Further, no acute abnormality was detected in the report."
        },
        {
            "image_id": "918_2",
            "caption": "The X-ray reporting shows that the heart size is normal, and pulmonary vascularity is normal. Lungs are clear, and there are no focal consolidation or pleural effusions. The cardiomedial silhouette is within normal limits. There are no acute bony findings. Further, no acute abnormality was detected in the report."
        },
        {
            "image_id": "2985_1",
            "caption": "The X-ray image shows normal clear lungs without any abnormalities. The cardio mediastinal silhouette and pulmonary vasculature are within normal limits. No pleural effusion, pneumothorax, or focal airspace disease is identified. There is also no acute abnormality observed in the osseous structures of thorax. Therefore, it can be concluded that there is no acute cardiopulmonary abnormality observed in the X-ray image."
        },
        {
            "image_id": "2985_2",
            "caption": "The X-ray image shows normal clear lungs without any abnormalities. The cardio mediastinal silhouette and pulmonary vasculature are within normal limits. No pleural effusion, pneumothorax, or focal airspace disease is identified. There is also no acute abnormality observed in the osseous structures of thorax. Therefore, it can be concluded that there is no acute cardiopulmonary abnormality observed in the X-ray image."
        },
        {
            "image_id": "3325_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal. The lungs are clear, without any signs of acute disease, such as focal airspace consolidation, pleural effusions or pneumothorax. Having a clear chest x-ray is a good sign of overall health, but it is important to maintain regular check-ups with your healthcare provider to stay on top of any potential health concerns."
        },
        {
            "image_id": "3325_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal. The lungs are clear, without any signs of acute disease, such as focal airspace consolidation, pleural effusions or pneumothorax. Having a clear chest x-ray is a good sign of overall health, but it is important to maintain regular check-ups with your healthcare provider to stay on top of any potential health concerns."
        },
        {
            "image_id": "1532_1",
            "caption": "The x-ray image shows clear and expanded lungs with a normal heart and mediastinum. There is no active disease or evidence for heart failure. This suggests that the individual has healthy lungs and heart."
        },
        {
            "image_id": "1532_2",
            "caption": "The x-ray image shows clear and expanded lungs with a normal heart and mediastinum. There is no active disease or evidence for heart failure. This suggests that the individual has healthy lungs and heart."
        },
        {
            "image_id": "1526_1",
            "caption": "The X-ray shows no focal consolidation, pneumothorax or large pleural effusions. The heart size and cardiomediastinal silhouette appear normal. Though there is some motion artifact in the lateral radiograph, no acute cardiopulmonary findings are seen."
        },
        {
            "image_id": "1526_2",
            "caption": "The X-ray shows no focal consolidation, pneumothorax or large pleural effusions. The heart size and cardiomediastinal silhouette appear normal. Though there is some motion artifact in the lateral radiograph, no acute cardiopulmonary findings are seen."
        },
        {
            "image_id": "3331_1",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in size and contour. There is a calcified granuloma in the right lower lobe, but the lungs are properly inflated with no signs of focal airspace disease, pleural effusion, or pneumothorax. There are degenerative changes in the spine, but no acute radiographic cardiopulmonary process is visible. Overall, the findings indicate no active disease or immediate concern for the patient."
        },
        {
            "image_id": "2749_1",
            "caption": "Based on the X-ray image, the heart appears to be of normal size, and the lungs appear clear, with no evidence of pleural effusion or pneumothorax. Additionally, there are noted old right-sided rib deformities, but no acute disease is present."
        },
        {
            "image_id": "2749_2",
            "caption": "Based on the X-ray image, the heart appears to be of normal size, and the lungs appear clear, with no evidence of pleural effusion or pneumothorax. Additionally, there are noted old right-sided rib deformities, but no acute disease is present."
        },
        {
            "image_id": "1240_1",
            "caption": "The x-ray image shows a feeding tube passing below the left hemidiaphragm, a left subclavian central line tip at the upper SVC, and shunt tubing coursing along the anterior left hemithorax. There is a grossly stable left lower lobe consolidation and mild residual medial right basilar airspace disease. However, there is no evidence of a pneumothorax. The heart is within normal limits, but there is aortic atherosclerotic vascular calcification and diffuse degenerative changes of the spine. The overall impression suggests that there is a stable left lung consolidation, likely caused by pneumonia or aspiration. It is recommended to follow up with radiographs after treatment to ensure complete resolution of the consolidation. The mild residual medial right basilar airspace disease is considered stable."
        },
        {
            "image_id": "1240_2",
            "caption": "The x-ray image shows a feeding tube passing below the left hemidiaphragm, a left subclavian central line tip at the upper SVC, and shunt tubing coursing along the anterior left hemithorax. There is a grossly stable left lower lobe consolidation and mild residual medial right basilar airspace disease. However, there is no evidence of a pneumothorax. The heart is within normal limits, but there is aortic atherosclerotic vascular calcification and diffuse degenerative changes of the spine. The overall impression suggests that there is a stable left lung consolidation, likely caused by pneumonia or aspiration. It is recommended to follow up with radiographs after treatment to ensure complete resolution of the consolidation. The mild residual medial right basilar airspace disease is considered stable."
        },
        {
            "image_id": "2761_1",
            "caption": "The x-ray shows a stable, normal cardiac size, mediastinum, and central pulmonary vasculature. There is a suspected mild patchy right upper lobe pneumonia, for which clinical correlation is recommended. There are also stable mild background chronic interstitial changes and multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes. No evidence of associated pleural effusion or pneumothorax is identified. It's recommended to consult with a doctor for further evaluation and treatment."
        },
        {
            "image_id": "2761_2",
            "caption": "The x-ray shows a stable, normal cardiac size, mediastinum, and central pulmonary vasculature. There is a suspected mild patchy right upper lobe pneumonia, for which clinical correlation is recommended. There are also stable mild background chronic interstitial changes and multilevel midthoracic degenerative changes, with prominent anterolateral marginal osteophytes. No evidence of associated pleural effusion or pneumothorax is identified. It's recommended to consult with a doctor for further evaluation and treatment."
        },
        {
            "image_id": "1268_1",
            "caption": "The X-ray scan shows a normal heart size and configuration, with the thoracic aorta being tortuous. The lungs appear well-aerated and there are no signs of any acute cardiopulmonary disease, such as focal consolidation, pneumothorax or pleural effusion. However, if there are any concerns of rib fractures, a rib series scan could be performed."
        },
        {
            "image_id": "1268_2",
            "caption": "The X-ray scan shows a normal heart size and configuration, with the thoracic aorta being tortuous. The lungs appear well-aerated and there are no signs of any acute cardiopulmonary disease, such as focal consolidation, pneumothorax or pleural effusion. However, if there are any concerns of rib fractures, a rib series scan could be performed."
        },
        {
            "image_id": "2007_1",
            "caption": "The X-ray shows that the lungs are clear and the heart is normal, with no evidence of any acute cardiopulmonary disease or pneumonia. The mediastinal contours, as well as the pleural spaces, are normal with only mild degenerative changes of the thoracic spine. Additionally, there is no sign of post primary tuberculosis infection. In conclusion, the X-ray is within normal limits."
        },
        {
            "image_id": "2007_2",
            "caption": "The X-ray shows that the lungs are clear and the heart is normal, with no evidence of any acute cardiopulmonary disease or pneumonia. The mediastinal contours, as well as the pleural spaces, are normal with only mild degenerative changes of the thoracic spine. Additionally, there is no sign of post primary tuberculosis infection. In conclusion, the X-ray is within normal limits."
        },
        {
            "image_id": "3319_1",
            "caption": "The patient's heart size, pulmonary vascular engorgement, and mediastinal contour appear normal, and there is no evidence of focal consolidation, pleural effusion, or pneumothorax. There are multilevel degenerative changes noted within the thoracic spine. Overall, no acute cardiopulmonary abnormality is identified."
        },
        {
            "image_id": "3319_2",
            "caption": "The patient's heart size, pulmonary vascular engorgement, and mediastinal contour appear normal, and there is no evidence of focal consolidation, pleural effusion, or pneumothorax. There are multilevel degenerative changes noted within the thoracic spine. Overall, no acute cardiopulmonary abnormality is identified."
        },
        {
            "image_id": "2013_1",
            "caption": "The x-ray shows that the heart size is normal and there are no acute cardiopulmonary abnormalities. However, mild atelectasis or scarring is present in the left upper lobe and there is a tortuous aorta and hiatal hernia. No pneumothorax or pleural effusion is observed."
        },
        {
            "image_id": "2013_2",
            "caption": "The x-ray shows that the heart size is normal and there are no acute cardiopulmonary abnormalities. However, mild atelectasis or scarring is present in the left upper lobe and there is a tortuous aorta and hiatal hernia. No pneumothorax or pleural effusion is observed."
        },
        {
            "image_id": "930_1",
            "caption": "Lung volumes are low with no focal infiltrates, and pulmonary are normal. The x-ray shows change with hypoinflation but with no visible active cardiopulmonary disease. It is recommended to consult a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "930_2",
            "caption": "Lung volumes are low with no focal infiltrates, and pulmonary are normal. The x-ray shows change with hypoinflation but with no visible active cardiopulmonary disease. It is recommended to consult a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "930_3",
            "caption": "Lung volumes are low with no focal infiltrates, and pulmonary are normal. The x-ray shows change with hypoinflation but with no visible active cardiopulmonary disease. It is recommended to consult a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "2775_1",
            "caption": "The chest x-ray shows that both lungs are clear without any visible focal consolidation, pneumothorax or pleural effusion. The cardiac silhouette and mediastinum are within the normal limits. There are no visible abnormal osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality identified in the x-ray image."
        },
        {
            "image_id": "2775_2",
            "caption": "The chest x-ray shows that both lungs are clear without any visible focal consolidation, pneumothorax or pleural effusion. The cardiac silhouette and mediastinum are within the normal limits. There are no visible abnormal osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality identified in the x-ray image."
        },
        {
            "image_id": "3480_1",
            "caption": "The x-ray shows that the heart, lungs and pulmonary vasculature are all normal. No signs of fluid accumulation around the lungs or focal areas of infection were detected. However, clips from a previous cholecystectomy are visible. The impression suggests that there is no acute cardiopulmonary abnormality from the x-ray."
        },
        {
            "image_id": "3480_2",
            "caption": "The x-ray shows that the heart, lungs and pulmonary vasculature are all normal. No signs of fluid accumulation around the lungs or focal areas of infection were detected. However, clips from a previous cholecystectomy are visible. The impression suggests that there is no acute cardiopulmonary abnormality from the x-ray."
        },
        {
            "image_id": "2946_1",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. No focal airspace disease is detected in the lungs, and there is no pneumothorax. However, there is mild without definite pleural effusion. Overall, the findings suggest clear lungs. It is recommended to monitor the condition for any changes."
        },
        {
            "image_id": "2946_2",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. No focal airspace disease is detected in the lungs, and there is no pneumothorax. However, there is mild without definite pleural effusion. Overall, the findings suggest clear lungs. It is recommended to monitor the condition for any changes."
        },
        {
            "image_id": "717_1",
            "caption": "The X-ray shows that the heart is normal in size with an unremarkable mediastinum. The lungs are clear without any signs of acute disease. Overall, the X-ray doesn't indicate any abnormalities or issues that need immediate attention."
        },
        {
            "image_id": "717_2",
            "caption": "The X-ray shows that the heart is normal in size with an unremarkable mediastinum. The lungs are clear without any signs of acute disease. Overall, the X-ray doesn't indicate any abnormalities or issues that need immediate attention."
        },
        {
            "image_id": "1283_1",
            "caption": "The X-ray shows that the heart, pulmonary, and mediastinum are normal. There is no evidence of pleural effusion or pneumothorax, and no clear signs of pneumonia. However, there are calcified granulomas and vascular calcifications. At present, there is no acute cardiopulmonary disease detected."
        },
        {
            "image_id": "3494_1",
            "caption": "The x-ray shows low lung volumes and bronchovascular crowding but there is no focal consolidation or pneumothorax. The size of the heart and cardiomediastinal contours are within normal limits, indicating no acute cardiopulmonary findings."
        },
        {
            "image_id": "3494_2",
            "caption": "The x-ray shows low lung volumes and bronchovascular crowding but there is no focal consolidation or pneumothorax. The size of the heart and cardiomediastinal contours are within normal limits, indicating no acute cardiopulmonary findings."
        },
        {
            "image_id": "2952_1",
            "caption": "The chest x-ray shows that the heart, mediastinum, and pulmonary vasculature are of normal size and appearance. The lungs are clear of any focal areas of disease and there is no evidence of pneumothorax. However, there is mild hypoinflation. No acute bony abnormalities are seen. Overall, no acute cardiopulmonary disease is observed."
        },
        {
            "image_id": "1730_1",
            "caption": "During the X-ray examination, the trachea was found to be in its normal position. The cardiomedistinal silhouette and pulmonary vasculature were found to be normal. The lungs were also clear of any infiltrate or effusion with no sign of a pneumothorax. No acute abnormalities were detected on the bony structures. However, mild degenerative changes of the thoracic spine were observed on the lateral view. The doctor did not find any acute cardiopulmonary abnormalities in the X-ray image."
        },
        {
            "image_id": "1730_2",
            "caption": "During the X-ray examination, the trachea was found to be in its normal position. The cardiomedistinal silhouette and pulmonary vasculature were found to be normal. The lungs were also clear of any infiltrate or effusion with no sign of a pneumothorax. No acute abnormalities were detected on the bony structures. However, mild degenerative changes of the thoracic spine were observed on the lateral view. The doctor did not find any acute cardiopulmonary abnormalities in the X-ray image."
        },
        {
            "image_id": "3127_1",
            "caption": "Upon examination of the X-ray, the heart appears to be of normal size with no acute radiographic cardiopulmonary processes present. The mediastinal contour is within normal limits and the lungs are free of any focal infiltrates, nodules or masses. There is no visible pleural fluid or pneumothorax. However, there is prominent left epicardial fat and no visible free intraperitoneal air is present under the diaphragm."
        },
        {
            "image_id": "2239_1",
            "caption": "The chest x-ray shows a normal size and configuration of the cardiac silhouette, with normal pulmonary vasculature and central airways. There is interstitial prominence and basilar patchy airspace disease, which may indicate pulmonary fibrosis, scarring and/or atelectasis. There is no focal airspace consolidation or pleural effusion seen. Further comparison with previous X-rays is recommended to monitor any changes over time."
        },
        {
            "image_id": "2239_2",
            "caption": "The chest x-ray shows a normal size and configuration of the cardiac silhouette, with normal pulmonary vasculature and central airways. There is interstitial prominence and basilar patchy airspace disease, which may indicate pulmonary fibrosis, scarring and/or atelectasis. There is no focal airspace consolidation or pleural effusion seen. Further comparison with previous X-rays is recommended to monitor any changes over time."
        },
        {
            "image_id": "3899_1",
            "caption": "The chest x-ray shows mildly hyperexpanded lungs, with no visible consolidation or pneumothorax. The heart appears normal in size. The right lung base is not visible in the image. In the abdomen, there are multiple air filled nondilated loops of small and large bowel, with extensive stool throughout the descending colon. Supine examinations are limited for the evaluation of pneumoperitoneum. Bilateral hip degenerative changes are also noted. Overall, there is no acute cardiopulmonary abnormality and no evidence of obstruction. A comparison with previous films may be helpful for better evaluation."
        },
        {
            "image_id": "3641_1",
            "caption": "The x-ray findings indicate that the patient has a normal heart size and stable mediastinal contours, with left base pleural-parenchymal irregularity that is compatible with scarring. There is no evidence of focal alveolar consolidation or definite pleural effusion, and no typical findings of pulmonary edema were seen. The chronic-appearing left rib contour irregularities may be posttraumatic or postsurgical. Overall, the impression is that there are no acute findings."
        },
        {
            "image_id": "3641_2",
            "caption": "The x-ray findings indicate that the patient has a normal heart size and stable mediastinal contours, with left base pleural-parenchymal irregularity that is compatible with scarring. There is no evidence of focal alveolar consolidation or definite pleural effusion, and no typical findings of pulmonary edema were seen. The chronic-appearing left rib contour irregularities may be posttraumatic or postsurgical. Overall, the impression is that there are no acute findings."
        },
        {
            "image_id": "1056_1",
            "caption": "The x-ray image shows stable findings, indicating no acute abnormality. The heart appears normal in size, while the aorta is stable but tortuous. The lungs are hyperinflated with flattened diaphragms, indicative of established emphysematous lung changes. There is no evidence of pneumothorax or pleural effusion, nor any suspicious focal air space opacities. There is also levoscoliosis of the thoracolumbar spine. Overall, the findings indicate stable emphysematous lung changes with no current acute abnormalities."
        },
        {
            "image_id": "1056_2",
            "caption": "The x-ray image shows stable findings, indicating no acute abnormality. The heart appears normal in size, while the aorta is stable but tortuous. The lungs are hyperinflated with flattened diaphragms, indicative of established emphysematous lung changes. There is no evidence of pneumothorax or pleural effusion, nor any suspicious focal air space opacities. There is also levoscoliosis of the thoracolumbar spine. Overall, the findings indicate stable emphysematous lung changes with no current acute abnormalities."
        },
        {
            "image_id": "1056_3",
            "caption": "The x-ray image shows stable findings, indicating no acute abnormality. The heart appears normal in size, while the aorta is stable but tortuous. The lungs are hyperinflated with flattened diaphragms, indicative of established emphysematous lung changes. There is no evidence of pneumothorax or pleural effusion, nor any suspicious focal air space opacities. There is also levoscoliosis of the thoracolumbar spine. Overall, the findings indicate stable emphysematous lung changes with no current acute abnormalities."
        },
        {
            "image_id": "1042_1",
            "caption": "The chest x-ray shows that the heart, lungs, and bones are within normal limits. No acute cardiopulmonary findings or abnormality were seen in the image."
        },
        {
            "image_id": "1042_2",
            "caption": "The chest x-ray shows that the heart, lungs, and bones are within normal limits. No acute cardiopulmonary findings or abnormality were seen in the image."
        },
        {
            "image_id": "3655_1",
            "caption": "The chest x-ray shows a well circumscribed 11 mm nodule in the right upper lobe, which appears unchanged from the previous exam conducted 7 years ago. The trachea is midline and there are no signs of pneumothorax or pleural effusion. The heart is of normal size and there is a redemonstrated syndesmophyte. The impression of the radiologist is that there are no acute cardiopulmonary abnormalities found in the x-ray image."
        },
        {
            "image_id": "3655_2",
            "caption": "The chest x-ray shows a well circumscribed 11 mm nodule in the right upper lobe, which appears unchanged from the previous exam conducted 7 years ago. The trachea is midline and there are no signs of pneumothorax or pleural effusion. The heart is of normal size and there is a redemonstrated syndesmophyte. The impression of the radiologist is that there are no acute cardiopulmonary abnormalities found in the x-ray image."
        },
        {
            "image_id": "1724_1",
            "caption": "On examination of the chest x-ray, there is evidence of emphysema characterized by mildly hyperinflated lungs and areas of lung lucency indicating obstructive pulmonary disease. However, there is no sign of superimposed focal airspace consolidation, pleural effusion or pneumothorax. The heart appears normal in size. Based on the findings, the impression is indicative of emphysema."
        },
        {
            "image_id": "2205_1",
            "caption": "The x-ray shows a normal heart size and tortuous aorta. Chronic scarring or pleural plaque is identified in the left upper lung with a partial resection of the posterior fourth rib. No acute findings such as pneumothorax or pleural effusion are seen. Anterior wedging is observed in multiple vertebral bodies. The findings indicate possible previous lung injury or disease."
        },
        {
            "image_id": "298_1",
            "caption": "The x-ray image shows clear lungs with no signs of acute pulmonary disease. There is no presence of pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal."
        },
        {
            "image_id": "298_2",
            "caption": "The x-ray image shows clear lungs with no signs of acute pulmonary disease. There is no presence of pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal."
        },
        {
            "image_id": "2563_1",
            "caption": "The findings show that the heart, lungs, and pulmonary vasculature are normal with no acute abnormalities or diseases detected. The skeletal structures are also normal. Overall, no acute cardiopulmonary findings were observed in the x-ray image."
        },
        {
            "image_id": "2563_2",
            "caption": "The findings show that the heart, lungs, and pulmonary vasculature are normal with no acute abnormalities or diseases detected. The skeletal structures are also normal. Overall, no acute cardiopulmonary findings were observed in the x-ray image."
        },
        {
            "image_id": "2577_1",
            "caption": "Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are opacities suggestive of atelectasis or airspace disease. No large effusion or pneumothorax. Suspected atelectasis or airspace disease. Follow-up with appropriate imaging may be necessary for proper diagnosis and treatment."
        },
        {
            "image_id": "2577_2",
            "caption": "Cardiomediastinal silhouette within normal limits. No acute bony abnormality. There are opacities suggestive of atelectasis or airspace disease. No large effusion or pneumothorax. Suspected atelectasis or airspace disease. Follow-up with appropriate imaging may be necessary for proper diagnosis and treatment."
        },
        {
            "image_id": "1718_1",
            "caption": "The chest x-ray shows mild increased reticular interstitial opacity, which is non-specific and may be due to heart failure or atypical infection. However, there is no evidence of lobar consolidation, large pleural effusion, or pneumothorax. The heart size and mediastinal silhouette are normal. Further evaluation may be needed to determine the underlying cause of the interstitial opacities."
        },
        {
            "image_id": "2211_1",
            "caption": "The patient has persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and increased density on the frontal image. However, the lungs appear clear and there are no visible signs of pleural effusion or pneumothorax. Overall, the x-ray shows that the patient's heart and lungs appear to be functioning normally."
        },
        {
            "image_id": "2211_2",
            "caption": "The patient has persistent cardiomegaly with suggestion of left atrial enlargement as evidenced by cardiac contour the lateral image and increased density on the frontal image. However, the lungs appear clear and there are no visible signs of pleural effusion or pneumothorax. Overall, the x-ray shows that the patient's heart and lungs appear to be functioning normally."
        },
        {
            "image_id": "267_1",
            "caption": "The patient's endotracheal tube and NG tube have been removed. The x-ray reveals mild patchy bilateral airspace disease, and small bilateral pleural effusions. However, there is no pneumothorax, and the heart and mediastinum are stable with a normal-sized heart. Additionally, there are degenerative changes in the spine. These findings indicate that there may be some modest breathing difficulties, but no serious pulmonary or cardiac disease. It is important for the physician to monitor the pleural effusions and follow-up as needed."
        },
        {
            "image_id": "267_2",
            "caption": "The patient's endotracheal tube and NG tube have been removed. The x-ray reveals mild patchy bilateral airspace disease, and small bilateral pleural effusions. However, there is no pneumothorax, and the heart and mediastinum are stable with a normal-sized heart. Additionally, there are degenerative changes in the spine. These findings indicate that there may be some modest breathing difficulties, but no serious pulmonary or cardiac disease. It is important for the physician to monitor the pleural effusions and follow-up as needed."
        },
        {
            "image_id": "1095_1",
            "caption": "The chest X-ray shows no evidence of acute cardiopulmonary disease. The lungs, heart, and pulmonary structures are normal. However, there is severe kyphotic deformity involving prior fractures of thoracic vertebral bodies and the sternum. The patient has multiple vertebral body fractures and is status post vertebroplasty at multiple levels. Additionally, there is right-sided chest tube with the distal tip in the upper right atrium. The pleural spaces appear clear and mediastinal contours appear normal. These findings suggest changes of acute kyphotic deformity and of the thorax."
        },
        {
            "image_id": "3682_1",
            "caption": "The x-ray shows the lungs are hypoventilated but with no acute cardiopulmonary abnormality. There is no focal airspace opacity or pneumothorax or large pleural effusion. The cardiomediastinal silhouette is normal in size."
        },
        {
            "image_id": "3682_2",
            "caption": "The x-ray shows the lungs are hypoventilated but with no acute cardiopulmonary abnormality. There is no focal airspace opacity or pneumothorax or large pleural effusion. The cardiomediastinal silhouette is normal in size."
        },
        {
            "image_id": "2588_1",
            "caption": "The x-ray shows no focal consolidation, pneumothorax, or definite pleural effusion. However, a nodular density is projected over the left base with no lateral view correlate, possibly indicating soft tissue overlay. The heart size and pulmonary vascularity are normal, and there is no mediastinal widening characteristic of vascular injury. No acute osseous injury is demonstrated, although it is important to note that fractures may not be visible on x-ray and additional imaging may be necessary. Overall, the x-ray does not show any significant abnormalities."
        },
        {
            "image_id": "2588_2",
            "caption": "The x-ray shows no focal consolidation, pneumothorax, or definite pleural effusion. However, a nodular density is projected over the left base with no lateral view correlate, possibly indicating soft tissue overlay. The heart size and pulmonary vascularity are normal, and there is no mediastinal widening characteristic of vascular injury. No acute osseous injury is demonstrated, although it is important to note that fractures may not be visible on x-ray and additional imaging may be necessary. Overall, the x-ray does not show any significant abnormalities."
        },
        {
            "image_id": "1081_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality, but there are emphysematous changes in the lungs as seen by hyperexpanded lungs and stable degenerative changes of the thoracic spine."
        },
        {
            "image_id": "515_1",
            "caption": "The patient's x-ray shows that their lungs are clear without any consolidation, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits indicating no cardiac or mediastinal abnormality. The impression from the report is that the patient has no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "515_2",
            "caption": "The patient's x-ray shows that their lungs are clear without any consolidation, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits indicating no cardiac or mediastinal abnormality. The impression from the report is that the patient has no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "273_1",
            "caption": "Upon examination of the chest x-ray, mild to moderate enlargement of the heart is noted. Additionally, mild elevation of the right hemidiaphragm along with right-sided bronchovascular crowding is observed. No definite focal alveolar consolidation or pleural effusion is identified. Indistinct vascular margination is also visible, which may be indicative of bronchovascular crowding, pulmonary edema, atypical infection, or inflammation. Further clinical evaluation may be necessary to determine the underlying cause of these findings."
        },
        {
            "image_id": "273_2",
            "caption": "Upon examination of the chest x-ray, mild to moderate enlargement of the heart is noted. Additionally, mild elevation of the right hemidiaphragm along with right-sided bronchovascular crowding is observed. No definite focal alveolar consolidation or pleural effusion is identified. Indistinct vascular margination is also visible, which may be indicative of bronchovascular crowding, pulmonary edema, atypical infection, or inflammation. Further clinical evaluation may be necessary to determine the underlying cause of these findings."
        },
        {
            "image_id": "3866_1",
            "caption": "The X-ray shows patchy airspace disease in the right middle lobe and subtle opacities in the lingula, indicating possible multilobar pneumonia. There is no sign of pneumothorax or pleural effusion and the heart size appears normal. It is recommended to seek medical attention and treatment for multilobar pneumonia."
        },
        {
            "image_id": "3866_2",
            "caption": "The X-ray shows patchy airspace disease in the right middle lobe and subtle opacities in the lingula, indicating possible multilobar pneumonia. There is no sign of pneumothorax or pleural effusion and the heart size appears normal. It is recommended to seek medical attention and treatment for multilobar pneumonia."
        },
        {
            "image_id": "529_1",
            "caption": "The X-ray examination revealed that there were no acute findings related to the patient's cardiopulmonary system. Specifically, there were no focal airspace consolidations, pleural effusions, or pneumothorax. Additionally, the patient's heart size and mediastinal contours were both normal. Although there was a chronic appearing right mid clavicle injury, visualized bony structures were otherwise unremarkable."
        },
        {
            "image_id": "529_2",
            "caption": "The X-ray examination revealed that there were no acute findings related to the patient's cardiopulmonary system. Specifically, there were no focal airspace consolidations, pleural effusions, or pneumothorax. Additionally, the patient's heart size and mediastinal contours were both normal. Although there was a chronic appearing right mid clavicle injury, visualized bony structures were otherwise unremarkable."
        },
        {
            "image_id": "3872_1",
            "caption": "The X-ray scan shows no current health issues with the heart or lungs. However, the patient has thoracic spondylosis. The medical professionals have concluded that there is no acute process to be worried about at this time."
        },
        {
            "image_id": "3872_2",
            "caption": "The X-ray scan shows no current health issues with the heart or lungs. However, the patient has thoracic spondylosis. The medical professionals have concluded that there is no acute process to be worried about at this time."
        },
        {
            "image_id": "1903_1",
            "caption": "Based on the X-ray image, there are no visible signs of acute cardiopulmonary abnormality. The lungs and cardiac contours appear normal, and there is no evidence of focal airspace consolidation, pleural effusion, or pneumothorax. The impression indicates that there is no acute disease."
        },
        {
            "image_id": "1903_2",
            "caption": "Based on the X-ray image, there are no visible signs of acute cardiopulmonary abnormality. The lungs and cardiac contours appear normal, and there is no evidence of focal airspace consolidation, pleural effusion, or pneumothorax. The impression indicates that there is no acute disease."
        },
        {
            "image_id": "1644_1",
            "caption": "The x-ray image shows normal findings with no evidence of active disease. The heart and pulmonary vascularity are normal, and there is no focal airspace disease, pleural effusion, or pneumothorax. The presence of calcified lymph nodes and degenerative changes in the spine are noted, but there is no indication of active disease."
        },
        {
            "image_id": "3735_1",
            "caption": "The X-ray shows no acute abnormalities in the heart, lungs or spine. The aorta appears to have atherosclerosis. Based on the image, no active disease process is noted."
        },
        {
            "image_id": "3735_2",
            "caption": "The X-ray shows no acute abnormalities in the heart, lungs or spine. The aorta appears to have atherosclerosis. Based on the image, no active disease process is noted."
        },
        {
            "image_id": "1122_1",
            "caption": "The x-ray image shows that the heart and mediastinal structures are normal. The lungs are clear with no focal areas of consolidation, pneumothorax, or pleural effusion noted. The thoracic spine appears intact. Based on these findings, there is no intrathoracic abnormality."
        },
        {
            "image_id": "1122_2",
            "caption": "The x-ray image shows that the heart and mediastinal structures are normal. The lungs are clear with no focal areas of consolidation, pneumothorax, or pleural effusion noted. The thoracic spine appears intact. Based on these findings, there is no intrathoracic abnormality."
        },
        {
            "image_id": "1122_3",
            "caption": "The x-ray image shows that the heart and mediastinal structures are normal. The lungs are clear with no focal areas of consolidation, pneumothorax, or pleural effusion noted. The thoracic spine appears intact. Based on these findings, there is no intrathoracic abnormality."
        },
        {
            "image_id": "1136_1",
            "caption": "The X-ray shows that the lungs are clear and there are no signs of pneumothorax or pleural effusion. The heart and mediastinum appear normal, and bony structures are intact. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "1136_2",
            "caption": "The X-ray shows that the lungs are clear and there are no signs of pneumothorax or pleural effusion. The heart and mediastinum appear normal, and bony structures are intact. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "3721_1",
            "caption": "The x-ray image shows a streaky opacity in the left lung base, indicating a possible focal area of atelectasis while the right lung is clear. The cardiac silhouette and mediastinal contours appear normal and no pneumothorax or large pleural effusion is seen. Based on this, there is a presence of left lower lobe atelectasis but no acute cardiopulmonary disease. It is suggested to undergo follow-up evaluation to determine the underlying cause and start appropriate treatment."
        },
        {
            "image_id": "3721_2",
            "caption": "The x-ray image shows a streaky opacity in the left lung base, indicating a possible focal area of atelectasis while the right lung is clear. The cardiac silhouette and mediastinal contours appear normal and no pneumothorax or large pleural effusion is seen. Based on this, there is a presence of left lower lobe atelectasis but no acute cardiopulmonary disease. It is suggested to undergo follow-up evaluation to determine the underlying cause and start appropriate treatment."
        },
        {
            "image_id": "2359_1",
            "caption": "The chest x-ray shows no visible signs of focal airspace consolidation or pneumothorax. The heart, mediastinum, and bony structures appear stable. However, the cardiac silhouette remains moderately enlarged with signs of cardiomegaly. Additionally, there is a possible small pleural effusion on the left side or extrapleural fat or scarring, but no retrocardiac pleural fluid collection is seen. The right acromioclavicular joint is slightly widened, possibly due to left shoulder osteoarthritis or a remote right collarbone injury. Overall, the impression is that there is no acute cardiopulmonary disease, but there are some areas that require further investigation."
        },
        {
            "image_id": "3047_1",
            "caption": "The chest X-ray shows that the heart size and pulmonary vascularity are in normal limits, and there is no evidence of active disease like pneumothorax or pleural effusion. Also, the lungs do not show any focal airspace disease."
        },
        {
            "image_id": "3047_2",
            "caption": "The chest X-ray shows that the heart size and pulmonary vascularity are in normal limits, and there is no evidence of active disease like pneumothorax or pleural effusion. Also, the lungs do not show any focal airspace disease."
        },
        {
            "image_id": "1888_1",
            "caption": "The x-ray image of the chest shows stable fractures of several ribs and degenerative changes in the spine. However, there is no acute cardiopulmonary process observed. The cardiomediastinal contours remain unchanged, and the lungs appear to be hyperexpanded but clear, with no signs of pneumothorax or pleural effusion."
        },
        {
            "image_id": "1888_2",
            "caption": "The x-ray image of the chest shows stable fractures of several ribs and degenerative changes in the spine. However, there is no acute cardiopulmonary process observed. The cardiomediastinal contours remain unchanged, and the lungs appear to be hyperexpanded but clear, with no signs of pneumothorax or pleural effusion."
        },
        {
            "image_id": "2371_1",
            "caption": "The finding of the x-ray shows T-spine osteophytes with low lung volumes, but the cardiomediastinal silhouette and pulmonary vasculature are within the normal range. There are no focal areas of consolidation, pneumothorax or pleural effusion, except for a streaky left basilar opacity, which is consistent with subsegmental atelectasis. Overall, the impression suggests no acute cardiopulmonary process."
        },
        {
            "image_id": "2371_2",
            "caption": "The finding of the x-ray shows T-spine osteophytes with low lung volumes, but the cardiomediastinal silhouette and pulmonary vasculature are within the normal range. There are no focal areas of consolidation, pneumothorax or pleural effusion, except for a streaky left basilar opacity, which is consistent with subsegmental atelectasis. Overall, the impression suggests no acute cardiopulmonary process."
        },
        {
            "image_id": "1678_1",
            "caption": "The x-ray shows that the heart size is normal and the mediastinum is stable. There is no evidence of pneumothorax or focal consolidation. However, there is an elevation in the right hemidiaphragm with a right-sided pleural effusion, and basilar airspace disease. In addition, vague opacities in the right upper lobe are noted, which, although previously seen, may be related to superimposed rib lesions or developing pulmonary nodules. The left lung appears clear. Further imaging of the chest may be required to confirm the diagnosis, and treatment should be done accordingly."
        },
        {
            "image_id": "1678_2",
            "caption": "The x-ray shows that the heart size is normal and the mediastinum is stable. There is no evidence of pneumothorax or focal consolidation. However, there is an elevation in the right hemidiaphragm with a right-sided pleural effusion, and basilar airspace disease. In addition, vague opacities in the right upper lobe are noted, which, although previously seen, may be related to superimposed rib lesions or developing pulmonary nodules. The left lung appears clear. Further imaging of the chest may be required to confirm the diagnosis, and treatment should be done accordingly."
        },
        {
            "image_id": "3709_1",
            "caption": "The chest x-ray shows the mediastinal silhouette to be widened. However, the heart size is normal and the lungs are clear with no signs of effusion, infiltrate, or pneumothorax. Moreover, visualized bony structures are intact and there are no acute abnormalities."
        },
        {
            "image_id": "3709_2",
            "caption": "The chest x-ray shows the mediastinal silhouette to be widened. However, the heart size is normal and the lungs are clear with no signs of effusion, infiltrate, or pneumothorax. Moreover, visualized bony structures are intact and there are no acute abnormalities."
        },
        {
            "image_id": "3709_3",
            "caption": "The chest x-ray shows the mediastinal silhouette to be widened. However, the heart size is normal and the lungs are clear with no signs of effusion, infiltrate, or pneumothorax. Moreover, visualized bony structures are intact and there are no acute abnormalities."
        },
        {
            "image_id": "2417_1",
            "caption": "The X-ray images show no serious abnormalities or changes. The cardiomediastinal silhouette is stable, and there is no evidence of a pneumothorax or pleural effusion. However, minimal bibasilar airspace disease is present. Additionally, calcified granuloma is noted in the left lower lobe, and degenerative changes are seen in the thoracic spine. Overall, no acute abnormalities are found."
        },
        {
            "image_id": "2417_2",
            "caption": "The X-ray images show no serious abnormalities or changes. The cardiomediastinal silhouette is stable, and there is no evidence of a pneumothorax or pleural effusion. However, minimal bibasilar airspace disease is present. Additionally, calcified granuloma is noted in the left lower lobe, and degenerative changes are seen in the thoracic spine. Overall, no acute abnormalities are found."
        },
        {
            "image_id": "2403_1",
            "caption": "The x-ray shows that the heart size and mediastinal silhouette are normal. There are no signs of pneumothorax or pleural effusion. The lungs appear clear except for a stable left basilar atelectasis which could be due to scarring. The impression is that there are no acute abnormalities with the cardiopulmonary system."
        },
        {
            "image_id": "2403_2",
            "caption": "The x-ray shows that the heart size and mediastinal silhouette are normal. There are no signs of pneumothorax or pleural effusion. The lungs appear clear except for a stable left basilar atelectasis which could be due to scarring. The impression is that there are no acute abnormalities with the cardiopulmonary system."
        },
        {
            "image_id": "2365_1",
            "caption": "The x-ray shows that the heart and lungs are normal, with no signs of pulmonary disease, pleural effusion or pneumothorax. The impression is that there is no active disease present. This is indicative of a healthy cardiopulmonary system."
        },
        {
            "image_id": "2365_2",
            "caption": "The x-ray shows that the heart and lungs are normal, with no signs of pulmonary disease, pleural effusion or pneumothorax. The impression is that there is no active disease present. This is indicative of a healthy cardiopulmonary system."
        },
        {
            "image_id": "3090_1",
            "caption": "The X-ray shows a normal cardiac contour. However, there is a right-sided pleural effusion present while the left lung appears clear and there is no evidence of pneumothorax. Further evaluation may be necessary to determine the cause of the right-sided pleural effusion."
        },
        {
            "image_id": "3090_2",
            "caption": "The X-ray shows a normal cardiac contour. However, there is a right-sided pleural effusion present while the left lung appears clear and there is no evidence of pneumothorax. Further evaluation may be necessary to determine the cause of the right-sided pleural effusion."
        },
        {
            "image_id": "313_1",
            "caption": "The chest x-ray shows an enlarged cardiac silhouette with diffuse coarse interstitial opacities throughout the lungs and right greater than left bibasilar consolidation. Small pleural effusions are present on both sides, with the right being larger. There is no evidence of pneumothorax but atherosclerotic calcification is present involving the thoracic and upper abdominal aorta. These findings suggest the possibility of diffuse infection or heart failure leading to the enlarged cardiac silhouette and coarse interstitial opacities. Further evaluation may be necessary."
        },
        {
            "image_id": "1687_1",
            "caption": "The x-ray image shows no focal areas of consolidation and the heart size is within normal limits without any pleural effusions. The osseous structures are also intact. Hence, there is no acute cardiopulmonary abnormality. The feeding tube is noted with the tip placed distal to the gastroesophageal junction as per the radiographic findings."
        },
        {
            "image_id": "1687_2",
            "caption": "The x-ray image shows no focal areas of consolidation and the heart size is within normal limits without any pleural effusions. The osseous structures are also intact. Hence, there is no acute cardiopulmonary abnormality. The feeding tube is noted with the tip placed distal to the gastroesophageal junction as per the radiographic findings."
        },
        {
            "image_id": "475_1",
            "caption": "The patient's chest x-ray showed normal findings with no signs of cardiac, pulmonary or pleural disease. The cardiopulmonary silhouette, pulmonary vasculature, and central airways were normal in size and configuration. There was no presence of focal airspace consolidation or pleural effusion indicating an absence of acute or active disease."
        },
        {
            "image_id": "475_2",
            "caption": "The patient's chest x-ray showed normal findings with no signs of cardiac, pulmonary or pleural disease. The cardiopulmonary silhouette, pulmonary vasculature, and central airways were normal in size and configuration. There was no presence of focal airspace consolidation or pleural effusion indicating an absence of acute or active disease."
        },
        {
            "image_id": "461_1",
            "caption": "The findings reveal a normal cardiomediastinal silhouette with well-aerated lungs and no evidence of acute cardiopulmonary disease. Pulmonary vasculature appears normal with no visible pneumothorax, pleural effusion, or focal consolidation. The impression suggests no presence of acute cardiopulmonary disease."
        },
        {
            "image_id": "461_2",
            "caption": "The findings reveal a normal cardiomediastinal silhouette with well-aerated lungs and no evidence of acute cardiopulmonary disease. Pulmonary vasculature appears normal with no visible pneumothorax, pleural effusion, or focal consolidation. The impression suggests no presence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1693_1",
            "caption": "The chest X-ray shows no evidence of acute disease. The heart and mediastinum are within normal limits in size and configuration, while the lungs are hypoinflated with scarring in the left lung base. Mild chronic changes are present in the left lung base, but there are no focal consolidations or significant effusions detected."
        },
        {
            "image_id": "307_1",
            "caption": "The patient's chest radiographs show a normal cardiomediastinal silhouette and pulmonary vasculature without any areas of consolidation. There are no signs of pneumothorax or pleural effusion. The impression suggests that the chest radiographs are negative for any acute or chronic cardiopulmonary disease."
        },
        {
            "image_id": "307_2",
            "caption": "The patient's chest radiographs show a normal cardiomediastinal silhouette and pulmonary vasculature without any areas of consolidation. There are no signs of pneumothorax or pleural effusion. The impression suggests that the chest radiographs are negative for any acute or chronic cardiopulmonary disease."
        },
        {
            "image_id": "3084_1",
            "caption": "The x-ray shows no immediate cardiopulmonary issues or abnormalities. Heart size appears normal, with no pleural effusions, pneumothorax, or focal airspace opacities. There are mild degenerative osteophytes visible in the thoracic spine."
        },
        {
            "image_id": "3084_2",
            "caption": "The x-ray shows no immediate cardiopulmonary issues or abnormalities. Heart size appears normal, with no pleural effusions, pneumothorax, or focal airspace opacities. There are mild degenerative osteophytes visible in the thoracic spine."
        },
        {
            "image_id": "1863_1",
            "caption": "The chest x-ray reveals a mildly enlarged heart with a tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis. No acute process was noted on this low volume study, but mild cardiomegaly is present. The spine shows degenerative changes."
        },
        {
            "image_id": "1863_2",
            "caption": "The chest x-ray reveals a mildly enlarged heart with a tortuous aorta. Lung volumes are low with central bronchovascular crowding and patchy basilar atelectasis. No acute process was noted on this low volume study, but mild cardiomegaly is present. The spine shows degenerative changes."
        },
        {
            "image_id": "3912_1",
            "caption": "The patient's examination revealed stable mild cardiomegaly and clear lungs. However, due to rotation of the patient, the costophrenic areas were excluded from the study. The heart size was within normal limits but upper limits normal and the mediastinal contour was unremarkable. No visible pneumothorax or large effusion was seen in the study and lung parenchyma showed no focal airspace consolidation."
        },
        {
            "image_id": "3912_2",
            "caption": "The patient's examination revealed stable mild cardiomegaly and clear lungs. However, due to rotation of the patient, the costophrenic areas were excluded from the study. The heart size was within normal limits but upper limits normal and the mediastinal contour was unremarkable. No visible pneumothorax or large effusion was seen in the study and lung parenchyma showed no focal airspace consolidation."
        },
        {
            "image_id": "3912_3",
            "caption": "The patient's examination revealed stable mild cardiomegaly and clear lungs. However, due to rotation of the patient, the costophrenic areas were excluded from the study. The heart size was within normal limits but upper limits normal and the mediastinal contour was unremarkable. No visible pneumothorax or large effusion was seen in the study and lung parenchyma showed no focal airspace consolidation."
        },
        {
            "image_id": "449_1",
            "caption": "The X-ray shows that the heart is of normal size with a normal cardiac silhouette. There is no presence of any pneumothorax or pleural effusion. Even edema or airspace consolidation is absent. Overall, the report suggests no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3906_1",
            "caption": "The x-ray shows a normal cardiac contour without any pleural effusion or pneumothorax. Lungs are clear without any acute cardiopulmonary abnormalities indicating a normal radiograph."
        },
        {
            "image_id": "1877_1",
            "caption": "The x-ray of the chest shows a normal sized heart, clear lungs. The finding reveals no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression concludes a normal chest."
        },
        {
            "image_id": "1877_2",
            "caption": "The x-ray of the chest shows a normal sized heart, clear lungs. The finding reveals no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression concludes a normal chest."
        },
        {
            "image_id": "1320_1",
            "caption": "The x-ray shows a calcified granuloma in the left upper lobe with low lung volumes and bronchovascular crowding. Heart size and mediastinal contours are normal. No signs of pleural effusion, pneumothorax or focal airspace disease, or free subdiaphragmatic air. The osseous structures are intact. The impression is low lung volumes with no acute pulmonary disease."
        },
        {
            "image_id": "1320_2",
            "caption": "The x-ray shows a calcified granuloma in the left upper lobe with low lung volumes and bronchovascular crowding. Heart size and mediastinal contours are normal. No signs of pleural effusion, pneumothorax or focal airspace disease, or free subdiaphragmatic air. The osseous structures are intact. The impression is low lung volumes with no acute pulmonary disease."
        },
        {
            "image_id": "2629_1",
            "caption": "The patient's x-ray image appears normal with no evidence of acute cardiopulmonary abnormalities. Specifically, the mediastinal contours appear normal, and the lungs are clear with no pneumothorax or large pleural effusion detected. There is no focal infiltrate, indicating the absence of any acute pulmonary disease. Overall, the x-ray does not show any significant pathology."
        },
        {
            "image_id": "2629_2",
            "caption": "The patient's x-ray image appears normal with no evidence of acute cardiopulmonary abnormalities. Specifically, the mediastinal contours appear normal, and the lungs are clear with no pneumothorax or large pleural effusion detected. There is no focal infiltrate, indicating the absence of any acute pulmonary disease. Overall, the x-ray does not show any significant pathology."
        },
        {
            "image_id": "3537_1",
            "caption": "The heart and lungs have shown no significant changes in the interval. Both lungs are clear and expanded with normal heart and mediastinum. No active cardiopulmonary disease detected in the X-ray image. This suggests that the patient's heart and lungs are functioning normally without any acute abnormalities. It is advisable to consult a doctor for a detailed evaluation of the results."
        },
        {
            "image_id": "3537_2",
            "caption": "The heart and lungs have shown no significant changes in the interval. Both lungs are clear and expanded with normal heart and mediastinum. No active cardiopulmonary disease detected in the X-ray image. This suggests that the patient's heart and lungs are functioning normally without any acute abnormalities. It is advisable to consult a doctor for a detailed evaluation of the results."
        },
        {
            "image_id": "3251_1",
            "caption": "Right mid lung nodule stable; etiology not determined. This is noncalcified, and is stable since a CT examination and is of benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic angles are clear. Visualized spine vertebrae appear normal in shape and alignment. Overlying leads. Radiographic view of chest is stable with benign etiology of mid lung nodule."
        },
        {
            "image_id": "3251_2",
            "caption": "Right mid lung nodule stable; etiology not determined. This is noncalcified, and is stable since a CT examination and is of benign etiology. The lungs are well inflated and without focal consolidation. The cardiomediastinal silhouette appears unremarkable. Costophrenic angles are clear. Visualized spine vertebrae appear normal in shape and alignment. Overlying leads. Radiographic view of chest is stable with benign etiology of mid lung nodule."
        },
        {
            "image_id": "1452_1",
            "caption": "The chest x-ray shows that the heart and lung structures are normal in size and configuration with clear and well-aerated lungs. No sign of pneumothorax, pleural effusion or focal air space disease. Based on this result, there is no acute cardiopulmonary disease detected."
        },
        {
            "image_id": "1452_2",
            "caption": "The chest x-ray shows that the heart and lung structures are normal in size and configuration with clear and well-aerated lungs. No sign of pneumothorax, pleural effusion or focal air space disease. Based on this result, there is no acute cardiopulmonary disease detected."
        },
        {
            "image_id": "3245_1",
            "caption": " The x-ray shows moderate congestive cardiac failure due to moderate bilateral interstitial edema, cardiomegaly and bilateral effusion. Further examination is needed to determine the cause of the large calcified right mediastinal adenopathy which could possibly be due to chronic fungal infection.Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, possibly chronic fungal. No pneumothorax.  "
        },
        {
            "image_id": "3245_2",
            "caption": " The x-ray shows moderate congestive cardiac failure due to moderate bilateral interstitial edema, cardiomegaly and bilateral effusion. Further examination is needed to determine the cause of the large calcified right mediastinal adenopathy which could possibly be due to chronic fungal infection.Moderate bilateral interstitial edema, with cardiomegaly and bilateral effusion consistent with moderate cardiac failure. A large calcified right mediastinal adenopathy, possibly chronic fungal. No pneumothorax.  "
        },
        {
            "image_id": "3523_1",
            "caption": "The finding indicates that the heart and lungs are stable, clear, expanded and show no signs of active disease in the interval. The mediastinum appears normal and there is no change in the right anterior soft tissue surgical clips. Additionally, the PA view suggests that the patient had a prior right lumpectomy. Overall, the impression is that there is no cause for concern at this time."
        },
        {
            "image_id": "3523_2",
            "caption": "The finding indicates that the heart and lungs are stable, clear, expanded and show no signs of active disease in the interval. The mediastinum appears normal and there is no change in the right anterior soft tissue surgical clips. Additionally, the PA view suggests that the patient had a prior right lumpectomy. Overall, the impression is that there is no cause for concern at this time."
        },
        {
            "image_id": "38_1",
            "caption": "The x-ray examination showed clear lungs without any pneumothorax or pleural effusion. The heart, mediastinum, and bones appeared normal in size and shape, without any apparent abnormalities. Based on the findings, there is no evidence of any acute cardiopulmonary process."
        },
        {
            "image_id": "38_2",
            "caption": "The x-ray examination showed clear lungs without any pneumothorax or pleural effusion. The heart, mediastinum, and bones appeared normal in size and shape, without any apparent abnormalities. Based on the findings, there is no evidence of any acute cardiopulmonary process."
        },
        {
            "image_id": "1334_1",
            "caption": "The radiographic images show no sign of acute or active cardiopulmonary disease. Specifically, the heart, lungs, and mediastinum all appear normal or within normal limits, with no pleural effusion, pneumothorax, or focal infiltrate observed. In some cases, previous surgeries or procedures are visible on the x-ray, but no active disease is present. These findings suggest no need for immediate medical attention, but it is important to consult with a physician for any necessary follow-up or monitoring."
        },
        {
            "image_id": "1334_2",
            "caption": "The radiographic images show no sign of acute or active cardiopulmonary disease. Specifically, the heart, lungs, and mediastinum all appear normal or within normal limits, with no pleural effusion, pneumothorax, or focal infiltrate observed. In some cases, previous surgeries or procedures are visible on the x-ray, but no active disease is present. These findings suggest no need for immediate medical attention, but it is important to consult with a physician for any necessary follow-up or monitoring."
        },
        {
            "image_id": "2615_1",
            "caption": "The finding of the chest x-ray shows moderate cardiomegaly, mild bilateral costophrenic blunting and fissural thickening, and interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. The impression suggests cardiomegaly and small bilateral pleural effusions with abnormal pulmonary opacities most suggestive of pulmonary edema, and primary differential diagnosis atypical infection and inflammation. It is recommended to consult a doctor to properly evaluate and manage the condition."
        },
        {
            "image_id": "2615_2",
            "caption": "The finding of the chest x-ray shows moderate cardiomegaly, mild bilateral costophrenic blunting and fissural thickening, and interstitial opacities greatest in the central lungs and bases with indistinct vascular margination. The impression suggests cardiomegaly and small bilateral pleural effusions with abnormal pulmonary opacities most suggestive of pulmonary edema, and primary differential diagnosis atypical infection and inflammation. It is recommended to consult a doctor to properly evaluate and manage the condition."
        },
        {
            "image_id": "850_1",
            "caption": "The x-ray indicates a stable appearance of the cardiomediastinal silhouette with no signs of acute cardiopulmonary findings such as pneumothorax, pleural effusion, or focal airspace consolidation. This suggests a healthy lung and heart status."
        },
        {
            "image_id": "850_2",
            "caption": "The x-ray indicates a stable appearance of the cardiomediastinal silhouette with no signs of acute cardiopulmonary findings such as pneumothorax, pleural effusion, or focal airspace consolidation. This suggests a healthy lung and heart status."
        },
        {
            "image_id": "850_3",
            "caption": "The x-ray indicates a stable appearance of the cardiomediastinal silhouette with no signs of acute cardiopulmonary findings such as pneumothorax, pleural effusion, or focal airspace consolidation. This suggests a healthy lung and heart status."
        },
        {
            "image_id": "10_1",
            "caption": "The x-ray image shows that the heart and mediastinum are normal with clear lungs, stable calcified granuloma in the right upper lung and no focal airspace disease, pleural effusion or pneumothorax. No acute bone abnormalities were observed in the x-ray image. Thus, there are no signs of acute cardiopulmonary process."
        },
        {
            "image_id": "10_2",
            "caption": "The x-ray image shows that the heart and mediastinum are normal with clear lungs, stable calcified granuloma in the right upper lung and no focal airspace disease, pleural effusion or pneumothorax. No acute bone abnormalities were observed in the x-ray image. Thus, there are no signs of acute cardiopulmonary process."
        },
        {
            "image_id": "688_1",
            "caption": "On the KUB, there are multiple air-filled dilated loops of small bowel over the mid abdomen, some measuring up to 3.7 cm and an extremely dilated, indicating small bowel obstruction. The chest x-ray shows left basilar airspace disease with atelectasis. The heart size is normal, and there are no large pleural effusions. Prior abdominal surgery is noted. Mild elevation of the left hemidiaphragm and thickening of the fissure are also present. There is small bowel obstruction with left basilar airspace disease and atelectasis. No acute cardiopulmonary process is observed."
        },
        {
            "image_id": "688_2",
            "caption": "On the KUB, there are multiple air-filled dilated loops of small bowel over the mid abdomen, some measuring up to 3.7 cm and an extremely dilated, indicating small bowel obstruction. The chest x-ray shows left basilar airspace disease with atelectasis. The heart size is normal, and there are no large pleural effusions. Prior abdominal surgery is noted. Mild elevation of the left hemidiaphragm and thickening of the fissure are also present. There is small bowel obstruction with left basilar airspace disease and atelectasis. No acute cardiopulmonary process is observed."
        },
        {
            "image_id": "2173_1",
            "caption": "The chest radiograph shows that the cardiac and mediastinal contours are unremarkable and the pulmonary vascularity is within normal limits. There are no focal air space opacities, pleural effusion, or pneumothorax. The osseous structures are grossly unremarkable, and there are unchanged degenerative changes to the thoracic spine. In conclusion, the chest X-ray appears unremarkable, and there are no significant changes since the previous examination."
        },
        {
            "image_id": "2173_2",
            "caption": "The chest radiograph shows that the cardiac and mediastinal contours are unremarkable and the pulmonary vascularity is within normal limits. There are no focal air space opacities, pleural effusion, or pneumothorax. The osseous structures are grossly unremarkable, and there are unchanged degenerative changes to the thoracic spine. In conclusion, the chest X-ray appears unremarkable, and there are no significant changes since the previous examination."
        },
        {
            "image_id": "3279_1",
            "caption": "The X-ray shows that there is no acute cardiopulmonary abnormality. The findings indicate that the heart size is normal and the cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally without the presence of pleural effusion or pneumothorax. Additionally, there are no bony or soft tissue abnormalities detected in the image."
        },
        {
            "image_id": "3279_2",
            "caption": "The X-ray shows that there is no acute cardiopulmonary abnormality. The findings indicate that the heart size is normal and the cardiomediastinal silhouette is normal in contour. Lungs are clear bilaterally without the presence of pleural effusion or pneumothorax. Additionally, there are no bony or soft tissue abnormalities detected in the image."
        },
        {
            "image_id": "2167_1",
            "caption": "The x-ray examination showed hyperinflation with mild flattening of the diaphragm, but the heart and mediastinum appear normal. There are no signs of focal airspace disease, pneumothorax, or large pleural effusion. The bones and soft tissues appear unremarkable. Contrast material was retained in the renal collecting system. The impression is that there are no acute cardiopulmonary abnormalities, but there are emphysematous changes and retained contrast in the renal collecting system. It is important to follow up with further testing and monitoring to ensure proper treatment."
        },
        {
            "image_id": "2167_2",
            "caption": "The x-ray examination showed hyperinflation with mild flattening of the diaphragm, but the heart and mediastinum appear normal. There are no signs of focal airspace disease, pneumothorax, or large pleural effusion. The bones and soft tissues appear unremarkable. Contrast material was retained in the renal collecting system. The impression is that there are no acute cardiopulmonary abnormalities, but there are emphysematous changes and retained contrast in the renal collecting system. It is important to follow up with further testing and monitoring to ensure proper treatment."
        },
        {
            "image_id": "844_1",
            "caption": "The chest x-ray shows that there are no abnormal findings. There is no pleural effusion, no pneumothorax, and normal cardiac contour. Lungs are clear bilaterally with no focal consolidation. The impression is that there are no acute cardiopulmonary abnormalities found in the imaging."
        },
        {
            "image_id": "844_2",
            "caption": "The chest x-ray shows that there are no abnormal findings. There is no pleural effusion, no pneumothorax, and normal cardiac contour. Lungs are clear bilaterally with no focal consolidation. The impression is that there are no acute cardiopulmonary abnormalities found in the imaging."
        },
        {
            "image_id": "1308_1",
            "caption": "The X-ray report shows that there are no signs of acute cardiopulmonary abnormalities. The heart size and mediastinal contours are normal, and the lungs are clear with no pneumothorax or pleural effusion. Overall, the findings suggest no acute abnormalities in the patient's cardiopulmonary system."
        },
        {
            "image_id": "1308_2",
            "caption": "The X-ray report shows that there are no signs of acute cardiopulmonary abnormalities. The heart size and mediastinal contours are normal, and the lungs are clear with no pneumothorax or pleural effusion. Overall, the findings suggest no acute abnormalities in the patient's cardiopulmonary system."
        },
        {
            "image_id": "2832_1",
            "caption": "The X-ray image shows stable cardiomegaly with a normal mediastinum. Thoracic aorta contains atherosclerotic calcifications. No pleural effusion, pneumothorax, or focal airspace disease is present. Chronic degenerative changes are present in the thoracic spine. Overall, there is stable cardiomegaly without any acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2832_2",
            "caption": "The X-ray image shows stable cardiomegaly with a normal mediastinum. Thoracic aorta contains atherosclerotic calcifications. No pleural effusion, pneumothorax, or focal airspace disease is present. Chronic degenerative changes are present in the thoracic spine. Overall, there is stable cardiomegaly without any acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "677_1",
            "caption": "The x-ray reveals a PICC line catheter tip in the right atrium without any cardiac enlargement. While the trachea and bronchi appear normal, the lungs are mildly under-expanded. A small area of patchy density can be seen in the left lower lung with a larger area in the right mid and lower lungs accompanied by right-sided pleural effusion. Based on the findings, there is a strong indication of acute pneumonia in progress."
        },
        {
            "image_id": "677_2",
            "caption": "The x-ray reveals a PICC line catheter tip in the right atrium without any cardiac enlargement. While the trachea and bronchi appear normal, the lungs are mildly under-expanded. A small area of patchy density can be seen in the left lower lung with a larger area in the right mid and lower lungs accompanied by right-sided pleural effusion. Based on the findings, there is a strong indication of acute pneumonia in progress."
        },
        {
            "image_id": "1485_1",
            "caption": "The chest x-ray reveals platelike horizontal opacities in both lung bases, which are likely due to scarring or subsegmental atelectasis. Additionally, there are T-spine osteophytes, calcified right hilar granuloma. No acute cardiopulmonary abnormality is observed, as the cardiomediastinal silhouette and pulmonary vasculature are within normal limits, and there is neither pneumothorax nor pleural effusion. The curvilinear density within and along the right costophrenic sulcus is most likely representing a skinfold, and the previously detected fracture at the left 9th lateral rib has the unchanged callus."
        },
        {
            "image_id": "1485_2",
            "caption": "The chest x-ray reveals platelike horizontal opacities in both lung bases, which are likely due to scarring or subsegmental atelectasis. Additionally, there are T-spine osteophytes, calcified right hilar granuloma. No acute cardiopulmonary abnormality is observed, as the cardiomediastinal silhouette and pulmonary vasculature are within normal limits, and there is neither pneumothorax nor pleural effusion. The curvilinear density within and along the right costophrenic sulcus is most likely representing a skinfold, and the previously detected fracture at the left 9th lateral rib has the unchanged callus."
        },
        {
            "image_id": "3292_1",
            "caption": "Mediastinal contours appear normal. There is a presence of opacity within the right middle and lower lobes of the lungs. However, there is no displacement of the fissure, and no pneumothorax is observed. The x-ray indicates an opacification in the right middle and lower lobes of the lungs. Further evaluation may be necessary to determine the cause of this observation."
        },
        {
            "image_id": "3292_2",
            "caption": "Mediastinal contours appear normal. There is a presence of opacity within the right middle and lower lobes of the lungs. However, there is no displacement of the fissure, and no pneumothorax is observed. The x-ray indicates an opacification in the right middle and lower lobes of the lungs. Further evaluation may be necessary to determine the cause of this observation."
        },
        {
            "image_id": "2198_1",
            "caption": "The x-ray findings reveal a normal cardiac silhouette and pulmonary vascular pattern without any signs of cardiopulmonary disease. There is no presence of focal infiltrate, pneumothorax, pulmonary edema or pleural effusion. There are no abnormalities present in the osseous structures."
        },
        {
            "image_id": "2198_2",
            "caption": "The x-ray findings reveal a normal cardiac silhouette and pulmonary vascular pattern without any signs of cardiopulmonary disease. There is no presence of focal infiltrate, pneumothorax, pulmonary edema or pleural effusion. There are no abnormalities present in the osseous structures."
        },
        {
            "image_id": "3286_1",
            "caption": "The x-ray reveals low lung volumes, cardiomegaly, and engorged pulmonary vessels, which are indicative of pulmonary venous hypertension. Besides, there are no signs of infiltrates. A Left mid-lung focal atelectasis is also visible. These findings suggest that the patient may be suffering from a condition that affects the blood flow in the lungs, causing shortness of breath and heart problems. It is necessary to perform further tests and evaluations to identify the underlying cause and develop an appropriate treatment plan."
        },
        {
            "image_id": "3286_2",
            "caption": "The x-ray reveals low lung volumes, cardiomegaly, and engorged pulmonary vessels, which are indicative of pulmonary venous hypertension. Besides, there are no signs of infiltrates. A Left mid-lung focal atelectasis is also visible. These findings suggest that the patient may be suffering from a condition that affects the blood flow in the lungs, causing shortness of breath and heart problems. It is necessary to perform further tests and evaluations to identify the underlying cause and develop an appropriate treatment plan."
        },
        {
            "image_id": "105_1",
            "caption": "Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic recesses bilaterally. The patient has bilateral effusions detected in the chest X-ray. No other acute cardiopulmonary abnormalities were observed. It is recommended to seek further evaluation and treatment for the effusions."
        },
        {
            "image_id": "105_2",
            "caption": "Heart size within normal limits. Stable position of left subclavian central venous catheter. No focal airspace disease. No pneumothorax. Mild blunting of the costophrenic recesses bilaterally. The patient has bilateral effusions detected in the chest X-ray. No other acute cardiopulmonary abnormalities were observed. It is recommended to seek further evaluation and treatment for the effusions."
        },
        {
            "image_id": "1491_1",
            "caption": "The chest X-ray shows low lung volumes, but no acute cardiopulmonary abnormality. The lungs are clear without any focal airspace consolidation or pleural effusion. A calcified density is seen in the right lung apex, which could be a calcified granuloma."
        },
        {
            "image_id": "1491_2",
            "caption": "The chest X-ray shows low lung volumes, but no acute cardiopulmonary abnormality. The lungs are clear without any focal airspace consolidation or pleural effusion. A calcified density is seen in the right lung apex, which could be a calcified granuloma."
        },
        {
            "image_id": "663_1",
            "caption": "The chest x-ray shows that there is no acute cardiopulmonary abnormality present. The lungs appear clear without any focal infiltrate, pneumothorax or pleural effusion. The cardiac silhouette and pulmonary vasculature are normal. Additionally, there is no acute bony or soft tissue abnormality observed."
        },
        {
            "image_id": "663_2",
            "caption": "The chest x-ray shows that there is no acute cardiopulmonary abnormality present. The lungs appear clear without any focal infiltrate, pneumothorax or pleural effusion. The cardiac silhouette and pulmonary vasculature are normal. Additionally, there is no acute bony or soft tissue abnormality observed."
        },
        {
            "image_id": "663_3",
            "caption": "The chest x-ray shows that there is no acute cardiopulmonary abnormality present. The lungs appear clear without any focal infiltrate, pneumothorax or pleural effusion. The cardiac silhouette and pulmonary vasculature are normal. Additionally, there is no acute bony or soft tissue abnormality observed."
        },
        {
            "image_id": "2826_1",
            "caption": "The chest x-ray shows prominent interstitial markings in the lungs consistent with chronic interstitial lung disease and scars. There are no focal infiltrates, and the heart and pulmonary vasculature are normal. The impression is that there is no acute disease present."
        },
        {
            "image_id": "2826_2",
            "caption": "The chest x-ray shows prominent interstitial markings in the lungs consistent with chronic interstitial lung disease and scars. There are no focal infiltrates, and the heart and pulmonary vasculature are normal. The impression is that there is no acute disease present."
        },
        {
            "image_id": "139_1",
            "caption": "The patient has a mildly enlarged cardiac silhouette and thoracic aorta which appears tortuous and calcified. There is a lobulated opacity in the anterior mediastinum on the lateral view which may be a tortuous/ectatic thoracic aorta or an anterior mediastinal mass. There are hyperexpanded lungs with flattening of the bilateral hemidiaphragms and no evidence of pneumothorax or pleural effusion. Additionally, severe degenerative changes are seen in the thoracic spine. Further evaluation with contrast-enhanced imaging is recommended to determine the nature of the anterior mediastinal opacity. The patient is also diagnosed with chronic obstructive pulmonary disease based on the X-ray findings."
        },
        {
            "image_id": "139_2",
            "caption": "The patient has a mildly enlarged cardiac silhouette and thoracic aorta which appears tortuous and calcified. There is a lobulated opacity in the anterior mediastinum on the lateral view which may be a tortuous/ectatic thoracic aorta or an anterior mediastinal mass. There are hyperexpanded lungs with flattening of the bilateral hemidiaphragms and no evidence of pneumothorax or pleural effusion. Additionally, severe degenerative changes are seen in the thoracic spine. Further evaluation with contrast-enhanced imaging is recommended to determine the nature of the anterior mediastinal opacity. The patient is also diagnosed with chronic obstructive pulmonary disease based on the X-ray findings."
        },
        {
            "image_id": "887_1",
            "caption": "The x-ray shows normal heart and lung size without any airspace disease, pneumothorax, or pleural effusion. There are no bony abnormalities, suggesting no acute cardiopulmonary illness."
        },
        {
            "image_id": "887_2",
            "caption": "The x-ray shows normal heart and lung size without any airspace disease, pneumothorax, or pleural effusion. There are no bony abnormalities, suggesting no acute cardiopulmonary illness."
        },
        {
            "image_id": "646_1",
            "caption": "On examination of the chest X-ray, the lungs appear clear and there is no evidence of any pneumothorax or pleural effusion. The heart and mediastinum are normal in size. There are no acute bony abnormalities observed. The presence of a nipple ring on the left is noted. Overall, the impression is of a normal chest exam."
        },
        {
            "image_id": "2803_1",
            "caption": "There are low lung volumes, and the cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. No acute cardiopulmonary process."
        },
        {
            "image_id": "2803_2",
            "caption": "There are low lung volumes, and the cardiac silhouette, upper mediastinum pulmonary vasculature are within normal limits. There is no acute pulmonary consolidation, pleural effusion or pneumothorax. No acute cardiopulmonary process."
        },
        {
            "image_id": "120_1",
            "caption": "The patient has low lung volumes bilaterally with central bronchovascular crowding without focal cardiopulmonary disease. The cardiomediastinal silhouette is within normal limits. There are degenerative changes of the thoracic spine."
        },
        {
            "image_id": "120_2",
            "caption": "The patient has low lung volumes bilaterally with central bronchovascular crowding without focal cardiopulmonary disease. The cardiomediastinal silhouette is within normal limits. There are degenerative changes of the thoracic spine."
        },
        {
            "image_id": "134_1",
            "caption": "Calcified granulomata are present in the right middle lobe and right upper lobe. These are unchanged since the previous examination. Both lungs are free of active infiltrates. Heart size normal. The x-ray shows no active disease."
        },
        {
            "image_id": "2817_1",
            "caption": "The patient's arm obscured the lateral view, but the cardiomediastinal silhouette and pulmonary vasculature appear normal on the frontal view. There are coarse interstitial lung markings, indicating chronic disease. There is a peripheral opacity in the right mid lung, which may be scar tissue or loculated fluid/thickening. No focal airspace disease or consolidation is present, and there is no evidence of pneumothorax or pleural effusion. The evaluation shows no acute cardiopulmonary abnormality, but there is evidence of emphysema."
        },
        {
            "image_id": "2817_2",
            "caption": "The patient's arm obscured the lateral view, but the cardiomediastinal silhouette and pulmonary vasculature appear normal on the frontal view. There are coarse interstitial lung markings, indicating chronic disease. There is a peripheral opacity in the right mid lung, which may be scar tissue or loculated fluid/thickening. No focal airspace disease or consolidation is present, and there is no evidence of pneumothorax or pleural effusion. The evaluation shows no acute cardiopulmonary abnormality, but there is evidence of emphysema."
        },
        {
            "image_id": "2817_3",
            "caption": "The patient's arm obscured the lateral view, but the cardiomediastinal silhouette and pulmonary vasculature appear normal on the frontal view. There are coarse interstitial lung markings, indicating chronic disease. There is a peripheral opacity in the right mid lung, which may be scar tissue or loculated fluid/thickening. No focal airspace disease or consolidation is present, and there is no evidence of pneumothorax or pleural effusion. The evaluation shows no acute cardiopulmonary abnormality, but there is evidence of emphysema."
        },
        {
            "image_id": "652_1",
            "caption": "The chest x-ray shows a normal heart size without any acute cardiopulmonary abnormalities. There is no evidence of pneumothorax, large pleural effusions or focal airspace opacities. Overall, the findings suggest that the patient's cardiopulmonary health is normal."
        },
        {
            "image_id": "652_2",
            "caption": "The chest x-ray shows a normal heart size without any acute cardiopulmonary abnormalities. There is no evidence of pneumothorax, large pleural effusions or focal airspace opacities. Overall, the findings suggest that the patient's cardiopulmonary health is normal."
        },
        {
            "image_id": "1488_1",
            "caption": "The x-ray examination shows that the heart size and pulmonary vascularity are normal. In addition, there is no evidence of pneumothorax or pleural effusion, and the lungs are free of focal airspace disease, indicating no active disease. Overall, the x-ray reveals no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1488_2",
            "caption": "The x-ray examination shows that the heart size and pulmonary vascularity are normal. In addition, there is no evidence of pneumothorax or pleural effusion, and the lungs are free of focal airspace disease, indicating no active disease. Overall, the x-ray reveals no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2181_1",
            "caption": "The findings suggest possible right lower lobe pneumonia with cardiomegaly. The heart size is moderately enlarged, but the mediastinum appear normal. No pleural effusion or pneumothorax is seen. However, a suspected right lower lobe airspace opacity is visible in the lateral study. These findings indicate a need for further evaluation and management."
        },
        {
            "image_id": "2181_2",
            "caption": "The findings suggest possible right lower lobe pneumonia with cardiomegaly. The heart size is moderately enlarged, but the mediastinum appear normal. No pleural effusion or pneumothorax is seen. However, a suspected right lower lobe airspace opacity is visible in the lateral study. These findings indicate a need for further evaluation and management."
        },
        {
            "image_id": "2195_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear without any focal airspace disease, pneumothorax, or pleural effusion. However, they are mildly hyperinflated. Additionally, an incidental note of an azygos fissure is present. No acute bony abnormalities are seen. Overall, the findings indicate mildly hyperinflated but clear lungs."
        },
        {
            "image_id": "2195_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear without any focal airspace disease, pneumothorax, or pleural effusion. However, they are mildly hyperinflated. Additionally, an incidental note of an azygos fissure is present. No acute bony abnormalities are seen. Overall, the findings indicate mildly hyperinflated but clear lungs."
        },
        {
            "image_id": "108_1",
            "caption": "The chest x-ray of the patient shows no acute disease. The heart size and mediastinum are normal. The lungs are clear of any focal airspace disease, pneumothorax or pleural effusion. Overall, the x-ray suggests low lung volumes."
        },
        {
            "image_id": "108_2",
            "caption": "The chest x-ray of the patient shows no acute disease. The heart size and mediastinum are normal. The lungs are clear of any focal airspace disease, pneumothorax or pleural effusion. Overall, the x-ray suggests low lung volumes."
        },
        {
            "image_id": "3506_1",
            "caption": "The X-ray shows no signs of active disease. The heart and mediastinum are normal, and both lungs are clear and expanded. There are no findings of pneumonia, pneumothorax or pleural effusion, and no acute infiltrates or bony abnormalities. Nonetheless, there are no indications of active lung disease."
        },
        {
            "image_id": "3506_2",
            "caption": "The X-ray shows no signs of active disease. The heart and mediastinum are normal, and both lungs are clear and expanded. There are no findings of pneumonia, pneumothorax or pleural effusion, and no acute infiltrates or bony abnormalities. Nonetheless, there are no indications of active lung disease."
        },
        {
            "image_id": "2618_1",
            "caption": "The X-ray shows normal appearance of the heart and lung with no signs of pneumothorax or large pleural effusions. However, a small left retrocardiac opacity is observed which may indicate minimal atelectasis or a small focus of airspace disease. Further evaluation may be required to diagnose the condition."
        },
        {
            "image_id": "2618_2",
            "caption": "The X-ray shows normal appearance of the heart and lung with no signs of pneumothorax or large pleural effusions. However, a small left retrocardiac opacity is observed which may indicate minimal atelectasis or a small focus of airspace disease. Further evaluation may be required to diagnose the condition."
        },
        {
            "image_id": "685_1",
            "caption": "The x-ray shows that the heart and lungs are normal. There are no signs of acute disease, infiltrate or effusion. Old granulomatous disease may have left some small calcific densities in the lungs. There is no evidence of any abnormalities in the bony structures except for mild degenerative changes of the thoracic spine.  There are tubular densities overlying the heart. However, there is no major concern for cardiopulmonary abnormalities."
        },
        {
            "image_id": "685_2",
            "caption": "The x-ray shows that the heart and lungs are normal. There are no signs of acute disease, infiltrate or effusion. Old granulomatous disease may have left some small calcific densities in the lungs. There is no evidence of any abnormalities in the bony structures except for mild degenerative changes of the thoracic spine.  There are tubular densities overlying the heart. However, there is no major concern for cardiopulmonary abnormalities."
        },
        {
            "image_id": "1311_1",
            "caption": "The x-ray suggests low lung volumes with bronchovascular crowding and borderline enlargement of the cardiac silhouette. However, there is no evidence of acute cardiopulmonary abnormalities or active tuberculosis. The x-ray is negative for pneumothorax, pleural effusion or focal airspace consolidation."
        },
        {
            "image_id": "1311_2",
            "caption": "The x-ray suggests low lung volumes with bronchovascular crowding and borderline enlargement of the cardiac silhouette. However, there is no evidence of acute cardiopulmonary abnormalities or active tuberculosis. The x-ray is negative for pneumothorax, pleural effusion or focal airspace consolidation."
        },
        {
            "image_id": "1477_1",
            "caption": "The x-ray shows that the heart is of normal size and there is no sign of any acute abnormalities in the cardiopulmonary region. There are no typical findings of pulmonary edema, pneumothorax, or pleural effusion. Additionally, there is no focal alveolar consolidation. Overall, the impression is that there are no acute cardiopulmonary findings in the x-ray image."
        },
        {
            "image_id": "1477_2",
            "caption": "The x-ray shows that the heart is of normal size and there is no sign of any acute abnormalities in the cardiopulmonary region. There are no typical findings of pulmonary edema, pneumothorax, or pleural effusion. Additionally, there is no focal alveolar consolidation. Overall, the impression is that there are no acute cardiopulmonary findings in the x-ray image."
        },
        {
            "image_id": "1463_1",
            "caption": "The x-ray shows that the heart, lungs, and osseous structures are within normal limits without any acute abnormalities. The cardiomediastinal silhouette and vascular structure appear to be normal. There is no evidence of focal alveolar consolidation or pleural effusion or pneumothorax. The impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1305_1",
            "caption": "The X-ray shows no signs of active disease. Both lungs are clear and expanded, and the heart and mediastinum are normal. This is a reassuring result indicating good overall cardiopulmonary health."
        },
        {
            "image_id": "1305_2",
            "caption": "The X-ray shows no signs of active disease. Both lungs are clear and expanded, and the heart and mediastinum are normal. This is a reassuring result indicating good overall cardiopulmonary health."
        },
        {
            "image_id": "691_1",
            "caption": "Upon examination, it was found that there were no acute issues with the heart or lungs. The cardiomediastinal silhouette, lungs and osseous structures were all within normal limits for size, contour and age. There were no signs of pneumothorax or pleural effusion. No focal airspace opacity was detected. Overall, the impression is that there are no active cardiopulmonary findings of concern."
        },
        {
            "image_id": "849_1",
            "caption": "The X-ray shows normal size and contour of the heart and mediastinum, with clear lungs and no signs of pneumothorax, pleural effusion, or acute bony abnormalities. However, there is a 9 mm nodule in the left lung base that is not definitively calcified. Further investigation may be necessary to determine its nature, and a comparison with prior images is recommended for stability assessment."
        },
        {
            "image_id": "849_2",
            "caption": "The X-ray shows normal size and contour of the heart and mediastinum, with clear lungs and no signs of pneumothorax, pleural effusion, or acute bony abnormalities. However, there is a 9 mm nodule in the left lung base that is not definitively calcified. Further investigation may be necessary to determine its nature, and a comparison with prior images is recommended for stability assessment."
        },
        {
            "image_id": "3512_1",
            "caption": "The cardiac and mediastinal contours are normal and clear, and there is evidence of thoracic spondylosis. The chest X-ray is negative, with no evidence of pneumonia."
        },
        {
            "image_id": "3512_2",
            "caption": "The cardiac and mediastinal contours are normal and clear, and there is evidence of thoracic spondylosis. The chest X-ray is negative, with no evidence of pneumonia."
        },
        {
            "image_id": "861_1",
            "caption": "Stable appearance of the right aortic. Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity seen in the lungs. The report is stable with a known right aortic condition."
        },
        {
            "image_id": "861_2",
            "caption": "Stable appearance of the right aortic. Normal heart size. No pneumothorax, pleural effusion or suspicious focal airspace opacity seen in the lungs. The report is stable with a known right aortic condition."
        },
        {
            "image_id": "2624_1",
            "caption": "The x-ray reveals a normal cardiopulmonary exam with no acute abnormalities. However, an age-indeterminant grade 1 anterior wedge deformity of L1 is present. Further evaluation and follow-up may be recommended."
        },
        {
            "image_id": "2624_2",
            "caption": "The x-ray reveals a normal cardiopulmonary exam with no acute abnormalities. However, an age-indeterminant grade 1 anterior wedge deformity of L1 is present. Further evaluation and follow-up may be recommended."
        },
        {
            "image_id": "2142_1",
            "caption": "During the examination, PA and lateral views of the chest were taken. The results showed no acute cardiopulmonary disease. The cardiomediastinal silhouette was normal in size and configuration. The lungs were well-aerated with no signs of pneumothorax, pleural effusion, or focal airspace consolidation. Additionally, the results showed probable DISH of the thoracic spine."
        },
        {
            "image_id": "2156_1",
            "caption": "The x-ray image shows that the heart is of normal size and the lungs are clear with no evidence of acute abnormalities. The pulmonary vascularity is within the normal limit of appearance, and there are no focal air space opacities, pleural effusions, or pneumothorax observed. The bony structure also seems normal without any acute abnormalities. The impression suggests that there are no acute cardiopulmonary abnormalities observed in the x-ray image."
        },
        {
            "image_id": "2156_2",
            "caption": "The x-ray image shows that the heart is of normal size and the lungs are clear with no evidence of acute abnormalities. The pulmonary vascularity is within the normal limit of appearance, and there are no focal air space opacities, pleural effusions, or pneumothorax observed. The bony structure also seems normal without any acute abnormalities. The impression suggests that there are no acute cardiopulmonary abnormalities observed in the x-ray image."
        },
        {
            "image_id": "35_1",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality except for emphysema. The heart size and cardiomediastinal silhouette are normal. Although there is hyperexpansion of lungs with flattening of hemidiaphragms, there is no focal airspace opacity, pleural effusion, or pneumothorax. On a positive note, there are multilevel degenerative changes in the thoracic spine."
        },
        {
            "image_id": "35_2",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality except for emphysema. The heart size and cardiomediastinal silhouette are normal. Although there is hyperexpansion of lungs with flattening of hemidiaphragms, there is no focal airspace opacity, pleural effusion, or pneumothorax. On a positive note, there are multilevel degenerative changes in the thoracic spine."
        },
        {
            "image_id": "1339_1",
            "caption": "The finding shows a small 3.3 mm right-sided pneumothorax, which is only visible on the left lateral decubitus film. However, the left lung is clear and normal cardiac contour is present. There is no evidence of pleural effusion. The impression indicates the presence of a small right-sided pneumothorax, while the rest of the cardiopulmonary area appears to be normal."
        },
        {
            "image_id": "1339_2",
            "caption": "The finding shows a small 3.3 mm right-sided pneumothorax, which is only visible on the left lateral decubitus film. However, the left lung is clear and normal cardiac contour is present. There is no evidence of pleural effusion. The impression indicates the presence of a small right-sided pneumothorax, while the rest of the cardiopulmonary area appears to be normal."
        },
        {
            "image_id": "875_1",
            "caption": "The chest x-ray shows no active disease and there is interval stability of the heart and lungs. Both lungs are clear and expanded with normal heart and mediastinum. On the other hand, the knee x-ray reveals an advanced degenerative joint disease, with a markedly narrow medial compartment and the presence of large osteophytes."
        },
        {
            "image_id": "322_1",
            "caption": "The x-ray image shows that there is no acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear, although there are chronic appearing interstitial markings. Additionally, there are degenerative changes of the spine, indicating potential long-term or chronic issues."
        },
        {
            "image_id": "322_2",
            "caption": "The x-ray image shows that there is no acute radiographic cardiopulmonary process. The cardiomediastinal silhouette and vasculature are within normal limits for size and contour. The lungs are normally inflated and clear, although there are chronic appearing interstitial markings. Additionally, there are degenerative changes of the spine, indicating potential long-term or chronic issues."
        },
        {
            "image_id": "444_1",
            "caption": "The radiology report confirms that there is no acute radiographic cardiopulmonary process detected. The heart size and mediastinal contour appear normal, while the lungs are clear and free from nodules or infiltration. No visible pneumothorax or pleural fluid also observed. There is no intraperitoneal air under the diaphragm."
        },
        {
            "image_id": "444_2",
            "caption": "The radiology report confirms that there is no acute radiographic cardiopulmonary process detected. The heart size and mediastinal contour appear normal, while the lungs are clear and free from nodules or infiltration. No visible pneumothorax or pleural fluid also observed. There is no intraperitoneal air under the diaphragm."
        },
        {
            "image_id": "450_1",
            "caption": "The findings show no concerning signs in the cardiopulmonary area or pleural cavity. The heart is normal in size and there is no focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also unremarkable. Therefore, the impression is that there are no acute cardiopulmonary findings indicated in the X-ray."
        },
        {
            "image_id": "450_2",
            "caption": "The findings show no concerning signs in the cardiopulmonary area or pleural cavity. The heart is normal in size and there is no focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also unremarkable. Therefore, the impression is that there are no acute cardiopulmonary findings indicated in the X-ray."
        },
        {
            "image_id": "336_1",
            "caption": "The X-ray revealed no visible abnormalities in the heart, lungs or thoracic spine. The cardiomediastinal silhouette, pulmonary consolidation and pleural effusion all appeared within normal limits. Furthermore, no pneumothorax was spotted. In other words, no acute abnormalities were found in the cardiopulmonary process."
        },
        {
            "image_id": "336_2",
            "caption": "The X-ray revealed no visible abnormalities in the heart, lungs or thoracic spine. The cardiomediastinal silhouette, pulmonary consolidation and pleural effusion all appeared within normal limits. Furthermore, no pneumothorax was spotted. In other words, no acute abnormalities were found in the cardiopulmonary process."
        },
        {
            "image_id": "2383_1",
            "caption": "The X-ray report shows that there is stable cardiomegaly, which means the heart is enlarged, and the low lung volumes accentuate it. There is no evidence of any focal consolidation, pneumothorax or large pleural effusion. The patient also has T-spine osteophytes. Given the findings, it can be concluded that there is stable cardiomegaly without heart failure."
        },
        {
            "image_id": "2383_2",
            "caption": "The X-ray report shows that there is stable cardiomegaly, which means the heart is enlarged, and the low lung volumes accentuate it. There is no evidence of any focal consolidation, pneumothorax or large pleural effusion. The patient also has T-spine osteophytes. Given the findings, it can be concluded that there is stable cardiomegaly without heart failure."
        },
        {
            "image_id": "1852_1",
            "caption": "After careful examination of the x-ray, the cardiopulmonary silhouette appears to be normal, with no evidence of acute disease or abnormality. The lungs are clear and there is no visible focal consolidation, pleural effusion or pneumothorax. Additionally, the osseous structures appear intact. In conclusion, there is no evidence of acute cardiopulmonary disease observed on the x-ray."
        },
        {
            "image_id": "1852_2",
            "caption": "After careful examination of the x-ray, the cardiopulmonary silhouette appears to be normal, with no evidence of acute disease or abnormality. The lungs are clear and there is no visible focal consolidation, pleural effusion or pneumothorax. Additionally, the osseous structures appear intact. In conclusion, there is no evidence of acute cardiopulmonary disease observed on the x-ray."
        },
        {
            "image_id": "478_1",
            "caption": "Upon examining the x-ray, there were no acute abnormalities found in the cardiac or pulmonary areas. The lungs were clear and the cardiac contours were within normal limits. There was only evidence of thoracic spondylosis. Overall, the impression is that there were no acute findings observed in the x-ray."
        },
        {
            "image_id": "478_2",
            "caption": "Upon examining the x-ray, there were no acute abnormalities found in the cardiac or pulmonary areas. The lungs were clear and the cardiac contours were within normal limits. There was only evidence of thoracic spondylosis. Overall, the impression is that there were no acute findings observed in the x-ray."
        },
        {
            "image_id": "3937_1",
            "caption": "The X-ray shows that the heart is slightly larger than normal, but still within the upper limits of normal size. The lungs and mediastinum look normal and there is no evidence of pleural effusion or pneumothorax. There are no signs of pneumonia or any acute cardiopulmonary disease. Additionally, the spine shows only minimal signs of degenerative changes."
        },
        {
            "image_id": "3937_2",
            "caption": "The X-ray shows that the heart is slightly larger than normal, but still within the upper limits of normal size. The lungs and mediastinum look normal and there is no evidence of pleural effusion or pneumothorax. There are no signs of pneumonia or any acute cardiopulmonary disease. Additionally, the spine shows only minimal signs of degenerative changes."
        },
        {
            "image_id": "1846_1",
            "caption": "The chest x-ray reveals a calcified granuloma in the left upper lobe, but there is no sign of acute bony or cardiopulmonary abnormalities. The heart, pulmonary vasculature, and mediastinal contour appear normal, and there is no evidence of focal consolidation, pleural effusion, or pneumothorax. These findings suggest that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1846_2",
            "caption": "The chest x-ray reveals a calcified granuloma in the left upper lobe, but there is no sign of acute bony or cardiopulmonary abnormalities. The heart, pulmonary vasculature, and mediastinal contour appear normal, and there is no evidence of focal consolidation, pleural effusion, or pneumothorax. These findings suggest that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2397_1",
            "caption": "The x-ray indicates stable results with no active or acute cardiopulmonary disease found. The cardiac size and contour appear normal, as well as the mediastinal silhouette. The lungs appear clear and show no signs of airspace disease. Similarly, there is no pleural effusion or pneumothorax found. Overall, the chest x-ray shows stability in the patient's condition."
        },
        {
            "image_id": "2397_2",
            "caption": "The x-ray indicates stable results with no active or acute cardiopulmonary disease found. The cardiac size and contour appear normal, as well as the mediastinal silhouette. The lungs appear clear and show no signs of airspace disease. Similarly, there is no pleural effusion or pneumothorax found. Overall, the chest x-ray shows stability in the patient's condition."
        },
        {
            "image_id": "2397_3",
            "caption": "The x-ray indicates stable results with no active or acute cardiopulmonary disease found. The cardiac size and contour appear normal, as well as the mediastinal silhouette. The lungs appear clear and show no signs of airspace disease. Similarly, there is no pleural effusion or pneumothorax found. Overall, the chest x-ray shows stability in the patient's condition."
        },
        {
            "image_id": "3089_1",
            "caption": "The x-ray report shows normal findings with no acute or active cardiopulmonary disease. The heart size and mediastinal contours are normal, and no abnormal airspace opacities, pleural effusion, or pneumothorax is visible. The visualized osseous structures appear unremarkable."
        },
        {
            "image_id": "3089_2",
            "caption": "The x-ray report shows normal findings with no acute or active cardiopulmonary disease. The heart size and mediastinal contours are normal, and no abnormal airspace opacities, pleural effusion, or pneumothorax is visible. The visualized osseous structures appear unremarkable."
        },
        {
            "image_id": "3062_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours. There is no focal airspace consolidation or evidence of pneumothorax. The visualized bony structures appear normal. Overall, the impression is that there are no acute pulmonary abnormalities present based on the findings."
        },
        {
            "image_id": "1675_1",
            "caption": "The finding shows no infiltrates, and the heart is normal. However, there is observed hypoinflation. Based on the results, there's no visible active cardiopulmonary disease identified."
        },
        {
            "image_id": "1675_2",
            "caption": "The finding shows no infiltrates, and the heart is normal. However, there is observed hypoinflation. Based on the results, there's no visible active cardiopulmonary disease identified."
        },
        {
            "image_id": "1113_1",
            "caption": "The x-ray shows normal sulcal size and contour in the previous image. There are no signs of focal consolidation, pneumothorax, or pleural effusion. Also, there is a resolution of the previously described midlung infiltrate indicating inflammatory/infectious process. In the current x-ray, the lungs appear hyperexpanded with flattened diaphragms. There are no remarkable abnormalities and soft tissue. The impression of the x-ray suggests emphysematous changes coupled with the resolution of the prior midlung infiltrate."
        },
        {
            "image_id": "1113_2",
            "caption": "The x-ray shows normal sulcal size and contour in the previous image. There are no signs of focal consolidation, pneumothorax, or pleural effusion. Also, there is a resolution of the previously described midlung infiltrate indicating inflammatory/infectious process. In the current x-ray, the lungs appear hyperexpanded with flattened diaphragms. There are no remarkable abnormalities and soft tissue. The impression of the x-ray suggests emphysematous changes coupled with the resolution of the prior midlung infiltrate."
        },
        {
            "image_id": "487_1",
            "caption": "The x-ray images reveal a clear chest with no visible acute cardiopulmonary abnormality. The heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax, and bony thorax appears unremarkable. The overall impression is that the patient's chest is stable without any active cardiopulmonary disease."
        },
        {
            "image_id": "487_2",
            "caption": "The x-ray images reveal a clear chest with no visible acute cardiopulmonary abnormality. The heart size and mediastinal contours are normal. There is no pleural effusion or pneumothorax, and bony thorax appears unremarkable. The overall impression is that the patient's chest is stable without any active cardiopulmonary disease."
        },
        {
            "image_id": "3704_1",
            "caption": "The X-ray image shows clear lungs without any pneumothorax, effusion or consolidation. The heart is found to be of normal size and the bony thorax and soft tissues appear unremarkable. The impression concludes that there is no acute cardiopulmonary abnormality found in the X-ray image."
        },
        {
            "image_id": "3704_2",
            "caption": "The X-ray image shows clear lungs without any pneumothorax, effusion or consolidation. The heart is found to be of normal size and the bony thorax and soft tissues appear unremarkable. The impression concludes that there is no acute cardiopulmonary abnormality found in the X-ray image."
        },
        {
            "image_id": "493_1",
            "caption": "The x-ray shows stable appearing bilateral calcified lymph nodes. The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity, large pleural effusion, or pneumothorax is seen. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "493_2",
            "caption": "The x-ray shows stable appearing bilateral calcified lymph nodes. The cardiac silhouette and mediastinal contours are within normal limits. No focal opacity, large pleural effusion, or pneumothorax is seen. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3076_1",
            "caption": "The x-ray image shows that the frontal view is kyphotic and rotated with low lung volumes and bronchovascular crowding. However, there is no definite airspace consolidation or pleural effusion. The heart size is borderline enlarged, but there are no other acute findings. It is recommended to review the x-ray image for technical factors."
        },
        {
            "image_id": "3076_2",
            "caption": "The x-ray image shows that the frontal view is kyphotic and rotated with low lung volumes and bronchovascular crowding. However, there is no definite airspace consolidation or pleural effusion. The heart size is borderline enlarged, but there are no other acute findings. It is recommended to review the x-ray image for technical factors."
        },
        {
            "image_id": "3076_3",
            "caption": "The x-ray image shows that the frontal view is kyphotic and rotated with low lung volumes and bronchovascular crowding. However, there is no definite airspace consolidation or pleural effusion. The heart size is borderline enlarged, but there are no other acute findings. It is recommended to review the x-ray image for technical factors."
        },
        {
            "image_id": "2368_1",
            "caption": "Upon examining the chest X-ray, the heart and mediastinum appear normal without any remarkable features. The lungs are also without infiltrates and show no evidence of effusion or pneumothorax, indicating a clear image with no acute cardiopulmonary disease. However, some mild degenerative changes were identified in the thoracic spine. Overall, the results suggest a healthy chest without any major concerns."
        },
        {
            "image_id": "2368_2",
            "caption": "Upon examining the chest X-ray, the heart and mediastinum appear normal without any remarkable features. The lungs are also without infiltrates and show no evidence of effusion or pneumothorax, indicating a clear image with no acute cardiopulmonary disease. However, some mild degenerative changes were identified in the thoracic spine. Overall, the results suggest a healthy chest without any major concerns."
        },
        {
            "image_id": "1649_1",
            "caption": "The x-ray shows a partially loculated right pleural effusion which is grossly stable, along with a stable moderate layering left pleural effusion. Bibasilar airspace disease, possibly atelectasis, is also identified. Heart size is within the normal limits and right PICC tip is at the SVC. The x-ray also shows mild degenerative changes of the spine. Based on the findings, the impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1649_2",
            "caption": "The x-ray shows a partially loculated right pleural effusion which is grossly stable, along with a stable moderate layering left pleural effusion. Bibasilar airspace disease, possibly atelectasis, is also identified. Heart size is within the normal limits and right PICC tip is at the SVC. The x-ray also shows mild degenerative changes of the spine. Based on the findings, the impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1891_1",
            "caption": "The chest X-ray reveals no active disease in the heart and lungs. The lungs are clear and expanded, while the heart and mediastinum are within normal limits."
        },
        {
            "image_id": "1891_2",
            "caption": "The chest X-ray reveals no active disease in the heart and lungs. The lungs are clear and expanded, while the heart and mediastinum are within normal limits."
        },
        {
            "image_id": "2340_1",
            "caption": "The chest x-ray shows low lung volumes but no focal infiltrates are present. The heart and mediastinum are normal. There is hypoinflation with no visible active cardiopulmonary disease. The abdomen x-ray is negative for mechanical obstruction. Multiple slightly distended loops are present from stomach to rectum, and formed stool is present in the rectum. Overall, there is no acute disease detected on the x-ray images."
        },
        {
            "image_id": "2340_2",
            "caption": "The chest x-ray shows low lung volumes but no focal infiltrates are present. The heart and mediastinum are normal. There is hypoinflation with no visible active cardiopulmonary disease. The abdomen x-ray is negative for mechanical obstruction. Multiple slightly distended loops are present from stomach to rectum, and formed stool is present in the rectum. Overall, there is no acute disease detected on the x-ray images."
        },
        {
            "image_id": "2426_1",
            "caption": "The x-ray image shows the heart to be normal in size and appearance, with clear lungs and intact osseous structures, but mild degenerative changes in the thoracic spine. There is no presence of focal airspace opacity, pleural effusion, or pneumothorax, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "3738_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal sized and shaped. There is no focal airspace consolidation, pleural effusion, or pneumothorax. Also, there are no acute bony abnormalities. In summary, no acute cardiopulmonary findings were observed in the x-ray."
        },
        {
            "image_id": "3738_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal sized and shaped. There is no focal airspace consolidation, pleural effusion, or pneumothorax. Also, there are no acute bony abnormalities. In summary, no acute cardiopulmonary findings were observed in the x-ray."
        },
        {
            "image_id": "2432_1",
            "caption": "The X-ray image shows a normal appearing heart size and pulmonary vasculature. The lungs are clear of any focal airspace diseases, pneumothorax or pleural effusion. Additionally, there are no acute bony findings. Therefore, no acute cardiopulmonary findings are present to be concerned about."
        },
        {
            "image_id": "2432_2",
            "caption": "The X-ray image shows a normal appearing heart size and pulmonary vasculature. The lungs are clear of any focal airspace diseases, pneumothorax or pleural effusion. Additionally, there are no acute bony findings. Therefore, no acute cardiopulmonary findings are present to be concerned about."
        },
        {
            "image_id": "2354_1",
            "caption": "The X-ray image shows the lungs are clear with no visible signs of acute cardiopulmonary disease, such as pneumothorax, pleural effusion or focal airspace opacity. The normal heart and mediastinal contours, as well as an intact bony thorax, further support that no acute abnormalities are present. The impression states that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2354_2",
            "caption": "The X-ray image shows the lungs are clear with no visible signs of acute cardiopulmonary disease, such as pneumothorax, pleural effusion or focal airspace opacity. The normal heart and mediastinal contours, as well as an intact bony thorax, further support that no acute abnormalities are present. The impression states that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1885_1",
            "caption": "Based on the X-ray image, it can be seen that the heart, mediastinal contour and pulmonary vascularity are normal in size and appearance. The lungs are clear with no indication of airspace disease, pneumothorax or pleural effusion. Furthermore, there are no acute bony abnormalities. In other words, no acute cardiopulmonary abnormality was found in the X-ray image."
        },
        {
            "image_id": "1885_2",
            "caption": "Based on the X-ray image, it can be seen that the heart, mediastinal contour and pulmonary vascularity are normal in size and appearance. The lungs are clear with no indication of airspace disease, pneumothorax or pleural effusion. Furthermore, there are no acute bony abnormalities. In other words, no acute cardiopulmonary abnormality was found in the X-ray image."
        },
        {
            "image_id": "256_1",
            "caption": "The x-ray image shows postoperative changes in the left fifth rib and residual radiopaque sutures in the left upper lobe, however, the lungs are clear with no infiltrates or masses and the heart and mediastinum are normal. It is suggestive of postoperative changes in the left upper lobe but no visible active cardiopulmonary disease."
        },
        {
            "image_id": "256_2",
            "caption": "The x-ray image shows postoperative changes in the left fifth rib and residual radiopaque sutures in the left upper lobe, however, the lungs are clear with no infiltrates or masses and the heart and mediastinum are normal. It is suggestive of postoperative changes in the left upper lobe but no visible active cardiopulmonary disease."
        },
        {
            "image_id": "242_1",
            "caption": "The x-ray shows clear lungs bilaterally with no visible cardiopulmonary abnormality. The cardiomediastinal silhouette is normal and there is no focal infiltrate, pleural effusion, or pneumothoraces visible. Soft tissues are unremarkable. Overall, the x-ray shows no acute findings related to cardiopulmonary diseases."
        },
        {
            "image_id": "242_2",
            "caption": "The x-ray shows clear lungs bilaterally with no visible cardiopulmonary abnormality. The cardiomediastinal silhouette is normal and there is no focal infiltrate, pleural effusion, or pneumothoraces visible. Soft tissues are unremarkable. Overall, the x-ray shows no acute findings related to cardiopulmonary diseases."
        },
        {
            "image_id": "1926_1",
            "caption": "The chest x-ray shows that the heart and lungs have remained stable since the last examination. Both lungs are clear without any signs of disease or abnormalities. The heart and mediastinum are normal. The impression indicates that there is no active disease present on the x-ray."
        },
        {
            "image_id": "1926_2",
            "caption": "The chest x-ray shows that the heart and lungs have remained stable since the last examination. Both lungs are clear without any signs of disease or abnormalities. The heart and mediastinum are normal. The impression indicates that there is no active disease present on the x-ray."
        },
        {
            "image_id": "1098_1",
            "caption": "The findings on the X-ray show that there is hyperinflation with coarse interstitial markings, chronic pleural-parenchymal scarring within the lung bases, and no evidence of lobar consolidation or pleural effusion. This is indicative of obstructive pulmonary disease and emphysema. The heart size is normal. Overall, the impression is emphysema. It is important to follow up with a healthcare provider for appropriate management and treatment options."
        },
        {
            "image_id": "2591_1",
            "caption": "From the x-ray image, there is no evidence of any acute cardiopulmonary process observed as there are no focal lung consolidation, pneumothorax, or pleural effusion. The heart size and pulmonary vascularity are within normal limits, and the osseous structures appear grossly intact."
        },
        {
            "image_id": "2591_2",
            "caption": "From the x-ray image, there is no evidence of any acute cardiopulmonary process observed as there are no focal lung consolidation, pneumothorax, or pleural effusion. The heart size and pulmonary vascularity are within normal limits, and the osseous structures appear grossly intact."
        },
        {
            "image_id": "3857_1",
            "caption": "The X-ray image analysis indicates that the heart and lungs appear to be in a normal state with no signs of acute cardiopulmonary abnormalities. Specifically, the cardiomediastinal silhouette is within a normal range in terms of size and shape, and the lungs are well-inflated without any focal airspace disease, pleural effusion, or pneumothorax. In terms of osseous structures, everything appears normal for the patient's age. Overall, no acute radiographic cardiopulmonary process is present in the analysis."
        },
        {
            "image_id": "2585_1",
            "caption": "The X-ray shows that the heart and mediastinal contours are normal, and pulmonary vascularity is normal. There is mild obscuration of the right cardiac area and mild blunting of the right costophrenic angle observed in the frontal view. No pleural effusion or pneumothorax is detected, and the left lung is clear. However, the X-ray indicates right Middle Lobe Airspace Disease, which could be a sign of pneumonia in the appropriate clinical setting."
        },
        {
            "image_id": "2585_2",
            "caption": "The X-ray shows that the heart and mediastinal contours are normal, and pulmonary vascularity is normal. There is mild obscuration of the right cardiac area and mild blunting of the right costophrenic angle observed in the frontal view. No pleural effusion or pneumothorax is detected, and the left lung is clear. However, the X-ray indicates right Middle Lobe Airspace Disease, which could be a sign of pneumonia in the appropriate clinical setting."
        },
        {
            "image_id": "3843_1",
            "caption": "A right-sided chest tube remains in situ with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. No acute cardiopulmonary abnormality detected other than the right-sided chest tube present."
        },
        {
            "image_id": "3843_2",
            "caption": "A right-sided chest tube remains in situ with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. No acute cardiopulmonary abnormality detected other than the right-sided chest tube present."
        },
        {
            "image_id": "3843_3",
            "caption": "A right-sided chest tube remains in situ with the distal tip at the level of the mid SVC. The cardiomediastinal silhouette is within normal limits for appearance. No focal areas of pulmonary consolidation. No pulmonary nodules or mass lesions identified. No pneumothorax or pleural effusion. Mild degenerative changes of the thoracic spine. No acute cardiopulmonary abnormality detected other than the right-sided chest tube present."
        },
        {
            "image_id": "518_1",
            "caption": "Finding from the X-ray reveals that the cardiac size and contour are stable and the mediastinal silhouette is unremarkable. The pulmonary vasculature and interstitium appear normal and there is no evidence of airspace disease, pleural effusion, or pneumothorax. Additionally, there is no active or acute cardiopulmonary disease detected. The impression states that the X-ray shows no abnormalities and the heart and lungs appear normal."
        },
        {
            "image_id": "518_2",
            "caption": "Finding from the X-ray reveals that the cardiac size and contour are stable and the mediastinal silhouette is unremarkable. The pulmonary vasculature and interstitium appear normal and there is no evidence of airspace disease, pleural effusion, or pneumothorax. Additionally, there is no active or acute cardiopulmonary disease detected. The impression states that the X-ray shows no abnormalities and the heart and lungs appear normal."
        },
        {
            "image_id": "1932_1",
            "caption": "The x-ray shows a normal chest with a normal heart size and mediastinal contour. The pulmonary vascularity is also normal and the lungs are clear without any pleural effusions or pneumothoraces. The impression is that the chest appears normal without any abnormalities."
        },
        {
            "image_id": "1932_2",
            "caption": "The x-ray shows a normal chest with a normal heart size and mediastinal contour. The pulmonary vascularity is also normal and the lungs are clear without any pleural effusions or pneumothoraces. The impression is that the chest appears normal without any abnormalities."
        },
        {
            "image_id": "2208_1",
            "caption": "The X-ray of the chest reveals persistent cardiomegaly. However, there is no evidence of acute abnormality, such as abnormal airspace consolidation, pneumothorax or pleural effusion. There is a resolved interstitial edema as well. Thus, the impression drawn is of stable cardiomegaly without any acute abnormality."
        },
        {
            "image_id": "2208_2",
            "caption": "The X-ray of the chest reveals persistent cardiomegaly. However, there is no evidence of acute abnormality, such as abnormal airspace consolidation, pneumothorax or pleural effusion. There is a resolved interstitial edema as well. Thus, the impression drawn is of stable cardiomegaly without any acute abnormality."
        },
        {
            "image_id": "3116_1",
            "caption": "The X-ray shows an enlarged cardiac silhouette and bibasilar airspace opacities, which are left greater than right with small right pleural effusion. No pneumothorax is detected. This suggests the presence of bibasilar airspace disease. The impression states that there are small effusions. It is important to follow up with a healthcare provider to determine the cause and receive appropriate treatment."
        },
        {
            "image_id": "3116_2",
            "caption": "The X-ray shows an enlarged cardiac silhouette and bibasilar airspace opacities, which are left greater than right with small right pleural effusion. No pneumothorax is detected. This suggests the presence of bibasilar airspace disease. The impression states that there are small effusions. It is important to follow up with a healthcare provider to determine the cause and receive appropriate treatment."
        },
        {
            "image_id": "1701_1",
            "caption": "The x-ray image shows that the cardiac and mediastinal contours are within normal limits and the lungs are clear. Additionally, bony structures appear to be intact. The impression indicates that there are no acute findings. Please consult with a medical professional for further evaluation and interpretation of these results."
        },
        {
            "image_id": "1701_2",
            "caption": "The x-ray image shows that the cardiac and mediastinal contours are within normal limits and the lungs are clear. Additionally, bony structures appear to be intact. The impression indicates that there are no acute findings. Please consult with a medical professional for further evaluation and interpretation of these results."
        },
        {
            "image_id": "295_1",
            "caption": "The X-ray shows no acute cardiopulmonary abnormalities. The lungs are clear with no signs of focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal and the visualized osseous structures of the thorax are without acute abnormality. A healed distal left clavicular fracture was also noted."
        },
        {
            "image_id": "295_2",
            "caption": "The X-ray shows no acute cardiopulmonary abnormalities. The lungs are clear with no signs of focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal and the visualized osseous structures of the thorax are without acute abnormality. A healed distal left clavicular fracture was also noted."
        },
        {
            "image_id": "1067_1",
            "caption": "The x-ray image shows clear lungs without any focal consolidation, effusion or pneumothorax. The heart is at a normal size and there are no suspicious pulmonary nodules or masses. The bony thorax and soft tissues appear grossly unremarkable. The impression is that there is no radiographic evidence of acute cardiopulmonary abnormality, which indicates a healthy chest."
        },
        {
            "image_id": "1067_2",
            "caption": "The x-ray image shows clear lungs without any focal consolidation, effusion or pneumothorax. The heart is at a normal size and there are no suspicious pulmonary nodules or masses. The bony thorax and soft tissues appear grossly unremarkable. The impression is that there is no radiographic evidence of acute cardiopulmonary abnormality, which indicates a healthy chest."
        },
        {
            "image_id": "3670_1",
            "caption": "The x-ray image shows that the heart, and mediastinum are all within normal limits. The lungs are clear without any focal air space opacity or evidence of pneumonia. No pleural effusion or pneumothorax is seen. Mild biapical pleural thickening, which is smooth, is noted. There is also evidence of previous anterior cervical spine fusion and degenerative changes of the spine. Overall, there is no acute cardiopulmonary disease observed in this x-ray."
        },
        {
            "image_id": "3670_2",
            "caption": "The x-ray image shows that the heart, and mediastinum are all within normal limits. The lungs are clear without any focal air space opacity or evidence of pneumonia. No pleural effusion or pneumothorax is seen. Mild biapical pleural thickening, which is smooth, is noted. There is also evidence of previous anterior cervical spine fusion and degenerative changes of the spine. Overall, there is no acute cardiopulmonary disease observed in this x-ray."
        },
        {
            "image_id": "3664_1",
            "caption": "The findings of the chest x-ray reveal no acute abnormalities. The heart and mediastinum appear normal in size and shape. The lungs are clear without any signs of pneumonia, effusion or pneumothorax. There are no acute osseous abnormalities or soft tissue abnormalities. Based on these findings, no acute radiographic cardiopulmonary process is noted."
        },
        {
            "image_id": "3664_2",
            "caption": "The findings of the chest x-ray reveal no acute abnormalities. The heart and mediastinum appear normal in size and shape. The lungs are clear without any signs of pneumonia, effusion or pneumothorax. There are no acute osseous abnormalities or soft tissue abnormalities. Based on these findings, no acute radiographic cardiopulmonary process is noted."
        },
        {
            "image_id": "1073_1",
            "caption": "The chest x-ray shows hyperexpanded lungs with flattened diaphragms and mild tortuosity of the thoracic aorta. There is no evidence of acute cardiopulmonary abnormality, pneumothorax or large pleural effusion observed. The cardiomediastinal silhouette is normal in size and stable from prior examinations. Additionally, there are degenerative changes in the thoracic spine. The chronic changes present in the x-ray are consistent with Emphysema, a chronic obstructive pulmonary disease (COPD)."
        },
        {
            "image_id": "1073_2",
            "caption": "The chest x-ray shows hyperexpanded lungs with flattened diaphragms and mild tortuosity of the thoracic aorta. There is no evidence of acute cardiopulmonary abnormality, pneumothorax or large pleural effusion observed. The cardiomediastinal silhouette is normal in size and stable from prior examinations. Additionally, there are degenerative changes in the thoracic spine. The chronic changes present in the x-ray are consistent with Emphysema, a chronic obstructive pulmonary disease (COPD)."
        },
        {
            "image_id": "281_1",
            "caption": "The x-ray shows clear and expanded lungs with a normal-sized heart and mediastinum. The impression states that there is no active disease. These findings suggest that the patient doesn't have any immediate cardiopulmonary abnormalities."
        },
        {
            "image_id": "1715_1",
            "caption": "The x-ray shows no signs of acute disease. The heart size is normal and mediastinal contours are stable. Lungs are clear and there is no pleural effusion or typical findings of pulmonary edema. However, a dense nodule suggesting a previous granulomatous process in the right lower lobe and degenerative changes in the spine are visible. Overall, there is no immediate cause for concern."
        },
        {
            "image_id": "3102_1",
            "caption": "The x-ray shows that there are no acute abnormalities in the heart, lungs, or chest. Specifically, there is no evidence of any concerning consolidation, pleural effusion, or pneumothorax. The patient has no cardiopulmonary illness."
        },
        {
            "image_id": "3102_2",
            "caption": "The x-ray shows that there are no acute abnormalities in the heart, lungs, or chest. Specifically, there is no evidence of any concerning consolidation, pleural effusion, or pneumothorax. The patient has no cardiopulmonary illness."
        },
        {
            "image_id": "2552_1",
            "caption": "The X-ray shows that the lungs are clear without any signs of consolidation, effusion, or pneumothorax. The heart size is normal and there are no acute abnormalities in the bony thorax and soft tissues. The impression is negative for acute cardiopulmonary abnormality. This means that there is no evidence of any active or ongoing disease in the heart or lungs at the time of the X-ray."
        },
        {
            "image_id": "2552_2",
            "caption": "The X-ray shows that the lungs are clear without any signs of consolidation, effusion, or pneumothorax. The heart size is normal and there are no acute abnormalities in the bony thorax and soft tissues. The impression is negative for acute cardiopulmonary abnormality. This means that there is no evidence of any active or ongoing disease in the heart or lungs at the time of the X-ray."
        },
        {
            "image_id": "3658_1",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a deformity of the anterior cortex of the body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Buckling deformity of the anterior cortex of the body. Fracture is possible, if high energy trauma was localized to this region. Correlate with focal tenderness. The report suggests a review of the chest, if warranted."
        },
        {
            "image_id": "3658_2",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. No focal consolidation, pneumothorax or large pleural effusion. Biapical fibronodular pleural thickening/scarring. There is a deformity of the anterior cortex of the body (lateral view). Negative for retrosternal density. Prior cholecystectomy. Buckling deformity of the anterior cortex of the body. Fracture is possible, if high energy trauma was localized to this region. Correlate with focal tenderness. The report suggests a review of the chest, if warranted."
        },
        {
            "image_id": "2546_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are within normal limits and the lungs are free of focal airspace disease. However, the thoracic aorta appears tortuous. No pleural effusion or pneumothorax is seen. Based on these observations, the impression is that there is a tortuous thoracic aorta, but clear lungs."
        },
        {
            "image_id": "2546_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are within normal limits and the lungs are free of focal airspace disease. However, the thoracic aorta appears tortuous. No pleural effusion or pneumothorax is seen. Based on these observations, the impression is that there is a tortuous thoracic aorta, but clear lungs."
        },
        {
            "image_id": "3880_1",
            "caption": "The X-ray report shows no acute abnormalities in the heart, lungs, or osseous structures observed. The cardiomegaly is stable with mild pulmonary interstitial edema, and the thoracic aorta is tortuous. The report also indicates previous medical conditions in some cases, such as healed fractures and prior surgeries. Based on the findings, further testing or evaluation may be required to ensure a complete diagnosis and proper treatment plan."
        },
        {
            "image_id": "3880_2",
            "caption": "The X-ray report shows no acute abnormalities in the heart, lungs, or osseous structures observed. The cardiomegaly is stable with mild pulmonary interstitial edema, and the thoracic aorta is tortuous. The report also indicates previous medical conditions in some cases, such as healed fractures and prior surgeries. Based on the findings, further testing or evaluation may be required to ensure a complete diagnosis and proper treatment plan."
        },
        {
            "image_id": "2220_1",
            "caption": "The chest X-ray shows low lung volumes, pulmonary vascular congestion, and bibasilar airspace disease. There is also a probable left pleural effusion, but no pneumothorax is seen. The cardiac silhouette is upper lungs are normally accentuated due to low lung volumes. Overall, the impression is suggestive of mild heart failure or volume overload. It is advisable to consult with a physician for further evaluation and management."
        },
        {
            "image_id": "1729_1",
            "caption": "The patient has significant bilateral emphysematous changes seen on the X-ray. However, there are no acute cardiopulmonary abnormalities found. The heart size and mediastinal silhouette are normal, and the lungs are clear without any pleural effusions or pneumothorax."
        },
        {
            "image_id": "1729_2",
            "caption": "The patient has significant bilateral emphysematous changes seen on the X-ray. However, there are no acute cardiopulmonary abnormalities found. The heart size and mediastinal silhouette are normal, and the lungs are clear without any pleural effusions or pneumothorax."
        },
        {
            "image_id": "732_1",
            "caption": "The heart size is normal, and there is no focal pulmonary consolidation, pleural effusion, or pneumothorax. The lungs are hyperexpanded, and mild degenerative changes are present in the spine. There is no evidence of metastatic disease, and the findings are indicative of a normal X-ray. However, due to hyperexpansion of the lungs and degenerative changes in the spine, it is recommended to consult with a healthcare professional for further evaluation and guidance."
        },
        {
            "image_id": "732_2",
            "caption": "The heart size is normal, and there is no focal pulmonary consolidation, pleural effusion, or pneumothorax. The lungs are hyperexpanded, and mild degenerative changes are present in the spine. There is no evidence of metastatic disease, and the findings are indicative of a normal X-ray. However, due to hyperexpansion of the lungs and degenerative changes in the spine, it is recommended to consult with a healthcare professional for further evaluation and guidance."
        },
        {
            "image_id": "2963_1",
            "caption": "The x-ray examination reveals that the heart and mediastinum are normal in size and shape. Both lungs are well-expanded, and there is no evidence of any focal airspace disease, pleural effusion, or pneumothorax. Additionally, there are no acute bone abnormalities noted. Based on the x-ray, there is no indication of any acute cardiopulmonary process."
        },
        {
            "image_id": "2963_2",
            "caption": "The x-ray examination reveals that the heart and mediastinum are normal in size and shape. Both lungs are well-expanded, and there is no evidence of any focal airspace disease, pleural effusion, or pneumothorax. Additionally, there are no acute bone abnormalities noted. Based on the x-ray, there is no indication of any acute cardiopulmonary process."
        },
        {
            "image_id": "726_1",
            "caption": "The patient's x-ray shows a normal sized heart and no evidence of focal pulmonary consolidation, pleural effusion or pneumothorax. However, there is a prominent right perihilar density that could be due to lymphadenopathy. Additionally, the x-ray indicates the presence of TIPS. The overall impression suggests no acute abnormalities in the chest but advises further evaluation for the right hilar prominence."
        },
        {
            "image_id": "726_2",
            "caption": "The patient's x-ray shows a normal sized heart and no evidence of focal pulmonary consolidation, pleural effusion or pneumothorax. However, there is a prominent right perihilar density that could be due to lymphadenopathy. Additionally, the x-ray indicates the presence of TIPS. The overall impression suggests no acute abnormalities in the chest but advises further evaluation for the right hilar prominence."
        },
        {
            "image_id": "2793_1",
            "caption": "The examination of the chest revealed no abnormalities in the heart or the mediastinum. The lungs showed mild hyperexpansion without any evidences of focal consolidation, pneumothorax or large pleural effusion. The impression suggests a clear chest with mild lung hyperexpansion."
        },
        {
            "image_id": "2793_2",
            "caption": "The examination of the chest revealed no abnormalities in the heart or the mediastinum. The lungs showed mild hyperexpansion without any evidences of focal consolidation, pneumothorax or large pleural effusion. The impression suggests a clear chest with mild lung hyperexpansion."
        },
        {
            "image_id": "2787_1",
            "caption": "The patient's x-ray results indicate no acute cardiopulmonary abnormalities. The lungs are clear without any evidence of pneumothorax, pleural effusion, or airspace consolidation. The heart size is within the upper limits of normal, and the pulmonary vasculature appears within normal limits."
        },
        {
            "image_id": "2787_2",
            "caption": "The patient's x-ray results indicate no acute cardiopulmonary abnormalities. The lungs are clear without any evidence of pneumothorax, pleural effusion, or airspace consolidation. The heart size is within the upper limits of normal, and the pulmonary vasculature appears within normal limits."
        },
        {
            "image_id": "3472_1",
            "caption": "The X-ray shows that the heart, lungs, and bones are normal without any acute abnormalities. The lungs are clear without any signs of pneumothorax, effusion, or airspace consolidation. The cardiomediastinal silhouette and pulmonary vasculature are also normal. Osseous structures are within normal limits for the patient's age."
        },
        {
            "image_id": "3472_2",
            "caption": "The X-ray shows that the heart, lungs, and bones are normal without any acute abnormalities. The lungs are clear without any signs of pneumothorax, effusion, or airspace consolidation. The cardiomediastinal silhouette and pulmonary vasculature are also normal. Osseous structures are within normal limits for the patient's age."
        },
        {
            "image_id": "929_1",
            "caption": "There is no evidence of focal infiltrates. The findings indicate COPD with focal atelectasis located in the right lung base. The heart, mediastinum, and aorta are normal. Overall, the results suggest that there is no evidence of failure or pneumonia, but the patient should be further evaluated for COPD management."
        },
        {
            "image_id": "929_2",
            "caption": "There is no evidence of focal infiltrates. The findings indicate COPD with focal atelectasis located in the right lung base. The heart, mediastinum, and aorta are normal. Overall, the results suggest that there is no evidence of failure or pneumonia, but the patient should be further evaluated for COPD management."
        },
        {
            "image_id": "1265_1",
            "caption": "The x-ray shows a normal-sized heart with hyperinflated lungs and a calcified granuloma in the right lower lobe. No consolidation, pleural effusion, or pneumothorax is observed. However, there are several abnormalities, including lymphadenopathy, mass, pulmonary arterial abnormality such as aneurysm or enlargement of the left atrial appendage. As the previous chest x-ray is not available, further evaluation is recommended to determine the nature of this structure."
        },
        {
            "image_id": "1265_2",
            "caption": "The x-ray shows a normal-sized heart with hyperinflated lungs and a calcified granuloma in the right lower lobe. No consolidation, pleural effusion, or pneumothorax is observed. However, there are several abnormalities, including lymphadenopathy, mass, pulmonary arterial abnormality such as aneurysm or enlargement of the left atrial appendage. As the previous chest x-ray is not available, further evaluation is recommended to determine the nature of this structure."
        },
        {
            "image_id": "3314_1",
            "caption": "The chest X-ray appears normal with clear lungs, normal heart size. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses, indicating a normal chest."
        },
        {
            "image_id": "3314_2",
            "caption": "The chest X-ray appears normal with clear lungs, normal heart size. There are no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses, indicating a normal chest."
        },
        {
            "image_id": "3300_1",
            "caption": "The x-ray shows clear lungs without any consolidation, effusion, or pneumothorax. Other findings include stable aortic tortuosity and scoliosis with degenerative changes in the thoracic spine. The cardiomediastinal silhouette is normal, and a stent is visualized in the right upper quadrant. However, there is no acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "3300_2",
            "caption": "The x-ray shows clear lungs without any consolidation, effusion, or pneumothorax. Other findings include stable aortic tortuosity and scoliosis with degenerative changes in the thoracic spine. The cardiomediastinal silhouette is normal, and a stent is visualized in the right upper quadrant. However, there is no acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "1517_1",
            "caption": "According to the radiographic findings, the lungs are clear without any signs of focal consolidation, pneumothorax, or pleural effusion, and the cardio mediastinal silhouette is also normal. Additionally, the visualized osseous structures of the thorax do not show any acute abnormalities. Consequently, the impression is that there is no acute cardiopulmonary abnormality to be concerned about."
        },
        {
            "image_id": "1517_2",
            "caption": "According to the radiographic findings, the lungs are clear without any signs of focal consolidation, pneumothorax, or pleural effusion, and the cardio mediastinal silhouette is also normal. Additionally, the visualized osseous structures of the thorax do not show any acute abnormalities. Consequently, the impression is that there is no acute cardiopulmonary abnormality to be concerned about."
        },
        {
            "image_id": "1271_1",
            "caption": "Based on the chest x-ray image, the heart is within normal limits in size. The lungs are clear without any infiltrate or evidence of pneumothorax or effusion. There is no acute cardiopulmonary disease observed in the findings."
        },
        {
            "image_id": "1271_2",
            "caption": "Based on the chest x-ray image, the heart is within normal limits in size. The lungs are clear without any infiltrate or evidence of pneumothorax or effusion. There is no acute cardiopulmonary disease observed in the findings."
        },
        {
            "image_id": "2778_1",
            "caption": "There is an interval decrease in size of numerous pulmonary nodules and masses from previous exam and are not definitely seen now. Lungs are otherwise clear with no pneumothorax. Heart is of normal size. However, there is a right chest abnormality with a tip projecting over the lower SVC. No definite nodules or masses are visible in the current X-ray, indicating a good response to previous treatment. Further evaluation of the right chest abnormality may be required."
        },
        {
            "image_id": "2778_2",
            "caption": "There is an interval decrease in size of numerous pulmonary nodules and masses from previous exam and are not definitely seen now. Lungs are otherwise clear with no pneumothorax. Heart is of normal size. However, there is a right chest abnormality with a tip projecting over the lower SVC. No definite nodules or masses are visible in the current X-ray, indicating a good response to previous treatment. Further evaluation of the right chest abnormality may be required."
        },
        {
            "image_id": "3466_1",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with streaky perihilar opacities and peribronchial cuffing. There is no evidence of focal consolidation, pneumothorax, or large pleural effusion. Findings are most suggestive of infectious or reactive small airways disease, but no focal pneumonia is found."
        },
        {
            "image_id": "3466_2",
            "caption": "The x-ray image shows a normal cardiomediastinal silhouette with streaky perihilar opacities and peribronchial cuffing. There is no evidence of focal consolidation, pneumothorax, or large pleural effusion. Findings are most suggestive of infectious or reactive small airways disease, but no focal pneumonia is found."
        },
        {
            "image_id": "1259_1",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary processes or diseases. The heart is normal in size, the mediastinum is unremarkable and the lungs are clear with no evidence of focal airspace disease, pneumothorax or pleural effusion. The osseous structures are also within normal limits."
        },
        {
            "image_id": "1259_2",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary processes or diseases. The heart is normal in size, the mediastinum is unremarkable and the lungs are clear with no evidence of focal airspace disease, pneumothorax or pleural effusion. The osseous structures are also within normal limits."
        },
        {
            "image_id": "2988_1",
            "caption": "The X-ray shows a normal cardiomediastinal silhouette and pulmonary vasculature with clear, well-aerated lungs. There is no evidence of pneumothorax, pleural effusion, or focal consolidation, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "2988_2",
            "caption": "The X-ray shows a normal cardiomediastinal silhouette and pulmonary vasculature with clear, well-aerated lungs. There is no evidence of pneumothorax, pleural effusion, or focal consolidation, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "2036_1",
            "caption": "The x-ray reveals mild cardiomegaly and a tortuous thoracic aorta. There is also low lung volume and asymmetric elevation of the right hemidiaphragm. Bibasilar airspace disease is present, particularly greater on the right, which could either be atelectasis or infiltrate. In addition, there is platelike atelectasis in the right midlung. However, there is no evidence of pneumothorax. All these findings suggest the need for further evaluation and management by a healthcare professional."
        },
        {
            "image_id": "2036_2",
            "caption": "The x-ray reveals mild cardiomegaly and a tortuous thoracic aorta. There is also low lung volume and asymmetric elevation of the right hemidiaphragm. Bibasilar airspace disease is present, particularly greater on the right, which could either be atelectasis or infiltrate. In addition, there is platelike atelectasis in the right midlung. However, there is no evidence of pneumothorax. All these findings suggest the need for further evaluation and management by a healthcare professional."
        },
        {
            "image_id": "2022_1",
            "caption": "The X-ray shows that there are no significant changes in the heart and lungs since the previous exam. Both lungs are well-expanded and do not show any signs of acute infiltrates. A strand-like scarring is visible in the left lower lobe, but there are no observable changes. The heart and mediastinum are also normal. Overall, the X-ray indicates that there is no active disease."
        },
        {
            "image_id": "2022_2",
            "caption": "The X-ray shows that there are no significant changes in the heart and lungs since the previous exam. Both lungs are well-expanded and do not show any signs of acute infiltrates. A strand-like scarring is visible in the left lower lobe, but there are no observable changes. The heart and mediastinum are also normal. Overall, the X-ray indicates that there is no active disease."
        },
        {
            "image_id": "2744_1",
            "caption": "The chest x-ray image shows that the heart is of normal size and the lungs are clear with no evidence of pneumonia, effusions, edema, or pneumothorax. Furthermore, there are no adenopathy, nodules, or masses. Overall, the chest x-ray reveals a normal chest with no abnormalities."
        },
        {
            "image_id": "2744_2",
            "caption": "The chest x-ray image shows that the heart is of normal size and the lungs are clear with no evidence of pneumonia, effusions, edema, or pneumothorax. Furthermore, there are no adenopathy, nodules, or masses. Overall, the chest x-ray reveals a normal chest with no abnormalities."
        },
        {
            "image_id": "901_1",
            "caption": "The finding reveals an enlarged heart but stable sequel prior granulomatous disease and sternotomy. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. The impression indicates stable cardiomegaly without any acute cardiopulmonary process. The X-ray result is normal, but it is essential to follow up and monitor any significant changes that may develop in the future."
        },
        {
            "image_id": "901_2",
            "caption": "The finding reveals an enlarged heart but stable sequel prior granulomatous disease and sternotomy. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. The impression indicates stable cardiomegaly without any acute cardiopulmonary process. The X-ray result is normal, but it is essential to follow up and monitor any significant changes that may develop in the future."
        },
        {
            "image_id": "901_3",
            "caption": "The finding reveals an enlarged heart but stable sequel prior granulomatous disease and sternotomy. The lungs are normally inflated with no focal airspace disease, pleural effusion, or pneumothorax. The impression indicates stable cardiomegaly without any acute cardiopulmonary process. The X-ray result is normal, but it is essential to follow up and monitor any significant changes that may develop in the future."
        },
        {
            "image_id": "2023_1",
            "caption": "The findings of the X-ray examination suggest that there is no cardiopulmonary disease. The normal size and shape of the cardiomediastinal silhouette and the absence of significant findings, such as focal consolidation, pneumothorax, or large pleural effusion, confirm this. Similarly, the absence of any acute bone abnormality further suggests negative results. Overall, the impression is that there is no significant illness or abnormality detected in the X-ray."
        },
        {
            "image_id": "2023_2",
            "caption": "The findings of the X-ray examination suggest that there is no cardiopulmonary disease. The normal size and shape of the cardiomediastinal silhouette and the absence of significant findings, such as focal consolidation, pneumothorax, or large pleural effusion, confirm this. Similarly, the absence of any acute bone abnormality further suggests negative results. Overall, the impression is that there is no significant illness or abnormality detected in the X-ray."
        },
        {
            "image_id": "900_1",
            "caption": "The x-ray image shows the heart is normal in size and the mediastinum is unremarkable. The lungs are clear and there is no evidence of pneumothorax. However, there is a right chest tip visualized in the distal SVC, and the right cardiac margin is partially obscured, which may be due to overlying cardiophrenic fat. Overall, there is no acute disease seen in the x-ray."
        },
        {
            "image_id": "2745_1",
            "caption": "The findings of the x-ray image reveal a normal-sized heart and mediastinum without any acute abnormalities. Scattered calcified granulomas are present, but the lungs are clear with no sign of pneumothorax or pleural effusion. No acute bony abnormalities are visible. The impression indicates no acute cardiopulmonary process detected."
        },
        {
            "image_id": "2745_2",
            "caption": "The findings of the x-ray image reveal a normal-sized heart and mediastinum without any acute abnormalities. Scattered calcified granulomas are present, but the lungs are clear with no sign of pneumothorax or pleural effusion. No acute bony abnormalities are visible. The impression indicates no acute cardiopulmonary process detected."
        },
        {
            "image_id": "2745_3",
            "caption": "The findings of the x-ray image reveal a normal-sized heart and mediastinum without any acute abnormalities. Scattered calcified granulomas are present, but the lungs are clear with no sign of pneumothorax or pleural effusion. No acute bony abnormalities are visible. The impression indicates no acute cardiopulmonary process detected."
        },
        {
            "image_id": "2989_1",
            "caption": "Upon examining the x-ray image, the mediastinal contours were found to be normal in size, and the heart size was within normal limits. No evidence of focal consolidation, pneumothorax, or pleural effusion was observed. However, there were degenerative changes in the spine and the acromioclavicular joints, and cervical fusion anomalies were present. The impression gathered from these observations was that there is no acute cardiopulmonary abnormality detected in the x-ray image."
        },
        {
            "image_id": "2989_2",
            "caption": "Upon examining the x-ray image, the mediastinal contours were found to be normal in size, and the heart size was within normal limits. No evidence of focal consolidation, pneumothorax, or pleural effusion was observed. However, there were degenerative changes in the spine and the acromioclavicular joints, and cervical fusion anomalies were present. The impression gathered from these observations was that there is no acute cardiopulmonary abnormality detected in the x-ray image."
        },
        {
            "image_id": "2751_1",
            "caption": "The x-ray reveals a normal-sized heart and clear lungs without any effusions or pneumothorax. The Cardiopulmonary silhouette and mediastinal contours appear normal. There are no focal consolidation, acute bone abnormalities or pulmonary infiltrates detected. Overall, the findings suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "2751_2",
            "caption": "The x-ray reveals a normal-sized heart and clear lungs without any effusions or pneumothorax. The Cardiopulmonary silhouette and mediastinal contours appear normal. There are no focal consolidation, acute bone abnormalities or pulmonary infiltrates detected. Overall, the findings suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "1258_1",
            "caption": "On the X-ray image, the heart and lungs appear normal with clear and expanded lungs, and no active disease is detected. The mediastinal contours and heart size are within normal limits. There are no focal consolidations, pleural effusions, or pneumothorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "914_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with clear lungs and no evidence of focal consolidation, pneumothorax, or large pleural effusion. The presence of middle lobe calcified granulomas suggest no acute abnormality."
        },
        {
            "image_id": "914_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with clear lungs and no evidence of focal consolidation, pneumothorax, or large pleural effusion. The presence of middle lobe calcified granulomas suggest no acute abnormality."
        },
        {
            "image_id": "3329_1",
            "caption": "The x-ray image shows no current abnormalities in the heart or lungs. The heart is of normal size and there is no mediastinal widening. The lungs are clear without any signs of large pleural effusion or pneumothorax. Additionally, the skeleton appears to be intact. The impression from this image is that there are no acute cardiopulmonary abnormalities, indicating good health in the patient."
        },
        {
            "image_id": "3329_2",
            "caption": "The x-ray image shows no current abnormalities in the heart or lungs. The heart is of normal size and there is no mediastinal widening. The lungs are clear without any signs of large pleural effusion or pneumothorax. Additionally, the skeleton appears to be intact. The impression from this image is that there are no acute cardiopulmonary abnormalities, indicating good health in the patient."
        },
        {
            "image_id": "1516_1",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. Moreover, the lungs are clear and there is no evidence of acute cardiopulmonary disease. The impression states that there is no acute disease."
        },
        {
            "image_id": "1516_2",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. Moreover, the lungs are clear and there is no evidence of acute cardiopulmonary disease. The impression states that there is no acute disease."
        },
        {
            "image_id": "3301_1",
            "caption": "Based on the x-ray image, the size and contour of the cardiomediastinal silhouette are within normal limits. The lungs appear to be normally inflated without any visible signs of focal airspace disease, pleural effusion, or pneumothorax. Also, the osseous structures look normal in the x-ray image. Overall, there are no acute radiographic cardiopulmonary processes observed."
        },
        {
            "image_id": "3301_2",
            "caption": "Based on the x-ray image, the size and contour of the cardiomediastinal silhouette are within normal limits. The lungs appear to be normally inflated without any visible signs of focal airspace disease, pleural effusion, or pneumothorax. Also, the osseous structures look normal in the x-ray image. Overall, there are no acute radiographic cardiopulmonary processes observed."
        },
        {
            "image_id": "3467_1",
            "caption": "The chest X-ray shows no acute abnormalities. The lungs are clear without any signs of pneumonia, and the heart and pulmonary arteries are normal. The mediastinum and pleural spaces are unremarkable. However, there is some calcification of the thoracic aorta. The overall impression is negative for acute cardiopulmonary disease but indicates some calcification in the thoracic aorta."
        },
        {
            "image_id": "3467_2",
            "caption": "The chest X-ray shows no acute abnormalities. The lungs are clear without any signs of pneumonia, and the heart and pulmonary arteries are normal. The mediastinum and pleural spaces are unremarkable. However, there is some calcification of the thoracic aorta. The overall impression is negative for acute cardiopulmonary disease but indicates some calcification in the thoracic aorta."
        },
        {
            "image_id": "1270_1",
            "caption": "On analyzing the 2 images, the heart size and pulmonary vascular engorgement were found to be within normal limits. The mediastinal contour appeared unremarkable. There was no evidence of focal consolidation, pleural effusion, or pneumothorax. Additionally, there were no convincing acute bony findings. As a result, no acute cardiopulmonary abnormality was identified."
        },
        {
            "image_id": "1270_2",
            "caption": "On analyzing the 2 images, the heart size and pulmonary vascular engorgement were found to be within normal limits. The mediastinal contour appeared unremarkable. There was no evidence of focal consolidation, pleural effusion, or pneumothorax. Additionally, there were no convincing acute bony findings. As a result, no acute cardiopulmonary abnormality was identified."
        },
        {
            "image_id": "1264_1",
            "caption": "The x-ray reveals that the heart and lungs appear normal, with no sign of abnormalities such as focal consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony findings. The impression from the x-ray is negative for acute cardiopulmonary findings, indicating that there is no evidence of any immediate or significant issues with the patient's heart or lungs."
        },
        {
            "image_id": "1264_2",
            "caption": "The x-ray reveals that the heart and lungs appear normal, with no sign of abnormalities such as focal consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony findings. The impression from the x-ray is negative for acute cardiopulmonary findings, indicating that there is no evidence of any immediate or significant issues with the patient's heart or lungs."
        },
        {
            "image_id": "928_1",
            "caption": "The chest X-ray findings shows that the heart and mediastinum are normal in size and there are no acute pulmonary abnormalities present. The lungs are clear without any sign of consolidation, pneumothorax or pleural effusion. Based on these results, there is no acute disease."
        },
        {
            "image_id": "928_2",
            "caption": "The chest X-ray findings shows that the heart and mediastinum are normal in size and there are no acute pulmonary abnormalities present. The lungs are clear without any sign of consolidation, pneumothorax or pleural effusion. Based on these results, there is no acute disease."
        },
        {
            "image_id": "3473_1",
            "caption": "The findings of the x-ray reveal that the heart and pulmonary vascularity are normal in size with no noticeable abnormal contours. The lungs appear to be clear of any focal airspace disease, pleural effusions or pneumothorax. Additionally, there are no nodules or adenopathy noted. The impression gathered from the x-ray is that there is no evidence of active disease. This information suggests that the patient currently does not have any major cardiopulmonary or respiratory problems."
        },
        {
            "image_id": "3473_2",
            "caption": "The findings of the x-ray reveal that the heart and pulmonary vascularity are normal in size with no noticeable abnormal contours. The lungs appear to be clear of any focal airspace disease, pleural effusions or pneumothorax. Additionally, there are no nodules or adenopathy noted. The impression gathered from the x-ray is that there is no evidence of active disease. This information suggests that the patient currently does not have any major cardiopulmonary or respiratory problems."
        },
        {
            "image_id": "3315_1",
            "caption": "The x-ray shows clear lungs with no signs of pleural effusion or pneumothorax. Both the heart and the mediastinum appear normal and skeletal structures are also normal. There is no evidence of active disease or acute pulmonary disease."
        },
        {
            "image_id": "3315_2",
            "caption": "The x-ray shows clear lungs with no signs of pleural effusion or pneumothorax. Both the heart and the mediastinum appear normal and skeletal structures are also normal. There is no evidence of active disease or acute pulmonary disease."
        },
        {
            "image_id": "1502_1",
            "caption": "The patient's x-ray image shows clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum are normal, and skeletal structures are intact. Overall, there is no acute pulmonary disease found in the image."
        },
        {
            "image_id": "1502_2",
            "caption": "The patient's x-ray image shows clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum are normal, and skeletal structures are intact. Overall, there is no acute pulmonary disease found in the image."
        },
        {
            "image_id": "2786_1",
            "caption": "The x-ray shows that the lungs are clear and there are no signs of any problems like focal consolidation, pneumothorax, or pleural effusion. The heart and mediastinum appear normal and the thorax bones are also without any issues. The impression is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2786_2",
            "caption": "The x-ray shows that the lungs are clear and there are no signs of any problems like focal consolidation, pneumothorax, or pleural effusion. The heart and mediastinum appear normal and the thorax bones are also without any issues. The impression is that there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3498_1",
            "caption": "On the chest x-ray, there is a minimally displaced fracture on the right 4th rib with a small amount of pleural fluid present deep to the fracture, but no pleural air collection. The lungs are clear and expanded with a normal heart and mediastinum. There is also a noted levoscoliosis of the thoracolumbar spine. The right shoulder and humerus appear normal. Overall, there is no evidence of cardiopulmonary injury or acute abnormalities except for the rib fracture with pleural fluid."
        },
        {
            "image_id": "3498_2",
            "caption": "On the chest x-ray, there is a minimally displaced fracture on the right 4th rib with a small amount of pleural fluid present deep to the fracture, but no pleural air collection. The lungs are clear and expanded with a normal heart and mediastinum. There is also a noted levoscoliosis of the thoracolumbar spine. The right shoulder and humerus appear normal. Overall, there is no evidence of cardiopulmonary injury or acute abnormalities except for the rib fracture with pleural fluid."
        },
        {
            "image_id": "2792_1",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary abnormalities. The heart is normal in size and shape with no signs of mediastinal widening. Both lungs are clear and there is no evidence of large pleural effusion or pneumothorax."
        },
        {
            "image_id": "2792_2",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary abnormalities. The heart is normal in size and shape with no signs of mediastinal widening. Both lungs are clear and there is no evidence of large pleural effusion or pneumothorax."
        },
        {
            "image_id": "2962_1",
            "caption": "The x-ray shows stable mild thoracic levoscoliosis along with moderate degenerative changes of the thoracic spine. Multiple scattered round calcific densities are seen that represent old granulomatous disease. However, there is no evidence of pneumothorax or pleural effusion. The cardiomegaly is stable with no focal airspace disease present."
        },
        {
            "image_id": "2962_2",
            "caption": "The x-ray shows stable mild thoracic levoscoliosis along with moderate degenerative changes of the thoracic spine. Multiple scattered round calcific densities are seen that represent old granulomatous disease. However, there is no evidence of pneumothorax or pleural effusion. The cardiomegaly is stable with no focal airspace disease present."
        },
        {
            "image_id": "2976_1",
            "caption": "The x-ray image shows that the heart and vascularity are normal, and there are no signs of acute cardiopulmonary abnormalities. However, there is evidence of hyperexpanded lungs which suggests chronic obstructive pulmonary disease. The image shows that there are no pleural effusions or pnuemothoraces present. This finding highlights the importance of proper diagnosis and management of chronic obstructive pulmonary disease, a treatable but potentially disabling lung condition."
        },
        {
            "image_id": "2976_2",
            "caption": "The x-ray image shows that the heart and vascularity are normal, and there are no signs of acute cardiopulmonary abnormalities. However, there is evidence of hyperexpanded lungs which suggests chronic obstructive pulmonary disease. The image shows that there are no pleural effusions or pnuemothoraces present. This finding highlights the importance of proper diagnosis and management of chronic obstructive pulmonary disease, a treatable but potentially disabling lung condition."
        },
        {
            "image_id": "733_1",
            "caption": "The x-ray image shows a dual-lumen right internal jugular central venous catheter, and the distal tip is projected over the right atrium, however, there is no apparent pneumothorax. The right upper lung lucency appears stable, and there are no focal lung opacities or pleural effusions. The cardiopulmonary mediastinal silhouettes are also stable. There is a possibility of further understanding the condition, and CT of the chest may be helpful to characterize the findings accurately."
        },
        {
            "image_id": "733_2",
            "caption": "The x-ray image shows a dual-lumen right internal jugular central venous catheter, and the distal tip is projected over the right atrium, however, there is no apparent pneumothorax. The right upper lung lucency appears stable, and there are no focal lung opacities or pleural effusions. The cardiopulmonary mediastinal silhouettes are also stable. There is a possibility of further understanding the condition, and CT of the chest may be helpful to characterize the findings accurately."
        },
        {
            "image_id": "3881_1",
            "caption": "The X-ray shows that the heart and pulmonary vascularity are normal, with no pleural effusion or pneumothorax identified. Degenerative changes are present in the spine, and the right side has a new insertion which projects over the lower superior part. However, there is no evidence of active disease."
        },
        {
            "image_id": "3881_2",
            "caption": "The X-ray shows that the heart and pulmonary vascularity are normal, with no pleural effusion or pneumothorax identified. Degenerative changes are present in the spine, and the right side has a new insertion which projects over the lower superior part. However, there is no evidence of active disease."
        },
        {
            "image_id": "2547_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours. There is interval improvement in the right lower lobe airspace disease with mild residual or recurrent pneumonia. Further radiographic follow up after appropriate therapy is recommended to confirm resolution. No other acute pulmonary process is seen in this image. As an AI language model, I cannot provide specific medical advice. Please consult a qualified healthcare professional."
        },
        {
            "image_id": "3659_1",
            "caption": "The patient is status post CABG and the report suggests no evidence of active disease in the heart or lungs. The lungs are clear and the pulmonary vascularity is within normal limits. Additionally, there are no pleural effusion or pneumothorax, and only a calcified granuloma is noted."
        },
        {
            "image_id": "3659_2",
            "caption": "The patient is status post CABG and the report suggests no evidence of active disease in the heart or lungs. The lungs are clear and the pulmonary vascularity is within normal limits. Additionally, there are no pleural effusion or pneumothorax, and only a calcified granuloma is noted."
        },
        {
            "image_id": "1728_1",
            "caption": "Upon initial examination, the cardiac silhouette and mediastinal contours appear normal with no evidence of any pneumothorax or large pleural effusion. However, after further review with a staff radiologist, a right upper lobe focal opacity is visible in the x-ray, indicative of pneumonia. Follow-up testing and appropriate therapy are recommended to ensure full resolution of the condition."
        },
        {
            "image_id": "1728_2",
            "caption": "Upon initial examination, the cardiac silhouette and mediastinal contours appear normal with no evidence of any pneumothorax or large pleural effusion. However, after further review with a staff radiologist, a right upper lobe focal opacity is visible in the x-ray, indicative of pneumonia. Follow-up testing and appropriate therapy are recommended to ensure full resolution of the condition."
        },
        {
            "image_id": "2235_1",
            "caption": "The x-ray shows low lung volumes, but there is no acute cardiopulmonary disease detected. The cardiac silhouette and mediastinal contours are normal, and there is no large pleural effusion or pneumothorax. Also, there is no focal opacity. These findings suggest that the patient's lungs and heart are functioning correctly. However, it is recommended to consult with a specialist if the patient faces any difficulty in breathing or chest pain."
        },
        {
            "image_id": "2235_2",
            "caption": "The x-ray shows low lung volumes, but there is no acute cardiopulmonary disease detected. The cardiac silhouette and mediastinal contours are normal, and there is no large pleural effusion or pneumothorax. Also, there is no focal opacity. These findings suggest that the patient's lungs and heart are functioning correctly. However, it is recommended to consult with a specialist if the patient faces any difficulty in breathing or chest pain."
        },
        {
            "image_id": "3895_1",
            "caption": "The chest X-ray reveals scattered opacities in the left lower lobe possibly due to pneumonia. There is also enlargement of the central pulmonary arteries, which may indicate pulmonary hypertension. However, no acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion are present, and there is no abnormality in the bones. Further imaging or evaluation may be required to confirm the diagnosis and assess the severity of the conditions."
        },
        {
            "image_id": "3895_2",
            "caption": "The chest X-ray reveals scattered opacities in the left lower lobe possibly due to pneumonia. There is also enlargement of the central pulmonary arteries, which may indicate pulmonary hypertension. However, no acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion are present, and there is no abnormality in the bones. Further imaging or evaluation may be required to confirm the diagnosis and assess the severity of the conditions."
        },
        {
            "image_id": "2553_1",
            "caption": "The x-ray image shows several small calcified granulomas and diffuse degenerative changes of the spine. However, there is no evidence of active disease as the lungs are clear with no focal airspace consolidation or suspicious pulmonary mass/nodule identified. Further, there is no pleural effusion or pneumothorax, and the heart size and mediastinal contour are normal, indicating no acute abnormalities."
        },
        {
            "image_id": "2553_2",
            "caption": "The x-ray image shows several small calcified granulomas and diffuse degenerative changes of the spine. However, there is no evidence of active disease as the lungs are clear with no focal airspace consolidation or suspicious pulmonary mass/nodule identified. Further, there is no pleural effusion or pneumothorax, and the heart size and mediastinal contour are normal, indicating no acute abnormalities."
        },
        {
            "image_id": "1072_1",
            "caption": "The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. There's been interval development of left lower lobe airspace disease. The right lung is clear. There is no other significant finding. The patient has developed left lower lobe airspace disease which may be due to atelectasis or infiltrate. More investigation is needed to confirm the diagnosis. However, no other significant findings were observed."
        },
        {
            "image_id": "1072_2",
            "caption": "The heart and mediastinal contours are stable. Aorta is calcified and tortuous, compatible with atherosclerotic disease. There's been interval development of left lower lobe airspace disease. The right lung is clear. There is no other significant finding. The patient has developed left lower lobe airspace disease which may be due to atelectasis or infiltrate. More investigation is needed to confirm the diagnosis. However, no other significant findings were observed."
        },
        {
            "image_id": "3665_1",
            "caption": "The chest x-ray shows that the heart size is normal and there is no abnormality or disease detected in the lungs such as pneumothorax or pleural effusion. The upper lobe airspace is clear and there are no cavitary lesions. The impression mentions that there is no acute abnormality and no evidence of pulmonary tuberculosis. The results suggest that the patient's chest x-ray is normal and does not show any significant findings."
        },
        {
            "image_id": "3665_2",
            "caption": "The chest x-ray shows that the heart size is normal and there is no abnormality or disease detected in the lungs such as pneumothorax or pleural effusion. The upper lobe airspace is clear and there are no cavitary lesions. The impression mentions that there is no acute abnormality and no evidence of pulmonary tuberculosis. The results suggest that the patient's chest x-ray is normal and does not show any significant findings."
        },
        {
            "image_id": "3103_1",
            "caption": "The cardiomediastinal silhouette is stable and unremarkable. The right hemidiaphragm shows stable eventration. There is mild subsegmental atelectasis of the left lung base, which has been previously observed on a CT scan, and there is no recent change in this condition. There is no evidence of the pneumonia. The chest X-ray does not indicate any abnormality in cardiopulmonary function."
        },
        {
            "image_id": "3103_2",
            "caption": "The cardiomediastinal silhouette is stable and unremarkable. The right hemidiaphragm shows stable eventration. There is mild subsegmental atelectasis of the left lung base, which has been previously observed on a CT scan, and there is no recent change in this condition. There is no evidence of the pneumonia. The chest X-ray does not indicate any abnormality in cardiopulmonary function."
        },
        {
            "image_id": "1714_1",
            "caption": "The x-ray image shows that the heart size and pulmonary blood vessels are normal, and there are no signs of fluid or air pockets in the lungs, and no focal areas of concern are seen. The impression reveals that there is no evidence of any active disease, though there are some degenerative changes in the spine. Overall, the x-ray appears to be normal, with no significant abnormalities observed."
        },
        {
            "image_id": "280_1",
            "caption": "we can conclude that the x-ray result is normal and there are no signs of any active disease. It is important to continue with regular check-ups to ensure that no abnormalities or changes occur in the future."
        },
        {
            "image_id": "280_2",
            "caption": "we can conclude that the x-ray result is normal and there are no signs of any active disease. It is important to continue with regular check-ups to ensure that no abnormalities or changes occur in the future."
        },
        {
            "image_id": "294_1",
            "caption": "Upon examination, the heart appears normal in size and the mediastinum is unremarkable. The lungs are found to be grossly clear, however underlying emphysema is noted. There is no evidence of acute disease, suggesting a chronic condition. This finding is consistent with a diagnosis of Emphysema."
        },
        {
            "image_id": "294_2",
            "caption": "Upon examination, the heart appears normal in size and the mediastinum is unremarkable. The lungs are found to be grossly clear, however underlying emphysema is noted. There is no evidence of acute disease, suggesting a chronic condition. This finding is consistent with a diagnosis of Emphysema."
        },
        {
            "image_id": "3117_1",
            "caption": "The heart size is normal and there are no abnormalities in the pulmonary vascularity. No focal airspace disease, pleural effusion, or pneumothorax is observed. Degenerative changes are noted in the spine. The impression indicates that there is no evidence of active disease. The combination of finding and impression suggests that the patient's health is normal without any major cardiopulmonary abnormalities."
        },
        {
            "image_id": "3117_2",
            "caption": "The heart size is normal and there are no abnormalities in the pulmonary vascularity. No focal airspace disease, pleural effusion, or pneumothorax is observed. Degenerative changes are noted in the spine. The impression indicates that there is no evidence of active disease. The combination of finding and impression suggests that the patient's health is normal without any major cardiopulmonary abnormalities."
        },
        {
            "image_id": "2209_1",
            "caption": "The chest x-ray shows normal heart size and unremarkable mediastinum. The lungs are clear with no focal opacity, pneumothorax or pleural effusion. However, some changes related to emphysema are noticed. The impression suggests there is no active disease and indicates the presence of emphysema without any acute ailments."
        },
        {
            "image_id": "2209_2",
            "caption": "The chest x-ray shows normal heart size and unremarkable mediastinum. The lungs are clear with no focal opacity, pneumothorax or pleural effusion. However, some changes related to emphysema are noticed. The impression suggests there is no active disease and indicates the presence of emphysema without any acute ailments."
        },
        {
            "image_id": "3671_1",
            "caption": "The findings reveal stable cardiomediastinal silhouette with mild patchy right upper lobe opacities which have shown slight improvement as compared to the previous exam. The left lung is grossly clear and there is no pleural effusion or pneumothorax. The impression notes a persistent mild right upper lobe infiltrate, which is similar to slightly improved from the previous exam, and the left lung is grossly clear."
        },
        {
            "image_id": "3671_2",
            "caption": "The findings reveal stable cardiomediastinal silhouette with mild patchy right upper lobe opacities which have shown slight improvement as compared to the previous exam. The left lung is grossly clear and there is no pleural effusion or pneumothorax. The impression notes a persistent mild right upper lobe infiltrate, which is similar to slightly improved from the previous exam, and the left lung is grossly clear."
        },
        {
            "image_id": "3671_3",
            "caption": "The findings reveal stable cardiomediastinal silhouette with mild patchy right upper lobe opacities which have shown slight improvement as compared to the previous exam. The left lung is grossly clear and there is no pleural effusion or pneumothorax. The impression notes a persistent mild right upper lobe infiltrate, which is similar to slightly improved from the previous exam, and the left lung is grossly clear."
        },
        {
            "image_id": "519_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The cardiomedistinal size is within normal limits, and there is no pneumothorax, pleural effusion, or airspace consolidation observed."
        },
        {
            "image_id": "519_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The cardiomedistinal size is within normal limits, and there is no pneumothorax, pleural effusion, or airspace consolidation observed."
        },
        {
            "image_id": "519_3",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The cardiomedistinal size is within normal limits, and there is no pneumothorax, pleural effusion, or airspace consolidation observed."
        },
        {
            "image_id": "2584_1",
            "caption": "The x-ray images show that the heart size and pulmonary vascular engorgement are normal, and the mediastinal contour is unremarkable. There is no focal consolidation, pleural effusion, or pneumothorax identified, and no convincing acute bony findings. Therefore, the impression is that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2584_2",
            "caption": "The x-ray images show that the heart size and pulmonary vascular engorgement are normal, and the mediastinal contour is unremarkable. There is no focal consolidation, pleural effusion, or pneumothorax identified, and no convincing acute bony findings. Therefore, the impression is that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "1933_1",
            "caption": "The x-ray shows an ectatic aorta and an age-indeterminate anterior wedging deformity of lower thoracic vertebra. However, there is no evidence of an acute cardiopulmonary abnormality. The heart size is within normal limits, and there is no focal consolidation, pneumothorax, or pleural effusion observed in the image."
        },
        {
            "image_id": "1933_2",
            "caption": "The x-ray shows an ectatic aorta and an age-indeterminate anterior wedging deformity of lower thoracic vertebra. However, there is no evidence of an acute cardiopulmonary abnormality. The heart size is within normal limits, and there is no focal consolidation, pneumothorax, or pleural effusion observed in the image."
        },
        {
            "image_id": "1927_1",
            "caption": "Cardiac and mediastinal contours are normal. The lungs are clear except for prior granulomatous disease. Bony structures appear unremarkable. Chest x-ray shows no sign of abnormalities. The prior granulomatous disease is noted, which may require further evaluation. Please consult your doctor for further advice."
        },
        {
            "image_id": "1927_2",
            "caption": "Cardiac and mediastinal contours are normal. The lungs are clear except for prior granulomatous disease. Bony structures appear unremarkable. Chest x-ray shows no sign of abnormalities. The prior granulomatous disease is noted, which may require further evaluation. Please consult your doctor for further advice."
        },
        {
            "image_id": "3856_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with clear lungs, and no presence of effusions, consolidation, or pneumothorax. The impression suggests a normal chest x-ray examination."
        },
        {
            "image_id": "3856_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with clear lungs, and no presence of effusions, consolidation, or pneumothorax. The impression suggests a normal chest x-ray examination."
        },
        {
            "image_id": "2590_1",
            "caption": "The X-ray revealed that the heart is of normal size, and both the mediastinum and lungs are unremarkable and clear. The impression of the X-ray suggests that there is no acute disease present in the patient."
        },
        {
            "image_id": "2590_2",
            "caption": "The X-ray revealed that the heart is of normal size, and both the mediastinum and lungs are unremarkable and clear. The impression of the X-ray suggests that there is no acute disease present in the patient."
        },
        {
            "image_id": "1099_1",
            "caption": "This X-ray examination shows that there are changes seen in the area of the sternotomy and coronary artery bypass graft (CABG) which had been previously performed. However, the current heart size is normal, the lungs are clear and there are no pleural effusions, airspace consolidations or pneumothorax present. Also, no acute abnormalities were observed in bones. Overall, no acute disease or cardiopulmonary abnormality was detected by this examination."
        },
        {
            "image_id": "1099_2",
            "caption": "This X-ray examination shows that there are changes seen in the area of the sternotomy and coronary artery bypass graft (CABG) which had been previously performed. However, the current heart size is normal, the lungs are clear and there are no pleural effusions, airspace consolidations or pneumothorax present. Also, no acute abnormalities were observed in bones. Overall, no acute disease or cardiopulmonary abnormality was detected by this examination."
        },
        {
            "image_id": "525_1",
            "caption": "The chest x-ray shows no evidence of acute disease. There is no consolidation, pleural effusion or pneumothorax seen, but there is a mild aortic ectasia/tortuosity and contour irregularity of the lateral right 9th rib of indeterminate age. Additionally, there is exaggerated kyphosis with increased AP dimension of the thorax and curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen that may suggest skin fold artifact. The impression is that there is an age-indeterminate fracture of the right lateral 9th rib and, if findings localize to this region, acute fracture should be suspected. Overall, no acute cardiopulmonary findings are identified in the chest x-ray."
        },
        {
            "image_id": "525_2",
            "caption": "The chest x-ray shows no evidence of acute disease. There is no consolidation, pleural effusion or pneumothorax seen, but there is a mild aortic ectasia/tortuosity and contour irregularity of the lateral right 9th rib of indeterminate age. Additionally, there is exaggerated kyphosis with increased AP dimension of the thorax and curvilinear density projected over the right anterior 3rd and 4th ribs beyond which lung markings are seen that may suggest skin fold artifact. The impression is that there is an age-indeterminate fracture of the right lateral 9th rib and, if findings localize to this region, acute fracture should be suspected. Overall, no acute cardiopulmonary findings are identified in the chest x-ray."
        },
        {
            "image_id": "257_1",
            "caption": "The patient has a midline sternotomy scar. Heart size and cardiomediastinal silhouette appear normal while the osseous structures appear intact. However, the lateral view shows posterior airspace opacity which could be indicative of developing infection. Further evaluation and treatment may be necessary to manage the developing infection."
        },
        {
            "image_id": "257_2",
            "caption": "The patient has a midline sternotomy scar. Heart size and cardiomediastinal silhouette appear normal while the osseous structures appear intact. However, the lateral view shows posterior airspace opacity which could be indicative of developing infection. Further evaluation and treatment may be necessary to manage the developing infection."
        },
        {
            "image_id": "531_1",
            "caption": "There is right-sided volume loss in the thorax with compensatory hyperinflation of the left lung. No significant accumulation of air or fluid was found in the chest cavity. The chest x-ray image shows no evidence of acute abnormality."
        },
        {
            "image_id": "531_2",
            "caption": "There is right-sided volume loss in the thorax with compensatory hyperinflation of the left lung. No significant accumulation of air or fluid was found in the chest cavity. The chest x-ray image shows no evidence of acute abnormality."
        },
        {
            "image_id": "2433_1",
            "caption": "The chest x-ray shows low lung volumes with bibasilar subsegmental atelectasis. However, there are no signs of any acute cardiopulmonary abnormality such as focal consolidations, pleural effusions or pneumothoraces. The cardiomediastinal silhouette is within normal limits. There are also degenerative changes of the thoracic spine present in the x-ray."
        },
        {
            "image_id": "2433_2",
            "caption": "The chest x-ray shows low lung volumes with bibasilar subsegmental atelectasis. However, there are no signs of any acute cardiopulmonary abnormality such as focal consolidations, pleural effusions or pneumothoraces. The cardiomediastinal silhouette is within normal limits. There are also degenerative changes of the thoracic spine present in the x-ray."
        },
        {
            "image_id": "2433_3",
            "caption": "The chest x-ray shows low lung volumes with bibasilar subsegmental atelectasis. However, there are no signs of any acute cardiopulmonary abnormality such as focal consolidations, pleural effusions or pneumothoraces. The cardiomediastinal silhouette is within normal limits. There are also degenerative changes of the thoracic spine present in the x-ray."
        },
        {
            "image_id": "1884_1",
            "caption": "The x-ray reveals that the heart and pulmonary vascularity are within normal limits and the lungs are clear of airspace disease, effusion or pneumothorax. However, degenerative changes in the spine, mildly tortuous descending thoracic aorta and a slightly prominent mediastinum are also noted. The radiologist suggests that comparison films, if available, will help to determine if this an ongoing issue. Overall, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "1884_2",
            "caption": "The x-ray reveals that the heart and pulmonary vascularity are within normal limits and the lungs are clear of airspace disease, effusion or pneumothorax. However, degenerative changes in the spine, mildly tortuous descending thoracic aorta and a slightly prominent mediastinum are also noted. The radiologist suggests that comparison films, if available, will help to determine if this an ongoing issue. Overall, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "1884_3",
            "caption": "The x-ray reveals that the heart and pulmonary vascularity are within normal limits and the lungs are clear of airspace disease, effusion or pneumothorax. However, degenerative changes in the spine, mildly tortuous descending thoracic aorta and a slightly prominent mediastinum are also noted. The radiologist suggests that comparison films, if available, will help to determine if this an ongoing issue. Overall, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "2355_1",
            "caption": "The patient's chest x-ray shows low lung volumes with crowding, along with mild left base atelectasis. The heart size is within upper limits of normal or mildly enlarged. The mediastinum is normal width and the pulmonary vasculature is within normal limits. No pneumothorax, pleural effusion, or focal airspace consolidation is seen. The radiologist suggests that the low lung volumes are possibly causing accentuation of heart size and lung markings."
        },
        {
            "image_id": "2355_2",
            "caption": "The patient's chest x-ray shows low lung volumes with crowding, along with mild left base atelectasis. The heart size is within upper limits of normal or mildly enlarged. The mediastinum is normal width and the pulmonary vasculature is within normal limits. No pneumothorax, pleural effusion, or focal airspace consolidation is seen. The radiologist suggests that the low lung volumes are possibly causing accentuation of heart size and lung markings."
        },
        {
            "image_id": "2341_1",
            "caption": "The chest x-ray shows normal cardiac contours and clear lungs. There is evidence of thoracic spondylosis. The overall impression is no acute process found."
        },
        {
            "image_id": "2341_2",
            "caption": "The chest x-ray shows normal cardiac contours and clear lungs. There is evidence of thoracic spondylosis. The overall impression is no acute process found."
        },
        {
            "image_id": "1648_1",
            "caption": "The x-ray reveals mildly hyperexpanded lungs, indicating emphysema without any suspicious lung mass or nodules. Heart size and mediastinal contour are within normal limits. Degenerative changes of the spine are also observed in the x-ray. The finding shows no focal airspace consolidation."
        },
        {
            "image_id": "1648_2",
            "caption": "The x-ray reveals mildly hyperexpanded lungs, indicating emphysema without any suspicious lung mass or nodules. Heart size and mediastinal contour are within normal limits. Degenerative changes of the spine are also observed in the x-ray. The finding shows no focal airspace consolidation."
        },
        {
            "image_id": "3739_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormalities, including no evidence of active tuberculosis. The heart is normal in both size and contour while mediastinal widening is absent. Focal airspace disease is also absent with the exception of a granuloma found in the left upper lobe. There is evidence of stable chronic blunting of the right costophrenic angle, but no pneumothorax is identified. Additionally, the bony structures are intact."
        },
        {
            "image_id": "3739_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormalities, including no evidence of active tuberculosis. The heart is normal in both size and contour while mediastinal widening is absent. Focal airspace disease is also absent with the exception of a granuloma found in the left upper lobe. There is evidence of stable chronic blunting of the right costophrenic angle, but no pneumothorax is identified. Additionally, the bony structures are intact."
        },
        {
            "image_id": "2427_1",
            "caption": "The X-ray results indicate no significant abnormality or acute disease in the chest. The trachea is at the center, and the cardiac and mediastinal contours are normal. The lungs are clear and healthy and bony structures appear normal without any acute abnormality. It detects the presence of a hiatal hernia. Overall, there is no finding indicating acute cardiopulmonary abnormality present in the X-ray report."
        },
        {
            "image_id": "2427_2",
            "caption": "The X-ray results indicate no significant abnormality or acute disease in the chest. The trachea is at the center, and the cardiac and mediastinal contours are normal. The lungs are clear and healthy and bony structures appear normal without any acute abnormality. It detects the presence of a hiatal hernia. Overall, there is no finding indicating acute cardiopulmonary abnormality present in the X-ray report."
        },
        {
            "image_id": "492_1",
            "caption": "There is no evidence of pneumothorax, pleural effusion or airspace consolidation. The heart is within normal size and the pulmonary vasculature is also within normal limits. The patient does not have any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "492_2",
            "caption": "There is no evidence of pneumothorax, pleural effusion or airspace consolidation. The heart is within normal size and the pulmonary vasculature is also within normal limits. The patient does not have any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2369_1",
            "caption": "The chest X-ray frontal and lateral views show no acute cardiac or pulmonary disease process identified. However, bibasal interstitial opacity and left basal platelike opacity are observed, possibly due to discoid atelectasis and/or pulmonary fibrosis/scarring. Emphysematous changes are also noted, particularly within the right upper lobe. No focal airspace consolidation or pleural effusion were observed. The impression is consistent with COPD and basilar probable pulmonary fibrosis and scarring."
        },
        {
            "image_id": "3077_1",
            "caption": "The heart and pulmonary vascularity are normal. No focal disease, pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present and is unchanged. The X-ray reveals the presence of left paraspinal/retrocrural adenopathy; further evaluation may be necessary. No other acute cardiopulmonary abnormalities were identified in the examination."
        },
        {
            "image_id": "3077_2",
            "caption": "The heart and pulmonary vascularity are normal. No focal disease, pleural effusion or pneumothorax is seen. Low left paraspinal/retrocrural adenopathy is present and is unchanged. The X-ray reveals the presence of left paraspinal/retrocrural adenopathy; further evaluation may be necessary. No other acute cardiopulmonary abnormalities were identified in the examination."
        },
        {
            "image_id": "1660_1",
            "caption": "The chest x-ray shows low lung volumes with clear lungs and normal heart size, and no evidence of pneumothorax. There is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "1660_2",
            "caption": "The chest x-ray shows low lung volumes with clear lungs and normal heart size, and no evidence of pneumothorax. There is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "1674_1",
            "caption": "The chest X-ray revealed normal heart size and clear lungs. No acute cardiopulmonary abnormalities were detected, including pneumothorax or large pleural effusion. Bony structures were normal, and the previously seen right-sided PICC has been removed."
        },
        {
            "image_id": "1674_2",
            "caption": "The chest X-ray revealed normal heart size and clear lungs. No acute cardiopulmonary abnormalities were detected, including pneumothorax or large pleural effusion. Bony structures were normal, and the previously seen right-sided PICC has been removed."
        },
        {
            "image_id": "3063_1",
            "caption": "The x-ray shows clear lungs bilaterally, normal cardiac and mediastinal silhouettes, and normal pulmonary vasculature. There is no evidence of pneumothorax or pleural effusion, and no acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality, indicating a healthy result."
        },
        {
            "image_id": "3063_2",
            "caption": "The x-ray shows clear lungs bilaterally, normal cardiac and mediastinal silhouettes, and normal pulmonary vasculature. There is no evidence of pneumothorax or pleural effusion, and no acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality, indicating a healthy result."
        },
        {
            "image_id": "3705_1",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not significantly enlarged despite a previous sternotomy. Atherosclerotic changes are seen in the aorta and some skeletal structures show arthritic changes. Overall, no acute pulmonary disease was observed."
        },
        {
            "image_id": "3705_2",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not significantly enlarged despite a previous sternotomy. Atherosclerotic changes are seen in the aorta and some skeletal structures show arthritic changes. Overall, no acute pulmonary disease was observed."
        },
        {
            "image_id": "486_1",
            "caption": "The x-ray shows no signs of acute abnormality in the lungs or pleural spaces, with the exception of a scar in the right lateral midlung and pleural thickening nearby. Chronic blunting is also present. The heart size and pulmonary vascularity appear normal, as well as the tortuous, ectatic thoracic aorta, which remains unchanged from prior examinations. The impression is that no acute pulmonary abnormality was found."
        },
        {
            "image_id": "1112_1",
            "caption": "The X-ray image shows widening of the mediastinum with moderate cardiomegaly identified. The central pulmonary arteries appear enlarged, and there is a suspicion of pulmonary vascular congestion, but no focal infiltrate was identified. The X-ray ruled out large effusion or pneumothorax. The impression is suggestive of a moderate increase in the cardiac silhouette with unclear etiology, diagnostically it could be secondary to cardiomegaly or pericardial effusion. The mediastinum was visibly widened with unclear etiology, indicating the need for further evaluation by CT scan to exclude malignancy, adenopathy, etc., and to better assess the mediastinal fat."
        },
        {
            "image_id": "1112_2",
            "caption": "The X-ray image shows widening of the mediastinum with moderate cardiomegaly identified. The central pulmonary arteries appear enlarged, and there is a suspicion of pulmonary vascular congestion, but no focal infiltrate was identified. The X-ray ruled out large effusion or pneumothorax. The impression is suggestive of a moderate increase in the cardiac silhouette with unclear etiology, diagnostically it could be secondary to cardiomegaly or pericardial effusion. The mediastinum was visibly widened with unclear etiology, indicating the need for further evaluation by CT scan to exclude malignancy, adenopathy, etc., and to better assess the mediastinal fat."
        },
        {
            "image_id": "3936_1",
            "caption": "The X-ray shows that the heart size is normal and there are no acute cardiopulmonary findings. There is no alveolar consolidation, pleural effusion, or pulmonary edema, and no pneumothorax is present. This indicates that there is no serious issue with the patient's heart or lungs."
        },
        {
            "image_id": "3936_2",
            "caption": "The X-ray shows that the heart size is normal and there are no acute cardiopulmonary findings. There is no alveolar consolidation, pleural effusion, or pulmonary edema, and no pneumothorax is present. This indicates that there is no serious issue with the patient's heart or lungs."
        },
        {
            "image_id": "3088_1",
            "caption": "The chest X-ray shows no acute abnormalities. The heart size and mediastinal contour are normal, and there are no signs of focal pulmonary opacity, pleural effusion or pneumothorax. However, there is noted levoscoliosis of the thoracic spine. The overall impression is no acute cardiopulmonary abnormality, but a levoscoliosis of the thoracic spine."
        },
        {
            "image_id": "3088_2",
            "caption": "The chest X-ray shows no acute abnormalities. The heart size and mediastinal contour are normal, and there are no signs of focal pulmonary opacity, pleural effusion or pneumothorax. However, there is noted levoscoliosis of the thoracic spine. The overall impression is no acute cardiopulmonary abnormality, but a levoscoliosis of the thoracic spine."
        },
        {
            "image_id": "2396_1",
            "caption": "The chest X-ray shows bilateral opacities, which are most prominent in the lower lobes. There is no evidence of pneumothorax or large pleural effusion, and the cardiac and mediastinal contours appear normal. These opacities may represent airspace disease or edema and require further evaluation."
        },
        {
            "image_id": "2396_2",
            "caption": "The chest X-ray shows bilateral opacities, which are most prominent in the lower lobes. There is no evidence of pneumothorax or large pleural effusion, and the cardiac and mediastinal contours appear normal. These opacities may represent airspace disease or edema and require further evaluation."
        },
        {
            "image_id": "1847_1",
            "caption": "The x-ray shows the cardiac and mediastinal silhouettes are normal and there is no focal air space opacity, pneumothorax or effusion. The lungs are well expanded and clear. There are large calcified mediastinal and right hilar granulomas. Bony structures of the thorax appear normal. Overall, there is no evidence of acute cardiopulmonary process and the chest looks stable."
        },
        {
            "image_id": "1847_2",
            "caption": "The x-ray shows the cardiac and mediastinal silhouettes are normal and there is no focal air space opacity, pneumothorax or effusion. The lungs are well expanded and clear. There are large calcified mediastinal and right hilar granulomas. Bony structures of the thorax appear normal. Overall, there is no evidence of acute cardiopulmonary process and the chest looks stable."
        },
        {
            "image_id": "1853_1",
            "caption": "The x-ray shows clear lungs bilaterally, with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. The impression from this x-ray is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1853_2",
            "caption": "The x-ray shows clear lungs bilaterally, with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. The impression from this x-ray is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2382_1",
            "caption": "The chest X-ray shows moderate cardiomegaly with narrowed severe mediastinal contours, and a previously noted sternotomy. However, there is no evidence of acute cardiopulmonary abnormalities, pulmonary edema, pneumothorax, large pleural effusions or focal lung consolidation."
        },
        {
            "image_id": "2382_2",
            "caption": "The chest X-ray shows moderate cardiomegaly with narrowed severe mediastinal contours, and a previously noted sternotomy. However, there is no evidence of acute cardiopulmonary abnormalities, pulmonary edema, pneumothorax, large pleural effusions or focal lung consolidation."
        },
        {
            "image_id": "3922_1",
            "caption": "The chest X-ray shows a stable cardiomediastinal silhouette. There is no evidence of any acute pulmonary abnormality such as a focal opacity, pleural effusion, or pneumothorax. Moreover, there is no acute bony abnormality. Therefore, the impression is that there is no acute cardiopulmonary abnormality visible in the chest X-ray."
        },
        {
            "image_id": "3922_2",
            "caption": "The chest X-ray shows a stable cardiomediastinal silhouette. There is no evidence of any acute pulmonary abnormality such as a focal opacity, pleural effusion, or pneumothorax. Moreover, there is no acute bony abnormality. Therefore, the impression is that there is no acute cardiopulmonary abnormality visible in the chest X-ray."
        },
        {
            "image_id": "479_1",
            "caption": "The x-ray image shows normal heart and mediastinal contour. Lungs are free of any focal infiltrates, visible pneumothorax or pleural fluid. Absence of free intraperitoneal air under the diaphragm indicate no acute radiographic cardiopulmonary process. The assessment suggests that the x-ray image is normal and there are no immediate concerns."
        },
        {
            "image_id": "479_2",
            "caption": "The x-ray image shows normal heart and mediastinal contour. Lungs are free of any focal infiltrates, visible pneumothorax or pleural fluid. Absence of free intraperitoneal air under the diaphragm indicate no acute radiographic cardiopulmonary process. The assessment suggests that the x-ray image is normal and there are no immediate concerns."
        },
        {
            "image_id": "451_1",
            "caption": "The x-rays show marked narrowing of the right hip joint space with osteophyte formation, sclerosis, and subchondral cyst formation. The left hip joint space is nearly obliterated with severe subchondral sclerosis and cystic formation. However, there is no evidence of fracture or destructive process in either hip. Additionally, there are no significant abnormalities seen in the AP view of the femur. The lungs appear clear, with possible hyperinflation, while the heart is of normal size. Calcified mediastinal lymph nodes are present, and the skeletal structures are normal. The findings suggest severe arthritic changes in both hips, with the left hip being worse than the right. Additionally, there may be underlying COPD, but no acute pulmonary disease is present."
        },
        {
            "image_id": "451_2",
            "caption": "The x-rays show marked narrowing of the right hip joint space with osteophyte formation, sclerosis, and subchondral cyst formation. The left hip joint space is nearly obliterated with severe subchondral sclerosis and cystic formation. However, there is no evidence of fracture or destructive process in either hip. Additionally, there are no significant abnormalities seen in the AP view of the femur. The lungs appear clear, with possible hyperinflation, while the heart is of normal size. Calcified mediastinal lymph nodes are present, and the skeletal structures are normal. The findings suggest severe arthritic changes in both hips, with the left hip being worse than the right. Additionally, there may be underlying COPD, but no acute pulmonary disease is present."
        },
        {
            "image_id": "337_1",
            "caption": "The chest X-ray shows minimal opacities at the posterior sulci with a few septal lines of the left lateral sulcus. There are granulomas and sulci present but the lungs are mostly clear. The heart size is upper normal with a thin LV contour. The aorta is unfolded and calcified while small osteophytes are present in the T-spine. There is no evidence of pneumothorax. The overall appearance is similar to past X-rays."
        },
        {
            "image_id": "337_2",
            "caption": "The chest X-ray shows minimal opacities at the posterior sulci with a few septal lines of the left lateral sulcus. There are granulomas and sulci present but the lungs are mostly clear. The heart size is upper normal with a thin LV contour. The aorta is unfolded and calcified while small osteophytes are present in the T-spine. There is no evidence of pneumothorax. The overall appearance is similar to past X-rays."
        },
        {
            "image_id": "3249_1",
            "caption": "The chest X-ray shows evidence of prior CABG with no significant changes in the cardiomediastinal contours. There are bilateral pleural effusions, with the right larger than the left, and bibasilar atelectasis on the right more than the left. Early interstitial show pulmonary edema is evident with some B-lines seen at the lung bases. There is no consolidation, pneumothorax, or other significant findings. The impression is suggestive of pulmonary edema with pleural effusions, indicating the need for further evaluation and management."
        },
        {
            "image_id": "3249_2",
            "caption": "The chest X-ray shows evidence of prior CABG with no significant changes in the cardiomediastinal contours. There are bilateral pleural effusions, with the right larger than the left, and bibasilar atelectasis on the right more than the left. Early interstitial show pulmonary edema is evident with some B-lines seen at the lung bases. There is no consolidation, pneumothorax, or other significant findings. The impression is suggestive of pulmonary edema with pleural effusions, indicating the need for further evaluation and management."
        },
        {
            "image_id": "874_1",
            "caption": "The chest radiograph shows no acute cardiopulmonary findings. There is mild hyperinflation but no focal consolidation, pneumothorax, or large pleural effusion. The cardiomediastinal contours are grossly unremarkable, and the heart size is within normal limits. There is a cardiac pacemaker generator overlying the left upper thorax."
        },
        {
            "image_id": "1338_1",
            "caption": "The heart and lungs appear normal without any significant change. Both lungs are clear and expanded. The mediastinum and the cardiomediastinal contours appear normal with no indication of any pathology. The findings suggest no acute or active disease in the heart or lungs."
        },
        {
            "image_id": "34_1",
            "caption": "The x-ray finding shows a normal sized heart and clear lungs without any infiltrate, pneumothorax or effusion, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "34_2",
            "caption": "The x-ray finding shows a normal sized heart and clear lungs without any infiltrate, pneumothorax or effusion, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "2631_1",
            "caption": "The x-ray images show no acute cardiopulmonary disease. The cardiomediastinal silhouette appears normal without any focal consolidation, pneumothorax or pleural effusions. However, the interval placement of right humeral orthopedic device is incompletely evaluated, and further attention may be required in this area. For a thorough evaluation of the right humeral prosthesis, a dedicated shoulder x-ray is recommended."
        },
        {
            "image_id": "2631_2",
            "caption": "The x-ray images show no acute cardiopulmonary disease. The cardiomediastinal silhouette appears normal without any focal consolidation, pneumothorax or pleural effusions. However, the interval placement of right humeral orthopedic device is incompletely evaluated, and further attention may be required in this area. For a thorough evaluation of the right humeral prosthesis, a dedicated shoulder x-ray is recommended."
        },
        {
            "image_id": "2625_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The heart size and pulmonary vasculature appear normal with clear lungs and no evidence of pneumothorax or large effusion. Additionally, there are no acute bony abnormalities present on the x-ray image."
        },
        {
            "image_id": "2625_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality. The heart size and pulmonary vasculature appear normal with clear lungs and no evidence of pneumothorax or large effusion. Additionally, there are no acute bony abnormalities present on the x-ray image."
        },
        {
            "image_id": "860_1",
            "caption": "The findings from the chest x-ray reveal chronic increased interstitial markings along with bilateral apical pleural thickening. The heart size is stable and there is no evidence of focal infiltrate or pneumothorax. The radiograph also shows marked degenerative changes of the spine and a deformity of a midthoracic vertebral body. The impression is that the patient has chronic lung disease without any acute findings. Further evaluation may be needed based on the patient's medical history and symptoms."
        },
        {
            "image_id": "860_2",
            "caption": "The findings from the chest x-ray reveal chronic increased interstitial markings along with bilateral apical pleural thickening. The heart size is stable and there is no evidence of focal infiltrate or pneumothorax. The radiograph also shows marked degenerative changes of the spine and a deformity of a midthoracic vertebral body. The impression is that the patient has chronic lung disease without any acute findings. Further evaluation may be needed based on the patient's medical history and symptoms."
        },
        {
            "image_id": "20_1",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary abnormalities. The cardiac and mediastinal silhouettes are unremarkable, and the lungs are clear with no pneumothorax or effusion. Additionally, there are mild degenerative changes of the thoracic spine. The impression is that the chest has a stable appearance with no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "20_2",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary abnormalities. The cardiac and mediastinal silhouettes are unremarkable, and the lungs are clear with no pneumothorax or effusion. Additionally, there are mild degenerative changes of the thoracic spine. The impression is that the chest has a stable appearance with no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "1462_1",
            "caption": "The finding reveals that there is no gross consolidation, atelectasis or infiltrate, and no pleural fluid collection or pneumothorax. The cardiomediastinal silhouette is within normal limits. The impression from the x-ray image suggests that the patient has negative acute cardiopulmonary findings. Overall, the x-ray shows a stable and normal appearance of the chest with no acute abnormalities."
        },
        {
            "image_id": "1462_2",
            "caption": "The finding reveals that there is no gross consolidation, atelectasis or infiltrate, and no pleural fluid collection or pneumothorax. The cardiomediastinal silhouette is within normal limits. The impression from the x-ray image suggests that the patient has negative acute cardiopulmonary findings. Overall, the x-ray shows a stable and normal appearance of the chest with no acute abnormalities."
        },
        {
            "image_id": "3275_1",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and lungs that are clear of any abnormalities. A mild degenerative change is noted in the spine. The impression is that there is no acute radiographic cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "3275_2",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and lungs that are clear of any abnormalities. A mild degenerative change is noted in the spine. The impression is that there is no acute radiographic cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "3275_3",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette and lungs that are clear of any abnormalities. A mild degenerative change is noted in the spine. The impression is that there is no acute radiographic cardiopulmonary process detected in the x-ray."
        },
        {
            "image_id": "3513_1",
            "caption": "From the chest x-ray, it appears that the heart and lungs are functioning normally, without any signs of acute abnormalities such as consolidation or pneumothorax. The osseous structures also appear intact. Based on this, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "690_1",
            "caption": "The x-ray shows normal mediastinal contours and clear lungs with no evidence of pneumothorax or large pleural effusion, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1304_1",
            "caption": "The x-ray examination shows a normal heart size and clear lungs. There are no signs of any acute cardiopulmonary abnormality such as pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The findings suggest a normal chest."
        },
        {
            "image_id": "1304_2",
            "caption": "The x-ray examination shows a normal heart size and clear lungs. There are no signs of any acute cardiopulmonary abnormality such as pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The findings suggest a normal chest."
        },
        {
            "image_id": "1310_1",
            "caption": "The x-ray shows that the heart and lungs are within normal limits, with no evidence of acute cardiopulmonary abnormality such as pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The mediastinal contours are normal and pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is seen, and there is no acute bony abnormality identified."
        },
        {
            "image_id": "1310_2",
            "caption": "The x-ray shows that the heart and lungs are within normal limits, with no evidence of acute cardiopulmonary abnormality such as pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The mediastinal contours are normal and pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is seen, and there is no acute bony abnormality identified."
        },
        {
            "image_id": "3507_1",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. Specifically, the cardiac and mediastinal contours are normal without any visible pneumothorax, airspace opacity or pleural effusion. The osseous structures appear intact, but a mild dextro scoliotic curvature of the midthoracic spine is observed. If further evaluation is needed, additional imaging may be required."
        },
        {
            "image_id": "3507_2",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. Specifically, the cardiac and mediastinal contours are normal without any visible pneumothorax, airspace opacity or pleural effusion. The osseous structures appear intact, but a mild dextro scoliotic curvature of the midthoracic spine is observed. If further evaluation is needed, additional imaging may be required."
        },
        {
            "image_id": "3261_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression is of a normal chest with no evidence of sarcoidosis."
        },
        {
            "image_id": "3261_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression is of a normal chest with no evidence of sarcoidosis."
        },
        {
            "image_id": "1476_1",
            "caption": "The chest X-ray shows a normal heart size and clear lungs. The mediastinum is unremarkable. The impression is negative for any acute disease. This is good news for the patient's respiratory health."
        },
        {
            "image_id": "1476_2",
            "caption": "The chest X-ray shows a normal heart size and clear lungs. The mediastinum is unremarkable. The impression is negative for any acute disease. This is good news for the patient's respiratory health."
        },
        {
            "image_id": "1489_1",
            "caption": "The results of the x-ray are in and there is no sign of acute disease. The heart is normal in size and shape, and the lungs are clear with no visible problems. The imaging also showed no large pleural effusion or pneumothorax, and the bone structure appears to be intact. Overall, the diagnosis is no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1489_2",
            "caption": "The results of the x-ray are in and there is no sign of acute disease. The heart is normal in size and shape, and the lungs are clear with no visible problems. The imaging also showed no large pleural effusion or pneumothorax, and the bone structure appears to be intact. Overall, the diagnosis is no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "135_1",
            "caption": "The medical report shows that the lungs are clear without any visible pneumonia or effusion. The heart size is normal and there is no evidence of any acute cardiopulmonary abnormalities. The clear lungs indicate a healthy chest with no immediate health risks."
        },
        {
            "image_id": "135_2",
            "caption": "The medical report shows that the lungs are clear without any visible pneumonia or effusion. The heart size is normal and there is no evidence of any acute cardiopulmonary abnormalities. The clear lungs indicate a healthy chest with no immediate health risks."
        },
        {
            "image_id": "653_1",
            "caption": "The chest x-ray image shows normal findings. The heart, lungs, and thoracic spine show no acute abnormalities. There is no evidence of pneumonia, effusions, pneumothorax or masses. The x-ray is negative for any acute cardiopulmonary process. The impression also indicates no radiographic evidence for thoracic metastases."
        },
        {
            "image_id": "653_2",
            "caption": "The chest x-ray image shows normal findings. The heart, lungs, and thoracic spine show no acute abnormalities. There is no evidence of pneumonia, effusions, pneumothorax or masses. The x-ray is negative for any acute cardiopulmonary process. The impression also indicates no radiographic evidence for thoracic metastases."
        },
        {
            "image_id": "2816_1",
            "caption": "The chest x-ray shows that the lungs, pleural spaces and heart are grossly normal with no acute abnormality. However, a stable calcified granuloma is found in the left midlung. The chest x-ray does not show any acute pulmonary abnormality."
        },
        {
            "image_id": "2802_1",
            "caption": "In this x-ray, the lungs appear hyperexpanded, which can indicate a chronic medical condition. However, there are no signs of acute illness, such as a collapsed lung or fluid buildup. The heart appears normal in size, and there are surgical clips visible over the midabdomen. Overall, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2802_2",
            "caption": "In this x-ray, the lungs appear hyperexpanded, which can indicate a chronic medical condition. However, there are no signs of acute illness, such as a collapsed lung or fluid buildup. The heart appears normal in size, and there are surgical clips visible over the midabdomen. Overall, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "647_1",
            "caption": "The x-ray shows right basilar infiltrate or atelectasis, slight prominence of pulmonary vessels and bilateral pleural effusions. Additionally, there is mild blunting of the costophrenic angles and calcified hilar lymph nodes. No acute bony abnormalities were identified. The cardiac mediastinal silhouettes appears normal. Based on these observations, the impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "121_1",
            "caption": "The X-ray image reveals normal heart size and vascularity while lungs seem to be clear without any signs of effusions or pneumothorax. No abnormalities were detected in visualized osseous structures. In overall, the chest appears to be normal with no significant findings."
        },
        {
            "image_id": "121_2",
            "caption": "The X-ray image reveals normal heart size and vascularity while lungs seem to be clear without any signs of effusions or pneumothorax. No abnormalities were detected in visualized osseous structures. In overall, the chest appears to be normal with no significant findings."
        },
        {
            "image_id": "889_1",
            "caption": "The X-ray image shows that the heart is within normal size and contour, while the lungs are clear without any suspicious pulmonary opacity, pleural effusion, or pneumothorax. The osseous structures are also intact. Therefore, the impression is that no acute cardiopulmonary abnormalities are detected in the X-ray image."
        },
        {
            "image_id": "889_2",
            "caption": "The X-ray image shows that the heart is within normal size and contour, while the lungs are clear without any suspicious pulmonary opacity, pleural effusion, or pneumothorax. The osseous structures are also intact. Therefore, the impression is that no acute cardiopulmonary abnormalities are detected in the X-ray image."
        },
        {
            "image_id": "651_1",
            "caption": "The x-ray shows that the heart is normal in size and surgical clips are present in the left mediastinum. Though there is a small left pleural effusion, there is no visible pneumothorax. The abnormal convexity within the mediastinum suggests adenopathy which can be better evaluated on the prior CT scan. The overall impression is that there is a small left pleural effusion and mediastinal adenopathy, which will require further evaluation with the prior CT scan."
        },
        {
            "image_id": "651_2",
            "caption": "The x-ray shows that the heart is normal in size and surgical clips are present in the left mediastinum. Though there is a small left pleural effusion, there is no visible pneumothorax. The abnormal convexity within the mediastinum suggests adenopathy which can be better evaluated on the prior CT scan. The overall impression is that there is a small left pleural effusion and mediastinal adenopathy, which will require further evaluation with the prior CT scan."
        },
        {
            "image_id": "123_1",
            "caption": "The x-ray reveals mild cardiomegaly and a tortuous aorta. No focal infiltrate, pneumothorax, or large pleural effusion noted. However, there is an asymmetric soft tissue density in the medial right apex that may be related to the sternoclavicular joint. The possibility of upper lobe airspace disease or pulmonary nodule cannot be completely ruled out. Therefore, additional evaluation is recommended."
        },
        {
            "image_id": "123_2",
            "caption": "The x-ray reveals mild cardiomegaly and a tortuous aorta. No focal infiltrate, pneumothorax, or large pleural effusion noted. However, there is an asymmetric soft tissue density in the medial right apex that may be related to the sternoclavicular joint. The possibility of upper lobe airspace disease or pulmonary nodule cannot be completely ruled out. Therefore, additional evaluation is recommended."
        },
        {
            "image_id": "645_1",
            "caption": "The x-ray image shows that the heart size and mediastinal contours are normal. There is no focal pulmonary opacity, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities, and only degenerative changes of the spine are present. Based on these findings, there is no acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "645_2",
            "caption": "The x-ray image shows that the heart size and mediastinal contours are normal. There is no focal pulmonary opacity, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities, and only degenerative changes of the spine are present. Based on these findings, there is no acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "2828_1",
            "caption": "The x-ray report shows that the heart and mediastinal contour are normal, with normal pulmonary vascularity. Although the lungs appear hyperexpanded, they are clear, and there are no signs of pleural effusions or pneumothoraces. There are degenerative changes in the thoracic spine. The impression suggests findings suggestive of emphysema with no acute cardiopulmonary process. It is recommended to follow up with a medical professional for further evaluation and treatment."
        },
        {
            "image_id": "2828_2",
            "caption": "The x-ray report shows that the heart and mediastinal contour are normal, with normal pulmonary vascularity. Although the lungs appear hyperexpanded, they are clear, and there are no signs of pleural effusions or pneumothoraces. There are degenerative changes in the thoracic spine. The impression suggests findings suggestive of emphysema with no acute cardiopulmonary process. It is recommended to follow up with a medical professional for further evaluation and treatment."
        },
        {
            "image_id": "3288_1",
            "caption": "The chest X-ray shows clear bilateral lungs without any evidence of focal consolidation, pneumothorax or pleural effusion. The cardio mediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. There is no acute cardiopulmonary abnormality detected in the examination."
        },
        {
            "image_id": "3288_2",
            "caption": "The chest X-ray shows clear bilateral lungs without any evidence of focal consolidation, pneumothorax or pleural effusion. The cardio mediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax show no acute abnormality. There is no acute cardiopulmonary abnormality detected in the examination."
        },
        {
            "image_id": "679_1",
            "caption": "The chest x-ray shows that the lungs are clear and there are no signs of any cardiopulmonary abnormalities such as pleural effusion or pneumothoraces. The sternal wires from prior surgery are in good condition. Soft tissues of the chest area appear normal. The overall findings of the examination indicate an unremarkable chest."
        },
        {
            "image_id": "679_2",
            "caption": "The chest x-ray shows that the lungs are clear and there are no signs of any cardiopulmonary abnormalities such as pleural effusion or pneumothoraces. The sternal wires from prior surgery are in good condition. Soft tissues of the chest area appear normal. The overall findings of the examination indicate an unremarkable chest."
        },
        {
            "image_id": "1306_1",
            "caption": "The chest x-ray examination showed that the lungs have diminished volumes, but there were no acute abnormalities detected. The cardiomediastinal contours and pulmonary vascularity were within normal limits, and no focal consolidation, pleural effusion or pneumothorax was identified. Furthermore, the upper abdomen did not show any significant abnormality. The findings suggest no evidence of acute cardiopulmonary process or significant interval change."
        },
        {
            "image_id": "1306_2",
            "caption": "The chest x-ray examination showed that the lungs have diminished volumes, but there were no acute abnormalities detected. The cardiomediastinal contours and pulmonary vascularity were within normal limits, and no focal consolidation, pleural effusion or pneumothorax was identified. Furthermore, the upper abdomen did not show any significant abnormality. The findings suggest no evidence of acute cardiopulmonary process or significant interval change."
        },
        {
            "image_id": "692_1",
            "caption": "After reviewing the patient's x-ray images, it was found that the lungs were clear and showed no acute abnormalities. Calcified granulomas were observed along with normal heart size, and no pneumothorax was present. Furthermore, the patient was noted to have endplate changes in the spine. The impression concluded that there was no acute cardiopulmonary abnormality observed in the examination."
        },
        {
            "image_id": "692_2",
            "caption": "After reviewing the patient's x-ray images, it was found that the lungs were clear and showed no acute abnormalities. Calcified granulomas were observed along with normal heart size, and no pneumothorax was present. Furthermore, the patient was noted to have endplate changes in the spine. The impression concluded that there was no acute cardiopulmonary abnormality observed in the examination."
        },
        {
            "image_id": "2169_1",
            "caption": "The x-ray shows hyperexpanded lungs and reveals a large rounded lucency in the right upper lung, consistent with large emphysematous bulla. There are also biapical opacities, suggestive of scarring. However, there is no evidence of focal airspace consolidation to suggest pneumonia, pleural effusion, or pneumothorax. Additionally, the heart size appears normal, while minimal degenerative changes of the spine can be observed. Based on these findings, the impression is that the patient has emphysema as well as a large right upper lobe bulla and biapical scarring."
        },
        {
            "image_id": "2169_2",
            "caption": "The x-ray shows hyperexpanded lungs and reveals a large rounded lucency in the right upper lung, consistent with large emphysematous bulla. There are also biapical opacities, suggestive of scarring. However, there is no evidence of focal airspace consolidation to suggest pneumonia, pleural effusion, or pneumothorax. Additionally, the heart size appears normal, while minimal degenerative changes of the spine can be observed. Based on these findings, the impression is that the patient has emphysema as well as a large right upper lobe bulla and biapical scarring."
        },
        {
            "image_id": "2169_3",
            "caption": "The x-ray shows hyperexpanded lungs and reveals a large rounded lucency in the right upper lung, consistent with large emphysematous bulla. There are also biapical opacities, suggestive of scarring. However, there is no evidence of focal airspace consolidation to suggest pneumonia, pleural effusion, or pneumothorax. Additionally, the heart size appears normal, while minimal degenerative changes of the spine can be observed. Based on these findings, the impression is that the patient has emphysema as well as a large right upper lobe bulla and biapical scarring."
        },
        {
            "image_id": "3277_1",
            "caption": "The x-ray shows normal cardiomediastinal silhouettes with clear lungs and no signs of pneumonia, pneumothorax, or pleural effusion. The presence of a calcified granuloma in the left lower lobe and a calcified hilar lymph node were also noted. The bony thorax was unremarkable. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3277_2",
            "caption": "The x-ray shows normal cardiomediastinal silhouettes with clear lungs and no signs of pneumonia, pneumothorax, or pleural effusion. The presence of a calcified granuloma in the left lower lobe and a calcified hilar lymph node were also noted. The bony thorax was unremarkable. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1460_1",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours with clear lungs and intact bony structures. There are no acute abnormalities detected, indicating a negative result."
        },
        {
            "image_id": "1460_2",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours with clear lungs and intact bony structures. There are no acute abnormalities detected, indicating a negative result."
        },
        {
            "image_id": "1474_1",
            "caption": "The chest x-ray shows that there are no acute abnormalities affecting the heart and lungs. The heart is of normal size and the lungs are clear. No pleural effusions or pneumonia are seen in the x-ray. The bony structures of the chest are also normal. The impression is that there are no acute cardiopulmonary issues identified in the x-ray."
        },
        {
            "image_id": "1474_2",
            "caption": "The chest x-ray shows that there are no acute abnormalities affecting the heart and lungs. The heart is of normal size and the lungs are clear. No pleural effusions or pneumonia are seen in the x-ray. The bony structures of the chest are also normal. The impression is that there are no acute cardiopulmonary issues identified in the x-ray."
        },
        {
            "image_id": "3263_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs without any focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact. The impression is there is no acute cardiopulmonary finding. Additionally, the X-ray of the left knee shows minimal degenerative changes, but no acute bony abnormality. Therefore, there is no fracture-dislocation and no suprapatellar effusion."
        },
        {
            "image_id": "3263_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs without any focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact. The impression is there is no acute cardiopulmonary finding. Additionally, the X-ray of the left knee shows minimal degenerative changes, but no acute bony abnormality. Therefore, there is no fracture-dislocation and no suprapatellar effusion."
        },
        {
            "image_id": "3263_3",
            "caption": "The chest x-ray shows a normal heart size and clear lungs without any focal airspace opacity, pleural effusion or pneumothorax. The osseous structures are intact. The impression is there is no acute cardiopulmonary finding. Additionally, the X-ray of the left knee shows minimal degenerative changes, but no acute bony abnormality. Therefore, there is no fracture-dislocation and no suprapatellar effusion."
        },
        {
            "image_id": "3505_1",
            "caption": "Upon examination of the chest X-ray, it was found that the heart size is normal and the lungs are clear, suggesting no cardiopulmonary abnormalities. This is supported by the impression which states that the heart size is normal and the lungs are clear. The X-ray image reflects a healthy condition of the thorax area."
        },
        {
            "image_id": "3505_2",
            "caption": "Upon examination of the chest X-ray, it was found that the heart size is normal and the lungs are clear, suggesting no cardiopulmonary abnormalities. This is supported by the impression which states that the heart size is normal and the lungs are clear. The X-ray image reflects a healthy condition of the thorax area."
        },
        {
            "image_id": "686_1",
            "caption": "The x-ray shows cardiomegaly with an unfolded aorta. However, the lungs are clear with no evidence of pulmonary edema, focal consolidation, or pneumothorax. Also, there are no signs of a large pleural effusion. This suggests a cardiac abnormality."
        },
        {
            "image_id": "686_2",
            "caption": "The x-ray shows cardiomegaly with an unfolded aorta. However, the lungs are clear with no evidence of pulmonary edema, focal consolidation, or pneumothorax. Also, there are no signs of a large pleural effusion. This suggests a cardiac abnormality."
        },
        {
            "image_id": "2633_1",
            "caption": "The x-ray showed that the heart size is normal and there is prior calcified granulomatous disease. Although there is no pleural effusion or pneumothorax, a nodular density is present, which may represent overlapping shadows or an actual pulmonary nodule. Further evaluation with a chest CT is recommended."
        },
        {
            "image_id": "2633_2",
            "caption": "The x-ray showed that the heart size is normal and there is prior calcified granulomatous disease. Although there is no pleural effusion or pneumothorax, a nodular density is present, which may represent overlapping shadows or an actual pulmonary nodule. Further evaluation with a chest CT is recommended."
        },
        {
            "image_id": "36_1",
            "caption": "The chest X-ray shows that the lungs are clear and the cardio mediastinal silhouette is unremarkable. There is no evidence of any acute cardiopulmonary abnormality, such as focal consolidation, pneumothorax, or pleural effusion. Furthermore, no acute abnormalities were found in the osseous structures of the thorax. Overall, the chest X-ray appears normal with no acute findings detected."
        },
        {
            "image_id": "36_2",
            "caption": "The chest X-ray shows that the lungs are clear and the cardio mediastinal silhouette is unremarkable. There is no evidence of any acute cardiopulmonary abnormality, such as focal consolidation, pneumothorax, or pleural effusion. Furthermore, no acute abnormalities were found in the osseous structures of the thorax. Overall, the chest X-ray appears normal with no acute findings detected."
        },
        {
            "image_id": "2155_1",
            "caption": "The radiograph shows low lung volumes, but there is no acute cardiopulmonary abnormality. The heart size is normal and the pulmonary vasculature is unremarkable. No focal consolidations, effusions or pneumothoraces are present."
        },
        {
            "image_id": "2141_1",
            "caption": "The x-ray image shows mild enlargement of the heart and tortuosity of the thoracic aorta. However, there are no acute pulmonary findings such as focal airspace consolidation, pleural effusions or pneumothorax, and no acute bony abnormalities observed."
        },
        {
            "image_id": "1448_1",
            "caption": "The chest x-ray shows normal lung volumes and clear lungs without any pleural effusion. Mild tenting of the medial aspect of the right diaphragm is seen, which is stable. There are no acute cardiopulmonary abnormalities identified. The report concludes that the X-ray examination is normal."
        },
        {
            "image_id": "1448_2",
            "caption": "The chest x-ray shows normal lung volumes and clear lungs without any pleural effusion. Mild tenting of the medial aspect of the right diaphragm is seen, which is stable. There are no acute cardiopulmonary abnormalities identified. The report concludes that the X-ray examination is normal."
        },
        {
            "image_id": "22_1",
            "caption": "Based on the X-ray image, the lungs are clear and without any focal air space opacity. The cardiomediastinal silhouette is within normal size and contour, and stable. No pneumothorax or large pleural effusion was observed, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "22_2",
            "caption": "Based on the X-ray image, the lungs are clear and without any focal air space opacity. The cardiomediastinal silhouette is within normal size and contour, and stable. No pneumothorax or large pleural effusion was observed, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "862_1",
            "caption": "The parenchymal scar in the left lower lobe is unchanged. No infiltrates or masses in the lungs, normal heart and mediastinum. No active disease or change found in the x-ray."
        },
        {
            "image_id": "862_2",
            "caption": "The parenchymal scar in the left lower lobe is unchanged. No infiltrates or masses in the lungs, normal heart and mediastinum. No active disease or change found in the x-ray."
        },
        {
            "image_id": "3539_1",
            "caption": "The X-ray image reveals a normal heart size and clear lungs, without any acute abnormalities like pneumothorax or large pleural effusion. The trachea is midline and normal. Overall, the report suggests no acute cardiopulmonary findings."
        },
        {
            "image_id": "3539_2",
            "caption": "The X-ray image reveals a normal heart size and clear lungs, without any acute abnormalities like pneumothorax or large pleural effusion. The trachea is midline and normal. Overall, the report suggests no acute cardiopulmonary findings."
        },
        {
            "image_id": "2627_1",
            "caption": "The finding indicates postsurgical changes of the right chest with mild elevation of the right hemidiaphragm, but the lungs are clear without focal airspace disease, pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour, while degenerative changes in the spine are also observed. However, the impression is that the patient has clear lungs, indicating no acute pulmonary abnormalities."
        },
        {
            "image_id": "2627_2",
            "caption": "The finding indicates postsurgical changes of the right chest with mild elevation of the right hemidiaphragm, but the lungs are clear without focal airspace disease, pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour, while degenerative changes in the spine are also observed. However, the impression is that the patient has clear lungs, indicating no acute pulmonary abnormalities."
        },
        {
            "image_id": "1879_1",
            "caption": "The x-ray image shows a heart of normal size and clear lungs without any focal airspace disease, cavitations, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings and specifically, no radiographic evidence of tuberculosis."
        },
        {
            "image_id": "1879_2",
            "caption": "The x-ray image shows a heart of normal size and clear lungs without any focal airspace disease, cavitations, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings and specifically, no radiographic evidence of tuberculosis."
        },
        {
            "image_id": "335_1",
            "caption": "The chest X-ray shows a left-sided hemodialysis catheter in place with no significant changes. The heart and mediastinal structures appear normal, with no focal opacity, pneumothorax or large effusion seen. There is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "335_2",
            "caption": "The chest X-ray shows a left-sided hemodialysis catheter in place with no significant changes. The heart and mediastinal structures appear normal, with no focal opacity, pneumothorax or large effusion seen. There is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "335_3",
            "caption": "The chest X-ray shows a left-sided hemodialysis catheter in place with no significant changes. The heart and mediastinal structures appear normal, with no focal opacity, pneumothorax or large effusion seen. There is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "3908_1",
            "caption": "The frontal and lateral radiographs of the chest show no acute cardiopulmonary disease. The cardiomediastinal contours and pulmonary vascularity are within normal limits. There are no focal consolidations, pleural effusions or pneumothorax identified. However, there is evidence of multilevel thoracic spondylosis."
        },
        {
            "image_id": "3908_2",
            "caption": "The frontal and lateral radiographs of the chest show no acute cardiopulmonary disease. The cardiomediastinal contours and pulmonary vascularity are within normal limits. There are no focal consolidations, pleural effusions or pneumothorax identified. However, there is evidence of multilevel thoracic spondylosis."
        },
        {
            "image_id": "321_1",
            "caption": "The x-ray shows some opacities and subsegmental atelectasis in the left lung. However, there is no evidence of focal airspace consolidation, pleural effusion, or pneumothorax. The heart size is within the normal range but at the upper limits. Diffuse degenerative changes are seen in the spine. Overall, the impression is that there are no acute findings, except for the left mid lung subsegmental atelectasis which needs further evaluation."
        },
        {
            "image_id": "321_2",
            "caption": "The x-ray shows some opacities and subsegmental atelectasis in the left lung. However, there is no evidence of focal airspace consolidation, pleural effusion, or pneumothorax. The heart size is within the normal range but at the upper limits. Diffuse degenerative changes are seen in the spine. Overall, the impression is that there are no acute findings, except for the left mid lung subsegmental atelectasis which needs further evaluation."
        },
        {
            "image_id": "309_1",
            "caption": "The x-ray shows normal and stable cardiomediastinal contours with no signs of acute cardiopulmonary abnormality. There is no evidence of pneumothorax or pleural effusions, and no focal lung consolidation. This indicates a normal lung function."
        },
        {
            "image_id": "309_2",
            "caption": "The x-ray shows normal and stable cardiomediastinal contours with no signs of acute cardiopulmonary abnormality. There is no evidence of pneumothorax or pleural effusions, and no focal lung consolidation. This indicates a normal lung function."
        },
        {
            "image_id": "2394_1",
            "caption": "The X-ray image shows normal and stable cardiopulmonary contours without any significant abnormalities. There is no evidence of pneumothorax, focal airspace disease, pleural effusion or free air under the diaphragm. The findings suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "2394_2",
            "caption": "The X-ray image shows normal and stable cardiopulmonary contours without any significant abnormalities. There is no evidence of pneumothorax, focal airspace disease, pleural effusion or free air under the diaphragm. The findings suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "2380_1",
            "caption": "The X-ray shows that the heart size and pulmonary vascularity are normal. The lungs are clear without signs of disease or fluid buildup. The left hemidiaphragm is elevated, which is unchanged from prior exams. The right hemidiaphragm shows eventration. The impression suggests that there is no evidence of current disease, but the continued elevation of the left hemidiaphragm requires further examination."
        },
        {
            "image_id": "2380_2",
            "caption": "The X-ray shows that the heart size and pulmonary vascularity are normal. The lungs are clear without signs of disease or fluid buildup. The left hemidiaphragm is elevated, which is unchanged from prior exams. The right hemidiaphragm shows eventration. The impression suggests that there is no evidence of current disease, but the continued elevation of the left hemidiaphragm requires further examination."
        },
        {
            "image_id": "1851_1",
            "caption": "The X-ray image shows a normal heart size and no signs of acute abnormalities in the lungs, such as consolidations, pneumothorax, or effusion. Additionally, there are no acute osseous findings. Hence, the impression is that there is no acute cardiopulmonary abnormality present in the patient's X-ray."
        },
        {
            "image_id": "1851_2",
            "caption": "The X-ray image shows a normal heart size and no signs of acute abnormalities in the lungs, such as consolidations, pneumothorax, or effusion. Additionally, there are no acute osseous findings. Hence, the impression is that there is no acute cardiopulmonary abnormality present in the patient's X-ray."
        },
        {
            "image_id": "1689_1",
            "caption": "The x-ray shows no acute findings of cardiopulmonary abnormality. The heart size, mediastinal contours, and pulmonary vascularity of the patient appear within normal limits. No focal consolidation or suspicious pulmonary opacity, pneumothorax, or pleural effusion are seen in the x-ray image. Additionally, the visualized osseous structures appear intact, indicating a healthy skeletal system."
        },
        {
            "image_id": "1689_2",
            "caption": "The x-ray shows no acute findings of cardiopulmonary abnormality. The heart size, mediastinal contours, and pulmonary vascularity of the patient appear within normal limits. No focal consolidation or suspicious pulmonary opacity, pneumothorax, or pleural effusion are seen in the x-ray image. Additionally, the visualized osseous structures appear intact, indicating a healthy skeletal system."
        },
        {
            "image_id": "1662_1",
            "caption": "The chest x-ray shows no acute abnormalities, with clear lungs and normal cardiac and mediastinal structures. There is no evidence of focal consolidation, pneumothorax, or pleural effusion. However, there are prominent interstitial markings, which were previously seen, and a focal occurrence in the right upper lobe. The heart size and visualized osseous structures are normal. The impression is that there are no acute radiographic cardiopulmonary processes identified. The patient should consult with their physician for further evaluation of the interstitial markings."
        },
        {
            "image_id": "3075_1",
            "caption": "The chest x-ray shows a mildly enlarged heart and low lung volumes. No focal consolidation, pneumothorax, or pleural effusion is seen. The bony structures are normal, and there is no free air under the diaphragm. Mild colonic distension is seen. Overall, there are no acute cardiopulmonary abnormalities observed in the x-ray."
        },
        {
            "image_id": "3075_2",
            "caption": "The chest x-ray shows a mildly enlarged heart and low lung volumes. No focal consolidation, pneumothorax, or pleural effusion is seen. The bony structures are normal, and there is no free air under the diaphragm. Mild colonic distension is seen. Overall, there are no acute cardiopulmonary abnormalities observed in the x-ray."
        },
        {
            "image_id": "490_1",
            "caption": "Based on the recent X-ray image and examination, the patient has no evidence of acute cardiopulmonary disease. The X-ray did not reveal any signs of focal consolidation, pneumothorax, or pleural effusion. The heart size was within normal limits, and there was no pulmonary edema seen. The patient appeared to be slightly rotated during the examination."
        },
        {
            "image_id": "490_2",
            "caption": "Based on the recent X-ray image and examination, the patient has no evidence of acute cardiopulmonary disease. The X-ray did not reveal any signs of focal consolidation, pneumothorax, or pleural effusion. The heart size was within normal limits, and there was no pulmonary edema seen. The patient appeared to be slightly rotated during the examination."
        },
        {
            "image_id": "1110_1",
            "caption": "The x-ray image shows normal cardiomediastinal contours with normal pulmonary vascularity. There is no evidence of acute cardiopulmonary disease, focal airspace consolidation, pleural effusion, or pneumothorax. The image also shows bony structures unremarkable, and scattered calcified testes bilaterally, consistent with prior granulomatous infection, stable. The patient should continue to monitor their symptoms and follow up with their healthcare provider regarding their prior granulomatous infection."
        },
        {
            "image_id": "1110_2",
            "caption": "The x-ray image shows normal cardiomediastinal contours with normal pulmonary vascularity. There is no evidence of acute cardiopulmonary disease, focal airspace consolidation, pleural effusion, or pneumothorax. The image also shows bony structures unremarkable, and scattered calcified testes bilaterally, consistent with prior granulomatous infection, stable. The patient should continue to monitor their symptoms and follow up with their healthcare provider regarding their prior granulomatous infection."
        },
        {
            "image_id": "484_1",
            "caption": "The x-ray report shows no acute disease, however, the patient has significant thoracolumbar rotatory scoliosis and atherosclerotic aorta. The heart is normal in size and the mediastinum appears stable. The lungs are hypoinflated but clear."
        },
        {
            "image_id": "3707_1",
            "caption": "The X-ray shows a possible area of pneumonitis in the right lower lobe, although the findings are not definite. There is no evidence of pleural effusion or pneumothorax, and the heart and skeletal structures appear normal. Follow-up evaluation may be necessary to confirm the presence of pneumonitis or monitor for any progression."
        },
        {
            "image_id": "3707_2",
            "caption": "The X-ray shows a possible area of pneumonitis in the right lower lobe, although the findings are not definite. There is no evidence of pleural effusion or pneumothorax, and the heart and skeletal structures appear normal. Follow-up evaluation may be necessary to confirm the presence of pneumonitis or monitor for any progression."
        },
        {
            "image_id": "3061_1",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are normal. There are no pleural effusion or pneumothorax. The finding reveals bandlike opacities in the right base, which are consistent with atelectasis. Other parts of the lungs are clear. The impression suggests that the bandlike opacities in the right base are due to atelectasis."
        },
        {
            "image_id": "3061_2",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are normal. There are no pleural effusion or pneumothorax. The finding reveals bandlike opacities in the right base, which are consistent with atelectasis. Other parts of the lungs are clear. The impression suggests that the bandlike opacities in the right base are due to atelectasis."
        },
        {
            "image_id": "1676_1",
            "caption": "The x-ray shows mild emphysematous changes, aortic atherosclerotic calcifications and nodular densities projecting over right anterior fifth and six ribs. No acute osseous abnormality, focal airspace consolidation, pneumothorax, or large pleural effusion was seen. The heart size and mediastinal contour were within normal limits. The nodular densities may suggest a healing rib fracture and further evaluation is recommended to rule-out underlying pulmonary nodule. A Veriphy message was sent with information regarding possible lung nodules and a consultation was requested."
        },
        {
            "image_id": "1676_2",
            "caption": "The x-ray shows mild emphysematous changes, aortic atherosclerotic calcifications and nodular densities projecting over right anterior fifth and six ribs. No acute osseous abnormality, focal airspace consolidation, pneumothorax, or large pleural effusion was seen. The heart size and mediastinal contour were within normal limits. The nodular densities may suggest a healing rib fracture and further evaluation is recommended to rule-out underlying pulmonary nodule. A Veriphy message was sent with information regarding possible lung nodules and a consultation was requested."
        },
        {
            "image_id": "3049_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with normal findings. There is no presence of pneumonia, edema, effusions, adenopathy, nodules or masses. The impression indicates a normal chest."
        },
        {
            "image_id": "3049_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs with normal findings. There is no presence of pneumonia, edema, effusions, adenopathy, nodules or masses. The impression indicates a normal chest."
        },
        {
            "image_id": "2357_1",
            "caption": "The chest x-ray reveals that the heart and lungs are functioning normally without any acute abnormalities. The cardiopulmonary contours and osseous structures appear intact. There are no signs of any pneumothorax or pleural effusion seen. The impression concludes that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2357_2",
            "caption": "The chest x-ray reveals that the heart and lungs are functioning normally without any acute abnormalities. The cardiopulmonary contours and osseous structures appear intact. There are no signs of any pneumothorax or pleural effusion seen. The impression concludes that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1886_1",
            "caption": "The x-ray shows no abnormality in the heart and lungs. However, there are calcified granulomas in bilateral areas and overlying the T9 vertebral body. There are no signs of pneumothorax, pleural effusion or acute osseous abnormality. The aorta shows atherosclerotic calcification. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1886_2",
            "caption": "The x-ray shows no abnormality in the heart and lungs. However, there are calcified granulomas in bilateral areas and overlying the T9 vertebral body. There are no signs of pneumothorax, pleural effusion or acute osseous abnormality. The aorta shows atherosclerotic calcification. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1138_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality. Specifically, there are no pleural effusions, pneumothorax, or focal areas of consolidation, while the heart size is within normal limits and osseous structures are intact."
        },
        {
            "image_id": "1138_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality. Specifically, there are no pleural effusions, pneumothorax, or focal areas of consolidation, while the heart size is within normal limits and osseous structures are intact."
        },
        {
            "image_id": "2431_1",
            "caption": "Upon review of the x-ray imaging, it was noted that the lungs are clear and there is no evidence of acute cardiopulmonary abnormality. Specifically, there are no focal airspace consolidations or pleural effusions, and the heart size is normal. Additionally, there is no indication of pneumothorax. It was observed that there are calcified lymph nodes present."
        },
        {
            "image_id": "2431_2",
            "caption": "Upon review of the x-ray imaging, it was noted that the lungs are clear and there is no evidence of acute cardiopulmonary abnormality. Specifically, there are no focal airspace consolidations or pleural effusions, and the heart size is normal. Additionally, there is no indication of pneumothorax. It was observed that there are calcified lymph nodes present."
        },
        {
            "image_id": "2425_1",
            "caption": "The x-ray image shows that lung volumes are low and no infiltrates are present. The heart and mediastinum appear normal. The impression from this x-ray is that there is hypoinflation and no visible active cardiopulmonary disease is present."
        },
        {
            "image_id": "2425_2",
            "caption": "The x-ray image shows that lung volumes are low and no infiltrates are present. The heart and mediastinum appear normal. The impression from this x-ray is that there is hypoinflation and no visible active cardiopulmonary disease is present."
        },
        {
            "image_id": "2425_3",
            "caption": "The x-ray image shows that lung volumes are low and no infiltrates are present. The heart and mediastinum appear normal. The impression from this x-ray is that there is hypoinflation and no visible active cardiopulmonary disease is present."
        },
        {
            "image_id": "1892_1",
            "caption": "The x-ray shows normal size and contour of the cardiomediastinal silhouette. It indicates a stable calcified granuloma in the right lower lobe with no presence of focal consolidation or pleural effusion. However, there is spurring of the thoracic spine. The impression concludes that there are no acute abnormalities found in the image."
        },
        {
            "image_id": "1892_2",
            "caption": "The x-ray shows normal size and contour of the cardiomediastinal silhouette. It indicates a stable calcified granuloma in the right lower lobe with no presence of focal consolidation or pleural effusion. However, there is spurring of the thoracic spine. The impression concludes that there are no acute abnormalities found in the image."
        },
        {
            "image_id": "2343_1",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not significantly enlarged and there are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted. Overall, the x-ray is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2343_2",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not significantly enlarged and there are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted. Overall, the x-ray is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "241_1",
            "caption": "The findings of the X-ray show no acute abnormalities. The cardiomediastinal silhouette is normal in size and contour, with the trachea in the midline. The lungs are clear without evidence of acute infiltrate or effusion, and there is no pneumothorax. The bony structures revealed no acute abnormalities. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "527_1",
            "caption": "The radiographic images do not show any acute abnormalities related to the heart, lungs, or chest area. The cardiac, mediastinal, and osseous structures appear to be normal with no visible signs of pneumothorax, focal airspace opacity or pleural effusion. No free air is visible under the diaphragm. The radiologist suggests no further tests or examinations need to be performed."
        },
        {
            "image_id": "533_1",
            "caption": "The chest X-ray shows a prominence of the superior mediastinum, possible due to patient's known thyroid mass, and increased tortuosity of the descending thoracic aorta. However, the cardiac silhouette is within normal limits and lungs are clear without focal opacification. The presence of scoliotic curvature in the thoracic spine is noted but there is no acute bone abnormality. There is a concern for dissection, thus a chest CT is recommended for further evaluation."
        },
        {
            "image_id": "533_2",
            "caption": "The chest X-ray shows a prominence of the superior mediastinum, possible due to patient's known thyroid mass, and increased tortuosity of the descending thoracic aorta. However, the cardiac silhouette is within normal limits and lungs are clear without focal opacification. The presence of scoliotic curvature in the thoracic spine is noted but there is no acute bone abnormality. There is a concern for dissection, thus a chest CT is recommended for further evaluation."
        },
        {
            "image_id": "255_1",
            "caption": "The chest x-ray reveals no signs of acute illness, as the lungs are clear without any focal consolidation, effusion, or pneumothorax, and the heart and mediastinal contours are normal. Additionally, there are no issues with the osseous structures. Overall, the impression of the x-ray is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "255_2",
            "caption": "The chest x-ray reveals no signs of acute illness, as the lungs are clear without any focal consolidation, effusion, or pneumothorax, and the heart and mediastinal contours are normal. Additionally, there are no issues with the osseous structures. Overall, the impression of the x-ray is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1919_1",
            "caption": "The X-ray image shows hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms, which are suggestive of chronic emphysematous lung disease. The heart size is within normal limits. There is mild bibasilar, right greater than left, airspace disease/atelectasis. Additionally, there is no evidence of pneumothorax or large pleural effusion, and no acute bony abnormality is detected. Based on the findings, the impression is chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis."
        },
        {
            "image_id": "1919_2",
            "caption": "The X-ray image shows hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms, which are suggestive of chronic emphysematous lung disease. The heart size is within normal limits. There is mild bibasilar, right greater than left, airspace disease/atelectasis. Additionally, there is no evidence of pneumothorax or large pleural effusion, and no acute bony abnormality is detected. Based on the findings, the impression is chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis."
        },
        {
            "image_id": "1919_3",
            "caption": "The X-ray image shows hyperexpansion of the lungs with hyperlucency and flattening of hemidiaphragms, which are suggestive of chronic emphysematous lung disease. The heart size is within normal limits. There is mild bibasilar, right greater than left, airspace disease/atelectasis. Additionally, there is no evidence of pneumothorax or large pleural effusion, and no acute bony abnormality is detected. Based on the findings, the impression is chronic emphysematous lung disease with mild bibasilar, right greater than left airspace disease/atelectasis."
        },
        {
            "image_id": "1931_1",
            "caption": "The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. The x-ray shows no signs of acute disease."
        },
        {
            "image_id": "1931_2",
            "caption": "The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. The x-ray shows no signs of acute disease."
        },
        {
            "image_id": "3840_1",
            "caption": "The x-ray shows degenerative changes throughout the thoracic spine and mildly low lung volumes bilaterally. There are bibasilar and left perihilar airspace opacities, and stable enlargement of the heart with prominent mediastinal contours. Central vascular congestion is also noted. The soft tissue structures are within normal limits. There are no acute osseous abnormalities or pneumothorax. However, there are no bilateral pleural effusions. Based on these findings, further evaluation and management may be required."
        },
        {
            "image_id": "3840_2",
            "caption": "The x-ray shows degenerative changes throughout the thoracic spine and mildly low lung volumes bilaterally. There are bibasilar and left perihilar airspace opacities, and stable enlargement of the heart with prominent mediastinal contours. Central vascular congestion is also noted. The soft tissue structures are within normal limits. There are no acute osseous abnormalities or pneumothorax. However, there are no bilateral pleural effusions. Based on these findings, further evaluation and management may be required."
        },
        {
            "image_id": "3698_1",
            "caption": "The X-ray scan shows that the patient's lungs are clear bilaterally, with no sign of focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal, and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3698_2",
            "caption": "The X-ray scan shows that the patient's lungs are clear bilaterally, with no sign of focal consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal, and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2592_1",
            "caption": "The X-ray imaging shows no acute cardiopulmonary abnormalities. The lungs are clear without pneumothorax, focal consolidation, or pleural effusion, while the heart and mediastinum appear normal with no visible skeletal structure abnormality. Therefore, there is no acute pulmonary disease."
        },
        {
            "image_id": "2592_2",
            "caption": "The X-ray imaging shows no acute cardiopulmonary abnormalities. The lungs are clear without pneumothorax, focal consolidation, or pleural effusion, while the heart and mediastinum appear normal with no visible skeletal structure abnormality. Therefore, there is no acute pulmonary disease."
        },
        {
            "image_id": "3854_1",
            "caption": "The chest x-ray revealed normal size and configuration of the cardiac silhouette. There were no visible pulmonary or pleural abnormalities such as consolidation or effusion. The impression is that there is no current indication of any active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "3854_2",
            "caption": "The chest x-ray revealed normal size and configuration of the cardiac silhouette. There were no visible pulmonary or pleural abnormalities such as consolidation or effusion. The impression is that there is no current indication of any active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "269_1",
            "caption": "The X-ray shows that the heart and lungs are in normal conditions. There is no sign of pleural effusion, pneumothorax, or any other acute lung disease. The cardiomediastinal silhouette is normal without any visible abnormality. The pulmonary vasculature and central airways are also normal without any focal consolidation or pleural effusion. In summary, the X-ray presents no acute abnormality in the cardiopulmonary system."
        },
        {
            "image_id": "269_2",
            "caption": "The X-ray shows that the heart and lungs are in normal conditions. There is no sign of pleural effusion, pneumothorax, or any other acute lung disease. The cardiomediastinal silhouette is normal without any visible abnormality. The pulmonary vasculature and central airways are also normal without any focal consolidation or pleural effusion. In summary, the X-ray presents no acute abnormality in the cardiopulmonary system."
        },
        {
            "image_id": "1925_1",
            "caption": "According to the chest x-ray, the heart is normal in size and the lungs are clear. However, there is bihilar prominence which may be indicative of mild lymphoid enlargement. The medical professional suggests follow-up imaging or further evaluation to determine the cause. It is also recommended that any prior chest x-rays be reviewed for comparison if available."
        },
        {
            "image_id": "1925_2",
            "caption": "According to the chest x-ray, the heart is normal in size and the lungs are clear. However, there is bihilar prominence which may be indicative of mild lymphoid enlargement. The medical professional suggests follow-up imaging or further evaluation to determine the cause. It is also recommended that any prior chest x-rays be reviewed for comparison if available."
        },
        {
            "image_id": "282_1",
            "caption": "The patient's chest x-ray shows normal mediastinal contours with no acute cardiopulmonary abnormality. Heart size is within normal limits and there is no evidence of focal consolidation, pneumothorax, or pleural effusion."
        },
        {
            "image_id": "282_2",
            "caption": "The patient's chest x-ray shows normal mediastinal contours with no acute cardiopulmonary abnormality. Heart size is within normal limits and there is no evidence of focal consolidation, pneumothorax, or pleural effusion."
        },
        {
            "image_id": "282_3",
            "caption": "The patient's chest x-ray shows normal mediastinal contours with no acute cardiopulmonary abnormality. Heart size is within normal limits and there is no evidence of focal consolidation, pneumothorax, or pleural effusion."
        },
        {
            "image_id": "3101_1",
            "caption": "The x-ray image indicates that the heart size and pulmonary vascularity are within normal limits, and the lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. The spine shows degenerative changes, and a stent is observed in the abdomen. In addition, the thoracic aorta appears tortuous, and calcified granulomas are present. However, there is no evidence of active disease. Further evaluation may be required for the observed abnormalities."
        },
        {
            "image_id": "3101_2",
            "caption": "The x-ray image indicates that the heart size and pulmonary vascularity are within normal limits, and the lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. The spine shows degenerative changes, and a stent is observed in the abdomen. In addition, the thoracic aorta appears tortuous, and calcified granulomas are present. However, there is no evidence of active disease. Further evaluation may be required for the observed abnormalities."
        },
        {
            "image_id": "3667_1",
            "caption": "When observing the chest x-ray, it was noted that there is an irregular density in the left upper lung on PA which was found to be an artifact formed due to the superimposed bony and vascular structures. Apart from this, the overall lung is clear without any focal opacity or pleural effusion. The cardiovascular system also appears normal with clear pleural spaces, and spine showing only degenerative changes. There is an electronic cardiac device present overlying the left chest wall with intact distal leads in the right heart. The impression of the observation suggests that there is no acute cardiopulmonary disease; however, further tests such as chest fluoroscopy or CT scan would confirm the irregular shading in the left upper lung."
        },
        {
            "image_id": "2579_1",
            "caption": "The x-ray shows that the lungs are clear without any focal consolidation, effusion, or pneumothorax. There is also no acute cardiopulmonary abnormality present as the heart size and bony thorax are unremarkable."
        },
        {
            "image_id": "2579_2",
            "caption": "The x-ray shows that the lungs are clear without any focal consolidation, effusion, or pneumothorax. There is also no acute cardiopulmonary abnormality present as the heart size and bony thorax are unremarkable."
        },
        {
            "image_id": "1070_1",
            "caption": "The x-ray image shows an abnormal separation, which is age-indeterminate. Over the lateral aspect of the clavicle, there is a corticated bony density. The cardia mediastinal silhouette and pulmonary vascular pattern are normal, with no evidence of pneumothorax, pleural effusion, or pulmonary edema. Minimal endplate degenerative changes are noted in the midthoracic spine. However, there is partial obscuration of the retrosternal space due to overlying. The impression suggests correlating for focal pain and considering dedicated right shoulder films. There is no acute cortical artery disease observed."
        },
        {
            "image_id": "1070_2",
            "caption": "The x-ray image shows an abnormal separation, which is age-indeterminate. Over the lateral aspect of the clavicle, there is a corticated bony density. The cardia mediastinal silhouette and pulmonary vascular pattern are normal, with no evidence of pneumothorax, pleural effusion, or pulmonary edema. Minimal endplate degenerative changes are noted in the midthoracic spine. However, there is partial obscuration of the retrosternal space due to overlying. The impression suggests correlating for focal pain and considering dedicated right shoulder films. There is no acute cortical artery disease observed."
        },
        {
            "image_id": "1064_1",
            "caption": "The chest X-ray reveals a stable elevation of the right hemidiaphragm with the possibility of increased right basilar airspace opacities, but the left lung is clear. The heart appears normal in size. These findings suggest a stable elevated right hemidiaphragm with subtle increased right basilar airspace disease or atelectasis. Clinical correlation is recommended to determine the underlying cause of these findings."
        },
        {
            "image_id": "3673_1",
            "caption": "The heart is normal in size. Calcifications are noted in the aorta and small lymph nodes. Emphysema and chronic changes are present. There is opacity in the left perihilar upper lobe with a possible extension to the pleural surface. No pleural effusion or pneumothorax is seen. Follow-up is recommended for resolution of the left midlung opacity, which may be due to an acute infectious process or developing mass lesion."
        },
        {
            "image_id": "3673_2",
            "caption": "The heart is normal in size. Calcifications are noted in the aorta and small lymph nodes. Emphysema and chronic changes are present. There is opacity in the left perihilar upper lobe with a possible extension to the pleural surface. No pleural effusion or pneumothorax is seen. Follow-up is recommended for resolution of the left midlung opacity, which may be due to an acute infectious process or developing mass lesion."
        },
        {
            "image_id": "3115_1",
            "caption": "The chest X-ray shows that the heart is of normal size and shape, and the lungs are clear. There are no signs of infiltrate or effusion, and no evidence of pneumothorax. Therefore, no acute cardiopulmonary disease is observed in the patient's condition."
        },
        {
            "image_id": "3115_2",
            "caption": "The chest X-ray shows that the heart is of normal size and shape, and the lungs are clear. There are no signs of infiltrate or effusion, and no evidence of pneumothorax. Therefore, no acute cardiopulmonary disease is observed in the patient's condition."
        },
        {
            "image_id": "1702_1",
            "caption": "The X-ray shows no acute osseous abnormality and soft tissues are within normal limits. The heart's borderline enlargement is noted along with normal hilar vasculature. There is no focal area of consolidation, pleural effusion, or pneumothorax. The overall impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1702_2",
            "caption": "The X-ray shows no acute osseous abnormality and soft tissues are within normal limits. The heart's borderline enlargement is noted along with normal hilar vasculature. There is no focal area of consolidation, pleural effusion, or pneumothorax. The overall impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2223_1",
            "caption": "The chest x-ray showed a normal heart size and clear lungs. Limited technique was used. The x-rays of the right elbow and forearm show no signs of fracture, dislocation or joint effusion. The soft tissues appear unremarkable. The x-ray of the left ankle shows no acute fractures or dislocations. However, there are midfoot degenerative changes and calcaneal enthesopathy, and soft tissue swelling around the ankle. Overall, no acute cardiopulmonary or traumatic findings were observed, but follow-up may be necessary for the degenerative changes and enthesopathy in the left ankle."
        },
        {
            "image_id": "2223_2",
            "caption": "The chest x-ray showed a normal heart size and clear lungs. Limited technique was used. The x-rays of the right elbow and forearm show no signs of fracture, dislocation or joint effusion. The soft tissues appear unremarkable. The x-ray of the left ankle shows no acute fractures or dislocations. However, there are midfoot degenerative changes and calcaneal enthesopathy, and soft tissue swelling around the ankle. Overall, no acute cardiopulmonary or traumatic findings were observed, but follow-up may be necessary for the degenerative changes and enthesopathy in the left ankle."
        },
        {
            "image_id": "2545_1",
            "caption": "The patient's chest x-ray image shows a normal trachea position and a normal cardiomediastinal silhouette. The lungs are clear, with no evidence of effusion, infiltrate, or pneumothorax. Both visualized bony structures and soft tissues appear normal. Overall, the x-ray appears to be normal with no signs of any disease."
        },
        {
            "image_id": "2545_2",
            "caption": "The patient's chest x-ray image shows a normal trachea position and a normal cardiomediastinal silhouette. The lungs are clear, with no evidence of effusion, infiltrate, or pneumothorax. Both visualized bony structures and soft tissues appear normal. Overall, the x-ray appears to be normal with no signs of any disease."
        },
        {
            "image_id": "3883_1",
            "caption": "The chest x-ray is normal without any evidence of acute cardiopulmonary abnormality. The heart size and pulmonary vasculature appear normal and there are no signs of pneumothorax, pleural effusion or airspace consolidation."
        },
        {
            "image_id": "3883_2",
            "caption": "The chest x-ray is normal without any evidence of acute cardiopulmonary abnormality. The heart size and pulmonary vasculature appear normal and there are no signs of pneumothorax, pleural effusion or airspace consolidation."
        },
        {
            "image_id": "2551_1",
            "caption": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. The chest x-ray image does not show any signs of acute cardiopulmonary illness."
        },
        {
            "image_id": "2551_2",
            "caption": "Heart size and mediastinal contour are normal. Pulmonary vascularity is normal. Lungs are clear. No pleural effusions or pneumothoraces. The chest x-ray image does not show any signs of acute cardiopulmonary illness."
        },
        {
            "image_id": "3897_1",
            "caption": "The chest x-ray shows a normal heart size with clear lungs and unremarkable mediastinum. There is no evidence of acute disease present."
        },
        {
            "image_id": "3897_2",
            "caption": "The chest x-ray shows a normal heart size with clear lungs and unremarkable mediastinum. There is no evidence of acute disease present."
        },
        {
            "image_id": "1058_1",
            "caption": "Heart size and pulmonary vascularity appear normal without any pleural effusion or pneumothorax. Innumerable bilateral lung nodules are present throughout the lungs without any superimposed focal airspace disease. Scoliosis is present. The innumerable bilateral small lung nodules continue to persist without any change."
        },
        {
            "image_id": "1058_2",
            "caption": "Heart size and pulmonary vascularity appear normal without any pleural effusion or pneumothorax. Innumerable bilateral lung nodules are present throughout the lungs without any superimposed focal airspace disease. Scoliosis is present. The innumerable bilateral small lung nodules continue to persist without any change."
        },
        {
            "image_id": "3129_1",
            "caption": "The x-ray showed normal heart size with a tortuous aorta. There is an accessory azygous fissure in the right upper lung, but there are no focal air space consolidations, pneumothorax or pleural effusion. Although, the x-ray revealed severe degenerative changes at the thoracolumbar junction with mild anterior wedging at approximately T12, there is no acute cardiopulmonary findings."
        },
        {
            "image_id": "3129_2",
            "caption": "The x-ray showed normal heart size with a tortuous aorta. There is an accessory azygous fissure in the right upper lung, but there are no focal air space consolidations, pneumothorax or pleural effusion. Although, the x-ray revealed severe degenerative changes at the thoracolumbar junction with mild anterior wedging at approximately T12, there is no acute cardiopulmonary findings."
        },
        {
            "image_id": "2960_1",
            "caption": "The patient's chest x-ray shows no signs of acute disease. The heart appears normal in size and shape, with clear lung and no evidence of pneumothorax or pleural effusion. The radiologist's impression is that there are no acute cardiopulmonary abnormalities, indicating a healthy chest x-ray result."
        },
        {
            "image_id": "2960_2",
            "caption": "The patient's chest x-ray shows no signs of acute disease. The heart appears normal in size and shape, with clear lung and no evidence of pneumothorax or pleural effusion. The radiologist's impression is that there are no acute cardiopulmonary abnormalities, indicating a healthy chest x-ray result."
        },
        {
            "image_id": "725_1",
            "caption": "The X-ray shows normal cardiac contours and clear lungs without areas of focal consolidation or pneumothorax. Large pleural effusion is also ruled out. Hence, there is no acute cardiopulmonary process detected in the X-ray."
        },
        {
            "image_id": "725_2",
            "caption": "The X-ray shows normal cardiac contours and clear lungs without areas of focal consolidation or pneumothorax. Large pleural effusion is also ruled out. Hence, there is no acute cardiopulmonary process detected in the X-ray."
        },
        {
            "image_id": "725_3",
            "caption": "The X-ray shows normal cardiac contours and clear lungs without areas of focal consolidation or pneumothorax. Large pleural effusion is also ruled out. Hence, there is no acute cardiopulmonary process detected in the X-ray."
        },
        {
            "image_id": "731_1",
            "caption": "The lungs are clear and normal in size and contour. There are no focal air space opacities or signs of acute cardiopulmonary abnormality such as pneumothorax or large pleural effusion."
        },
        {
            "image_id": "731_2",
            "caption": "The lungs are clear and normal in size and contour. There are no focal air space opacities or signs of acute cardiopulmonary abnormality such as pneumothorax or large pleural effusion."
        },
        {
            "image_id": "2974_1",
            "caption": "The X-ray shows postsurgical changes in the mediastinum and tortuosity/ectasia of the thoracic and upper abdominal aorta. However, no airspace opacities or pneumothorax is present. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. Cardiomediastinal silhouette is normal. Multilevel anterior osteophytes of the thoracic spine are visible. The impression drawn from the X-ray is that there is small left basilar parenchymal scarring and/or effusion and postsurgical changes in the mediastinum. Otherwise, no acute abnormalities are reported."
        },
        {
            "image_id": "2974_2",
            "caption": "The X-ray shows postsurgical changes in the mediastinum and tortuosity/ectasia of the thoracic and upper abdominal aorta. However, no airspace opacities or pneumothorax is present. Blunting of the lateral and posterior left costophrenic sulcus may represent residual postsurgical effusion or pleural-parenchymal scarring. Cardiomediastinal silhouette is normal. Multilevel anterior osteophytes of the thoracic spine are visible. The impression drawn from the X-ray is that there is small left basilar parenchymal scarring and/or effusion and postsurgical changes in the mediastinum. Otherwise, no acute abnormalities are reported."
        },
        {
            "image_id": "2784_1",
            "caption": "On evaluation of the chest x-ray, the findings reveal a normal-sized heart with no observable changes to the mediastinum. The lungs appear clear bilaterally with no presence of a significant pleural effusion or pneumothorax. The overall impression obtained is that there are no apparent abnormalities in the cardiopulmonary system."
        },
        {
            "image_id": "2784_2",
            "caption": "On evaluation of the chest x-ray, the findings reveal a normal-sized heart with no observable changes to the mediastinum. The lungs appear clear bilaterally with no presence of a significant pleural effusion or pneumothorax. The overall impression obtained is that there are no apparent abnormalities in the cardiopulmonary system."
        },
        {
            "image_id": "2948_1",
            "caption": "After reviewing the X-ray image, there was no evidence of active disease present. The heart appeared to be a normal size and the pulmonary vascularity looked normal. Additionally, upon examination of the lungs, there were no signs of focal airspace disease and no presence of a pleural effusion or pneumothorax were seen."
        },
        {
            "image_id": "2948_2",
            "caption": "After reviewing the X-ray image, there was no evidence of active disease present. The heart appeared to be a normal size and the pulmonary vascularity looked normal. Additionally, upon examination of the lungs, there were no signs of focal airspace disease and no presence of a pleural effusion or pneumothorax were seen."
        },
        {
            "image_id": "2790_1",
            "caption": "The patient's cardiomediastinal contours are normal and stable. There are no signs of pneumothorax, pleural effusions, or significant pulmonary edema. The lungs do not show any focal consolidation, but mild interstitial prominence is visible in the bilateral lung bases, which is stable. Overall, there is no acute cardiopulmonary abnormality observed in the x-ray image."
        },
        {
            "image_id": "2790_2",
            "caption": "The patient's cardiomediastinal contours are normal and stable. There are no signs of pneumothorax, pleural effusions, or significant pulmonary edema. The lungs do not show any focal consolidation, but mild interstitial prominence is visible in the bilateral lung bases, which is stable. Overall, there is no acute cardiopulmonary abnormality observed in the x-ray image."
        },
        {
            "image_id": "1272_1",
            "caption": "On this X-ray report, there are findings of scattered calcified granulomas in the lungs, and a right humeral internal fixation is noted. However, the lungs are otherwise clear, and there is no focal airspace consolidation, pleural effusion, or pneumothorax. Additionally, there are no signs of active disease, and the heart size and mediastinal contour are normal."
        },
        {
            "image_id": "1272_2",
            "caption": "On this X-ray report, there are findings of scattered calcified granulomas in the lungs, and a right humeral internal fixation is noted. However, the lungs are otherwise clear, and there is no focal airspace consolidation, pleural effusion, or pneumothorax. Additionally, there are no signs of active disease, and the heart size and mediastinal contour are normal."
        },
        {
            "image_id": "3465_1",
            "caption": "The x-ray shows clear and healthy lungs with no sign of pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour, indicating no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3465_2",
            "caption": "The x-ray shows clear and healthy lungs with no sign of pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour, indicating no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3303_1",
            "caption": "The x-ray image shows that the heart size and mediastinal contours appear normal, and there is no evidence of pleural effusion or pneumothorax. However, there is a vague 1.6 cm nodular opacity in the right upper lobe that requires follow-up to determine if it is a focal infiltrate or lung nodule. Overall, the impression from the x-ray image is for a vague nodular opacity in the right lobe, with a recommendation for follow-up to resolution."
        },
        {
            "image_id": "1514_1",
            "caption": "The X-ray shows a normal size and appearance of the cardiac and mediastinal silhouette, with unremarkable pulmonary vascularity. However, there are opacities in the left lung, which could be subsegmental atelectasis or scar. Otherwise, the lungs are clear of any airspace disease, pneumothorax, or pleural effusion. Additionally, no acute bony abnormality is noted. The impression suggests no acute cardiopulmonary abnormality apart from the left midlung subsegmental atelectasis versus scar. Follow-up is recommended to ensure resolution."
        },
        {
            "image_id": "1514_2",
            "caption": "The X-ray shows a normal size and appearance of the cardiac and mediastinal silhouette, with unremarkable pulmonary vascularity. However, there are opacities in the left lung, which could be subsegmental atelectasis or scar. Otherwise, the lungs are clear of any airspace disease, pneumothorax, or pleural effusion. Additionally, no acute bony abnormality is noted. The impression suggests no acute cardiopulmonary abnormality apart from the left midlung subsegmental atelectasis versus scar. Follow-up is recommended to ensure resolution."
        },
        {
            "image_id": "1500_1",
            "caption": "The x-ray shows no acute pulmonary abnormality. Normal heart size with aortic calcification is observed. Thoracic spondylosis is present. In the left midlung, there is a stable granulomatous nodule. Overall, the impression is that there are no acute pulmonary findings."
        },
        {
            "image_id": "1500_2",
            "caption": "The x-ray shows no acute pulmonary abnormality. Normal heart size with aortic calcification is observed. Thoracic spondylosis is present. In the left midlung, there is a stable granulomatous nodule. Overall, the impression is that there are no acute pulmonary findings."
        },
        {
            "image_id": "1500_3",
            "caption": "The x-ray shows no acute pulmonary abnormality. Normal heart size with aortic calcification is observed. Thoracic spondylosis is present. In the left midlung, there is a stable granulomatous nodule. Overall, the impression is that there are no acute pulmonary findings."
        },
        {
            "image_id": "3317_1",
            "caption": "The X-ray shows a normal cardiopulmonary system. The heart, pulmonary area and mediastinum are all within the normal limits, and there is no evidence of any pleural effusion or pneumothorax. The X-ray indicates an absence of any focal air space opacity, which may suggest a pneumonia. The impression provided is that there is no evidence of any acute cardiopulmonary disease."
        },
        {
            "image_id": "3317_2",
            "caption": "The X-ray shows a normal cardiopulmonary system. The heart, pulmonary area and mediastinum are all within the normal limits, and there is no evidence of any pleural effusion or pneumothorax. The X-ray indicates an absence of any focal air space opacity, which may suggest a pneumonia. The impression provided is that there is no evidence of any acute cardiopulmonary disease."
        },
        {
            "image_id": "3471_1",
            "caption": "The x-ray shows no acute abnormality in the heart, lungs, and mediastinum including no consolidation, opacity, pleural effusion or pneumothorax. However, there is evidence of small hiatal hernia and degenerative changes in the thoracic spine. Further evaluation is recommended."
        },
        {
            "image_id": "3471_2",
            "caption": "The x-ray shows no acute abnormality in the heart, lungs, and mediastinum including no consolidation, opacity, pleural effusion or pneumothorax. However, there is evidence of small hiatal hernia and degenerative changes in the thoracic spine. Further evaluation is recommended."
        },
        {
            "image_id": "1266_1",
            "caption": "The x-ray shows clear lungs with calcified granulomas present. The heart appears normal in size and there is no pneumothorax. Overall, there are no signs of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1266_2",
            "caption": "The x-ray shows clear lungs with calcified granulomas present. The heart appears normal in size and there is no pneumothorax. Overall, there are no signs of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2747_1",
            "caption": "The findings on the x-ray indicate clear lungs and a normal sized cardiomediastinal silhouette, however, small bilateral pleural effusions are present. The impression suggests the presence of small bilateral pleural effusions. It is important to further evaluate and monitor these findings as needed."
        },
        {
            "image_id": "2747_2",
            "caption": "The findings on the x-ray indicate clear lungs and a normal sized cardiomediastinal silhouette, however, small bilateral pleural effusions are present. The impression suggests the presence of small bilateral pleural effusions. It is important to further evaluate and monitor these findings as needed."
        },
        {
            "image_id": "3459_1",
            "caption": "The chest x-ray shows stable lower cervical fusion, normal heart size, and no signs of pneumothorax or pleural effusion. There are also no signs of acute cardiopulmonary disease, and no focal airspace disease. However, calcified nodules indicate chronic granulomatous disease and there is DISH of the thoracic spine. Additionally, the bony structures appear to be intact."
        },
        {
            "image_id": "3459_2",
            "caption": "The chest x-ray shows stable lower cervical fusion, normal heart size, and no signs of pneumothorax or pleural effusion. There are also no signs of acute cardiopulmonary disease, and no focal airspace disease. However, calcified nodules indicate chronic granulomatous disease and there is DISH of the thoracic spine. Additionally, the bony structures appear to be intact."
        },
        {
            "image_id": "902_1",
            "caption": "The x-ray reveals that the heart size is normal and there are no significant abnormalities in the pulmonary and mediastinal arteries. Additionally, there is no pneumothorax or pleural effusion present. A calcified granuloma is observed in the right midlung and posterior costophrenic sulcus. The impression is that there is no acute cardiopulmonary abnormality identified in the x-ray image."
        },
        {
            "image_id": "902_2",
            "caption": "The x-ray reveals that the heart size is normal and there are no significant abnormalities in the pulmonary and mediastinal arteries. Additionally, there is no pneumothorax or pleural effusion present. A calcified granuloma is observed in the right midlung and posterior costophrenic sulcus. The impression is that there is no acute cardiopulmonary abnormality identified in the x-ray image."
        },
        {
            "image_id": "1528_1",
            "caption": "Finding results show that the heart, lungs, and osseous structures are normal, and there is a note of an unclear closure device. The impression states no acute radiographic cardiopulmonary process. Overall, the radiograph does not show any abnormalities related to heart and lung health."
        },
        {
            "image_id": "1528_2",
            "caption": "Finding results show that the heart, lungs, and osseous structures are normal, and there is a note of an unclear closure device. The impression states no acute radiographic cardiopulmonary process. Overall, the radiograph does not show any abnormalities related to heart and lung health."
        },
        {
            "image_id": "2021_1",
            "caption": "After analyzing the x-ray image, it was found that there were no acute findings of cardiopulmonary abnormalities. The cardiomediastinal silhouette was stable, with normal heart size and mediastinal contours. No pleural effusion, pulmonary edema or pneumothorax was noticed. The lungs were clear with no alveolar consolidation."
        },
        {
            "image_id": "2021_2",
            "caption": "After analyzing the x-ray image, it was found that there were no acute findings of cardiopulmonary abnormalities. The cardiomediastinal silhouette was stable, with normal heart size and mediastinal contours. No pleural effusion, pulmonary edema or pneumothorax was noticed. The lungs were clear with no alveolar consolidation."
        },
        {
            "image_id": "2035_1",
            "caption": "The X-ray shows that the lungs are hyperexpanded, but there are no signs of any acute cardiopulmonary disorders. There are no signs of any focal airspace disease, pleural effusions, or pneumothoraces. The heart and mediastinum appear normal in size and contour, and there are degenerative changes in the patient's spine. The overall impression is that there are hyperexpanded but clear lungs."
        },
        {
            "image_id": "916_1",
            "caption": "During the assessment, the X-ray image revealed clear lungs with several calcifications. No focal airspace disease, pleural effusions or pneumothoraces were found. However, the size of the heart was at the upper limits of normal."
        },
        {
            "image_id": "916_2",
            "caption": "During the assessment, the X-ray image revealed clear lungs with several calcifications. No focal airspace disease, pleural effusions or pneumothoraces were found. However, the size of the heart was at the upper limits of normal."
        },
        {
            "image_id": "2753_1",
            "caption": "The X-ray shows stable calcified superior mediastinal lymph nodes and clear lungs without any focal consolidation, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and other findings are unremarkable. Overall, there is no acute cardiopulmonary abnormality observed in the X-ray."
        },
        {
            "image_id": "2753_2",
            "caption": "The X-ray shows stable calcified superior mediastinal lymph nodes and clear lungs without any focal consolidation, pleural effusion, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and other findings are unremarkable. Overall, there is no acute cardiopulmonary abnormality observed in the X-ray."
        },
        {
            "image_id": "2034_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality with normal heart size and mediastinal contours. There are no focal airspace consolidations but there are opacities in the right lower lung, which may represent atelectasis or scarring, and significantly decreased subcutaneous soft tissue since comparison radiograph, probably related to cachexia and probable pectus excavatum deformity. No acute bony abnormality was noted. Overall, there are no signs of any cardiopulmonary disease, but a follow-up examination may be required to assess the atelectasis or any other changes in the lung."
        },
        {
            "image_id": "2034_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality with normal heart size and mediastinal contours. There are no focal airspace consolidations but there are opacities in the right lower lung, which may represent atelectasis or scarring, and significantly decreased subcutaneous soft tissue since comparison radiograph, probably related to cachexia and probable pectus excavatum deformity. No acute bony abnormality was noted. Overall, there are no signs of any cardiopulmonary disease, but a follow-up examination may be required to assess the atelectasis or any other changes in the lung."
        },
        {
            "image_id": "2752_1",
            "caption": "The x-ray shows a mildly enlarged cardiac silhouette and increased pulmonary vasculature. There is also a large right-sided pleural effusion and mild perihilar opacities, possibly indicative of edema. No pneumothorax is observed. The impression is suggestive of cardiomegaly and central vascular congestion with underlying compression atelectasis, along with a large right pleural effusion."
        },
        {
            "image_id": "2752_2",
            "caption": "The x-ray shows a mildly enlarged cardiac silhouette and increased pulmonary vasculature. There is also a large right-sided pleural effusion and mild perihilar opacities, possibly indicative of edema. No pneumothorax is observed. The impression is suggestive of cardiomegaly and central vascular congestion with underlying compression atelectasis, along with a large right pleural effusion."
        },
        {
            "image_id": "917_1",
            "caption": "The heart and mediastinal contours appear unchanged. The lungs appear clear without focal infiltrate, effusion or pneumothorax. This indicates no acute pulmonary disease."
        },
        {
            "image_id": "917_2",
            "caption": "The heart and mediastinal contours appear unchanged. The lungs appear clear without focal infiltrate, effusion or pneumothorax. This indicates no acute pulmonary disease."
        },
        {
            "image_id": "903_1",
            "caption": "The X-ray reveals interstitial thickening, more prominent in the bases, and hyperexpansion. Two bullae are seen in the right upper lung, while a small calcified granuloma is stable from prior exam. The cardiomediastinal silhouette appears normal, without any infiltrates. The impression suggests stable changes of COPD, which may need further evaluation and management."
        },
        {
            "image_id": "903_2",
            "caption": "The X-ray reveals interstitial thickening, more prominent in the bases, and hyperexpansion. Two bullae are seen in the right upper lung, while a small calcified granuloma is stable from prior exam. The cardiomediastinal silhouette appears normal, without any infiltrates. The impression suggests stable changes of COPD, which may need further evaluation and management."
        },
        {
            "image_id": "3458_1",
            "caption": "The chest x-ray reveals clear lungs, normal heart size and normal pulmonary vasculature. No focal consolidations, pleural effusions, pneumothoraxes or bony abnormalities are noted. Based on the x-ray findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3458_2",
            "caption": "The chest x-ray reveals clear lungs, normal heart size and normal pulmonary vasculature. No focal consolidations, pleural effusions, pneumothoraxes or bony abnormalities are noted. Based on the x-ray findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2746_1",
            "caption": "After reviewing the patient's x-ray image, it has been found that their heart and mediastinum are of normal size and appearance, and no pneumothorax or acute cardiopulmonary abnormalities were detected. The lungs are clear, and there is no evidence of pleural effusion or focal infiltrates. The impression is that there is no acute disease present in the patient."
        },
        {
            "image_id": "2020_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality, with no focal consolidation or pleural effusion seen. The heart size and vascularity are normal, and osseous structures appear to be intact. Based on these findings, there is no current evidence of any serious health issues in the patient's cardiopulmonary system."
        },
        {
            "image_id": "2020_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormality, with no focal consolidation or pleural effusion seen. The heart size and vascularity are normal, and osseous structures appear to be intact. Based on these findings, there is no current evidence of any serious health issues in the patient's cardiopulmonary system."
        },
        {
            "image_id": "1529_1",
            "caption": "The x-ray shows clear lungs with no signs of infection or inflammation. The heart is normal in size and there is no enlargement of the pulmonary vasculature. The absence of pleural effusion or pneumothorax is noted. There are mild degenerative changes in the spine and aortic atherosclerotic vascular calcifications. Mild diaphragm eventration is observed. Overall, there is no evidence of active disease according to the x-ray findings."
        },
        {
            "image_id": "1529_2",
            "caption": "The x-ray shows clear lungs with no signs of infection or inflammation. The heart is normal in size and there is no enlargement of the pulmonary vasculature. The absence of pleural effusion or pneumothorax is noted. There are mild degenerative changes in the spine and aortic atherosclerotic vascular calcifications. Mild diaphragm eventration is observed. Overall, there is no evidence of active disease according to the x-ray findings."
        },
        {
            "image_id": "2008_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. There is no focal consolidation, pneumothorax or pleural effusions. The heart size and the cardiomediastinal silhouette are all normal. The findings on the x-ray suggest that there is no evidence of active disease."
        },
        {
            "image_id": "2008_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. There is no focal consolidation, pneumothorax or pleural effusions. The heart size and the cardiomediastinal silhouette are all normal. The findings on the x-ray suggest that there is no evidence of active disease."
        },
        {
            "image_id": "3316_1",
            "caption": "Based on the X-ray image examination, there is no acute cardiopulmonary finding found. The heart size is normal, and there is no focal airspace disease, pneumothorax, or effusion seen. However, there is evidence of emphysema and bibasilar pleural scarring. It is important to continue monitoring and managing these conditions to ensure proper respiratory function."
        },
        {
            "image_id": "1501_1",
            "caption": "The chest x-ray shows consolidation and atelectasis in the right lung base with an elevated right hemidiaphragm. No pleural air collections are present and the left lung is clear. The right shoulder presents a scapular fracture, while the clavicle shows an acromioclavicular separation. Additionally, there is a fracture in the posterior portion of the right 3rd rib. The humeral head is located within the glenoid articular surface, and cutaneous air is present. Overall, the findings suggest a traumatic injury to the chest and shoulder."
        },
        {
            "image_id": "1501_2",
            "caption": "The chest x-ray shows consolidation and atelectasis in the right lung base with an elevated right hemidiaphragm. No pleural air collections are present and the left lung is clear. The right shoulder presents a scapular fracture, while the clavicle shows an acromioclavicular separation. Additionally, there is a fracture in the posterior portion of the right 3rd rib. The humeral head is located within the glenoid articular surface, and cutaneous air is present. Overall, the findings suggest a traumatic injury to the chest and shoulder."
        },
        {
            "image_id": "1267_1",
            "caption": "The chest x-ray shows no acute abnormality. The heart is normal in size and there is no evidence of focal areas of consolidation or suspicious pulmonary opacities. There are no pleural effusions and no signs of pneumothorax. Overall, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "1267_2",
            "caption": "The chest x-ray shows no acute abnormality. The heart is normal in size and there is no evidence of focal areas of consolidation or suspicious pulmonary opacities. There are no pleural effusions and no signs of pneumothorax. Overall, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "3470_1",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormalities. The heart is normal in size and the pulmonary vascularity is within normal limits. There are no focal airspace opacities, pneumothorax, or pleural effusion. Mild degenerative changes of the thoracic spine are noted. The patient appears to be rotated during the scan."
        },
        {
            "image_id": "3470_2",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormalities. The heart is normal in size and the pulmonary vascularity is within normal limits. There are no focal airspace opacities, pneumothorax, or pleural effusion. Mild degenerative changes of the thoracic spine are noted. The patient appears to be rotated during the scan."
        },
        {
            "image_id": "3464_1",
            "caption": "The radiograph shows no signs of active cardiopulmonary disease. The heart and mediastinum are normal and the lungs are clear and expanded. There is no evidence of pneumothorax or pleural effusion. The report indicates the absence of any acute findings, suggesting a stable condition."
        },
        {
            "image_id": "3464_2",
            "caption": "The radiograph shows no signs of active cardiopulmonary disease. The heart and mediastinum are normal and the lungs are clear and expanded. There is no evidence of pneumothorax or pleural effusion. The report indicates the absence of any acute findings, suggesting a stable condition."
        },
        {
            "image_id": "1273_1",
            "caption": "The x-ray shows that the patient's heart is mildly enlarged but stable, with normal mediastinal contours and pulmonary vascularity. Although the lungs appear hyperexpanded, they are clear without any pleural effusions or pneumothoraces. Overall, there were no acute cardiopulmonary abnormalities observed in the x-ray. Thus, it is concluded that the patient has stable mild cardiomegaly and hyperexpanded but clear lungs with no active disease."
        },
        {
            "image_id": "1273_2",
            "caption": "The x-ray shows that the patient's heart is mildly enlarged but stable, with normal mediastinal contours and pulmonary vascularity. Although the lungs appear hyperexpanded, they are clear without any pleural effusions or pneumothoraces. Overall, there were no acute cardiopulmonary abnormalities observed in the x-ray. Thus, it is concluded that the patient has stable mild cardiomegaly and hyperexpanded but clear lungs with no active disease."
        },
        {
            "image_id": "1515_1",
            "caption": "The x-ray image reveals that the cardiomediastinal silhouette is normal and there are no areas of pulmonary consolidation, pneumothorax, or pleural effusion. The thoracic spine also appears to be normal. Based on the findings, the impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "1515_2",
            "caption": "The x-ray image reveals that the cardiomediastinal silhouette is normal and there are no areas of pulmonary consolidation, pneumothorax, or pleural effusion. The thoracic spine also appears to be normal. Based on the findings, the impression is that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "3302_1",
            "caption": "The X-ray shows the heart is normal in size, and the mediastinum is unremarkable. The lungs are slightly hypoinflated but clear with no pleural effusion. The impression is that there is no acute disease."
        },
        {
            "image_id": "3302_2",
            "caption": "The X-ray shows the heart is normal in size, and the mediastinum is unremarkable. The lungs are slightly hypoinflated but clear with no pleural effusion. The impression is that there is no acute disease."
        },
        {
            "image_id": "2791_1",
            "caption": "The patient's x-ray shows that there is no evidence of active cardiopulmonary disease. The heart size and pulmonary vascularity appear normal, and there is no evidence of focal airspace disease or pleural effusion/pneumothorax. The x-ray appears to be normal with no acute abnormalities."
        },
        {
            "image_id": "2791_2",
            "caption": "The patient's x-ray shows that there is no evidence of active cardiopulmonary disease. The heart size and pulmonary vascularity appear normal, and there is no evidence of focal airspace disease or pleural effusion/pneumothorax. The x-ray appears to be normal with no acute abnormalities."
        },
        {
            "image_id": "2949_1",
            "caption": "The chest x-ray shows scattered calcified pulmonary nodules which might represent calcified granulomas. The lungs appear clear without any focal consolidation, pleural effusion, or pneumothorax. The calcified hilar and mediastinal lymph nodes appear stable with a decrease in size from the previous exam. Heart size appears normal. Based on the examination, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2949_2",
            "caption": "The chest x-ray shows scattered calcified pulmonary nodules which might represent calcified granulomas. The lungs appear clear without any focal consolidation, pleural effusion, or pneumothorax. The calcified hilar and mediastinal lymph nodes appear stable with a decrease in size from the previous exam. Heart size appears normal. Based on the examination, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2785_1",
            "caption": "The chest X-ray reveals a normal cardiac and mediastinal outline with clear lungs and intact bony structures. The impression indicates a negative result for chest X-ray, suggesting the absence of any abnormalities."
        },
        {
            "image_id": "2785_2",
            "caption": "The chest X-ray reveals a normal cardiac and mediastinal outline with clear lungs and intact bony structures. The impression indicates a negative result for chest X-ray, suggesting the absence of any abnormalities."
        },
        {
            "image_id": "718_1",
            "caption": "From the chest X-ray, it was found that there are no signs of acute disease. The lungs are clear and there is no presence of pleural effusion or pneumothorax. The heart and mediastinum are within normal limits. However, there is mild scoliosis of the spine."
        },
        {
            "image_id": "718_2",
            "caption": "From the chest X-ray, it was found that there are no signs of acute disease. The lungs are clear and there is no presence of pleural effusion or pneumothorax. The heart and mediastinum are within normal limits. However, there is mild scoliosis of the spine."
        },
        {
            "image_id": "2961_1",
            "caption": "The X-ray shows patchy opacity in the left base, which may be due to atelectasis or pneumonitis. A curvilinear lucency is also seen in the right hemidiaphragm and there may be a small amount of free intraperitoneal air present. A small left pleural effusion is noted, but the heart is not enlarged. The aorta shows atherosclerotic changes and arthritic changes are present in the skeletal structures. The impression is that there is a small amount of free intraperitoneal air, likely postprocedural from recent abdominal surgery, and left basilar airspace opacity. No acute cardiopulmonary abnormalities are seen."
        },
        {
            "image_id": "2961_2",
            "caption": "The X-ray shows patchy opacity in the left base, which may be due to atelectasis or pneumonitis. A curvilinear lucency is also seen in the right hemidiaphragm and there may be a small amount of free intraperitoneal air present. A small left pleural effusion is noted, but the heart is not enlarged. The aorta shows atherosclerotic changes and arthritic changes are present in the skeletal structures. The impression is that there is a small amount of free intraperitoneal air, likely postprocedural from recent abdominal surgery, and left basilar airspace opacity. No acute cardiopulmonary abnormalities are seen."
        },
        {
            "image_id": "1059_1",
            "caption": "The patient has a stable cardiovascular silhouette and a tortuous aorta. Additionally, there is a stable retrocardiac airspace opacity present, with no evidence of pneumothorax or pleural effusion. The impression is that the retrocardiac airspace opacity is stable, and further investigation may be necessary to determine the underlying cause of this finding."
        },
        {
            "image_id": "3896_1",
            "caption": "The X-ray image displayed no abnormalities or active diseases. The radiologist noted clear lungs with no focal airspace consolidation, pleural effusion, or pneumothorax. Cardiac and mediastinal contours of normal size were observed with low lung volumes. The impression is that no acute abnormalities were demonstrated."
        },
        {
            "image_id": "3128_1",
            "caption": "The patient has calcified left hilar lymph, likely from prior granulomatous disease, but no acute cardiopulmonary abnormality is demonstrated. The cardiomediastinal silhouette appears normal in size and the pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces are observed, and there are no acute bony abnormalities."
        },
        {
            "image_id": "3128_2",
            "caption": "The patient has calcified left hilar lymph, likely from prior granulomatous disease, but no acute cardiopulmonary abnormality is demonstrated. The cardiomediastinal silhouette appears normal in size and the pulmonary vasculature is within normal limits. No focal consolidations, effusions, or pneumothoraces are observed, and there are no acute bony abnormalities."
        },
        {
            "image_id": "2236_1",
            "caption": "Based on the exam, there are no issues identified. The exam indicates that cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits, lungs are clear and no pleural fluid or pneumothorax is appreciated. Therefore, the chest x-ray is unremarkable."
        },
        {
            "image_id": "2236_2",
            "caption": "Based on the exam, there are no issues identified. The exam indicates that cardiac silhouette, mediastinum, and pulmonary vasculature are within normal limits, lungs are clear and no pleural fluid or pneumothorax is appreciated. Therefore, the chest x-ray is unremarkable."
        },
        {
            "image_id": "2222_1",
            "caption": "The x-ray indicates no active pulmonary disease, as both the lungs and the cardiomediastinal silhouette appear normal. However, there are calcified densities in the right paratracheal and left perihilar regions, and a round opacity measuring 2 cm in diameter within the posterior mediastinum is identified. Further evaluation with chest CT with IV contrast is recommended to evaluate this nodule."
        },
        {
            "image_id": "2222_2",
            "caption": "The x-ray indicates no active pulmonary disease, as both the lungs and the cardiomediastinal silhouette appear normal. However, there are calcified densities in the right paratracheal and left perihilar regions, and a round opacity measuring 2 cm in diameter within the posterior mediastinum is identified. Further evaluation with chest CT with IV contrast is recommended to evaluate this nodule."
        },
        {
            "image_id": "3882_1",
            "caption": "The x-ray image shows eventration of the left diaphragm and generalized low lung volumes. There is a question of concomitant left basilar opacity, which may represent atelectasis or infiltrate. No evidence of pneumothorax or definite pleural effusions are noted, and the heart size is within normal limits. Osseous structures appear intact. It is recommended to further evaluate the left basilar opacity for a specific diagnosis. Overall, immediate medical attention may be required based on the diagnosis."
        },
        {
            "image_id": "3882_2",
            "caption": "The x-ray image shows eventration of the left diaphragm and generalized low lung volumes. There is a question of concomitant left basilar opacity, which may represent atelectasis or infiltrate. No evidence of pneumothorax or definite pleural effusions are noted, and the heart size is within normal limits. Osseous structures appear intact. It is recommended to further evaluate the left basilar opacity for a specific diagnosis. Overall, immediate medical attention may be required based on the diagnosis."
        },
        {
            "image_id": "2544_1",
            "caption": "Finding shows that the heart is mildly enlarged but stable, pulmonary vascularity is normal, and residuals of prior granulomatous infection are noted. There is also degenerative change of the spine; however, there is no evidence of pneumothorax or focal airspace disease or effusion. The patient is status post valve replacement. As per the impression, the findings suggest stable cardiomegaly without evidence for acute pulmonary process."
        },
        {
            "image_id": "2544_2",
            "caption": "Finding shows that the heart is mildly enlarged but stable, pulmonary vascularity is normal, and residuals of prior granulomatous infection are noted. There is also degenerative change of the spine; however, there is no evidence of pneumothorax or focal airspace disease or effusion. The patient is status post valve replacement. As per the impression, the findings suggest stable cardiomegaly without evidence for acute pulmonary process."
        },
        {
            "image_id": "3672_1",
            "caption": "The x-ray image shows a stable appearance of the aortic valve prosthesis along with sternotomy intact and aortic calcifications. Additionally, mild interstitial edema is noted with no focal infiltrate, effusion, or pneumothorax. Mild cardiomegaly is also present. The impression indicates the presence of mild interstitial edema, which further evaluation might be required."
        },
        {
            "image_id": "3672_2",
            "caption": "The x-ray image shows a stable appearance of the aortic valve prosthesis along with sternotomy intact and aortic calcifications. Additionally, mild interstitial edema is noted with no focal infiltrate, effusion, or pneumothorax. Mild cardiomegaly is also present. The impression indicates the presence of mild interstitial edema, which further evaluation might be required."
        },
        {
            "image_id": "1065_1",
            "caption": "The chest x-ray shows clear lungs without any acute findings. There has been an interval CABG, and the sternotomy and cerclage appear intact. There is no pleural effusion or pneumothorax present. The patient has stable degenerative disc disease of the thoracic spine. The bony structures appear unremarkable, except for atherosclerotic calcifications of the thoracic aorta. Additionally, the patient is diagnosed with peripheral vascular disease."
        },
        {
            "image_id": "1065_2",
            "caption": "The chest x-ray shows clear lungs without any acute findings. There has been an interval CABG, and the sternotomy and cerclage appear intact. There is no pleural effusion or pneumothorax present. The patient has stable degenerative disc disease of the thoracic spine. The bony structures appear unremarkable, except for atherosclerotic calcifications of the thoracic aorta. Additionally, the patient is diagnosed with peripheral vascular disease."
        },
        {
            "image_id": "297_1",
            "caption": "The X-ray shows that the heart is within normal limits in size. The lungs, however, are hypoinflated with mild bronchovascular crowding. There is a mild opacity projected over the left lung base, which could be atelectasis or infiltrate. The lungs are otherwise clear without any pneumothorax or pleural effusion. There are degenerative endplate changes throughout the thoracic spine. The impression is that there are low lung volumes with mild, unclear left basilar opacity, which needs further evaluation."
        },
        {
            "image_id": "297_2",
            "caption": "The X-ray shows that the heart is within normal limits in size. The lungs, however, are hypoinflated with mild bronchovascular crowding. There is a mild opacity projected over the left lung base, which could be atelectasis or infiltrate. The lungs are otherwise clear without any pneumothorax or pleural effusion. There are degenerative endplate changes throughout the thoracic spine. The impression is that there are low lung volumes with mild, unclear left basilar opacity, which needs further evaluation."
        },
        {
            "image_id": "1703_1",
            "caption": "The x-ray indicates slightly low lung volumes and mild degenerative disc change at the thoracic spine with no deformity. However, there are no acute cardiopulmonary findings identified, such as consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits, and the lung fields appear clear. Do you have any questions about the results?"
        },
        {
            "image_id": "1703_2",
            "caption": "The x-ray indicates slightly low lung volumes and mild degenerative disc change at the thoracic spine with no deformity. However, there are no acute cardiopulmonary findings identified, such as consolidation, effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits, and the lung fields appear clear. Do you have any questions about the results?"
        },
        {
            "image_id": "3100_1",
            "caption": "The x-ray shows that the patient's lungs are hyperexpanded but clear, with no pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour. Additionally, degenerative changes in the spine are present. Overall, the x-ray findings suggest hyperexpansion of the lungs with no acute abnormalities."
        },
        {
            "image_id": "3100_2",
            "caption": "The x-ray shows that the patient's lungs are hyperexpanded but clear, with no pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour. Additionally, degenerative changes in the spine are present. Overall, the x-ray findings suggest hyperexpansion of the lungs with no acute abnormalities."
        },
        {
            "image_id": "1717_1",
            "caption": "The findings of the chest x-ray show a normal cardiac contour and clear lungs. Prior granulomatous disease and thoracic spondylosis are present, however, there is no current acute process."
        },
        {
            "image_id": "1717_2",
            "caption": "The findings of the chest x-ray show a normal cardiac contour and clear lungs. Prior granulomatous disease and thoracic spondylosis are present, however, there is no current acute process."
        },
        {
            "image_id": "283_1",
            "caption": "The patient has a normal chest X-ray with clear lungs and a cardiomediastinal silhouette within normal limits. No pleural effusion is identified. This finding indicates that there are no acute or chronic pulmonary or cardiac disorders present at the time of imaging."
        },
        {
            "image_id": "283_2",
            "caption": "The patient has a normal chest X-ray with clear lungs and a cardiomediastinal silhouette within normal limits. No pleural effusion is identified. This finding indicates that there are no acute or chronic pulmonary or cardiac disorders present at the time of imaging."
        },
        {
            "image_id": "1071_1",
            "caption": "The chest x-ray shows a normal sized heart and normal appearing pulmonary vascularity with no acute cardiopulmonary abnormalities. There are no focal consolidations, pneumothorax or pleural effusions seen. Mild degenerative changes are noted in the thoracic spine. The impression indicates that there are no acute displaced fractures. It is recommended to follow up on the mild degenerative changes."
        },
        {
            "image_id": "2578_1",
            "caption": "The chest X-ray shows clear lungs with no suspicious mass or nodule, pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. However, several bilateral healing rib fractures are observed with evidence of callus formation, and there are sclerotic lesions within the bones. Further evaluation is recommended to identify the underlying cause."
        },
        {
            "image_id": "2578_2",
            "caption": "The chest X-ray shows clear lungs with no suspicious mass or nodule, pleural effusion or pneumothorax. Heart size and mediastinal contour are normal. However, several bilateral healing rib fractures are observed with evidence of callus formation, and there are sclerotic lesions within the bones. Further evaluation is recommended to identify the underlying cause."
        },
        {
            "image_id": "3666_1",
            "caption": "The x-ray shows evidence of a new onset chest infection in the right basal region with atelectasis, airspace disease, and effusion. The cardiomediastinal silhouette is stable with features of CABG. The left PICC line has been removed in the interval, and there is no pneumothorax. The impression is of a new onset right basal chest infection, which requires further clinical evaluation and management."
        },
        {
            "image_id": "3666_2",
            "caption": "The x-ray shows evidence of a new onset chest infection in the right basal region with atelectasis, airspace disease, and effusion. The cardiomediastinal silhouette is stable with features of CABG. The left PICC line has been removed in the interval, and there is no pneumothorax. The impression is of a new onset right basal chest infection, which requires further clinical evaluation and management."
        },
        {
            "image_id": "3855_1",
            "caption": "Development of multiple nodules in both the upper and lower lobes bilaterally, and previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated. Mediastinum normal. Heart size normal. Multiple pulmonary nodules consistent with metastases. Recommend chest, abdomen, and pelvis CT with contrast for further evaluation."
        },
        {
            "image_id": "3855_2",
            "caption": "Development of multiple nodules in both the upper and lower lobes bilaterally, and previously identified left lower lobe nodule has increased in size. Left hemidiaphragm is slightly elevated. Mediastinum normal. Heart size normal. Multiple pulmonary nodules consistent with metastases. Recommend chest, abdomen, and pelvis CT with contrast for further evaluation."
        },
        {
            "image_id": "2593_1",
            "caption": "The chest x-ray shows mild cardiomegaly and interstitial prominence, but no focal airspace consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities. This could represent mild interstitial edema, atypical infection, or chronic interstitial changes. Follow-up evaluation is recommended to determine the underlying cause of these findings."
        },
        {
            "image_id": "2593_2",
            "caption": "The chest x-ray shows mild cardiomegaly and interstitial prominence, but no focal airspace consolidation, pleural effusion, or pneumothorax. There are no acute osseous abnormalities. This could represent mild interstitial edema, atypical infection, or chronic interstitial changes. Follow-up evaluation is recommended to determine the underlying cause of these findings."
        },
        {
            "image_id": "1924_1",
            "caption": "The x-ray shows a rotated apical lordotic frontal projection with mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion is seen. Heart size is within normal limits, and there is a heavily calcified and mildly tortuous aorta. The impression is that this limited quality exam shows no definite acute findings."
        },
        {
            "image_id": "1924_2",
            "caption": "The x-ray shows a rotated apical lordotic frontal projection with mild bronchovascular crowding and scattered chronic appearing irregular interstitial markings. No definite focal alveolar consolidation or pleural effusion is seen. Heart size is within normal limits, and there is a heavily calcified and mildly tortuous aorta. The impression is that this limited quality exam shows no definite acute findings."
        },
        {
            "image_id": "268_1",
            "caption": "There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and structures are normal. Osseous structures and soft tissues are normal. The findings are consistent with right upper lobe pneumonia."
        },
        {
            "image_id": "268_2",
            "caption": "There is a right upper lobe opacity. Cardiomediastinal silhouette is normal. Pulmonary vasculature and structures are normal. Osseous structures and soft tissues are normal. The findings are consistent with right upper lobe pneumonia."
        },
        {
            "image_id": "1930_1",
            "caption": "The chest x-ray reveals that the heart, lungs and pulmonary vasculature are normal in size and there are no signs of focal airspace disease, pneumothorax, or pleural effusion. The mild degenerative endplate changes in the thoracic spine and absence of any acute bony findings suggest no major skeletal abnormalities. Overall, no acute cardiopulmonary findings were observed in the x-ray."
        },
        {
            "image_id": "1930_2",
            "caption": "The chest x-ray reveals that the heart, lungs and pulmonary vasculature are normal in size and there are no signs of focal airspace disease, pneumothorax, or pleural effusion. The mild degenerative endplate changes in the thoracic spine and absence of any acute bony findings suggest no major skeletal abnormalities. Overall, no acute cardiopulmonary findings were observed in the x-ray."
        },
        {
            "image_id": "3699_1",
            "caption": "The x-ray shows normal heart size and mediastinal contours with no focal airspace consolidation or pleural effusion. There is also no evidence of pneumothorax. However, there is the presence of degenerative disc disease in the thoracic spine along with osteophyte formation bridging. In general, the results indicate no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3699_2",
            "caption": "The x-ray shows normal heart size and mediastinal contours with no focal airspace consolidation or pleural effusion. There is also no evidence of pneumothorax. However, there is the presence of degenerative disc disease in the thoracic spine along with osteophyte formation bridging. In general, the results indicate no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3841_1",
            "caption": "No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion or pneumothorax. The chest x-ray does not show any signs of active disease."
        },
        {
            "image_id": "3841_2",
            "caption": "No acute osseous abnormalities. Mild thoracic spine degenerative changes. Soft tissues are within normal limits. No focal area of consolidation, pleural effusion or pneumothorax. The chest x-ray does not show any signs of active disease."
        },
        {
            "image_id": "2587_1",
            "caption": "The chest X-ray shows a low SVC tip in the right chest, but normal cardiac and mediastinal contours. The lungs are clear with no acute pulmonary findings. The patient has a prosthetic right humeral head and a prior lower cervical spine surgery. There is also a deformity at the thoracolumbar junction with an acute kyphosis."
        },
        {
            "image_id": "532_1",
            "caption": "Based on the X-ray image, there are no signs of acute cardiopulmonary abnormalities. Both lungs appear clear without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable, and the osseous structures of the thorax appear normal."
        },
        {
            "image_id": "532_2",
            "caption": "Based on the X-ray image, there are no signs of acute cardiopulmonary abnormalities. Both lungs appear clear without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable, and the osseous structures of the thorax appear normal."
        },
        {
            "image_id": "3869_1",
            "caption": "The X-ray shows changes of prior midline sternotomy with surgical clips consistent with CABG, and stable mild cardiomegaly. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Overall, there is no acute cardiopulmonary abnormality detected in the X-ray."
        },
        {
            "image_id": "3869_2",
            "caption": "The X-ray shows changes of prior midline sternotomy with surgical clips consistent with CABG, and stable mild cardiomegaly. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax is identified. Visualized osseous structures appear intact. Overall, there is no acute cardiopulmonary abnormality detected in the X-ray."
        },
        {
            "image_id": "1918_1",
            "caption": "The chest x-ray shows a nodular opacity over the left hilum, which could be due to a nodule/lymph node or a superimposing blood vessel. The cardiac silhouette is within normal limits and there is no evidence of pulmonary edema, focal consolidation, pleural effusion, or pneumothorax. Additionally, there are opacities that may represent surgical clips in the midline at the level of the thoracic inlet. As there are no prior studies for comparison, follow-up imaging with a CT scan is recommended for further evaluation. Result notification should be primordial."
        },
        {
            "image_id": "1918_2",
            "caption": "The chest x-ray shows a nodular opacity over the left hilum, which could be due to a nodule/lymph node or a superimposing blood vessel. The cardiac silhouette is within normal limits and there is no evidence of pulmonary edema, focal consolidation, pleural effusion, or pneumothorax. Additionally, there are opacities that may represent surgical clips in the midline at the level of the thoracic inlet. As there are no prior studies for comparison, follow-up imaging with a CT scan is recommended for further evaluation. Result notification should be primordial."
        },
        {
            "image_id": "254_1",
            "caption": "The x-ray shows no acute findings of cardiopulmonary abnormalities. The lungs are clear, heart size is normal, and there are scattered thoracic spine spurring."
        },
        {
            "image_id": "254_2",
            "caption": "The x-ray shows no acute findings of cardiopulmonary abnormalities. The lungs are clear, heart size is normal, and there are scattered thoracic spine spurring."
        },
        {
            "image_id": "240_1",
            "caption": "The chest x-ray shows no acute pulmonary disease or masses, and the heart and mediastinum appear normal. There is some scarring in the right apex and presence of calcific aortic disease. Meanwhile, the lumbosacral spine x-ray reveals multiple levels of advanced degenerative disc disease and facet joint arthritis. The disc spaces are narrowed and large osteophytes are present on vertebral bodies, most notably at L2-L3. The elements from L4 through S1 are sclerotic, but there is no evidence of abnormalities in the sacrum and sacroiliac joints."
        },
        {
            "image_id": "2424_1",
            "caption": "The findings reveal clear lungs with no pleural effusion or pneumothorax. The heart is not significantly enlarged and the mediastinum is normal. The skeletal structures, however, show arthritic changes. The impression suggests that there is no acute pulmonary disease or gross evidence for rib fracture."
        },
        {
            "image_id": "2424_2",
            "caption": "The findings reveal clear lungs with no pleural effusion or pneumothorax. The heart is not significantly enlarged and the mediastinum is normal. The skeletal structures, however, show arthritic changes. The impression suggests that there is no acute pulmonary disease or gross evidence for rib fracture."
        },
        {
            "image_id": "2342_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. The cardiomediastinal contours, pulmonary vascularity and visualized osseous structures are normal, and there is no focal airspace consolidation, pleural effusion, or pneumothorax. A calcified right upper lobe nodule with a granuloma is noted, but it is unchanged. No further evaluation is necessary at this time."
        },
        {
            "image_id": "2342_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. The cardiomediastinal contours, pulmonary vascularity and visualized osseous structures are normal, and there is no focal airspace consolidation, pleural effusion, or pneumothorax. A calcified right upper lobe nodule with a granuloma is noted, but it is unchanged. No further evaluation is necessary at this time."
        },
        {
            "image_id": "1893_1",
            "caption": "The X-ray shows mildly low lung volumes, but the lungs appear clear without any focal air space disease. There is a persistent mild elevation of the right hemidiaphragm, but no pleural effusions or pneumothoraces are present. The heart and mediastinum appear normal in size and contour, with degenerative changes noted in the spine. Overall, the chest appears stable without any signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1893_2",
            "caption": "The X-ray shows mildly low lung volumes, but the lungs appear clear without any focal air space disease. There is a persistent mild elevation of the right hemidiaphragm, but no pleural effusions or pneumothoraces are present. The heart and mediastinum appear normal in size and contour, with degenerative changes noted in the spine. Overall, the chest appears stable without any signs of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1887_1",
            "caption": "The chest x-ray image shows clear lungs without any pleural effusion or pneumothorax. The heart is not enlarged, however, atherosclerotic changes of the aorta are observed. There are signs of scoliosis and arthritis in the skeletal structure, while the thoracic spine shows increased kyphosis. The overall impression is that there are no acute pulmonary diseases, but there are changes consistent with aging."
        },
        {
            "image_id": "2356_1",
            "caption": "The X-ray examination indicates low lung volumes with no signs of acute cardiopulmonary disease like consolidation, effusion, or pneumothorax. The heart appears normal in size, and the bony thorax and soft tissues look unremarkable. Overall, the impression is stable with no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2356_2",
            "caption": "The X-ray examination indicates low lung volumes with no signs of acute cardiopulmonary disease like consolidation, effusion, or pneumothorax. The heart appears normal in size, and the bony thorax and soft tissues look unremarkable. Overall, the impression is stable with no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3048_1",
            "caption": "The x-ray shows normal size and contours of the heart with clear lung fields bilaterally. There is no evidence of pneumothorax or pleural effusions. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2430_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The heart size and pulmonary vascularity are normal, and there is no evidence of focal airspace disease, pleural effusion, or pneumothorax. However, degenerative changes, scoliosis, and osteopenia are present in the thoracic spine. Additionally, there is a calcified granuloma in the left upper lobe, and a nodule is seen in the right middle lobe, which corresponds to one of the nodules seen on the previous CT scan. The other nodules on the CT scan are not identified at this time, and further testing with a chest CT scan is recommended to determine whether they have resolved or are not visible on the chest x-ray."
        },
        {
            "image_id": "1139_1",
            "caption": "The chest x-ray shows cardiomegaly with normal mediastinal contours and increased interstitial opacities but no signs of pneumothorax or large pleural effusion. There is no acute osseous abnormality. These findings may represent interstitial edema."
        },
        {
            "image_id": "1139_2",
            "caption": "The chest x-ray shows cardiomegaly with normal mediastinal contours and increased interstitial opacities but no signs of pneumothorax or large pleural effusion. There is no acute osseous abnormality. These findings may represent interstitial edema."
        },
        {
            "image_id": "3706_1",
            "caption": "The x-ray image reveals that the lungs are clear and there is no focal airspace opacity. The cardiomediastinal silhouette is stable from the previous examination and there is no pneumothorax or pleural effusion observed.  The mediastinal surgical clips from a prior surgery were noted again. The impression from this x-ray is that there is no acute cardiopulmonary abnormality seen."
        },
        {
            "image_id": "3706_2",
            "caption": "The x-ray image reveals that the lungs are clear and there is no focal airspace opacity. The cardiomediastinal silhouette is stable from the previous examination and there is no pneumothorax or pleural effusion observed.  The mediastinal surgical clips from a prior surgery were noted again. The impression from this x-ray is that there is no acute cardiopulmonary abnormality seen."
        },
        {
            "image_id": "2418_1",
            "caption": "The x-ray shows a clear image of the trachea in midline and a normal cardiomediastinal silhouette. There are calcifications present on the chondral parts of the ribs. No evidence of focal infiltrate or effusion is seen, and there is no pneumothorax. The bony structures appear normal. The impression indicates no acute cardiopulmonary abnormalities or displaced rib fractures."
        },
        {
            "image_id": "485_1",
            "caption": "The heart and lungs are normal without any changes in the interval. Both lungs appear clear and well-expanded. The x-ray does not show any indication of active disease."
        },
        {
            "image_id": "485_2",
            "caption": "The heart and lungs are normal without any changes in the interval. Both lungs appear clear and well-expanded. The x-ray does not show any indication of active disease."
        },
        {
            "image_id": "1111_1",
            "caption": "The patient has a large body habitus, resulting in a limited evaluation of the mediastinum due to the lordotic projection on the x-ray. However, severe cardiomegaly is noted with no evidence of pneumothorax or large effusion. Additionally, there is no sign of airspace disease or fracture. Given the T/Spine injury noted on C/Spine imaging, further evaluation of the mediastinum is recommended. A critical result notification has been documented through Primordial."
        },
        {
            "image_id": "1111_2",
            "caption": "The patient has a large body habitus, resulting in a limited evaluation of the mediastinum due to the lordotic projection on the x-ray. However, severe cardiomegaly is noted with no evidence of pneumothorax or large effusion. Additionally, there is no sign of airspace disease or fracture. Given the T/Spine injury noted on C/Spine imaging, further evaluation of the mediastinum is recommended. A critical result notification has been documented through Primordial."
        },
        {
            "image_id": "1677_1",
            "caption": "The x-ray image indicates that the cardiac and mediastinal silhouettes are normal, the lungs are clear and well expanded, and there is no evidence of any focal air space opacity, pneumothorax or effusion. The bony structures of the thorax also appear to be intact without any acute abnormalities. Overall, there is no sign of acute cardiopulmonary process, making it an unremarkable examination of the chest."
        },
        {
            "image_id": "1677_2",
            "caption": "The x-ray image indicates that the cardiac and mediastinal silhouettes are normal, the lungs are clear and well expanded, and there is no evidence of any focal air space opacity, pneumothorax or effusion. The bony structures of the thorax also appear to be intact without any acute abnormalities. Overall, there is no sign of acute cardiopulmonary process, making it an unremarkable examination of the chest."
        },
        {
            "image_id": "1677_3",
            "caption": "The x-ray image indicates that the cardiac and mediastinal silhouettes are normal, the lungs are clear and well expanded, and there is no evidence of any focal air space opacity, pneumothorax or effusion. The bony structures of the thorax also appear to be intact without any acute abnormalities. Overall, there is no sign of acute cardiopulmonary process, making it an unremarkable examination of the chest."
        },
        {
            "image_id": "3060_1",
            "caption": "The chest x-ray reveals normal findings as the heart and mediastinum silhouette appear normal and the lungs were grossly clear with no acute disease seen. The impression for this x-ray is that there is no acute disease present."
        },
        {
            "image_id": "3074_1",
            "caption": "The x-ray shows sequelae of old granulomatous disease and a vague patchy opacity in the right midlung, which may represent an early pneumonia. There is no evidence of pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour. Degenerative changes in the spine are noted. The impression is that the patient may be developing early pneumonia, and further evaluation may be needed."
        },
        {
            "image_id": "3074_2",
            "caption": "The x-ray shows sequelae of old granulomatous disease and a vague patchy opacity in the right midlung, which may represent an early pneumonia. There is no evidence of pleural effusions or pneumothoraces. The heart and mediastinum are of normal size and contour. Degenerative changes in the spine are noted. The impression is that the patient may be developing early pneumonia, and further evaluation may be needed."
        },
        {
            "image_id": "1663_1",
            "caption": "The x-ray examination showed that cardiac size, mediastinal contour, and pulmonary vascularity were normal. There were no focal consolidations, suspicious pulmonary opacities, pleural effusions, or pneumothorax seen, and the visualized osseous structures appeared intact. The impression was there were no acute cardiopulmonary abnormalities found."
        },
        {
            "image_id": "1663_2",
            "caption": "The x-ray examination showed that cardiac size, mediastinal contour, and pulmonary vascularity were normal. There were no focal consolidations, suspicious pulmonary opacities, pleural effusions, or pneumothorax seen, and the visualized osseous structures appeared intact. The impression was there were no acute cardiopulmonary abnormalities found."
        },
        {
            "image_id": "1105_1",
            "caption": "The radiograph shows mild cardiomegaly with a normal mediastinal width and clear pulmonary vasculature. The lungs are well-aerated with no focal consolidation, pleural effusion or pneumothorax. However, there is some scarring or atelectasis in the right midlung. Overall, there is no acute cardiopulmonary disease, but the mild cardiomegaly and right midlung findings should be noted and monitored."
        },
        {
            "image_id": "1105_2",
            "caption": "The radiograph shows mild cardiomegaly with a normal mediastinal width and clear pulmonary vasculature. The lungs are well-aerated with no focal consolidation, pleural effusion or pneumothorax. However, there is some scarring or atelectasis in the right midlung. Overall, there is no acute cardiopulmonary disease, but the mild cardiomegaly and right midlung findings should be noted and monitored."
        },
        {
            "image_id": "491_1",
            "caption": "The x-ray shows that the cardiomedistinal silhouette is stable and within normal limits. There has been an improvement in lung volumes bilaterally, but bibasilar atelectatic opacities persist without any focal consolidation, pneumothorax, or effusion. No acute bony abnormality was found. Based on the x-ray results, there is an indication of improving lung volumes with bibasilar atelectasis."
        },
        {
            "image_id": "491_2",
            "caption": "The x-ray shows that the cardiomedistinal silhouette is stable and within normal limits. There has been an improvement in lung volumes bilaterally, but bibasilar atelectatic opacities persist without any focal consolidation, pneumothorax, or effusion. No acute bony abnormality was found. Based on the x-ray results, there is an indication of improving lung volumes with bibasilar atelectasis."
        },
        {
            "image_id": "3712_1",
            "caption": "The patient has changes of renal osteodystrophy. However, there is no evidence of active disease according to the X-ray report. Heart size and pulmonary vascularity appear normal, and the lungs are free of focal airspace disease, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "3712_2",
            "caption": "The patient has changes of renal osteodystrophy. However, there is no evidence of active disease according to the X-ray report. Heart size and pulmonary vascularity appear normal, and the lungs are free of focal airspace disease, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "3921_1",
            "caption": "The patient's x-ray shows clear lungs without any signs of focal consolidation, pneumothorax or pleural effusion, and a normal cardiomedistinal silhouette without any acute abnormalities in the thorax. However, it indicates the placement of a left-sided PICC line with the tip in the innominate vein. The impression shows no acute cardiopulmonary abnormality and interval placement of the PICC line."
        },
        {
            "image_id": "3921_2",
            "caption": "The patient's x-ray shows clear lungs without any signs of focal consolidation, pneumothorax or pleural effusion, and a normal cardiomedistinal silhouette without any acute abnormalities in the thorax. However, it indicates the placement of a left-sided PICC line with the tip in the innominate vein. The impression shows no acute cardiopulmonary abnormality and interval placement of the PICC line."
        },
        {
            "image_id": "1688_1",
            "caption": "The x-ray image shows no acute abnormalities in the heart or lungs. The heart is of normal size and the lungs are clear without any signs of effusion or pneumothorax. The bony structures and soft tissues appear normal as well. The impression is that there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1688_2",
            "caption": "The x-ray image shows no acute abnormalities in the heart or lungs. The heart is of normal size and the lungs are clear without any signs of effusion or pneumothorax. The bony structures and soft tissues appear normal as well. The impression is that there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1850_1",
            "caption": "The X-ray findings reveal that the lungs are clear and there is no evidence of any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal and there is no acute abnormality observed in the visualized osseous structures of the thorax. Thus, the impression is that there is no acute cardiopulmonary abnormality detected in the X-ray."
        },
        {
            "image_id": "2381_1",
            "caption": "During the examination, it was observed that the cardiac and mediastinal contours are within normal limits. There are granulomatous calcifications, but no acute preoperative findings were noted. Both lungs are clear without airspace disease, and the bony structures are intact. It was also found that the patient had prior cholecystectomy."
        },
        {
            "image_id": "2381_2",
            "caption": "During the examination, it was observed that the cardiac and mediastinal contours are within normal limits. There are granulomatous calcifications, but no acute preoperative findings were noted. Both lungs are clear without airspace disease, and the bony structures are intact. It was also found that the patient had prior cholecystectomy."
        },
        {
            "image_id": "2395_1",
            "caption": "The X-ray indicated normal findings for the cardiopulmonary system without any signs of acute abnormalities, such as pneumothorax or focal opacities. The interpretation of the X-ray shows that the patient currently does not have any active cardiopulmonary disease or any reason for immediate concern."
        },
        {
            "image_id": "2395_2",
            "caption": "The X-ray indicated normal findings for the cardiopulmonary system without any signs of acute abnormalities, such as pneumothorax or focal opacities. The interpretation of the X-ray shows that the patient currently does not have any active cardiopulmonary disease or any reason for immediate concern."
        },
        {
            "image_id": "308_1",
            "caption": "During the examination, the X-ray image showed stable right-sided chronic lung scarring with persistent elevation of the right hemidiaphragm. However, there were no acute cardiopulmonary diseases observed as the cardiac silhouette and mediastinal contours were within normal limits, and there was no pneumothorax. The impression was that the patient is stable and does not have any active cardiopulmonary disease."
        },
        {
            "image_id": "308_2",
            "caption": "During the examination, the X-ray image showed stable right-sided chronic lung scarring with persistent elevation of the right hemidiaphragm. However, there were no acute cardiopulmonary diseases observed as the cardiac silhouette and mediastinal contours were within normal limits, and there was no pneumothorax. The impression was that the patient is stable and does not have any active cardiopulmonary disease."
        },
        {
            "image_id": "1844_1",
            "caption": "The chest x-ray revealed no cardiopulmonary abnormalities. The cardiomediastinal contours were normal and there was no evidence of focal lung consolidation, pneumothorax, or pleural effusions. There was hyperexpansion of the lungs with flattening of the diaphragm."
        },
        {
            "image_id": "1844_2",
            "caption": "The chest x-ray revealed no cardiopulmonary abnormalities. The cardiomediastinal contours were normal and there was no evidence of focal lung consolidation, pneumothorax, or pleural effusions. There was hyperexpansion of the lungs with flattening of the diaphragm."
        },
        {
            "image_id": "3935_1",
            "caption": "The X-ray revealed that the left PICC line remains in place, with the tip projecting over the upper SVC. There is blunting of the right costophrenic angle, indicating a possible small amount of pleural effusion or pleural reaction. However, previously present left base airspace disease has cleared. Scattered bandlike opacities are present, which appear to represent scars, and degenerative changes are present in the right shoulder. The heart size and pulmonary vascularity are within normal limits. Overall, the X-ray results indicate no acute cardiopulmonary abnormality, but the outward movement of the PICC line tip and blunting of the right costophrenic angle should be further evaluated."
        },
        {
            "image_id": "3935_2",
            "caption": "The X-ray revealed that the left PICC line remains in place, with the tip projecting over the upper SVC. There is blunting of the right costophrenic angle, indicating a possible small amount of pleural effusion or pleural reaction. However, previously present left base airspace disease has cleared. Scattered bandlike opacities are present, which appear to represent scars, and degenerative changes are present in the right shoulder. The heart size and pulmonary vascularity are within normal limits. Overall, the X-ray results indicate no acute cardiopulmonary abnormality, but the outward movement of the PICC line tip and blunting of the right costophrenic angle should be further evaluated."
        },
        {
            "image_id": "446_1",
            "caption": "The X-ray image shows normal cardiac contours and clear lungs with thoracic spondylosis. There are no acute preoperative findings to be concerned about."
        },
        {
            "image_id": "446_2",
            "caption": "The X-ray image shows normal cardiac contours and clear lungs with thoracic spondylosis. There are no acute preoperative findings to be concerned about."
        },
        {
            "image_id": "1878_1",
            "caption": "A chest examination revealed the presence of a calcified granuloma. However, there were no acute findings on the normal-sized heart silhouette, indicating no acute pulmonary disease. Additionally, there was no effusion or pneumothorax present in the lungs."
        },
        {
            "image_id": "1878_2",
            "caption": "A chest examination revealed the presence of a calcified granuloma. However, there were no acute findings on the normal-sized heart silhouette, indicating no acute pulmonary disease. Additionally, there was no effusion or pneumothorax present in the lungs."
        },
        {
            "image_id": "3909_1",
            "caption": "A chest X-ray was conducted which revealed right chest PICC line tip in the low SVC and granulomatous disease in right lung. However, cardiac and mediastinal contours were normal and there were no acute findings in lungs or bony structures. The impression made was of no acute findings."
        },
        {
            "image_id": "3909_2",
            "caption": "A chest X-ray was conducted which revealed right chest PICC line tip in the low SVC and granulomatous disease in right lung. However, cardiac and mediastinal contours were normal and there were no acute findings in lungs or bony structures. The impression made was of no acute findings."
        },
        {
            "image_id": "452_1",
            "caption": "The X-ray shows that the lungs are clear with no evidence of pneumonia or aspiration. The heart and pulmonary vessels appear normal and mediastinal contours are unremarkable. However, there is some suture material along the left apex indicating prior lung surgery. The pleural spaces are clear as well."
        },
        {
            "image_id": "452_2",
            "caption": "The X-ray shows that the lungs are clear with no evidence of pneumonia or aspiration. The heart and pulmonary vessels appear normal and mediastinal contours are unremarkable. However, there is some suture material along the left apex indicating prior lung surgery. The pleural spaces are clear as well."
        },
        {
            "image_id": "1449_1",
            "caption": "The x-ray shows an enlarged cardiac silhouette, suspected cardiomegaly. The lungs appear hypoinflated with central bronchovascular crowding but are clear of any focal airspace disease, pneumothorax, or pleural effusion. Additionally, there are no acute bony findings but there are degenerative changes of the thoracic spine. It is noteworthy that the patient appears to be morbidly obese, which explains the accentuated low lung volumes and eventration of the anterior right hemidiaphragm. In conclusion, the x-ray does not show any acute abnormality, but further investigation is necessary to confirm suspected cardiomegaly and pericardial effusion."
        },
        {
            "image_id": "1449_2",
            "caption": "The x-ray shows an enlarged cardiac silhouette, suspected cardiomegaly. The lungs appear hypoinflated with central bronchovascular crowding but are clear of any focal airspace disease, pneumothorax, or pleural effusion. Additionally, there are no acute bony findings but there are degenerative changes of the thoracic spine. It is noteworthy that the patient appears to be morbidly obese, which explains the accentuated low lung volumes and eventration of the anterior right hemidiaphragm. In conclusion, the x-ray does not show any acute abnormality, but further investigation is necessary to confirm suspected cardiomegaly and pericardial effusion."
        },
        {
            "image_id": "2140_1",
            "caption": "The chest X-ray revealed no signs of acute lung or heart abnormality. A calcified lymph node was found in the left hilar region. There was also evidence of an old injury or developmental anomaly near the T12-L1 vertebrae, which appears unchanged from the previous imaging. No further intervention is needed at this time, but the patient should continue to be monitored for any changes in these findings."
        },
        {
            "image_id": "2140_2",
            "caption": "The chest X-ray revealed no signs of acute lung or heart abnormality. A calcified lymph node was found in the left hilar region. There was also evidence of an old injury or developmental anomaly near the T12-L1 vertebrae, which appears unchanged from the previous imaging. No further intervention is needed at this time, but the patient should continue to be monitored for any changes in these findings."
        },
        {
            "image_id": "863_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary findings. Specifically, there is no focal consolidation, visualized pneumothorax, large pleural effusions, or abnormalities in the heart size and cardiomediastinal silhouette. This indicates a healthy pulmonary and cardiovascular system in the patient."
        },
        {
            "image_id": "863_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary findings. Specifically, there is no focal consolidation, visualized pneumothorax, large pleural effusions, or abnormalities in the heart size and cardiomediastinal silhouette. This indicates a healthy pulmonary and cardiovascular system in the patient."
        },
        {
            "image_id": "863_3",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary findings. Specifically, there is no focal consolidation, visualized pneumothorax, large pleural effusions, or abnormalities in the heart size and cardiomediastinal silhouette. This indicates a healthy pulmonary and cardiovascular system in the patient."
        },
        {
            "image_id": "23_1",
            "caption": "The X-ray image shows that the heart size and pulmonary vascularity are normal. No acute pulmonary disease, such as focal airspace disease, pleural effusion, or pneumothorax is visible. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "23_2",
            "caption": "The X-ray image shows that the heart size and pulmonary vascularity are normal. No acute pulmonary disease, such as focal airspace disease, pleural effusion, or pneumothorax is visible. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "877_1",
            "caption": "The chest X-ray shows an intact sternotomy with surgical clips seen in the mediastinum and mitral valve replacement. The lungs demonstrate low volumes, and the interstitial markings appear prominent, indicating interstitial edema. A small effusion is suggested by mild blunting of the posterior sulcus on the lateral view, however, no pneumothorax or acute bony abnormality is observed. The impression shows mildly prominent interstitial markings, which could represent interstitial edema along with mild blunting of the posterior sulcus, which could represent a small effusion."
        },
        {
            "image_id": "877_2",
            "caption": "The chest X-ray shows an intact sternotomy with surgical clips seen in the mediastinum and mitral valve replacement. The lungs demonstrate low volumes, and the interstitial markings appear prominent, indicating interstitial edema. A small effusion is suggested by mild blunting of the posterior sulcus on the lateral view, however, no pneumothorax or acute bony abnormality is observed. The impression shows mildly prominent interstitial markings, which could represent interstitial edema along with mild blunting of the posterior sulcus, which could represent a small effusion."
        },
        {
            "image_id": "37_1",
            "caption": "The x-ray shows no signs of acute disease. The heart appears normal in size without any abnormalities in the mediastinum. There are some opacities in the right mid lung, but otherwise the lungs appear clear."
        },
        {
            "image_id": "37_2",
            "caption": "The x-ray shows no signs of acute disease. The heart appears normal in size without any abnormalities in the mediastinum. There are some opacities in the right mid lung, but otherwise the lungs appear clear."
        },
        {
            "image_id": "2632_1",
            "caption": "The X-ray image shows that the heart size, mediastinal and hilar contours are stable and normal. There is no sign of alveolar consolidation or pulmonary edema, pleural effusion, or pneumothorax. Based on these observations, there are no acute findings."
        },
        {
            "image_id": "2632_2",
            "caption": "The X-ray image shows that the heart size, mediastinal and hilar contours are stable and normal. There is no sign of alveolar consolidation or pulmonary edema, pleural effusion, or pneumothorax. Based on these observations, there are no acute findings."
        },
        {
            "image_id": "3262_1",
            "caption": "The X-ray shows that there is no acute cardiopulmonary process. The cardiac and mediastinal contours are normal, and the lungs are clear without any focal consolidation or pleural effusion. Additionally, there is no evidence of a pneumothorax seen in the image."
        },
        {
            "image_id": "3262_2",
            "caption": "The X-ray shows that there is no acute cardiopulmonary process. The cardiac and mediastinal contours are normal, and the lungs are clear without any focal consolidation or pleural effusion. Additionally, there is no evidence of a pneumothorax seen in the image."
        },
        {
            "image_id": "3262_3",
            "caption": "The X-ray shows that there is no acute cardiopulmonary process. The cardiac and mediastinal contours are normal, and the lungs are clear without any focal consolidation or pleural effusion. Additionally, there is no evidence of a pneumothorax seen in the image."
        },
        {
            "image_id": "1475_1",
            "caption": "The X-ray shows that the cardiomediastinal silhouettes are normal in size and the lungs are clear without any focal consolidation, pneumothorax, or pleural effusion. However, there is a vague nodular density seen in the right upper lobe, which could be due to a healing fracture or superimposed structures. The bony thorax is unremarkable. The impression is that there are no acute cardiopulmonary abnormalities, but further imaging may be necessary to better understand the vague nodular density."
        },
        {
            "image_id": "1313_1",
            "caption": "Upon examination of the x-ray, the heart size was found to be normal. Calcified hilar lymph nodes were also observed on both sides while bibasilar airspace opacities were noted with small bilateral pleural effusions (left greater than right). There were no findings of pneumothorax or acute bony abnormalities. The impression states that there were small bilateral pleural effusions with bibasilar atelectasis and/or airspace disease, left greater than right, indicating a possible underlying condition that needs to be further evaluated."
        },
        {
            "image_id": "687_1",
            "caption": "The patient presents with a cardiac silhouette at the upper limits of normal for size along with low lung volumes and bronchovascular crowding. However, no focal areas of pulmonary consolidation, pneumothorax or pleural effusion were detected. The thoracic spine shows minimal degenerative endplate changes. Based on the findings, the impression is that the patient has pulmonary hypoinflation and no acute cardiopulmonary process was detected."
        },
        {
            "image_id": "687_2",
            "caption": "The patient presents with a cardiac silhouette at the upper limits of normal for size along with low lung volumes and bronchovascular crowding. However, no focal areas of pulmonary consolidation, pneumothorax or pleural effusion were detected. The thoracic spine shows minimal degenerative endplate changes. Based on the findings, the impression is that the patient has pulmonary hypoinflation and no acute cardiopulmonary process was detected."
        },
        {
            "image_id": "3504_1",
            "caption": "The X-ray shows that the patient has no significant issues in the heart and lungs. There are no signs of pneumonia, pleural effusion or pneumothorax. The bones are also fine. The doctor has concluded that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "3504_2",
            "caption": "The X-ray shows that the patient has no significant issues in the heart and lungs. There are no signs of pneumonia, pleural effusion or pneumothorax. The bones are also fine. The doctor has concluded that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "693_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any signs of pneumonia or fluid accumulation. The x-ray also shows stable degenerative changes in the spine. Overall, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "693_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and shape, and the lungs are clear without any signs of pneumonia or fluid accumulation. The x-ray also shows stable degenerative changes in the spine. Overall, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1307_1",
            "caption": "The x-ray shows clear lungs without any nodules or masses. The heart appears to be normal and pleural spaces are clear. Surgical clips are noted in the left axilla, and there is a lucency involving the lateral aspect of the left clavicle. Although metastatic disease cannot be excluded. Overall, the x-ray indicates clear lungs with a possibility of metastatic disease in the left clavicle area."
        },
        {
            "image_id": "1461_1",
            "caption": "The x-ray reveals a normal sized heart and unremarkable mediastinum, and the lungs appear clear. There is no acute disease present in these findings."
        },
        {
            "image_id": "1461_2",
            "caption": "The x-ray reveals a normal sized heart and unremarkable mediastinum, and the lungs appear clear. There is no acute disease present in these findings."
        },
        {
            "image_id": "2168_1",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs. There is no sign of focal pulmonary consolidation, pleural effusion, or pneumothorax. However, the patient has dextroscoliosis of the thoracic spine, which remains unchanged. It is important to continue monitoring this condition."
        },
        {
            "image_id": "2168_2",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs. There is no sign of focal pulmonary consolidation, pleural effusion, or pneumothorax. However, the patient has dextroscoliosis of the thoracic spine, which remains unchanged. It is important to continue monitoring this condition."
        },
        {
            "image_id": "2183_1",
            "caption": "The x-ray shows moderate cardiomegaly along with bibasilar and perihilar interstitial opacities. There is no presence of pneumothorax or pleural effusions. The impression derived from the study indicates that the patient is suffering from cardiomegaly and mild interstitial pulmonary edema."
        },
        {
            "image_id": "2183_2",
            "caption": "The x-ray shows moderate cardiomegaly along with bibasilar and perihilar interstitial opacities. There is no presence of pneumothorax or pleural effusions. The impression derived from the study indicates that the patient is suffering from cardiomegaly and mild interstitial pulmonary edema."
        },
        {
            "image_id": "2829_1",
            "caption": "The X-ray shows no acute cardiopulmonary disease. The heart size and mediastinum are normal. Lungs are clear without infiltrate, effusion or pneumothorax."
        },
        {
            "image_id": "2829_2",
            "caption": "The X-ray shows no acute cardiopulmonary disease. The heart size and mediastinum are normal. Lungs are clear without infiltrate, effusion or pneumothorax."
        },
        {
            "image_id": "2829_3",
            "caption": "The X-ray shows no acute cardiopulmonary disease. The heart size and mediastinum are normal. Lungs are clear without infiltrate, effusion or pneumothorax."
        },
        {
            "image_id": "2197_1",
            "caption": "The finding of the X-ray image reveals normal heart size, mild thickening in the fissure with no evidence of large effusions or pneumothorax. However, there are opacities present in the right upper lobe anterior segment which may indicate atelectasis or infiltrate. Further diagnostic tests would be recommended to better understand the condition. Overall, there is no conclusive evidence of acute cardiopulmonary disease based on the X-ray results."
        },
        {
            "image_id": "2197_2",
            "caption": "The finding of the X-ray image reveals normal heart size, mild thickening in the fissure with no evidence of large effusions or pneumothorax. However, there are opacities present in the right upper lobe anterior segment which may indicate atelectasis or infiltrate. Further diagnostic tests would be recommended to better understand the condition. Overall, there is no conclusive evidence of acute cardiopulmonary disease based on the X-ray results."
        },
        {
            "image_id": "3289_1",
            "caption": "The x-ray image indicates a normal cardiac size and pulmonary structure. The lungs are clear and free from any visible abnormalities such as pleural effusion, airspace disease, or pneumothorax. Hence, no active or acute cardiopulmonary disease is evident in the finding."
        },
        {
            "image_id": "3289_2",
            "caption": "The x-ray image indicates a normal cardiac size and pulmonary structure. The lungs are clear and free from any visible abnormalities such as pleural effusion, airspace disease, or pneumothorax. Hence, no active or acute cardiopulmonary disease is evident in the finding."
        },
        {
            "image_id": "644_1",
            "caption": "The findings reveal normal cardiac contours with clear lungs, and also indicate thoracic spondylosis. The impression suggests no evidence of active pulmonary pneumonia on today's exam."
        },
        {
            "image_id": "644_2",
            "caption": "The findings reveal normal cardiac contours with clear lungs, and also indicate thoracic spondylosis. The impression suggests no evidence of active pulmonary pneumonia on today's exam."
        },
        {
            "image_id": "650_1",
            "caption": "The patient's chest X-ray showed a moderate right-sided pleural effusion and mixed nodular interstitial opacities in both lungs. Cardiomegaly with a tortuous aorta was also noted, and there is an obliquely oriented left humeral neck fracture. The X-ray did not show any cavitary lung changes indicative of active tuberculosis. The presence of the large hiatal hernia was observed. No pneumothorax was present. Further evaluation of the aortoiliac stent was not performed. The left upper lobe airspace opacities seen on the previous chest X-ray was not visible on this study."
        },
        {
            "image_id": "650_2",
            "caption": "The patient's chest X-ray showed a moderate right-sided pleural effusion and mixed nodular interstitial opacities in both lungs. Cardiomegaly with a tortuous aorta was also noted, and there is an obliquely oriented left humeral neck fracture. The X-ray did not show any cavitary lung changes indicative of active tuberculosis. The presence of the large hiatal hernia was observed. No pneumothorax was present. Further evaluation of the aortoiliac stent was not performed. The left upper lobe airspace opacities seen on the previous chest X-ray was not visible on this study."
        },
        {
            "image_id": "888_1",
            "caption": "The x-ray shows that the heart size is normal and there are no signs of focal airspace consolidations, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "888_2",
            "caption": "The x-ray shows that the heart size is normal and there are no signs of focal airspace consolidations, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2815_1",
            "caption": "The X-ray shows no acute disease. The heart appears normal in size, and the mediastinum is unremarkable. The lungs are clear with the exception of noted granulomatous sequela."
        },
        {
            "image_id": "2815_2",
            "caption": "The X-ray shows no acute disease. The heart appears normal in size, and the mediastinum is unremarkable. The lungs are clear with the exception of noted granulomatous sequela."
        },
        {
            "image_id": "136_1",
            "caption": "The x-ray scan shows a normal-sized heart and clear lungs with no indication of acute illness, such as effusions, edema, pneumonia, pneumothorax, adenopathy, nodules, or masses. Resulting in a \"normal chest\" conclusion from the radiologist examining the scans."
        },
        {
            "image_id": "136_2",
            "caption": "The x-ray scan shows a normal-sized heart and clear lungs with no indication of acute illness, such as effusions, edema, pneumonia, pneumothorax, adenopathy, nodules, or masses. Resulting in a \"normal chest\" conclusion from the radiologist examining the scans."
        },
        {
            "image_id": "2193_1",
            "caption": "There is blunting of the right pleural space. Opacity in the right lung base also appears unchanged. Heart size appears normal. There's no vascular congestion or edema. No pneumothorax. Stable right basilar scarring and right pleural thickening noted. No acute or active disease observed."
        },
        {
            "image_id": "668_1",
            "caption": "The findings of the x-ray indicate that the heart size and mediastinal contours appear to be within normal limits. Additionally, the pulmonary vascularity is also within normal limits, and there are no focal consolidations or suspicious pulmonary opacities, pneumothorax or definite pleural effusion. Visualized osseous structures also appear to be intact. Based on these findings, there are no acute cardiopulmonary abnormalities detected in this examination."
        },
        {
            "image_id": "668_2",
            "caption": "The findings of the x-ray indicate that the heart size and mediastinal contours appear to be within normal limits. Additionally, the pulmonary vascularity is also within normal limits, and there are no focal consolidations or suspicious pulmonary opacities, pneumothorax or definite pleural effusion. Visualized osseous structures also appear to be intact. Based on these findings, there are no acute cardiopulmonary abnormalities detected in this examination."
        },
        {
            "image_id": "2839_1",
            "caption": "The x-ray image shows no acute abnormalities. The size and contour of the heart and mediastinum appear normal, and the lungs are clear without any airspace disease, pleural effusion, or pneumothorax. The pulmonary vascularity and bony structures seem healthy. The impression of the x-ray suggests that there is no evidence of active cardiopulmonary disease. Overall, the finding and impression indicate a clear and healthy chest without any significant abnormalities."
        },
        {
            "image_id": "2839_2",
            "caption": "The x-ray image shows no acute abnormalities. The size and contour of the heart and mediastinum appear normal, and the lungs are clear without any airspace disease, pleural effusion, or pneumothorax. The pulmonary vascularity and bony structures seem healthy. The impression of the x-ray suggests that there is no evidence of active cardiopulmonary disease. Overall, the finding and impression indicate a clear and healthy chest without any significant abnormalities."
        },
        {
            "image_id": "3299_1",
            "caption": "The x-ray shows that the cardiac silhouette and mediastinal contours are normal, but there are low lung volumes with bronchovascular crowding. Other than that, the lungs are clear, and there is no pneumothorax or large pleural effusion. The impression suggests that the x-ray has shown low lung volumes with bronchovascular crowding."
        },
        {
            "image_id": "3299_2",
            "caption": "The x-ray shows that the cardiac silhouette and mediastinal contours are normal, but there are low lung volumes with bronchovascular crowding. Other than that, the lungs are clear, and there is no pneumothorax or large pleural effusion. The impression suggests that the x-ray has shown low lung volumes with bronchovascular crowding."
        },
        {
            "image_id": "2187_1",
            "caption": "The x-ray image shows a normal heart size with a tortuous aorta and calcifications within the aortic regions. The mediastinal contour is normal and the lungs are clear with the exception of a stable calcified granuloma within the lingula. No nodules, masses, pneumothorax or pleural fluid are present. Presence of surgical clips are noticed within the right upper abdomen. The impression is that there are no acute radiographic cardiopulmonary processes detected."
        },
        {
            "image_id": "132_1",
            "caption": "The x-ray shows that there is no acute abnormality in the patient's cardiopulmonary system. Specifically, the lungs are clear without any focal consolidation, pneumothorax or pleural effusion. The thoracic aorta is tortuous, and the visualized osseous structures of the thorax appear normal."
        },
        {
            "image_id": "654_1",
            "caption": "The lungs are clear and the heart size is normal. The imaging of the chest and mediastinum appear unremarkable. Based on the findings, there is no acute disease or abnormality to report."
        },
        {
            "image_id": "654_2",
            "caption": "The lungs are clear and the heart size is normal. The imaging of the chest and mediastinum appear unremarkable. Based on the findings, there is no acute disease or abnormality to report."
        },
        {
            "image_id": "640_1",
            "caption": "The x-ray shows that the heart is of normal size and the pulmonary vascularity is within normal limits. No focal airspace disease, pleural effusion, or pneumothorax is seen in the lungs. Vascular calcification is observed. There is no evidence of active disease, indicating a healthy cardiopulmonary system."
        },
        {
            "image_id": "2805_1",
            "caption": "On examination, the lungs are clear bilaterally and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality found during the examination."
        },
        {
            "image_id": "2805_2",
            "caption": "On examination, the lungs are clear bilaterally and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable and there are no acute abnormalities in the visualized osseous structures of the thorax. The impression is that there is no acute cardiopulmonary abnormality found during the examination."
        },
        {
            "image_id": "126_1",
            "caption": "The X-ray shows a vague opacity in the left lower lobe, which could suggest developing or resolving pneumonia. However, the lungs are otherwise clear, and there are no pleural effusions or pneumothoraces. The heart and mediastinum are normal in size, but there are findings of atherosclerotic vascular disease and degenerative changes in the thoracic spine."
        },
        {
            "image_id": "1459_1",
            "caption": "The x-ray shows stable cardiomegaly without acute cardiopulmonary abnormality. No focal consolidation, pneumothorax or pleural effusion was identified. A stable right basilar calcified granuloma was seen. There was also no acute osseous abnormality."
        },
        {
            "image_id": "1459_2",
            "caption": "The x-ray shows stable cardiomegaly without acute cardiopulmonary abnormality. No focal consolidation, pneumothorax or pleural effusion was identified. A stable right basilar calcified granuloma was seen. There was also no acute osseous abnormality."
        },
        {
            "image_id": "1459_3",
            "caption": "The x-ray shows stable cardiomegaly without acute cardiopulmonary abnormality. No focal consolidation, pneumothorax or pleural effusion was identified. A stable right basilar calcified granuloma was seen. There was also no acute osseous abnormality."
        },
        {
            "image_id": "2150_1",
            "caption": "Upon observing the X-ray, the heart appeared to be of normal size with an unremarkable mediastinum. Clear lungs were observed with a small nodule detected in the left upper lung, which could indicate possible granuloma. However, no acute disease was detected. It was suggested to correlate the nodule with prior films if any and if not, follow-up imaging in 6 months is advised for further examination."
        },
        {
            "image_id": "2150_2",
            "caption": "Upon observing the X-ray, the heart appeared to be of normal size with an unremarkable mediastinum. Clear lungs were observed with a small nodule detected in the left upper lung, which could indicate possible granuloma. However, no acute disease was detected. It was suggested to correlate the nodule with prior films if any and if not, follow-up imaging in 6 months is advised for further examination."
        },
        {
            "image_id": "3528_1",
            "caption": "The X-ray image shows no acute disease, with normal heart size and unremarkable mediastinum. The lungs are clear as well."
        },
        {
            "image_id": "3528_2",
            "caption": "The X-ray image shows no acute disease, with normal heart size and unremarkable mediastinum. The lungs are clear as well."
        },
        {
            "image_id": "2636_1",
            "caption": "Finding shows that the patient's sternotomy wires remain in place, but the cardiomediastinal silhouette appears normal. Additionally, no signs of pulmonary consolidation, pneumothorax, or pleural effusion are seen, and there are only minimal degenerative changes in the thoracic spine. The impression is that there is no acute intrathoracic abnormality."
        },
        {
            "image_id": "2636_2",
            "caption": "Finding shows that the patient's sternotomy wires remain in place, but the cardiomediastinal silhouette appears normal. Additionally, no signs of pulmonary consolidation, pneumothorax, or pleural effusion are seen, and there are only minimal degenerative changes in the thoracic spine. The impression is that there is no acute intrathoracic abnormality."
        },
        {
            "image_id": "33_1",
            "caption": "The X-ray shows that the cardiac and mediastinal silhouettes are within normal limits. The lungs are clear, indicating no ongoing pulmonary disease. However, there are surgical clips observed in the left axilla. The bony structures appear to be intact. Overall, the impression shows no active pulmonary disease."
        },
        {
            "image_id": "33_2",
            "caption": "The X-ray shows that the cardiac and mediastinal silhouettes are within normal limits. The lungs are clear, indicating no ongoing pulmonary disease. However, there are surgical clips observed in the left axilla. The bony structures appear to be intact. Overall, the impression shows no active pulmonary disease."
        },
        {
            "image_id": "27_1",
            "caption": "The X-ray shows hyperexpanded lungs with flattening of the diaphragms. There is no focal consolidation, pleural effusion, or pneumothorax seen. The heart and mediastinum have a normal size and contour, and there are degenerative changes in the thoracic spine. Overall, the findings suggest that the lungs are clear, but there is a possibility of an underlying condition due to hyperinflation. Further examination by a healthcare professional is recommended to determine the cause of hyperinflation."
        },
        {
            "image_id": "27_2",
            "caption": "The X-ray shows hyperexpanded lungs with flattening of the diaphragms. There is no focal consolidation, pleural effusion, or pneumothorax seen. The heart and mediastinum have a normal size and contour, and there are degenerative changes in the thoracic spine. Overall, the findings suggest that the lungs are clear, but there is a possibility of an underlying condition due to hyperinflation. Further examination by a healthcare professional is recommended to determine the cause of hyperinflation."
        },
        {
            "image_id": "867_1",
            "caption": "The heart is slightly enlarged and the lungs show nonspecific bilateral fullness with mild tortuosity of the aorta. There are signs of emphysema, with apical lucencies and irregular interstitial markings seen more on the right. No distinct pleural effusion or alveolar consolidation. Atrial septal occluder artifact is observed. The impression suggests a differential diagnosis, including asymmetric pulmonary edema, inflammation, atypical infection or infiltrative process. Clinical correlation is recommended, along with a comparison with previous exams. The bilateral hilar fullness may indicate pulmonary hypertension, and differential diagnosis includes reactive lymphadenopathy or metastatic disease."
        },
        {
            "image_id": "867_2",
            "caption": "The heart is slightly enlarged and the lungs show nonspecific bilateral fullness with mild tortuosity of the aorta. There are signs of emphysema, with apical lucencies and irregular interstitial markings seen more on the right. No distinct pleural effusion or alveolar consolidation. Atrial septal occluder artifact is observed. The impression suggests a differential diagnosis, including asymmetric pulmonary edema, inflammation, atypical infection or infiltrative process. Clinical correlation is recommended, along with a comparison with previous exams. The bilateral hilar fullness may indicate pulmonary hypertension, and differential diagnosis includes reactive lymphadenopathy or metastatic disease."
        },
        {
            "image_id": "2622_1",
            "caption": "The patient has a normal heart size and mediastinal contours with no focal airspace consolidation. A tracheostomy tip is seen approximately 5 cm above the carina. No pleural effusion or pneumothorax is present, and there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2622_2",
            "caption": "The patient has a normal heart size and mediastinal contours with no focal airspace consolidation. A tracheostomy tip is seen approximately 5 cm above the carina. No pleural effusion or pneumothorax is present, and there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2144_1",
            "caption": "The X-ray shows stable calcified hilar structures and granulomas. Lungs appear clear and there are no signs of consolidation, pleural effusion or pneumothoraces, whereas Cardiomediastinal silhouette is within normal limits. The report indicates that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2144_2",
            "caption": "The X-ray shows stable calcified hilar structures and granulomas. Lungs appear clear and there are no signs of consolidation, pleural effusion or pneumothoraces, whereas Cardiomediastinal silhouette is within normal limits. The report indicates that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3272_1",
            "caption": "Lung volumes are decreased and there are opacities in both lower lobes. There are old rib fractures and pleural thickening on the right side. However, heart and pulmonary are normal. The X-ray shows hypoinflation with bibasilar focal atelectasis, which could indicate conditions such as lung collapse or obstruction. Additional tests may be required to determine the underlying cause and possible treatment options."
        },
        {
            "image_id": "3272_2",
            "caption": "Lung volumes are decreased and there are opacities in both lower lobes. There are old rib fractures and pleural thickening on the right side. However, heart and pulmonary are normal. The X-ray shows hypoinflation with bibasilar focal atelectasis, which could indicate conditions such as lung collapse or obstruction. Additional tests may be required to determine the underlying cause and possible treatment options."
        },
        {
            "image_id": "1465_1",
            "caption": "The x-ray shows a normal-sized heart and stable coronary stent. Mild degenerative changes of the thoracic spine are present, but no acute cardiopulmonary abnormalities are noted. There is no focal consolidation, pneumothorax, or pleural effusion present. Additionally, there are changes from a previous sternotomy."
        },
        {
            "image_id": "1465_2",
            "caption": "The x-ray shows a normal-sized heart and stable coronary stent. Mild degenerative changes of the thoracic spine are present, but no acute cardiopulmonary abnormalities are noted. There is no focal consolidation, pneumothorax, or pleural effusion present. Additionally, there are changes from a previous sternotomy."
        },
        {
            "image_id": "1303_1",
            "caption": "In this X-ray image, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe, and an adjacent 8 mm opacity is visible on the PA view next to the left side of the heart. A neoplasm of the right upper lobe is suspected, and further evaluation with a CT scan of the chest, abdomen, and head is recommended. The mediastinum appears normal, and there is no evidence of adenopathy or heart enlargement. A hiatal hernia is also noted but remains unchanged."
        },
        {
            "image_id": "1303_2",
            "caption": "In this X-ray image, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe, and an adjacent 8 mm opacity is visible on the PA view next to the left side of the heart. A neoplasm of the right upper lobe is suspected, and further evaluation with a CT scan of the chest, abdomen, and head is recommended. The mediastinum appears normal, and there is no evidence of adenopathy or heart enlargement. A hiatal hernia is also noted but remains unchanged."
        },
        {
            "image_id": "1303_3",
            "caption": "In this X-ray image, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe, and an adjacent 8 mm opacity is visible on the PA view next to the left side of the heart. A neoplasm of the right upper lobe is suspected, and further evaluation with a CT scan of the chest, abdomen, and head is recommended. The mediastinum appears normal, and there is no evidence of adenopathy or heart enlargement. A hiatal hernia is also noted but remains unchanged."
        },
        {
            "image_id": "1303_4",
            "caption": "In this X-ray image, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe, and an adjacent 8 mm opacity is visible on the PA view next to the left side of the heart. A neoplasm of the right upper lobe is suspected, and further evaluation with a CT scan of the chest, abdomen, and head is recommended. The mediastinum appears normal, and there is no evidence of adenopathy or heart enlargement. A hiatal hernia is also noted but remains unchanged."
        },
        {
            "image_id": "1303_5",
            "caption": "In this X-ray image, a 3 cm uncalcified mass has developed in the posterior segment of the right upper lobe, and an adjacent 8 mm opacity is visible on the PA view next to the left side of the heart. A neoplasm of the right upper lobe is suspected, and further evaluation with a CT scan of the chest, abdomen, and head is recommended. The mediastinum appears normal, and there is no evidence of adenopathy or heart enlargement. A hiatal hernia is also noted but remains unchanged."
        },
        {
            "image_id": "697_1",
            "caption": "Obscuration of the left hemidiaphragm suggests left retrocardiac airspace disease. No evidence of effusion is found. Left basilar airspace disease. Follow-up chest x-ray is recommended to document resolution for better characterization. This could be due to a number of possibilities, including pneumonia or atelectasis, and your doctor may order additional tests to determine the underlying cause. It is important to follow up with your healthcare provider as directed."
        },
        {
            "image_id": "697_2",
            "caption": "Obscuration of the left hemidiaphragm suggests left retrocardiac airspace disease. No evidence of effusion is found. Left basilar airspace disease. Follow-up chest x-ray is recommended to document resolution for better characterization. This could be due to a number of possibilities, including pneumonia or atelectasis, and your doctor may order additional tests to determine the underlying cause. It is important to follow up with your healthcare provider as directed."
        },
        {
            "image_id": "3514_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary process. There is no focal lung consolidation and the heart size and pulmonary vascularity are within normal limits. No pleural effusion or pneumothorax was noted and the osseous structures are grossly intact. The density overlying the left costophrenic region is likely due to overlying soft tissues."
        },
        {
            "image_id": "3514_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary process. There is no focal lung consolidation and the heart size and pulmonary vascularity are within normal limits. No pleural effusion or pneumothorax was noted and the osseous structures are grossly intact. The density overlying the left costophrenic region is likely due to overlying soft tissues."
        },
        {
            "image_id": "3500_1",
            "caption": "The frontal and lateral views reveal a normal cardiomediastinal silhouette with no evidence of focal consolidation, pneumothorax or pleural effusion. The pulmonary vascularity appears normal and lungs are clear. The impression is that the chest x-ray shows no abnormality and is stable."
        },
        {
            "image_id": "3500_2",
            "caption": "The frontal and lateral views reveal a normal cardiomediastinal silhouette with no evidence of focal consolidation, pneumothorax or pleural effusion. The pulmonary vascularity appears normal and lungs are clear. The impression is that the chest x-ray shows no abnormality and is stable."
        },
        {
            "image_id": "683_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart and lungs appear normal with no evidence of focal consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette, pulmonary vascularity and osseous structures are also within normal limits. This indicates stable and normal radiographic findings."
        },
        {
            "image_id": "1317_1",
            "caption": "The chest x-ray shows that lungs are clear and there is minimal atelectasis in the left base, but no other acute abnormality is detected. There is no pleural effusion or pneumothorax and heart and mediastinal contours are normal. However, a foreign body is detected in the soft tissues overlying the left lateral chest wall. The visualized osseous structures also appear to be intact. It is recommended to keep the foreign object in observation and necessary action should be taken if any abnormality is observed."
        },
        {
            "image_id": "1317_2",
            "caption": "The chest x-ray shows that lungs are clear and there is minimal atelectasis in the left base, but no other acute abnormality is detected. There is no pleural effusion or pneumothorax and heart and mediastinal contours are normal. However, a foreign body is detected in the soft tissues overlying the left lateral chest wall. The visualized osseous structures also appear to be intact. It is recommended to keep the foreign object in observation and necessary action should be taken if any abnormality is observed."
        },
        {
            "image_id": "1471_1",
            "caption": "The x-ray image shows hyperexpanded lungs with flattening of the bilateral hemidiaphragms. There are no focal pulmonary consolidation, pneumothorax or pleural effusion. Mild increased lung markings are observed due to chronic changes. Moderate degenerative changes of the thoracic spine with calcified left perihilar granuloma redemonstrated are present. The cardiomediastinal silhouette appears normal. The impression of the x-ray suggests findings consistent with emphysema with interstitial thickening. Further imaging may be necessary given recent onset of dyspnea, as this could be due to edema superimposed on emphysema or pneumonitis or fibrosis."
        },
        {
            "image_id": "1471_2",
            "caption": "The x-ray image shows hyperexpanded lungs with flattening of the bilateral hemidiaphragms. There are no focal pulmonary consolidation, pneumothorax or pleural effusion. Mild increased lung markings are observed due to chronic changes. Moderate degenerative changes of the thoracic spine with calcified left perihilar granuloma redemonstrated are present. The cardiomediastinal silhouette appears normal. The impression of the x-ray suggests findings consistent with emphysema with interstitial thickening. Further imaging may be necessary given recent onset of dyspnea, as this could be due to edema superimposed on emphysema or pneumonitis or fibrosis."
        },
        {
            "image_id": "3266_1",
            "caption": "The chest X-ray shows normal size and shape of the heart and normal pulmonary vasculature with clear lungs. There is no evidence of pneumothorax, pleural effusion or acute osseous abnormality. The impression concludes that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3266_2",
            "caption": "The chest X-ray shows normal size and shape of the heart and normal pulmonary vasculature with clear lungs. There is no evidence of pneumothorax, pleural effusion or acute osseous abnormality. The impression concludes that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3931_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. The heart size and cardiomediastinal silhouette are normal. The lungs are clear without any focal airspace opacity, pneumothorax, or pleural effusion. The X-rays are also normal in appearance. This is a good sign of healthy lungs and heart, but it is always better to maintain a healthy lifestyle and have regular check-ups to avoid any potential problems."
        },
        {
            "image_id": "3931_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormalities. The heart size and cardiomediastinal silhouette are normal. The lungs are clear without any focal airspace opacity, pneumothorax, or pleural effusion. The X-rays are also normal in appearance. This is a good sign of healthy lungs and heart, but it is always better to maintain a healthy lifestyle and have regular check-ups to avoid any potential problems."
        },
        {
            "image_id": "1840_1",
            "caption": "The chest x-ray shows a normal sized and configured cardiomediastinal silhouette. The lungs are well-aerated with no signs of pleural effusion or pneumothorax. However, there is an asymmetric opacity to the left suprahilar chest, which may indicate focal airspace disease or adenopathy. It is recommended to correlate clinically with symptoms of infection and follow-up with a radiograph to document resolution. No acute cardiopulmonary findings were noted."
        },
        {
            "image_id": "1840_2",
            "caption": "The chest x-ray shows a normal sized and configured cardiomediastinal silhouette. The lungs are well-aerated with no signs of pleural effusion or pneumothorax. However, there is an asymmetric opacity to the left suprahilar chest, which may indicate focal airspace disease or adenopathy. It is recommended to correlate clinically with symptoms of infection and follow-up with a radiograph to document resolution. No acute cardiopulmonary findings were noted."
        },
        {
            "image_id": "1698_1",
            "caption": "The chest X-ray shows the cardiac and mediastinal contours are normal and the pulmonary vascularity is within normal limits. No focal airspace opacities, pleural effusion, or pneumothorax are found. The impression states that the lungs are clear. This provides an overall picture of a healthy chest X-ray report without any acute or chronic abnormalities."
        },
        {
            "image_id": "1698_2",
            "caption": "The chest X-ray shows the cardiac and mediastinal contours are normal and the pulmonary vascularity is within normal limits. No focal airspace opacities, pleural effusion, or pneumothorax are found. The impression states that the lungs are clear. This provides an overall picture of a healthy chest X-ray report without any acute or chronic abnormalities."
        },
        {
            "image_id": "2391_1",
            "caption": "The chest x-ray shows clear lungs without any signs of abnormality such as infiltrates, pneumothorax or pleural effusion. The heart size and pulmonary vascularity are normal while the bony thorax is intact. Based on these findings, there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "2391_2",
            "caption": "The chest x-ray shows clear lungs without any signs of abnormality such as infiltrates, pneumothorax or pleural effusion. The heart size and pulmonary vascularity are normal while the bony thorax is intact. Based on these findings, there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1854_1",
            "caption": "The cardiomediastinal silhouette is normal in size and contour, and there is no focal consolidation, pneumothorax, or large pleural effusion. Additionally, there is no evidence of acute displaced rib fracture. The findings are negative for any acute abnormality."
        },
        {
            "image_id": "1854_2",
            "caption": "The cardiomediastinal silhouette is normal in size and contour, and there is no focal consolidation, pneumothorax, or large pleural effusion. Additionally, there is no evidence of acute displaced rib fracture. The findings are negative for any acute abnormality."
        },
        {
            "image_id": "318_1",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs. The lungs are clear and the cardiac and mediastinal contours are normal. Furthermore, there are no signs of pneumothorax, pleural effusion or acute bony issue. In other words, no acute cardiopulmonary abnormality was found."
        },
        {
            "image_id": "318_2",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs. The lungs are clear and the cardiac and mediastinal contours are normal. Furthermore, there are no signs of pneumothorax, pleural effusion or acute bony issue. In other words, no acute cardiopulmonary abnormality was found."
        },
        {
            "image_id": "3925_1",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not enlarged, but there are calcified right hilar and mediastinal lymph nodes. Additionally, there are atherosclerotic changes of the aorta and skeletal arthritis. Based on these findings, there is no acute pulmonary disease identified on the x-ray."
        },
        {
            "image_id": "3925_2",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not enlarged, but there are calcified right hilar and mediastinal lymph nodes. Additionally, there are atherosclerotic changes of the aorta and skeletal arthritis. Based on these findings, there is no acute pulmonary disease identified on the x-ray."
        },
        {
            "image_id": "3925_3",
            "caption": "The chest x-ray shows clear lungs with no pleural effusion or pneumothorax. The heart is not enlarged, but there are calcified right hilar and mediastinal lymph nodes. Additionally, there are atherosclerotic changes of the aorta and skeletal arthritis. Based on these findings, there is no acute pulmonary disease identified on the x-ray."
        },
        {
            "image_id": "456_1",
            "caption": "During the recent PA and lateral radiograph conducted on the chest, the cardiomediastinal silhouette was stable, and there was no evidence of large pleural effusion, pneumothorax or focal consolidation. There was prior granulomatous disease, and the visualised osseous structures were intact. The impression of the radiologist was that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "456_2",
            "caption": "During the recent PA and lateral radiograph conducted on the chest, the cardiomediastinal silhouette was stable, and there was no evidence of large pleural effusion, pneumothorax or focal consolidation. There was prior granulomatous disease, and the visualised osseous structures were intact. The impression of the radiologist was that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "330_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. The size of the heart, mediastinal contour, and pulmonary vascularity are all within normal limits. There are no focal consolidations, suspicious pulmonary opacities, large pleural effusions, or pneumothorax, and the visualized osseous structures appear intact."
        },
        {
            "image_id": "330_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. The size of the heart, mediastinal contour, and pulmonary vascularity are all within normal limits. There are no focal consolidations, suspicious pulmonary opacities, large pleural effusions, or pneumothorax, and the visualized osseous structures appear intact."
        },
        {
            "image_id": "1868_1",
            "caption": "The chest x-ray shows that the heart size and pulmonary vascularity are normal. However, there are small bilateral pleural effusions present along with a right infrahilar infiltrate which could be due to bronchovascular crowding of lungs. No pneumothorax is seen. The impression recommends further evaluation of the infiltrate and effusions."
        },
        {
            "image_id": "1868_2",
            "caption": "The chest x-ray shows that the heart size and pulmonary vascularity are normal. However, there are small bilateral pleural effusions present along with a right infrahilar infiltrate which could be due to bronchovascular crowding of lungs. No pneumothorax is seen. The impression recommends further evaluation of the infiltrate and effusions."
        },
        {
            "image_id": "324_1",
            "caption": "The patient's lungs are clear and the cardiac and mediastinal silhouettes are normal. There is no evidence of pulmonary vasculature, pneumothorax or pleural effusion. Additionally, there are no acute bony abnormalities detected. Thus, the x-ray does not show any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "324_2",
            "caption": "The patient's lungs are clear and the cardiac and mediastinal silhouettes are normal. There is no evidence of pulmonary vasculature, pneumothorax or pleural effusion. Additionally, there are no acute bony abnormalities detected. Thus, the x-ray does not show any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "442_1",
            "caption": "The chest X-ray shows hyperinflated lungs and no signs of masses or infiltrates. The heart and mediastinum are normal. These findings are consistent with COPD with no acute changes. Further evaluation and management may be required as deemed clinically necessary."
        },
        {
            "image_id": "442_2",
            "caption": "The chest X-ray shows hyperinflated lungs and no signs of masses or infiltrates. The heart and mediastinum are normal. These findings are consistent with COPD with no acute changes. Further evaluation and management may be required as deemed clinically necessary."
        },
        {
            "image_id": "2434_1",
            "caption": "The heart is normal-sized, the mediastinum is unremarkable, and the lungs are clear except for biapical scarring. No acute disease detected."
        },
        {
            "image_id": "2434_2",
            "caption": "The heart is normal-sized, the mediastinum is unremarkable, and the lungs are clear except for biapical scarring. No acute disease detected."
        },
        {
            "image_id": "1883_1",
            "caption": "The x-ray image shows a normal cardiac silhouette with no active cardiac, pulmonary or pleural disease. The lungs, pulmonary vasculature and central airways appear normal without any signs of pleural effusion. The right upper quadrant surgical clips might be from a previous cholecystectomy."
        },
        {
            "image_id": "1883_2",
            "caption": "The x-ray image shows a normal cardiac silhouette with no active cardiac, pulmonary or pleural disease. The lungs, pulmonary vasculature and central airways appear normal without any signs of pleural effusion. The right upper quadrant surgical clips might be from a previous cholecystectomy."
        },
        {
            "image_id": "1897_1",
            "caption": "The chest x-ray shows no signs of acute disease. The heart and mediastinum are normal in size and configuration, although there is some pectus deformity noted. The lungs appear clear with no abnormalities, and a dual-lumen catheter is visible on the left side without any pneumothorax."
        },
        {
            "image_id": "3058_1",
            "caption": "The chest x-ray shows a left midlung opacity, which was not seen on the previous x-ray. The heart size is normal and there is no evidence of pleural effusions or pneumothorax. The osseous structures appear normal. Based on the findings, further clinical correlation is recommended to determine if the opacity is due to atelectasis or infiltrate."
        },
        {
            "image_id": "3058_2",
            "caption": "The chest x-ray shows a left midlung opacity, which was not seen on the previous x-ray. The heart size is normal and there is no evidence of pleural effusions or pneumothorax. The osseous structures appear normal. Based on the findings, further clinical correlation is recommended to determine if the opacity is due to atelectasis or infiltrate."
        },
        {
            "image_id": "3058_3",
            "caption": "The chest x-ray shows a left midlung opacity, which was not seen on the previous x-ray. The heart size is normal and there is no evidence of pleural effusions or pneumothorax. The osseous structures appear normal. Based on the findings, further clinical correlation is recommended to determine if the opacity is due to atelectasis or infiltrate."
        },
        {
            "image_id": "2420_1",
            "caption": "The x-ray shows the heart and mediastinum are normal in size, with a tortuous aorta and a right chest catheter tip present. The lungs are clear without pneumothorax, and there are deformities of the left lateral 7th and 8th ribs. There is no acute disease present."
        },
        {
            "image_id": "2420_2",
            "caption": "The x-ray shows the heart and mediastinum are normal in size, with a tortuous aorta and a right chest catheter tip present. The lungs are clear without pneumothorax, and there are deformities of the left lateral 7th and 8th ribs. There is no acute disease present."
        },
        {
            "image_id": "1129_1",
            "caption": "The x-ray image shows mild cardiomegaly and mild opacities bilaterally, which may suggest scar or atelectasis. However, there are no acute cardiopulmonary findings, displaced rib fractures or vertebral body abnormalities observed. The pulmonary vasculature is normal and the lungs are clear without any pleural effusion or pneumothorax."
        },
        {
            "image_id": "2408_1",
            "caption": "The x-ray reveals stable cardiomediastinal contour and normal pulmonary vascularity. There are bibasilar streaky opacities, possibly indicating subsegmental atelectasis or a scar. However, there is no pneumothorax or pleural effusion observed. The impression notes no acute cardiopulmonary finding, and recommends further imaging characterization via MRI to the ordering physician for proper diagnosis and treatment."
        },
        {
            "image_id": "2408_2",
            "caption": "The x-ray reveals stable cardiomediastinal contour and normal pulmonary vascularity. There are bibasilar streaky opacities, possibly indicating subsegmental atelectasis or a scar. However, there is no pneumothorax or pleural effusion observed. The impression notes no acute cardiopulmonary finding, and recommends further imaging characterization via MRI to the ordering physician for proper diagnosis and treatment."
        },
        {
            "image_id": "3716_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no acute abnormality. There are no focal consolidation or large pleural effusion present. Furthermore, there is no evidence of acute displaced rib fracture observed. The patient has bilateral nipple jewelry, which is noted."
        },
        {
            "image_id": "3716_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no acute abnormality. There are no focal consolidation or large pleural effusion present. Furthermore, there is no evidence of acute displaced rib fracture observed. The patient has bilateral nipple jewelry, which is noted."
        },
        {
            "image_id": "3716_3",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with no acute abnormality. There are no focal consolidation or large pleural effusion present. Furthermore, there is no evidence of acute displaced rib fracture observed. The patient has bilateral nipple jewelry, which is noted."
        },
        {
            "image_id": "495_1",
            "caption": "The heart is normal in size. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion is detected. The streaky airspace disease may represent infiltrate."
        },
        {
            "image_id": "495_2",
            "caption": "The heart is normal in size. Streaky airspace disease is demonstrated on the lateral examination. No pneumothorax or pleural effusion is detected. The streaky airspace disease may represent infiltrate."
        },
        {
            "image_id": "1101_1",
            "caption": "Based on the chest X-ray, there is no acute cardiopulmonary disease or abnormalities present. The heart, pulmonary, and mediastinum all appeared normal, and there were no signs of pleural effusion or pneumothorax. Although degenerative changes of the spine were noted, no pneumonia or focal air space opacity was observed. Further consultation with a medical professional may be necessary for any concerns or questions."
        },
        {
            "image_id": "1101_2",
            "caption": "Based on the chest X-ray, there is no acute cardiopulmonary disease or abnormalities present. The heart, pulmonary, and mediastinum all appeared normal, and there were no signs of pleural effusion or pneumothorax. Although degenerative changes of the spine were noted, no pneumonia or focal air space opacity was observed. Further consultation with a medical professional may be necessary for any concerns or questions."
        },
        {
            "image_id": "1101_3",
            "caption": "Based on the chest X-ray, there is no acute cardiopulmonary disease or abnormalities present. The heart, pulmonary, and mediastinum all appeared normal, and there were no signs of pleural effusion or pneumothorax. Although degenerative changes of the spine were noted, no pneumonia or focal air space opacity was observed. Further consultation with a medical professional may be necessary for any concerns or questions."
        },
        {
            "image_id": "1667_1",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary disease. However, there is an irregularity of the posterior right 7th rib with underlying pleural thickening, which may be related to an old injury. Further evaluation is recommended, including comparison with prior chest x-rays if available."
        },
        {
            "image_id": "1667_2",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary disease. However, there is an irregularity of the posterior right 7th rib with underlying pleural thickening, which may be related to an old injury. Further evaluation is recommended, including comparison with prior chest x-rays if available."
        },
        {
            "image_id": "3070_1",
            "caption": "The x-ray shows that the heart size is within normal limits and there are no focal airspace consolidations, pneumothorax or pleural effusion. Hence, there are no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "3070_2",
            "caption": "The x-ray shows that the heart size is within normal limits and there are no focal airspace consolidations, pneumothorax or pleural effusion. Hence, there are no acute cardiopulmonary findings observed."
        },
        {
            "image_id": "3064_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette and pulmonary vasculature are within normal size. However, there is patchy airspace disease in the right lower lobe which may be indicative of pneumonia. The lungs are otherwise clear and there is no pneumothorax or pleural effusion present. It is recommended that follow-up radiographs be taken to ensure resolution of the pneumonia."
        },
        {
            "image_id": "3064_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette and pulmonary vasculature are within normal size. However, there is patchy airspace disease in the right lower lobe which may be indicative of pneumonia. The lungs are otherwise clear and there is no pneumothorax or pleural effusion present. It is recommended that follow-up radiographs be taken to ensure resolution of the pneumonia."
        },
        {
            "image_id": "1673_1",
            "caption": "The heart and lungs appear normal without any acute cardiopulmonary abnormality. No evidence of pneumonia, pleural effusion, or pneumothorax is seen. The lungs appear hyperinflated, which may be indicative of an underlying condition requiring further evaluation. A follow-up consultation with a physician is recommended to determine the cause of hyperinflated lungs."
        },
        {
            "image_id": "1673_2",
            "caption": "The heart and lungs appear normal without any acute cardiopulmonary abnormality. No evidence of pneumonia, pleural effusion, or pneumothorax is seen. The lungs appear hyperinflated, which may be indicative of an underlying condition requiring further evaluation. A follow-up consultation with a physician is recommended to determine the cause of hyperinflated lungs."
        },
        {
            "image_id": "1115_1",
            "caption": "The x-ray shows normal size and contour of the heart and mediastinum without any abnormal airspace opacities, pleural effusion, or pneumothorax. The visualized bones appear unremarkable. Overall, there are no acute cardiopulmonary abnormalities seen in the x-ray."
        },
        {
            "image_id": "3702_1",
            "caption": "The X-ray shows overall hyperexpansion of lungs and flattening of the diaphragms. There are no focal airspace diseases, pleural effusions or pneumothoraces. There are degenerative changes in the spine and the heart and mediastinum are of normal size and contour. The right clavicle shows expansile changes consistent with multiple myeloma which were previously seen in the CT scan. Despite these, the lungs are clear and show no abnormalities."
        },
        {
            "image_id": "3702_2",
            "caption": "The X-ray shows overall hyperexpansion of lungs and flattening of the diaphragms. There are no focal airspace diseases, pleural effusions or pneumothoraces. There are degenerative changes in the spine and the heart and mediastinum are of normal size and contour. The right clavicle shows expansile changes consistent with multiple myeloma which were previously seen in the CT scan. Despite these, the lungs are clear and show no abnormalities."
        },
        {
            "image_id": "3845_1",
            "caption": "The X-ray shows that the heart, mediastinum, and pulmonary vasculature are normal. There are no signs of focal airspace disease, pneumothorax, or pleural effusion. Additionally, there are no acute bony findings. The impression indicates that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3845_2",
            "caption": "The X-ray shows that the heart, mediastinum, and pulmonary vasculature are normal. There are no signs of focal airspace disease, pneumothorax, or pleural effusion. Additionally, there are no acute bony findings. The impression indicates that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2583_1",
            "caption": "The X-ray shows that the heart and mediastinum are normal in size and there are no acute changes in the lungs. The impression is that there is no acute disease present."
        },
        {
            "image_id": "2583_2",
            "caption": "The X-ray shows that the heart and mediastinum are normal in size and there are no acute changes in the lungs. The impression is that there is no acute disease present."
        },
        {
            "image_id": "278_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary disease. The heart and mediastinum are normal in size and silhouette, and bony structures are intact. There are nodular opacities consistent with chronic granulomatous disease. No pneumothorax, pleural effusion, or focal airspace disease is present."
        },
        {
            "image_id": "278_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary disease. The heart and mediastinum are normal in size and silhouette, and bony structures are intact. There are nodular opacities consistent with chronic granulomatous disease. No pneumothorax, pleural effusion, or focal airspace disease is present."
        },
        {
            "image_id": "1934_1",
            "caption": "The x-ray shows that the heart, pulmonary area and mediastinum are normal. No pleural effusion, pneumothorax or pneumonia were observed. The chronic left hemidiaphragm significantly elevated, raising concern for paralysis. Aortic tortuosity with atherosclerotic calcifications were also present. The radiologist recommends a fluoroscopic evaluation for confirmation of left hemidiaphragm paralysis, and if necessary, further imaging of the neck and nasopharynx. Any critical results will be communicated to the ordering physician through the Primordial system."
        },
        {
            "image_id": "1934_2",
            "caption": "The x-ray shows that the heart, pulmonary area and mediastinum are normal. No pleural effusion, pneumothorax or pneumonia were observed. The chronic left hemidiaphragm significantly elevated, raising concern for paralysis. Aortic tortuosity with atherosclerotic calcifications were also present. The radiologist recommends a fluoroscopic evaluation for confirmation of left hemidiaphragm paralysis, and if necessary, further imaging of the neck and nasopharynx. Any critical results will be communicated to the ordering physician through the Primordial system."
        },
        {
            "image_id": "1920_1",
            "caption": "The X-ray indicates that the heart and pulmonary blood vessels are within normal limits and the lungs are clear of any focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings either. Therefore, there are no acute cardiopulmonary findings in the X-ray."
        },
        {
            "image_id": "1920_2",
            "caption": "The X-ray indicates that the heart and pulmonary blood vessels are within normal limits and the lungs are clear of any focal airspace disease, pneumothorax or pleural effusion. There are no acute bony findings either. Therefore, there are no acute cardiopulmonary findings in the X-ray."
        },
        {
            "image_id": "3851_1",
            "caption": "The patient's x-ray revealed no acute abnormalities. The results showed that the heart, lungs, and bony structures were all normal and intact without any signs of pneumonia, pneumothorax, or pleural effusion. However, there were nodular densities that were consistent with chronic granulomatous disease. It is recommended further evaluation. Overall, the patient is negative for acute cardiopulmonary disease."
        },
        {
            "image_id": "3851_2",
            "caption": "The patient's x-ray revealed no acute abnormalities. The results showed that the heart, lungs, and bony structures were all normal and intact without any signs of pneumonia, pneumothorax, or pleural effusion. However, there were nodular densities that were consistent with chronic granulomatous disease. It is recommended further evaluation. Overall, the patient is negative for acute cardiopulmonary disease."
        },
        {
            "image_id": "2597_1",
            "caption": "The mediastinal and hilar lymph nodes are less prominent than previously. Heart size remains normal. Lungs are clear of any abnormalities. The radiographic findings indicate that there is a decrease in bilateral hilar adenopathy. The lungs are clear and there is no evidence of any acute or chronic conditions. Further evaluation may be required to monitor the progression of adenopathy."
        },
        {
            "image_id": "2597_2",
            "caption": "The mediastinal and hilar lymph nodes are less prominent than previously. Heart size remains normal. Lungs are clear of any abnormalities. The radiographic findings indicate that there is a decrease in bilateral hilar adenopathy. The lungs are clear and there is no evidence of any acute or chronic conditions. Further evaluation may be required to monitor the progression of adenopathy."
        },
        {
            "image_id": "3689_1",
            "caption": "The X-ray shows normal heart size and mediastinal contours. No pleural effusion or pneumothorax is present. However, degenerative disc disease can be seen in the thoracic spine, and the patient has a coronary artery stent. All in all, there is no acute cardiopulmonary abnormality detected in the X-ray image."
        },
        {
            "image_id": "3689_2",
            "caption": "The X-ray shows normal heart size and mediastinal contours. No pleural effusion or pneumothorax is present. However, degenerative disc disease can be seen in the thoracic spine, and the patient has a coronary artery stent. All in all, there is no acute cardiopulmonary abnormality detected in the X-ray image."
        },
        {
            "image_id": "522_1",
            "caption": "The chest X-ray shows hyperinflation of lungs and a small scar in the left cardiophrenic region. There is no evidence of pleural effusion or pneumothorax. The heart appears to be normal in size. The aorta shows atherosclerotic changes and there are arthritic changes in the skeleton structure. The impression is suggestive of COPD and a small left basilar scar. Medical consultation is recommended for further evaluation and treatment."
        },
        {
            "image_id": "522_2",
            "caption": "The chest X-ray shows hyperinflation of lungs and a small scar in the left cardiophrenic region. There is no evidence of pleural effusion or pneumothorax. The heart appears to be normal in size. The aorta shows atherosclerotic changes and there are arthritic changes in the skeleton structure. The impression is suggestive of COPD and a small left basilar scar. Medical consultation is recommended for further evaluation and treatment."
        },
        {
            "image_id": "3879_1",
            "caption": "The chest X-ray shows that the lungs and pleural spaces are normal and there are no acute abnormalities. Additionally, the heart size and pulmonary vascularity are within normal limits. The impression is that there is no acute pulmonary abnormality present."
        },
        {
            "image_id": "3879_2",
            "caption": "The chest X-ray shows that the lungs and pleural spaces are normal and there are no acute abnormalities. Additionally, the heart size and pulmonary vascularity are within normal limits. The impression is that there is no acute pulmonary abnormality present."
        },
        {
            "image_id": "244_1",
            "caption": "The X-ray image shows that the heart, mediastinum, bony structures and lung fields are all within normal limits, with no acute cardiopulmonary disease being detected. This indicates that there are no significant abnormalities present on the X-ray."
        },
        {
            "image_id": "1908_1",
            "caption": "The x-ray shows a normal cardiac silhouette and mediastinal contours. There is a nodular opacity overlying the upper lungs bilaterally, which may represent overlying telemetry wire artifact. However, the lungs are clear and there are no major pleural effusions or pneumothorax. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1908_2",
            "caption": "The x-ray shows a normal cardiac silhouette and mediastinal contours. There is a nodular opacity overlying the upper lungs bilaterally, which may represent overlying telemetry wire artifact. However, the lungs are clear and there are no major pleural effusions or pneumothorax. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "250_1",
            "caption": "The X-ray image shows clear lungs with no evidence of abnormalities such as pleural effusion or pneumothorax. The heart appears normal in size and shape, and there are minimal degenerative changes in the spine. Overall, there is no evidence of active disease."
        },
        {
            "image_id": "250_2",
            "caption": "The X-ray image shows clear lungs with no evidence of abnormalities such as pleural effusion or pneumothorax. The heart appears normal in size and shape, and there are minimal degenerative changes in the spine. Overall, there is no evidence of active disease."
        },
        {
            "image_id": "536_1",
            "caption": "The X-ray shows no acute abnormalities in the lungs, cardiopulmonary area, or bony structures. The heart, mediastinum, and hilar contours appear normal. There is no presence of pneumothorax or pleural effusion. The impression suggests that there is no evidence of active disease, and no acute radiographic cardiopulmonary process has been observed."
        },
        {
            "image_id": "536_2",
            "caption": "The X-ray shows no acute abnormalities in the lungs, cardiopulmonary area, or bony structures. The heart, mediastinum, and hilar contours appear normal. There is no presence of pneumothorax or pleural effusion. The impression suggests that there is no evidence of active disease, and no acute radiographic cardiopulmonary process has been observed."
        },
        {
            "image_id": "2540_1",
            "caption": "The chest x-ray shows clear lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette appears normal and there are no acute abnormalities in the osseous structures of the thorax. Based on these findings, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2540_2",
            "caption": "The chest x-ray shows clear lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette appears normal and there are no acute abnormalities in the osseous structures of the thorax. Based on these findings, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2226_1",
            "caption": "The chest X-ray shows the heart and lungs in normal condition. No acute abnormalities like pneumonia, pneumothorax, or pleural effusion were found. Also, there was no fracture in ribs. The X-ray impression reveals no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2226_2",
            "caption": "The chest X-ray shows the heart and lungs in normal condition. No acute abnormalities like pneumonia, pneumothorax, or pleural effusion were found. Also, there was no fracture in ribs. The X-ray impression reveals no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3138_1",
            "caption": "The chest x-ray reveals that the trachea is in normal position and the heart and mediastinum are normal in size and shape. The lungs are clear without any signs of acute disease, fluid or pneumonia. There are no signs of tuberculosis or pneumothorax. The bones in the area look normal. The impression is that there is no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "3138_2",
            "caption": "The chest x-ray reveals that the trachea is in normal position and the heart and mediastinum are normal in size and shape. The lungs are clear without any signs of acute disease, fluid or pneumonia. There are no signs of tuberculosis or pneumothorax. The bones in the area look normal. The impression is that there is no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "2232_1",
            "caption": "The x-ray shows that the lungs are clear with no signs of consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal and the visualized bony structures of the thorax are without acute abnormality. Based on the findings, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2232_2",
            "caption": "The x-ray shows that the lungs are clear with no signs of consolidation, pneumothorax or pleural effusion. The cardiomediastinal silhouette is normal and the visualized bony structures of the thorax are without acute abnormality. Based on the findings, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3892_1",
            "caption": "The patient has a normal heart size, but has bibasilar patchy opacities, with the left being greater than the right. There is no evidence of pneumothorax or large pleural effusions. The patient has a left-sided subclavian central venous catheter with the tip in the right atrium. Additionally, there is no significant pulmonary edema, but there is low lung volumes. There is evidence of lower thoracic vertebral body deep opacities and multiple mild vertebral body wedge deformities in the mid thoracic spine. The patient also has moderate degenerative changes of the thoracic spine and multiple bilateral rib fractures, most of which appear old. The impression is that the patient has moderate left basilar lung consolidation with mild right basilar opacities, which may represent infection and/or atelectasis. Overall, the patient has no acute cardiopulmonary abnormality, but has multiple pre-existing conditions that require medical attention."
        },
        {
            "image_id": "3892_2",
            "caption": "The patient has a normal heart size, but has bibasilar patchy opacities, with the left being greater than the right. There is no evidence of pneumothorax or large pleural effusions. The patient has a left-sided subclavian central venous catheter with the tip in the right atrium. Additionally, there is no significant pulmonary edema, but there is low lung volumes. There is evidence of lower thoracic vertebral body deep opacities and multiple mild vertebral body wedge deformities in the mid thoracic spine. The patient also has moderate degenerative changes of the thoracic spine and multiple bilateral rib fractures, most of which appear old. The impression is that the patient has moderate left basilar lung consolidation with mild right basilar opacities, which may represent infection and/or atelectasis. Overall, the patient has no acute cardiopulmonary abnormality, but has multiple pre-existing conditions that require medical attention."
        },
        {
            "image_id": "2554_1",
            "caption": "The chest X-ray shows a stable and normal heart and mediastinum. The lungs are slightly overinflated, which could be due to scarring or atelectasis. However, there is no sign of a large pneumothorax or pleural effusion, and no acute bone abnormalities are visible. The impression is that there is no current abnormality in the cardiopulmonary region."
        },
        {
            "image_id": "2554_2",
            "caption": "The chest X-ray shows a stable and normal heart and mediastinum. The lungs are slightly overinflated, which could be due to scarring or atelectasis. However, there is no sign of a large pneumothorax or pleural effusion, and no acute bone abnormalities are visible. The impression is that there is no current abnormality in the cardiopulmonary region."
        },
        {
            "image_id": "3662_1",
            "caption": "The chest x-ray shows a stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph nodes and a left lateral lung calcified granuloma are present. However, the lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Additionally, there are stable degenerative changes of the thoracic spine and no acute osseous abnormality. Overall, the chest x-ray indicates no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3662_2",
            "caption": "The chest x-ray shows a stable normal cardiomediastinal silhouette. Bilateral calcified hilar/perihilar lymph nodes and a left lateral lung calcified granuloma are present. However, the lungs are grossly clear without focal consolidation, pleural effusion, or pneumothorax. Additionally, there are stable degenerative changes of the thoracic spine and no acute osseous abnormality. Overall, the chest x-ray indicates no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "1075_1",
            "caption": "The chest X-ray shows severe emphysema with hyperinflated lungs and interstitial changes. There is an ill-defined opacity in the left upper lobe which may be scarring and requires further evaluation. Lung bases show mild scarring/atelectasis but are otherwise clear. Heart size is normal. Mild degenerative changes in the thoracic spine and generalized osteopenia are also noted. The impression suggests comparison with more remote imaging or short-term follow-up for further evaluation of the opacity in the left upper lobe. Malignancy cannot be excluded based on the available images, therefore, further testing may be necessary."
        },
        {
            "image_id": "1075_2",
            "caption": "The chest X-ray shows severe emphysema with hyperinflated lungs and interstitial changes. There is an ill-defined opacity in the left upper lobe which may be scarring and requires further evaluation. Lung bases show mild scarring/atelectasis but are otherwise clear. Heart size is normal. Mild degenerative changes in the thoracic spine and generalized osteopenia are also noted. The impression suggests comparison with more remote imaging or short-term follow-up for further evaluation of the opacity in the left upper lobe. Malignancy cannot be excluded based on the available images, therefore, further testing may be necessary."
        },
        {
            "image_id": "287_1",
            "caption": "The x-ray image shows no acute abnormality. Heart size is normal and lung fields are grossly clear, without pleural effusions or pneumothoraces. The hilar and mediastinal contours appear stable, with normal pulmonary vascularity and no overt edema. The impression is that there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "287_2",
            "caption": "The x-ray image shows no acute abnormality. Heart size is normal and lung fields are grossly clear, without pleural effusions or pneumothoraces. The hilar and mediastinal contours appear stable, with normal pulmonary vascularity and no overt edema. The impression is that there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3110_1",
            "caption": "The x-ray shows that heart size, mediastinal and aortic contours are within normal limits and that there is normal pulmonary vasculature. The lungs are clear and there is no visible pneumothorax or large pleural effusion. However, there is an elevated right hemidiaphragm and mild degenerative changes of the spine. The radiologist notes that there is no evidence of active disease, but they recommend further evaluation of the elevated right hemidiaphragm."
        },
        {
            "image_id": "3110_2",
            "caption": "The x-ray shows that heart size, mediastinal and aortic contours are within normal limits and that there is normal pulmonary vasculature. The lungs are clear and there is no visible pneumothorax or large pleural effusion. However, there is an elevated right hemidiaphragm and mild degenerative changes of the spine. The radiologist notes that there is no evidence of active disease, but they recommend further evaluation of the elevated right hemidiaphragm."
        },
        {
            "image_id": "1707_1",
            "caption": "The chest x-ray shows a normal cardiac silhouette and mediastinal contour, with clear lungs, normal pulmonary vasculature and airways, and no pleural effusion. There is no acute or active disease in the cardiac or pulmonary regions."
        },
        {
            "image_id": "1707_2",
            "caption": "The chest x-ray shows a normal cardiac silhouette and mediastinal contour, with clear lungs, normal pulmonary vasculature and airways, and no pleural effusion. There is no acute or active disease in the cardiac or pulmonary regions."
        },
        {
            "image_id": "293_1",
            "caption": "The chest X-ray shows sternotomy and mediastinal clips present. The heart size is normal and no signs of focal pulmonary consolidation, pleural effusion, or pneumothorax are seen. Mild deformity of T12 is also observed and considered stable. Prior cholecystectomy is noted. The impression points out that there is no definite evidence of metastatic disease and recommends follow-up on the age-indeterminate deformity of T6."
        },
        {
            "image_id": "1061_1",
            "caption": "The X-ray shows that there is no acute abnormality in the cardiopulmonary system. Specifically, the heart, pulmonary vasculature, and mediastinum appear normal. There is no pleural effusion or pneumothorax, and no signs of pneumonia. Additionally, there is a slight wedge-shaped deformity of the mid to lower thoracic vertebral body, which is unchanged from the comparison study. However, this does not appear to be a cause for concern at this time."
        },
        {
            "image_id": "1061_2",
            "caption": "The X-ray shows that there is no acute abnormality in the cardiopulmonary system. Specifically, the heart, pulmonary vasculature, and mediastinum appear normal. There is no pleural effusion or pneumothorax, and no signs of pneumonia. Additionally, there is a slight wedge-shaped deformity of the mid to lower thoracic vertebral body, which is unchanged from the comparison study. However, this does not appear to be a cause for concern at this time."
        },
        {
            "image_id": "3676_1",
            "caption": "The x-ray shows diffuse bilateral pulmonary interstitial disease and calcified lymph nodes in the left hilum. The thoracic aorta is also tortuous. However, there is no focal pulmonary consolidation or pleural effusion. The thoracic spine appears intact. Based on these findings, the impression is that there is redemonstration of diffuse bilateral pulmonary fibrosis with relative sparing of the bilateral lung apices and no acute abnormality."
        },
        {
            "image_id": "3676_2",
            "caption": "The x-ray shows diffuse bilateral pulmonary interstitial disease and calcified lymph nodes in the left hilum. The thoracic aorta is also tortuous. However, there is no focal pulmonary consolidation or pleural effusion. The thoracic spine appears intact. Based on these findings, the impression is that there is redemonstration of diffuse bilateral pulmonary fibrosis with relative sparing of the bilateral lung apices and no acute abnormality."
        },
        {
            "image_id": "1288_1",
            "caption": "In the chest x-ray images taken from PA and lateral views, the heart and mediastinum appear normal. There are prominent bilateral pericardial fat pads. The lungs are well-aerated, but there is minimal patchy airspace opacity within the lingua, which could indicate either atelectasis or infiltrate. The impression suggests minimal airspace disease within the lingula might reflect atelectasis or infiltrate."
        },
        {
            "image_id": "1288_2",
            "caption": "In the chest x-ray images taken from PA and lateral views, the heart and mediastinum appear normal. There are prominent bilateral pericardial fat pads. The lungs are well-aerated, but there is minimal patchy airspace opacity within the lingua, which could indicate either atelectasis or infiltrate. The impression suggests minimal airspace disease within the lingula might reflect atelectasis or infiltrate."
        },
        {
            "image_id": "2959_1",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart and mediastinum. There is no active disease detected during the evaluation."
        },
        {
            "image_id": "2781_1",
            "caption": "The X-ray shows a normal heart size and midline trachea with clear lungs, no pneumothorax or pleural effusion. The impression of the radiologist reveals that the chest exam is normal with no signs of acute abnormalities."
        },
        {
            "image_id": "2781_2",
            "caption": "The X-ray shows a normal heart size and midline trachea with clear lungs, no pneumothorax or pleural effusion. The impression of the radiologist reveals that the chest exam is normal with no signs of acute abnormalities."
        },
        {
            "image_id": "2795_1",
            "caption": "Cardiomediastinal silhouette within normal limits. Diffuse reticulonodular pattern bilaterally in the lungs. Pulmonary vasculature is normal. No pneumothorax or large pleural effusion. Bony thorax unremarkable. Diffuse reticulonodular pattern bilaterally may indicate an underlying condition. It could be heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. Chest X-ray follow-up is recommended for further evaluation and characterization of the existing disease."
        },
        {
            "image_id": "2795_2",
            "caption": "Cardiomediastinal silhouette within normal limits. Diffuse reticulonodular pattern bilaterally in the lungs. Pulmonary vasculature is normal. No pneumothorax or large pleural effusion. Bony thorax unremarkable. Diffuse reticulonodular pattern bilaterally may indicate an underlying condition. It could be heart failure, opportunistic infection, or idiopathic interstitial pneumonitis. Chest X-ray follow-up is recommended for further evaluation and characterization of the existing disease."
        },
        {
            "image_id": "708_1",
            "caption": "The chest x-ray shows no signs of acute pulmonary disease. Specifically, there is no pleural effusion, pneumothorax, or focal airspace opacities. The cardiomediastinal silhouette is within normal limits, and the trachea is midline. Osseous structures appear intact and there is no free subdiaphragmatic air."
        },
        {
            "image_id": "708_2",
            "caption": "The chest x-ray shows no signs of acute pulmonary disease. Specifically, there is no pleural effusion, pneumothorax, or focal airspace opacities. The cardiomediastinal silhouette is within normal limits, and the trachea is midline. Osseous structures appear intact and there is no free subdiaphragmatic air."
        },
        {
            "image_id": "2965_1",
            "caption": "The chest X-ray shows no acute abnormalities. The heart, lungs, and mediastinum all appear normal in size and configuration. There is no evidence of any pleural effusion, pneumothorax or focal airspace disease. The report specifically mentions no radiographic evidence of tuberculosis."
        },
        {
            "image_id": "2965_2",
            "caption": "The chest X-ray shows no acute abnormalities. The heart, lungs, and mediastinum all appear normal in size and configuration. There is no evidence of any pleural effusion, pneumothorax or focal airspace disease. The report specifically mentions no radiographic evidence of tuberculosis."
        },
        {
            "image_id": "720_1",
            "caption": "The chest x-ray shows that the cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no presence of acute air space infiltrate, pleural effusion or pneumothorax. Overall, there is no acute process observed in the x-ray."
        },
        {
            "image_id": "720_2",
            "caption": "The chest x-ray shows that the cardiac silhouette, upper mediastinum and pulmonary vasculature are within normal limits. There is no presence of acute air space infiltrate, pleural effusion or pneumothorax. Overall, there is no acute process observed in the x-ray."
        },
        {
            "image_id": "734_1",
            "caption": "The X-ray image shows a normal heart size with no acute cardiopulmonary abnormalities. There is no visible evidence of pneumothorax, large pleural effusions, or focal airspace consolidation, indicating no current acute process."
        },
        {
            "image_id": "734_2",
            "caption": "The X-ray image shows a normal heart size with no acute cardiopulmonary abnormalities. There is no visible evidence of pneumothorax, large pleural effusions, or focal airspace consolidation, indicating no current acute process."
        },
        {
            "image_id": "2971_1",
            "caption": "The X-ray shows a clear cardiomediastinal silhouette and normal pulmonary vasculature and size. There are no signs of focal airspace disease, pneumothorax, or pleural effusion, and no acute bony findings. Therefore, there are no acute cardiopulmonary abnormalities noted in the X-ray."
        },
        {
            "image_id": "2742_1",
            "caption": "The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis. No acute findings. The X-ray shows normal cardiac contours and clear lungs. No acute abnormalities are seen on this X-ray."
        },
        {
            "image_id": "2742_2",
            "caption": "The cardiac contours are normal. Prior granulomatous disease. The lungs are clear. Thoracic spondylosis. Lower cervical degenerative arthritis. No acute findings. The X-ray shows normal cardiac contours and clear lungs. No acute abnormalities are seen on this X-ray."
        },
        {
            "image_id": "907_1",
            "caption": "The chest x-ray shows low lung volumes, but no acute findings. The heart size and pulmonary vascularity appear normal and there are no signs of focal airspace disease, pleural effusion, or pneumothorax. However, the patient has developed multiple healed left rib fractures since the last x-ray, and there are degenerative changes in the spine. Overall, there is no evidence of active disease but further evaluation may be needed for the rib fractures and spine issues."
        },
        {
            "image_id": "907_2",
            "caption": "The chest x-ray shows low lung volumes, but no acute findings. The heart size and pulmonary vascularity appear normal and there are no signs of focal airspace disease, pleural effusion, or pneumothorax. However, the patient has developed multiple healed left rib fractures since the last x-ray, and there are degenerative changes in the spine. Overall, there is no evidence of active disease but further evaluation may be needed for the rib fractures and spine issues."
        },
        {
            "image_id": "913_1",
            "caption": "Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in good alignment without fracture. The chest x-ray is negative for acute cardiopulmonary disease."
        },
        {
            "image_id": "913_2",
            "caption": "Heart size normal. Stable cardiomediastinal silhouette. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures are in good alignment without fracture. The chest x-ray is negative for acute cardiopulmonary disease."
        },
        {
            "image_id": "2756_1",
            "caption": "The finding shows a right lower lobe infiltrate, indicating a possible pneumonia. The trachea is midline, with no signs of pneumothorax or pleural effusion. The heart appears normal in size. It is recommended to perform further investigations to confirm the diagnosis and plan the required treatment."
        },
        {
            "image_id": "3448_1",
            "caption": "The chest x-ray shows hyperexpanded lungs and a calcific density in the left midlung zone, indicating old granulomatous disease. There is no evidence of acute cardiopulmonary abnormalities, such as focal airspace disease, pneumothorax, or pleural effusion. The heart is normal in size and the pulmonary vascularity appears normal. No acute bony abnormalities were observed. It is recommended to review the patient's medical history and perform additional tests if necessary."
        },
        {
            "image_id": "3448_2",
            "caption": "The chest x-ray shows hyperexpanded lungs and a calcific density in the left midlung zone, indicating old granulomatous disease. There is no evidence of acute cardiopulmonary abnormalities, such as focal airspace disease, pneumothorax, or pleural effusion. The heart is normal in size and the pulmonary vascularity appears normal. No acute bony abnormalities were observed. It is recommended to review the patient's medical history and perform additional tests if necessary."
        },
        {
            "image_id": "2030_1",
            "caption": "The chest x-ray shows hyperinflated lungs with small calcification in the right which may be pleural, and no evidence of pleural effusion or pneumothorax. The heart is not enlarged, but there are atherosclerotic changes in the aorta and arthritic changes in the skeletal structures. These findings are consistent with COPD, but there is no evidence of acute pulmonary disease. It is recommended to follow up with a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "2030_2",
            "caption": "The chest x-ray shows hyperinflated lungs with small calcification in the right which may be pleural, and no evidence of pleural effusion or pneumothorax. The heart is not enlarged, but there are atherosclerotic changes in the aorta and arthritic changes in the skeletal structures. These findings are consistent with COPD, but there is no evidence of acute pulmonary disease. It is recommended to follow up with a healthcare provider for further evaluation and management."
        },
        {
            "image_id": "1539_1",
            "caption": "The chest x-ray shows clear lungs and a normal cardiomediastinal silhouette with no pleural effusion identified, resulting in a normal chest film impression."
        },
        {
            "image_id": "1539_2",
            "caption": "The chest x-ray shows clear lungs and a normal cardiomediastinal silhouette with no pleural effusion identified, resulting in a normal chest film impression."
        },
        {
            "image_id": "3306_1",
            "caption": "Based on the chest X-ray image, the heart is of borderline size with mild stable cardiomegaly, and there is atherosclerotic changes of the aorta. However, the mediastinum is stable and the lungs are clear with no acute pulmonary disease identified, indicating a normal chest film overall."
        },
        {
            "image_id": "1511_1",
            "caption": "The x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating no active disease."
        },
        {
            "image_id": "1511_2",
            "caption": "The x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating no active disease."
        },
        {
            "image_id": "1277_1",
            "caption": "The patient's chest x-ray was evaluated using a PA and lateral view. The heart and mediastinum appear normal in size and shape. The lungs are clear and well-aerated, with no signs of pneumothorax, pleural effusion, or lobar air space consolidation. There appears to be a previously observed right middle lobe collapse that is now less visible. Overall, there are no current or acute cardiopulmonary diseases detected in the x-ray."
        },
        {
            "image_id": "1277_2",
            "caption": "The patient's chest x-ray was evaluated using a PA and lateral view. The heart and mediastinum appear normal in size and shape. The lungs are clear and well-aerated, with no signs of pneumothorax, pleural effusion, or lobar air space consolidation. There appears to be a previously observed right middle lobe collapse that is now less visible. Overall, there are no current or acute cardiopulmonary diseases detected in the x-ray."
        },
        {
            "image_id": "3460_1",
            "caption": "The findings from the chest X-ray reveal that the heart and mediastinum are unremarkable and the lungs are clear without infiltrate. There is no evidence of effusion or pneumothorax. The impression indicates no acute cardiopulmonary disease."
        },
        {
            "image_id": "3460_2",
            "caption": "The findings from the chest X-ray reveal that the heart and mediastinum are unremarkable and the lungs are clear without infiltrate. There is no evidence of effusion or pneumothorax. The impression indicates no acute cardiopulmonary disease."
        },
        {
            "image_id": "3474_1",
            "caption": "The x-ray shows crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones with low lung volumes. However, there are no noncalcified pulmonary nodules, pleural effusion or pneumothorax. Furthermore, there is no small heart size but a right diaphragmatic hump is present. The soft tissues seen in the left cardiophrenic could represent an ectatic descending aorta or hiatal hernia, with visulaized portions of the chest anatomy being within normal limits. Degenerative changes in the thoracic spine area are demonstrated as well. Overall, there is no indication of any acute cardiopulmonary abnormality from the given x-ray image."
        },
        {
            "image_id": "3474_2",
            "caption": "The x-ray shows crowded bronchovascular markings in the hilar and perihilar region, right lower lung zones with low lung volumes. However, there are no noncalcified pulmonary nodules, pleural effusion or pneumothorax. Furthermore, there is no small heart size but a right diaphragmatic hump is present. The soft tissues seen in the left cardiophrenic could represent an ectatic descending aorta or hiatal hernia, with visulaized portions of the chest anatomy being within normal limits. Degenerative changes in the thoracic spine area are demonstrated as well. Overall, there is no indication of any acute cardiopulmonary abnormality from the given x-ray image."
        },
        {
            "image_id": "1263_1",
            "caption": "The X-ray report shows that the cardiac and mediastinal contours are normal and the lungs are clear with intact bony structures. There are no signs of acute abnormalities. This is a good sign for overall physical health, although it is important to discuss any concerns with a medical professional."
        },
        {
            "image_id": "1263_2",
            "caption": "The X-ray report shows that the cardiac and mediastinal contours are normal and the lungs are clear with intact bony structures. There are no signs of acute abnormalities. This is a good sign for overall physical health, although it is important to discuss any concerns with a medical professional."
        },
        {
            "image_id": "1505_1",
            "caption": "The patient's X-ray reveals clear lungs and a normal heart size with no pneumothorax or pleural effusion. An opacity is observed at the base of the mediastinum which is suspected to be a hiatal hernia. The impression of the X-ray indicates no acute cardiopulmonary abnormality, hence further evaluations may be required for the identified hernia."
        },
        {
            "image_id": "1505_2",
            "caption": "The patient's X-ray reveals clear lungs and a normal heart size with no pneumothorax or pleural effusion. An opacity is observed at the base of the mediastinum which is suspected to be a hiatal hernia. The impression of the X-ray indicates no acute cardiopulmonary abnormality, hence further evaluations may be required for the identified hernia."
        },
        {
            "image_id": "3312_1",
            "caption": "The x-ray image shows a patchy infiltrate in the right middle lobe, indicating the presence of pneumonia in that area. The left lung looks clear and the heart appears to be a normal size. However, there is a tortuous aorta, which can lead to an increased risk of cardiovascular issues. It is important to seek medical attention and follow the recommended treatment plan for the pneumonia to prevent further complications."
        },
        {
            "image_id": "3312_2",
            "caption": "The x-ray image shows a patchy infiltrate in the right middle lobe, indicating the presence of pneumonia in that area. The left lung looks clear and the heart appears to be a normal size. However, there is a tortuous aorta, which can lead to an increased risk of cardiovascular issues. It is important to seek medical attention and follow the recommended treatment plan for the pneumonia to prevent further complications."
        },
        {
            "image_id": "1262_1",
            "caption": "The x-ray shows no acute cardiopulmonary disease. The cardiac silhouette and mediastinal contours are normal, but there are low lung volumes and a prominent right anterior first rib end. No focal consolidation or large pleural effusion is observed, but pneumothorax is present."
        },
        {
            "image_id": "1262_2",
            "caption": "The x-ray shows no acute cardiopulmonary disease. The cardiac silhouette and mediastinal contours are normal, but there are low lung volumes and a prominent right anterior first rib end. No focal consolidation or large pleural effusion is observed, but pneumothorax is present."
        },
        {
            "image_id": "1262_3",
            "caption": "The x-ray shows no acute cardiopulmonary disease. The cardiac silhouette and mediastinal contours are normal, but there are low lung volumes and a prominent right anterior first rib end. No focal consolidation or large pleural effusion is observed, but pneumothorax is present."
        },
        {
            "image_id": "3475_1",
            "caption": "The chest X-ray reveals clear lungs with a normal cardiomediastinal silhouette and no signs of pneumothorax or pleural effusion. Therefore, the impression is negative for acute cardiopulmonary disease, and no abnormalities or diseases were detected during the examination."
        },
        {
            "image_id": "3475_2",
            "caption": "The chest X-ray reveals clear lungs with a normal cardiomediastinal silhouette and no signs of pneumothorax or pleural effusion. Therefore, the impression is negative for acute cardiopulmonary disease, and no abnormalities or diseases were detected during the examination."
        },
        {
            "image_id": "3313_1",
            "caption": "The findings show clear lungs with no presence of pleural effusions, pneumothoraces or focal infiltrates. In addition, the heart and mediastinum appear normal in size and contour. The patient also has degenerative changes in the spine; however, there is no acute cardiopulmonary disease found. This indicates a healthy chest X-ray result in this instance."
        },
        {
            "image_id": "3313_2",
            "caption": "The findings show clear lungs with no presence of pleural effusions, pneumothoraces or focal infiltrates. In addition, the heart and mediastinum appear normal in size and contour. The patient also has degenerative changes in the spine; however, there is no acute cardiopulmonary disease found. This indicates a healthy chest X-ray result in this instance."
        },
        {
            "image_id": "1510_1",
            "caption": "The x-ray image shows clear lungs bilaterally and a normal cardiac and mediastinal silhouette with no abnormalities detected in the pulmonary vasculature. There is no evidence of pneumothorax, pleural effusion or acute bony abnormality. The impression is of no acute cardiopulmonary abnormality, indicating a normal and healthy condition."
        },
        {
            "image_id": "1510_2",
            "caption": "The x-ray image shows clear lungs bilaterally and a normal cardiac and mediastinal silhouette with no abnormalities detected in the pulmonary vasculature. There is no evidence of pneumothorax, pleural effusion or acute bony abnormality. The impression is of no acute cardiopulmonary abnormality, indicating a normal and healthy condition."
        },
        {
            "image_id": "2019_1",
            "caption": "The X-ray image shows a clear chest with no signs of acute cardiopulmonary abnormality. Specifically, the heart and mediastinal silhouette are of normal shape and size, while no presence of pneumothorax or pleural effusions are observed."
        },
        {
            "image_id": "2019_2",
            "caption": "The X-ray image shows a clear chest with no signs of acute cardiopulmonary abnormality. Specifically, the heart and mediastinal silhouette are of normal shape and size, while no presence of pneumothorax or pleural effusions are observed."
        },
        {
            "image_id": "3307_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. The lungs are clear and well-aerated, and there is no evidence of pneumothorax, pleural effusion or focal consolidation. Pulmonary vasculature is within normal limits. The impression is there is no acute cardiopulmonary disease, indicating that the patient has a normal chest x-ray."
        },
        {
            "image_id": "3307_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. The lungs are clear and well-aerated, and there is no evidence of pneumothorax, pleural effusion or focal consolidation. Pulmonary vasculature is within normal limits. The impression is there is no acute cardiopulmonary disease, indicating that the patient has a normal chest x-ray."
        },
        {
            "image_id": "3307_3",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. The lungs are clear and well-aerated, and there is no evidence of pneumothorax, pleural effusion or focal consolidation. Pulmonary vasculature is within normal limits. The impression is there is no acute cardiopulmonary disease, indicating that the patient has a normal chest x-ray."
        },
        {
            "image_id": "3307_4",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and shape. The lungs are clear and well-aerated, and there is no evidence of pneumothorax, pleural effusion or focal consolidation. Pulmonary vasculature is within normal limits. The impression is there is no acute cardiopulmonary disease, indicating that the patient has a normal chest x-ray."
        },
        {
            "image_id": "3461_1",
            "caption": "The lungs are clear with no evidence of pneumothorax or pleural effusion. The heart appears normal in size and configuration. The trachea is noted to be in the midline. Taken together, these findings indicate a normal chest exam."
        },
        {
            "image_id": "1276_1",
            "caption": "The x-ray shows that the heart and mediastinum are in their normal shape and size. Moreover, there are no visible signs of pleural effusion, pneumothorax, or any focal airspace disease. However, there are calcific granulomas present in the right upper lobe. The radiologist concludes that there are no acute cardiopulmonary abnormalities in the x-ray."
        },
        {
            "image_id": "1276_2",
            "caption": "The x-ray shows that the heart and mediastinum are in their normal shape and size. Moreover, there are no visible signs of pleural effusion, pneumothorax, or any focal airspace disease. However, there are calcific granulomas present in the right upper lobe. The radiologist concludes that there are no acute cardiopulmonary abnormalities in the x-ray."
        },
        {
            "image_id": "1276_3",
            "caption": "The x-ray shows that the heart and mediastinum are in their normal shape and size. Moreover, there are no visible signs of pleural effusion, pneumothorax, or any focal airspace disease. However, there are calcific granulomas present in the right upper lobe. The radiologist concludes that there are no acute cardiopulmonary abnormalities in the x-ray."
        },
        {
            "image_id": "3449_1",
            "caption": "From the frontal and lateral radiographs of the chest, the cardiomediastinal contours and pulmonary vascularity are normal with no focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen also appear unremarkable. In general, no evidence of acute cardiopulmonary process is observed."
        },
        {
            "image_id": "3449_2",
            "caption": "From the frontal and lateral radiographs of the chest, the cardiomediastinal contours and pulmonary vascularity are normal with no focal consolidation, pleural effusion, or pneumothorax identified. The visualized osseous structures and upper abdomen also appear unremarkable. In general, no evidence of acute cardiopulmonary process is observed."
        },
        {
            "image_id": "912_1",
            "caption": "The X-ray image shows clear lungs and no abnormalities in the heart or mediastinal area. There is no focal consolidation, pneumothorax, or pleural effusion. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "912_2",
            "caption": "The X-ray image shows clear lungs and no abnormalities in the heart or mediastinal area. There is no focal consolidation, pneumothorax, or pleural effusion. The overall impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1538_1",
            "caption": "The radiographic examination showed a normal heart size with a prominent left ventricular contour and unfolding of the thoracic aorta. The lungs were clear of any focal airspace disease, pleural effusion or pneumothorax. Additionally, visualized osseous structures appeared unremarkable. The impression was that there were no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1538_2",
            "caption": "The radiographic examination showed a normal heart size with a prominent left ventricular contour and unfolding of the thoracic aorta. The lungs were clear of any focal airspace disease, pleural effusion or pneumothorax. Additionally, visualized osseous structures appeared unremarkable. The impression was that there were no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2031_1",
            "caption": "The X-ray image shows that the heart size is normal and there are no focal pulmonary consolidations, pleural effusions, or pneumothorax. The pulmonary nodules are not visible. The overall impression is that there is no acute abnormality in the cardiopulmonary system."
        },
        {
            "image_id": "2031_2",
            "caption": "The X-ray image shows that the heart size is normal and there are no focal pulmonary consolidations, pleural effusions, or pneumothorax. The pulmonary nodules are not visible. The overall impression is that there is no acute abnormality in the cardiopulmonary system."
        },
        {
            "image_id": "2025_1",
            "caption": "Based on the examination, the lungs are clear and no focal consolidation, pleural effusion, or pneumothoraces were identified. The cardiomediastinal silhouette is within normal limits. As per the impression, there is no acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "906_1",
            "caption": "The chest x-ray shows stable mediastinal and hilar contours with a mildly enlarged heart size. No focal alveolar consolidation, pleural effusion or pneumothorax is seen. There are no typical findings of pulmonary edema present. Overall, the impression is mild cardiomegaly with no acute pulmonary findings."
        },
        {
            "image_id": "906_2",
            "caption": "The chest x-ray shows stable mediastinal and hilar contours with a mildly enlarged heart size. No focal alveolar consolidation, pleural effusion or pneumothorax is seen. There are no typical findings of pulmonary edema present. Overall, the impression is mild cardiomegaly with no acute pulmonary findings."
        },
        {
            "image_id": "2743_1",
            "caption": "The x-ray reveals no acute abnormalities in the cardiopulmonary system. The heart size is normal, there are no pleural effusions, pneumothorax, and focal consolidation areas in the lungs. The thoracic spine has degenerative changes, but no acute osseous abnormalities. There are calcifications in the aorta, but normal vascular markings. The radiologist did not find any signs of acute cardiopulmonary process."
        },
        {
            "image_id": "2743_2",
            "caption": "The x-ray reveals no acute abnormalities in the cardiopulmonary system. The heart size is normal, there are no pleural effusions, pneumothorax, and focal consolidation areas in the lungs. The thoracic spine has degenerative changes, but no acute osseous abnormalities. There are calcifications in the aorta, but normal vascular markings. The radiologist did not find any signs of acute cardiopulmonary process."
        },
        {
            "image_id": "2970_1",
            "caption": "Based on the X-ray image, the heart size and mediastinal contours are stable with a normal pulmonary vasculature. There is no sign of any focal airspace opacity, pleural effusion, or pneumothorax. The thoracic aorta is calcified, but stable. Additionally, there are no acute bony abnormalities noted. Overall, the radiographic scan shows no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2970_2",
            "caption": "Based on the X-ray image, the heart size and mediastinal contours are stable with a normal pulmonary vasculature. There is no sign of any focal airspace opacity, pleural effusion, or pneumothorax. The thoracic aorta is calcified, but stable. Additionally, there are no acute bony abnormalities noted. Overall, the radiographic scan shows no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "735_1",
            "caption": "The findings of the chest x-ray are unremarkable, showing a normal heart size and normal lung inflation without any focal airspace disease, pleural effusion, or pneumothorax. There are also no acute osseous abnormalities. Therefore, the impression is that there is no acute cardiopulmonary process seen in the x-ray image."
        },
        {
            "image_id": "735_2",
            "caption": "The findings of the chest x-ray are unremarkable, showing a normal heart size and normal lung inflation without any focal airspace disease, pleural effusion, or pneumothorax. There are also no acute osseous abnormalities. Therefore, the impression is that there is no acute cardiopulmonary process seen in the x-ray image."
        },
        {
            "image_id": "735_3",
            "caption": "The findings of the chest x-ray are unremarkable, showing a normal heart size and normal lung inflation without any focal airspace disease, pleural effusion, or pneumothorax. There are also no acute osseous abnormalities. Therefore, the impression is that there is no acute cardiopulmonary process seen in the x-ray image."
        },
        {
            "image_id": "721_1",
            "caption": "After conducting an X-ray examination, the radiologist reported clear lungs with no presence of focal airspace disease, pneumonia, pleural effusion or pneumothorax. The heart and mediastinum were found to be within normal size and configuration, without any suspicious cardiac or pulmonary abnormalities. The overall impression is that there are no acute cardiopulmonary findings, and no suspicious pulmonary nodules or masses were identified."
        },
        {
            "image_id": "721_2",
            "caption": "After conducting an X-ray examination, the radiologist reported clear lungs with no presence of focal airspace disease, pneumonia, pleural effusion or pneumothorax. The heart and mediastinum were found to be within normal size and configuration, without any suspicious cardiac or pulmonary abnormalities. The overall impression is that there are no acute cardiopulmonary findings, and no suspicious pulmonary nodules or masses were identified."
        },
        {
            "image_id": "2964_1",
            "caption": "After examining the patient's X-ray, it was found that the lungs are clear, and no focal airspace consolidation, pleural effusion, or pneumothorax is present. Moreover, the heart size and mediastinal contours are normal. The impression drawn from the X-ray suggests that there is no evidence of active disease present in the patient."
        },
        {
            "image_id": "2964_2",
            "caption": "After examining the patient's X-ray, it was found that the lungs are clear, and no focal airspace consolidation, pleural effusion, or pneumothorax is present. Moreover, the heart size and mediastinal contours are normal. The impression drawn from the X-ray suggests that there is no evidence of active disease present in the patient."
        },
        {
            "image_id": "709_1",
            "caption": "The findings of the X-ray image indicate normal heart size and clear lungs without any focal airspace consolidations, pleural effusions or pneumothoraces. Additionally, aortic vascular calcifications, normal pulmonary vascularity, and bone demineralization are observed. Scoliosis, which is possibly positional, and a fracture-dislocation of the proximal right shoulder are also observed. However, there is no evidence of active disease. Based on the analysis, it is confirmed that the lungs are clear and there is a fracture-dislocation present in the proximal right shoulder."
        },
        {
            "image_id": "2794_1",
            "caption": "Lungs are hyperexpanded with no infiltrates or masses while heart size is normal. The findings suggest changes consistent with COPD. No acute abnormalities were noted in the x-ray image. It is important to follow up with a healthcare provider for further evaluation and management of COPD."
        },
        {
            "image_id": "2794_2",
            "caption": "Lungs are hyperexpanded with no infiltrates or masses while heart size is normal. The findings suggest changes consistent with COPD. No acute abnormalities were noted in the x-ray image. It is important to follow up with a healthcare provider for further evaluation and management of COPD."
        },
        {
            "image_id": "2780_1",
            "caption": "The heart and lungs are normal in size and appearance without any acute abnormalities. Lungs are clear without any suspicious pulmonary nodules or masses, and no pleural effusion or pneumothorax observed. There are no acute osseous abnormalities or active diseases. It is suggestive of no apparent cardiopulmonary complications at this time."
        },
        {
            "image_id": "2780_2",
            "caption": "The heart and lungs are normal in size and appearance without any acute abnormalities. Lungs are clear without any suspicious pulmonary nodules or masses, and no pleural effusion or pneumothorax observed. There are no acute osseous abnormalities or active diseases. It is suggestive of no apparent cardiopulmonary complications at this time."
        },
        {
            "image_id": "1289_1",
            "caption": "One hemidiaphragm is low. Both costophrenic angles are blunted. Pulmonary vasculature is normal. No visible infiltrates in the aerated lungs. Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis. This could explain the lower hemidiaphragm and blunting of the costophrenic angles. Further evaluation and management are recommended."
        },
        {
            "image_id": "1289_2",
            "caption": "One hemidiaphragm is low. Both costophrenic angles are blunted. Pulmonary vasculature is normal. No visible infiltrates in the aerated lungs. Bilateral large pleural effusion, possibly from pleuritis or sympathetic from the known pancreatitis. This could explain the lower hemidiaphragm and blunting of the costophrenic angles. Further evaluation and management are recommended."
        },
        {
            "image_id": "292_1",
            "caption": "The x-ray reveals a normal heart size and contour with a vague area of focal airspace disease in the right midlung on the PA view, which suggests pneumonia. The lateral view does not show this abnormality, and there is no presence of a pneumothorax or effusion. Following appropriate treatment, it is recommended to have a follow-up x-ray to ensure complete resolution of the pneumonia."
        },
        {
            "image_id": "292_2",
            "caption": "The x-ray reveals a normal heart size and contour with a vague area of focal airspace disease in the right midlung on the PA view, which suggests pneumonia. The lateral view does not show this abnormality, and there is no presence of a pneumothorax or effusion. Following appropriate treatment, it is recommended to have a follow-up x-ray to ensure complete resolution of the pneumonia."
        },
        {
            "image_id": "1706_1",
            "caption": "The x-ray shows that the cardiac silhouette and mediastinal contours are normal with no focal opacities, pneumothorax or large pleural effusion. However, the lung volumes appear low which is indicative of no current cardiopulmonary illness."
        },
        {
            "image_id": "1706_2",
            "caption": "The x-ray shows that the cardiac silhouette and mediastinal contours are normal with no focal opacities, pneumothorax or large pleural effusion. However, the lung volumes appear low which is indicative of no current cardiopulmonary illness."
        },
        {
            "image_id": "3111_1",
            "caption": "The previous sternotomy appears stable. There is stable cardiomegaly and mild bilateral interstitial opacities, which may represent mild pulmonary edema. No evidence of a large pleural effusion or pneumothorax is seen. The X-ray shows stable cardiomegaly and mild bilateral interstitial opacities, likely indicating mild pulmonary edema. This could be due to a variety of causes, and further evaluation by a healthcare professional may be necessary to determine the underlying cause and appropriate treatment."
        },
        {
            "image_id": "3111_2",
            "caption": "The previous sternotomy appears stable. There is stable cardiomegaly and mild bilateral interstitial opacities, which may represent mild pulmonary edema. No evidence of a large pleural effusion or pneumothorax is seen. The X-ray shows stable cardiomegaly and mild bilateral interstitial opacities, likely indicating mild pulmonary edema. This could be due to a variety of causes, and further evaluation by a healthcare professional may be necessary to determine the underlying cause and appropriate treatment."
        },
        {
            "image_id": "2569_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality. The heart is normal-sized and the mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta, and mild emphysematous changes are noted. Although there is bilateral apical pleural scarring, there is no pleural effusion, pneumothorax, or focal airspace disease. Additionally, a calcified granuloma is seen in the right lower lobe, and the rest of the findings are unremarkable."
        },
        {
            "image_id": "2569_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality. The heart is normal-sized and the mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta, and mild emphysematous changes are noted. Although there is bilateral apical pleural scarring, there is no pleural effusion, pneumothorax, or focal airspace disease. Additionally, a calcified granuloma is seen in the right lower lobe, and the rest of the findings are unremarkable."
        },
        {
            "image_id": "2569_3",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality. The heart is normal-sized and the mediastinum is unremarkable. Atherosclerotic calcifications are present within the thoracic aorta, and mild emphysematous changes are noted. Although there is bilateral apical pleural scarring, there is no pleural effusion, pneumothorax, or focal airspace disease. Additionally, a calcified granuloma is seen in the right lower lobe, and the rest of the findings are unremarkable."
        },
        {
            "image_id": "3677_1",
            "caption": "The x-ray shows a normal heart size and clear lungs without any pleural effusion or pneumothorax. The aorta is tortuous but the remainder of the cardiomediastinal silhouette is normal. There are no bony abnormalities detected. The overall impression is of no active disease present."
        },
        {
            "image_id": "3677_2",
            "caption": "The x-ray shows a normal heart size and clear lungs without any pleural effusion or pneumothorax. The aorta is tortuous but the remainder of the cardiomediastinal silhouette is normal. There are no bony abnormalities detected. The overall impression is of no active disease present."
        },
        {
            "image_id": "1060_1",
            "caption": "The x-ray image shows normal cardiac contours and clear lungs. Additionally, there is thoracic spondylosis and mild dextrocurvature of the spine. However, there is no evidence of acute process according to the doctor's impression."
        },
        {
            "image_id": "1060_2",
            "caption": "The x-ray image shows normal cardiac contours and clear lungs. Additionally, there is thoracic spondylosis and mild dextrocurvature of the spine. However, there is no evidence of acute process according to the doctor's impression."
        },
        {
            "image_id": "1074_1",
            "caption": "The X-ray image shows stable cardiomediastinal silhouette with low lung volumes. There are no signs of acute cardiopulmonary findings, including pneumothorax or pleural effusion. Bony structures are normal. It is recommended to seek medical advice if symptoms persist or worsen."
        },
        {
            "image_id": "1074_2",
            "caption": "The X-ray image shows stable cardiomediastinal silhouette with low lung volumes. There are no signs of acute cardiopulmonary findings, including pneumothorax or pleural effusion. Bony structures are normal. It is recommended to seek medical advice if symptoms persist or worsen."
        },
        {
            "image_id": "3663_1",
            "caption": "The X-ray shows a normal and unremarkable heart and mediastinum. The lungs are clear and there is no evidence of active disease. This suggests that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3663_2",
            "caption": "The X-ray shows a normal and unremarkable heart and mediastinum. The lungs are clear and there is no evidence of active disease. This suggests that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3105_1",
            "caption": "The x-ray shows a normal heart and mediastinum with no evidence of active disease. There are no focal pulmonary consolidations, pleural effusions or pneumothorax, indicating no acute abnormalities."
        },
        {
            "image_id": "3105_2",
            "caption": "The x-ray shows a normal heart and mediastinum with no evidence of active disease. There are no focal pulmonary consolidations, pleural effusions or pneumothorax, indicating no acute abnormalities."
        },
        {
            "image_id": "1712_1",
            "caption": "The X-ray shows normal cardiac contours with no pleural effusion or pneumothorax. However, there is bilateral lower lobe bronchial thickening which is consistent with a diagnosis of bronchitis. It is recommended to follow up with a healthcare provider for appropriate treatment."
        },
        {
            "image_id": "1712_2",
            "caption": "The X-ray shows normal cardiac contours with no pleural effusion or pneumothorax. However, there is bilateral lower lobe bronchial thickening which is consistent with a diagnosis of bronchitis. It is recommended to follow up with a healthcare provider for appropriate treatment."
        },
        {
            "image_id": "286_1",
            "caption": "The findings of the X-ray indicate clear lungs with no visible pneumothorax or pleural effusion. The heart and mediastinum appear normal, as well as the intact bony structures. However, there is evidence of calcified left suprahilar abnormality. The impression suggests no acute cardiopulmonary process, but further investigation may be required regarding the calcified abnormality."
        },
        {
            "image_id": "286_2",
            "caption": "The findings of the X-ray indicate clear lungs with no visible pneumothorax or pleural effusion. The heart and mediastinum appear normal, as well as the intact bony structures. However, there is evidence of calcified left suprahilar abnormality. The impression suggests no acute cardiopulmonary process, but further investigation may be required regarding the calcified abnormality."
        },
        {
            "image_id": "2233_1",
            "caption": "The findings of the X-ray show hyperinflated lungs with a flattened diaphragm and increased retrosternal airspace. There are scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, and no definite pleural effusion seen. The impression is hyperinflated lungs, air trapping versus inspiratory issue. It is recommended to consult with a doctor for further evaluation and testing."
        },
        {
            "image_id": "2233_2",
            "caption": "The findings of the X-ray show hyperinflated lungs with a flattened diaphragm and increased retrosternal airspace. There are scattered chronic appearing irregular interstitial markings with no focal alveolar consolidation, and no definite pleural effusion seen. The impression is hyperinflated lungs, air trapping versus inspiratory issue. It is recommended to consult with a doctor for further evaluation and testing."
        },
        {
            "image_id": "2555_1",
            "caption": "The x-ray report shows that the heart size is normal with mild lung hyperexpansion. There are no focal air space consolidations, pleural effusions or pneumothoraces. The lungs are clear, and hilar and mediastinal contours are normal. Also, pulmonary vascularity is normal. The impression is that there is no acute abnormality observed. If you have any concerns about the findings, it is recommended to consult a doctor or a specialist."
        },
        {
            "image_id": "2555_2",
            "caption": "The x-ray report shows that the heart size is normal with mild lung hyperexpansion. There are no focal air space consolidations, pleural effusions or pneumothoraces. The lungs are clear, and hilar and mediastinal contours are normal. Also, pulmonary vascularity is normal. The impression is that there is no acute abnormality observed. If you have any concerns about the findings, it is recommended to consult a doctor or a specialist."
        },
        {
            "image_id": "3893_1",
            "caption": "The patient's x-ray shows no current abnormalities in their heart or lungs. There are no signs of pneumonia, pleural effusion, or pneumothorax. Mild findings, such as calcification and spondylosis, were observed but not deemed concerning. However, the patient shows signs of chronic lower lobe bronchitis, hyperinflated lungs and air trapping. A detailed examination and treatment by a medical professional can help better understand these findings and optimize the patient's health."
        },
        {
            "image_id": "3893_2",
            "caption": "The patient's x-ray shows no current abnormalities in their heart or lungs. There are no signs of pneumonia, pleural effusion, or pneumothorax. Mild findings, such as calcification and spondylosis, were observed but not deemed concerning. However, the patient shows signs of chronic lower lobe bronchitis, hyperinflated lungs and air trapping. A detailed examination and treatment by a medical professional can help better understand these findings and optimize the patient's health."
        },
        {
            "image_id": "2541_1",
            "caption": "The X-ray shows normal appearance of heart and mediastinal contours, with no visible evidence of pulmonary consolidation, pneumothorax or pleural effusion. The lungs are clear without any acute cardiopulmonary abnormality. The report also indicates mildly diminished lung volumes, which might require further investigation. Overall, the X-ray doesn't show any acute intrathoracic abnormality or displaced rib fractures."
        },
        {
            "image_id": "2541_2",
            "caption": "The X-ray shows normal appearance of heart and mediastinal contours, with no visible evidence of pulmonary consolidation, pneumothorax or pleural effusion. The lungs are clear without any acute cardiopulmonary abnormality. The report also indicates mildly diminished lung volumes, which might require further investigation. Overall, the X-ray doesn't show any acute intrathoracic abnormality or displaced rib fractures."
        },
        {
            "image_id": "3887_1",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality with clear lungs, no focal consolidation, pneumothorax or pleural effusion. The heart and mediastinum appear abnormal and suggest either right aortic arch or dextrocardia. No acute abnormality detected in osseous structures of the thorax. Further evaluation by a specialist is recommended."
        },
        {
            "image_id": "3887_2",
            "caption": "The X-ray shows no acute cardiopulmonary abnormality with clear lungs, no focal consolidation, pneumothorax or pleural effusion. The heart and mediastinum appear abnormal and suggest either right aortic arch or dextrocardia. No acute abnormality detected in osseous structures of the thorax. Further evaluation by a specialist is recommended."
        },
        {
            "image_id": "1048_1",
            "caption": "The X-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are all within normal limits. No acute cardiopulmonary abnormality is identified, and there is no suspicious pulmonary opacity, large pleural effusion, or pneumothorax seen. Visualized osseous structures are also intact. However, mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted."
        },
        {
            "image_id": "1048_2",
            "caption": "The X-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are all within normal limits. No acute cardiopulmonary abnormality is identified, and there is no suspicious pulmonary opacity, large pleural effusion, or pneumothorax seen. Visualized osseous structures are also intact. However, mild bilateral acromioclavicular joint and thoracic spine degenerative changes are noted."
        },
        {
            "image_id": "3139_1",
            "caption": "The X-ray image shows no acute abnormality or active disease. The heart and mediastinum are normal in size and pulmonary vascularity is within normal limits. Lungs are clear without any evidence of consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute, displaced rib fractures or bony abnormalities. However, the image reveals mild degenerative changes in some osseous structures. Based on these findings, there is no immediate concern for a serious cardiopulmonary issue."
        },
        {
            "image_id": "3139_2",
            "caption": "The X-ray image shows no acute abnormality or active disease. The heart and mediastinum are normal in size and pulmonary vascularity is within normal limits. Lungs are clear without any evidence of consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute, displaced rib fractures or bony abnormalities. However, the image reveals mild degenerative changes in some osseous structures. Based on these findings, there is no immediate concern for a serious cardiopulmonary issue."
        },
        {
            "image_id": "2227_1",
            "caption": "There is increasing primarily basilar interstitial reticular opacity and low lung volumes, but no evidence of lobar pneumonia or pneumothorax. An electronic cardiac device has been placed overlying the left chest wall with distal leads overlying the right heart. The heart size appears normal while the thoracic aorta is calcified. Findings consistent with worsening interstitial lung disease. High resolution imaging is recommended to confirm this."
        },
        {
            "image_id": "251_1",
            "caption": "The x-ray shows a normal heart size and unremarkable mediastinum with mild hyperinflation. There are also granulomatous sequela present. However, there is no evidence of acute infiltrate, significant pleural effusion or costophrenic abnormalities. The impression is that there is no acute disease present in the x-ray."
        },
        {
            "image_id": "251_2",
            "caption": "The x-ray shows a normal heart size and unremarkable mediastinum with mild hyperinflation. There are also granulomatous sequela present. However, there is no evidence of acute infiltrate, significant pleural effusion or costophrenic abnormalities. The impression is that there is no acute disease present in the x-ray."
        },
        {
            "image_id": "251_3",
            "caption": "The x-ray shows a normal heart size and unremarkable mediastinum with mild hyperinflation. There are also granulomatous sequela present. However, there is no evidence of acute infiltrate, significant pleural effusion or costophrenic abnormalities. The impression is that there is no acute disease present in the x-ray."
        },
        {
            "image_id": "537_1",
            "caption": "Scattered calcified granulomas are noted in the lungs. However, the lungs are mostly clear, and there are no signs of pneumothorax or pleural effusion. Normal cardiac and mediastinal silhouettes and pulmonary vasculature are seen, and there are no acute bony abnormalities.  The impression states that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "537_2",
            "caption": "Scattered calcified granulomas are noted in the lungs. However, the lungs are mostly clear, and there are no signs of pneumothorax or pleural effusion. Normal cardiac and mediastinal silhouettes and pulmonary vasculature are seen, and there are no acute bony abnormalities.  The impression states that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "3878_1",
            "caption": "The chest X-ray shows post-op changes of CABG and mild cardiomegaly. There is an infiltrate seen in the right lower lobe of the lung which may be indicative of pneumonia. Additionally, the X-ray reveals thoracic spondylosis. It is recommended to have a follow-up PA and lateral chest X-ray in 4-6 weeks to ensure resolution and exclude any underlying mass."
        },
        {
            "image_id": "3878_2",
            "caption": "The chest X-ray shows post-op changes of CABG and mild cardiomegaly. There is an infiltrate seen in the right lower lobe of the lung which may be indicative of pneumonia. Additionally, the X-ray reveals thoracic spondylosis. It is recommended to have a follow-up PA and lateral chest X-ray in 4-6 weeks to ensure resolution and exclude any underlying mass."
        },
        {
            "image_id": "523_1",
            "caption": "The x-ray shows a normal chest with clear lungs and normal heart size. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. Overall, the findings are unremarkable and suggestive of good health."
        },
        {
            "image_id": "1909_1",
            "caption": "On examination, the previously noted consolidation, atelectasis, and costophrenic  blunting that was present in the left lower lobe has cleared, but there is a lingering patchy infiltrate in the right middle lobe. No new infiltrates are observed. The heart appears slightly enlarged. The aorta continues to be tortuous. It is recommended to follow up on the persistent right middle lobe airspace disease to ensure resolution or identify any potential underlying conditions."
        },
        {
            "image_id": "1909_2",
            "caption": "On examination, the previously noted consolidation, atelectasis, and costophrenic  blunting that was present in the left lower lobe has cleared, but there is a lingering patchy infiltrate in the right middle lobe. No new infiltrates are observed. The heart appears slightly enlarged. The aorta continues to be tortuous. It is recommended to follow up on the persistent right middle lobe airspace disease to ensure resolution or identify any potential underlying conditions."
        },
        {
            "image_id": "245_1",
            "caption": "A chest x-ray was obtained and shows a normal sized and shaped heart with unremarkable aortic. The lungs exhibit signs of pneumonia in the left upper lobe, but there is no presence of effusion or pneumothorax. Therefore, the impression is that there is left upper lobe pneumonia which requires prompt medical attention."
        },
        {
            "image_id": "245_2",
            "caption": "A chest x-ray was obtained and shows a normal sized and shaped heart with unremarkable aortic. The lungs exhibit signs of pneumonia in the left upper lobe, but there is no presence of effusion or pneumothorax. Therefore, the impression is that there is left upper lobe pneumonia which requires prompt medical attention."
        },
        {
            "image_id": "1921_1",
            "caption": "The x-ray shows moderately-inflated lungs, consistent with COPD, and unchanged. There are atherosclerotic calcifications of the thoracic area, but no indication of airspace disease, effusion or noncalcified nodule. Heart size and mediastinum are normal, and visualized chest areas are within normal limits. No acute cardiopulmonary abnormality present. It is suggested that a follow-up examination be conducted to manage the COPD."
        },
        {
            "image_id": "1921_2",
            "caption": "The x-ray shows moderately-inflated lungs, consistent with COPD, and unchanged. There are atherosclerotic calcifications of the thoracic area, but no indication of airspace disease, effusion or noncalcified nodule. Heart size and mediastinum are normal, and visualized chest areas are within normal limits. No acute cardiopulmonary abnormality present. It is suggested that a follow-up examination be conducted to manage the COPD."
        },
        {
            "image_id": "2596_1",
            "caption": "The X-ray shows that the heart, mediastinum, and pulmonary vasculature are normal in size. There's no evidence of focal airspace disease, pneumothorax, or pleural effusion in the lungs. Additionally, there are no acute bony findings. The impression suggests that there are no acute findings."
        },
        {
            "image_id": "2596_2",
            "caption": "The X-ray shows that the heart, mediastinum, and pulmonary vasculature are normal in size. There's no evidence of focal airspace disease, pneumothorax, or pleural effusion in the lungs. Additionally, there are no acute bony findings. The impression suggests that there are no acute findings."
        },
        {
            "image_id": "2582_1",
            "caption": "The x-ray image shows low lung volumes with bronchovascular crowding and no definite acute findings of focal alveolar consolidation or pleural effusion. However, a dense nodule in the right base suggests a previous granulomatous process. The heart size appears normal, and there are no typical findings of pulmonary edema. Overall, the x-ray impression is of low lung volumes with no acute abnormalities, but prior granulomatous disease is noted."
        },
        {
            "image_id": "3844_1",
            "caption": "The x-ray shows that the heart size is at the upper limits of normal, but the lungs are clear and there are no signs of pleural effusions or pneumothoraces. Thus, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "3844_2",
            "caption": "The x-ray shows that the heart size is at the upper limits of normal, but the lungs are clear and there are no signs of pleural effusions or pneumothoraces. Thus, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "1935_1",
            "caption": "The x-ray shows that the heart is borderline in size and the aorta is mildly tortuous. It also shows that the right IJ catheter tip is in the proximal right atrium/cavoatrial junction. However, there is no pneumothorax detected and the lungs are clear of any abnormalities. There is also no large effusion observed."
        },
        {
            "image_id": "1935_2",
            "caption": "The x-ray shows that the heart is borderline in size and the aorta is mildly tortuous. It also shows that the right IJ catheter tip is in the proximal right atrium/cavoatrial junction. However, there is no pneumothorax detected and the lungs are clear of any abnormalities. There is also no large effusion observed."
        },
        {
            "image_id": "279_1",
            "caption": "The heart and pulmonary vascularity are within normal limits. Lungs are clear without any evident focal airspace disease, pleural effusion or pneumothorax. The x-ray shows no evidence of any active diseases in the heart, lungs or chest area."
        },
        {
            "image_id": "279_2",
            "caption": "The heart and pulmonary vascularity are within normal limits. Lungs are clear without any evident focal airspace disease, pleural effusion or pneumothorax. The x-ray shows no evidence of any active diseases in the heart, lungs or chest area."
        },
        {
            "image_id": "3065_1",
            "caption": "The chest X-ray shows clear lungs without any focal consolidation, pleural effusions or pneumothoraces. The heart size is normal, but there is a note of previous sternotomy. Additionally, degenerative changes are observed in the thoracic spine and a previous repair of the left rotator cuff is noted. Hence, further examinations may be required based on clinical symptoms."
        },
        {
            "image_id": "3703_1",
            "caption": "On examination of the frontal and lateral chest radiographs, the cardiomediastinal contours are within normal limits and pulmonary vascularity is normal. There is no evidence of focal consolidation, pleural effusion, or pneumothorax. Additionally, the osseous structures and upper abdomen are unremarkable. Therefore, there is no evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "3703_2",
            "caption": "On examination of the frontal and lateral chest radiographs, the cardiomediastinal contours are within normal limits and pulmonary vascularity is normal. There is no evidence of focal consolidation, pleural effusion, or pneumothorax. Additionally, the osseous structures and upper abdomen are unremarkable. Therefore, there is no evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "1114_1",
            "caption": "The x-ray reveals that the heart is normal in size with an unremarkable mediastinum, and the lungs are clear. There is no acute disease present, according to the impression."
        },
        {
            "image_id": "1114_2",
            "caption": "The x-ray reveals that the heart is normal in size with an unremarkable mediastinum, and the lungs are clear. There is no acute disease present, according to the impression."
        },
        {
            "image_id": "1100_1",
            "caption": "Heart is large with pulmonary vasculature engorged. Bibasilar interstitial infiltrates and bilateral costophrenic angle blunting are present. The X-ray shows findings consistent with signs of congestive heart failure, specifically basilar pulmonary interstitial edema and bilateral pleural fluid accumulation. Further evaluation and management by a healthcare provider is recommended to determine appropriate treatment options."
        },
        {
            "image_id": "1100_2",
            "caption": "Heart is large with pulmonary vasculature engorged. Bibasilar interstitial infiltrates and bilateral costophrenic angle blunting are present. The X-ray shows findings consistent with signs of congestive heart failure, specifically basilar pulmonary interstitial edema and bilateral pleural fluid accumulation. Further evaluation and management by a healthcare provider is recommended to determine appropriate treatment options."
        },
        {
            "image_id": "494_1",
            "caption": "The findings reveal that the heart size and pulmonary vascularity are normal, while the mediastinal contours are unremarkable. The right lung is clear, but there are opacities at the base of the left lung, which may indicate atelectasis or scarring. There is no evidence of focal consolidation, pleural effusion, or pneumothorax, and the bony structures appear unremarkable. Overall, the examination is considered unremarkable with the exception of the left lung base abnormalities. If there are any further questions, the radiologist can be contacted for assistance."
        },
        {
            "image_id": "494_2",
            "caption": "The findings reveal that the heart size and pulmonary vascularity are normal, while the mediastinal contours are unremarkable. The right lung is clear, but there are opacities at the base of the left lung, which may indicate atelectasis or scarring. There is no evidence of focal consolidation, pleural effusion, or pneumothorax, and the bony structures appear unremarkable. Overall, the examination is considered unremarkable with the exception of the left lung base abnormalities. If there are any further questions, the radiologist can be contacted for assistance."
        },
        {
            "image_id": "3717_1",
            "caption": "The chest X-ray shows low lung volumes and a normal heart size with no signs of acute cardiopulmonary disease. There is no pneumothorax, large effusion, or focal infiltrate. If you have any questions regarding this examination, please don't hesitate to ask your healthcare provider."
        },
        {
            "image_id": "3717_2",
            "caption": "The chest X-ray shows low lung volumes and a normal heart size with no signs of acute cardiopulmonary disease. There is no pneumothorax, large effusion, or focal infiltrate. If you have any questions regarding this examination, please don't hesitate to ask your healthcare provider."
        },
        {
            "image_id": "2409_1",
            "caption": "The radiograph shows persistent interstitial opacities at both lung bases along with calcified granulomas. There has been no significant change from the previous CT scan. There is no evidence of developing airspace opacity or pneumothorax. Therefore, the impression suggests stable groundglass and interstitial markings at the lung bases, which represents no significant change."
        },
        {
            "image_id": "3071_1",
            "caption": "The patient's X-ray shows no signs of acute disease or abnormality. The heart is of normal size and the lungs are clear. There are no focal air space consolidations, pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal, and there is normal pulmonary vascularity. This is a reassuring result, but it's important to discuss any questions or concerns with a healthcare professional."
        },
        {
            "image_id": "3071_2",
            "caption": "The patient's X-ray shows no signs of acute disease or abnormality. The heart is of normal size and the lungs are clear. There are no focal air space consolidations, pleural effusions or pneumothoraces. The hilar and mediastinal contours are normal, and there is normal pulmonary vascularity. This is a reassuring result, but it's important to discuss any questions or concerns with a healthcare professional."
        },
        {
            "image_id": "1666_1",
            "caption": "The x-ray revealed scattered areas of subsegmental atelectasis, most notably in the right middle lobe. Additionally, there is mild enlargement of the cardiac silhouette which could potentially represent either cardiomegaly or pericardial effusion. No pleural effusion or pneumothorax was observed, but there were diffuse degenerative changes of the spine. We recommend further evaluation to determine the exact cause of these findings. Please feel free to contact us if you have any questions or concerns."
        },
        {
            "image_id": "1666_2",
            "caption": "The x-ray revealed scattered areas of subsegmental atelectasis, most notably in the right middle lobe. Additionally, there is mild enlargement of the cardiac silhouette which could potentially represent either cardiomegaly or pericardial effusion. No pleural effusion or pneumothorax was observed, but there were diffuse degenerative changes of the spine. We recommend further evaluation to determine the exact cause of these findings. Please feel free to contact us if you have any questions or concerns."
        },
        {
            "image_id": "2347_1",
            "caption": "The patient's x-ray shows a normal cardiomediastinal silhouette. There are no signs of focal consolidation, pneumothorax, or large pleural effusion. However, there are T-spine osteophytes present. Overall, the x-ray is negative for any acute abnormalities."
        },
        {
            "image_id": "3059_1",
            "caption": "The X-ray shows lungs to be clear bilaterally with no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits and X-ray findings are unremarkable. No acute cardiopulmonary abnormality is observed."
        },
        {
            "image_id": "3059_2",
            "caption": "The X-ray shows lungs to be clear bilaterally with no focal consolidation, pleural effusion, or pneumothorax. Cardiomediastinal silhouette is within normal limits and X-ray findings are unremarkable. No acute cardiopulmonary abnormality is observed."
        },
        {
            "image_id": "1896_1",
            "caption": "Based on the X-ray image, the lungs are clear and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears to be normal, and the osseous structures of the thorax show no acute abnormality. Therefore, there is no acute cardiopulmonary abnormality detected in the image. It is particularly notable that there is no radiographically apparent explanation for the patient's hemoptysis."
        },
        {
            "image_id": "1896_2",
            "caption": "Based on the X-ray image, the lungs are clear and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears to be normal, and the osseous structures of the thorax show no acute abnormality. Therefore, there is no acute cardiopulmonary abnormality detected in the image. It is particularly notable that there is no radiographically apparent explanation for the patient's hemoptysis."
        },
        {
            "image_id": "2421_1",
            "caption": "The X-ray image shows enlarged heart, and the left subclavian ICD is again identified. The radiograph also shows no large pleural effusion or focal consolidation. These findings indicate stable moderate to marked cardiomegaly. The opacities are unchanged and compatible with subsegmental atelectasis or scarring."
        },
        {
            "image_id": "1882_1",
            "caption": "The x-ray image shows clear lungs bilaterally with normal cardiac contours. There is no evidence of any acute cardiopulmonary abnormality such as pneumothorax or pleural effusion. Based on the findings, the impression is that the patient currently has no existing medical issues related to the cardiopulmonary system. If there are any concerns or questions about the result, please do not hesitate to consult a medical professional for further evaluation."
        },
        {
            "image_id": "1882_2",
            "caption": "The x-ray image shows clear lungs bilaterally with normal cardiac contours. There is no evidence of any acute cardiopulmonary abnormality such as pneumothorax or pleural effusion. Based on the findings, the impression is that the patient currently has no existing medical issues related to the cardiopulmonary system. If there are any concerns or questions about the result, please do not hesitate to consult a medical professional for further evaluation."
        },
        {
            "image_id": "2353_1",
            "caption": "The x-ray shows a normal chest with clear lungs, normal cardiac contours, and no acute cardiopulmonary abnormality. The heart size is normal and there are no signs of pneumonia, pleural effusion, pneumothorax, adenopathy, nodules, or masses. The findings suggest a healthy chest without any concerning issues."
        },
        {
            "image_id": "2353_2",
            "caption": "The x-ray shows a normal chest with clear lungs, normal cardiac contours, and no acute cardiopulmonary abnormality. The heart size is normal and there are no signs of pneumonia, pleural effusion, pneumothorax, adenopathy, nodules, or masses. The findings suggest a healthy chest without any concerning issues."
        },
        {
            "image_id": "325_1",
            "caption": "Based on the X-ray, the lungs are clear with no pleural effusions or pneumothoraces. The heart and mediastinum are also normal in size and contour. Overall, the finding indicates clear lungs."
        },
        {
            "image_id": "325_2",
            "caption": "Based on the X-ray, the lungs are clear with no pleural effusions or pneumothoraces. The heart and mediastinum are also normal in size and contour. Overall, the finding indicates clear lungs."
        },
        {
            "image_id": "443_1",
            "caption": "The x-ray shows that the heart size and mediastinal contour are normal with no focal airspace consolidation, pneumothorax, or large pleural effusion. Additionally, degenerative changes of the thoracic spine are present. The impression is that there is no acute cardiopulmonary abnormality, specifically no evidence for acute tuberculosis."
        },
        {
            "image_id": "443_2",
            "caption": "The x-ray shows that the heart size and mediastinal contour are normal with no focal airspace consolidation, pneumothorax, or large pleural effusion. Additionally, degenerative changes of the thoracic spine are present. The impression is that there is no acute cardiopulmonary abnormality, specifically no evidence for acute tuberculosis."
        },
        {
            "image_id": "3918_1",
            "caption": "The chest x-ray finding shows hyperinflated lungs, air trapping, and mildly flattened posterior diaphragm with an increased retrosternal airspace. The heart size is within normal limits and there is no evidence of alveolar consolidation, pleural effusion, pulmonary edema or pneumothorax. Based on the findings, it is likely that the patient has air trapping or inspiratory obstruction. Further evaluation may be needed to determine the underlying cause of this condition."
        },
        {
            "image_id": "3918_2",
            "caption": "The chest x-ray finding shows hyperinflated lungs, air trapping, and mildly flattened posterior diaphragm with an increased retrosternal airspace. The heart size is within normal limits and there is no evidence of alveolar consolidation, pleural effusion, pulmonary edema or pneumothorax. Based on the findings, it is likely that the patient has air trapping or inspiratory obstruction. Further evaluation may be needed to determine the underlying cause of this condition."
        },
        {
            "image_id": "457_1",
            "caption": "There is a calcified granuloma in the left midlung and a round density in the anterior segment of the right upper lobe, which could be a pulmonary nodule. Prominent interstitial opacities are also present, possibly indicating fibrosis. The heart is normal in size and there is no evidence of pneumothorax. The round density in the right upper lobe may represent a pulmonary nodule. The referring physicians have been notified of this critical finding as per protocol."
        },
        {
            "image_id": "457_2",
            "caption": "There is a calcified granuloma in the left midlung and a round density in the anterior segment of the right upper lobe, which could be a pulmonary nodule. Prominent interstitial opacities are also present, possibly indicating fibrosis. The heart is normal in size and there is no evidence of pneumothorax. The round density in the right upper lobe may represent a pulmonary nodule. The referring physicians have been notified of this critical finding as per protocol."
        },
        {
            "image_id": "331_1",
            "caption": "The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. Based on the X-ray image, there are no acute abnormalities related to the heart, lungs or pleural regions."
        },
        {
            "image_id": "331_2",
            "caption": "The heart size and mediastinal silhouette are within normal limits for contour. The lungs are clear. No pneumothorax or pleural effusions. Based on the X-ray image, there are no acute abnormalities related to the heart, lungs or pleural regions."
        },
        {
            "image_id": "319_1",
            "caption": "During the examination, the heart was found to be of normal size and the lungs were clear with no presence of pleural effusion or pneumothorax. Based on the results, it can be concluded that the chest exam was normal and did not indicate any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "319_2",
            "caption": "During the examination, the heart was found to be of normal size and the lungs were clear with no presence of pleural effusion or pneumothorax. Based on the results, it can be concluded that the chest exam was normal and did not indicate any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1855_1",
            "caption": "The x-ray image shows that the heart size is normal. However, there is a focal left lateral base airspace disease and a 6mm nodular opacity in the right midlung. No pneumothorax or pleural effusion is identified. Also, there is an apparent deformity of the right humeral surgical neck, which is not seen on the comparison. Hence, clinical correlation is necessary with the history of fracture. Further evaluation may be necessary to diagnose the underlying cause of the lung abnormalities."
        },
        {
            "image_id": "1855_2",
            "caption": "The x-ray image shows that the heart size is normal. However, there is a focal left lateral base airspace disease and a 6mm nodular opacity in the right midlung. No pneumothorax or pleural effusion is identified. Also, there is an apparent deformity of the right humeral surgical neck, which is not seen on the comparison. Hence, clinical correlation is necessary with the history of fracture. Further evaluation may be necessary to diagnose the underlying cause of the lung abnormalities."
        },
        {
            "image_id": "2384_1",
            "caption": "The X-ray reveals that the heart size and pulmonary vascularity are normal. However, there is a presence of a large hiatal hernia and degenerative changes in the spine. Nevertheless, there is no evidence of active disease as the lungs are free of focal airspace disease, and there is no evidence of pneumothorax or pleural effusion."
        },
        {
            "image_id": "2384_2",
            "caption": "The X-ray reveals that the heart size and pulmonary vascularity are normal. However, there is a presence of a large hiatal hernia and degenerative changes in the spine. Nevertheless, there is no evidence of active disease as the lungs are free of focal airspace disease, and there is no evidence of pneumothorax or pleural effusion."
        },
        {
            "image_id": "3924_1",
            "caption": "The x-ray showed stable cardiomediastinal silhouette and atherosclerotic calcifications about the aortic. No focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax was identified. Dextroconvex scoliotic curvature of the thoracic spine was observed. The impression was no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "3930_1",
            "caption": "The patient has hyperexpanded lungs, which are indicative of obstructive lung disease. However, the lungs are overall clear without focal consolidation, and there are no suspicious pulmonary nodules or masses. Additionally, there are no pleural effusions or pneumothoraces observed. The heart size is at the upper limits of normal. Overall, this indicates hyperexpanded but clear lungs."
        },
        {
            "image_id": "3930_2",
            "caption": "The patient has hyperexpanded lungs, which are indicative of obstructive lung disease. However, the lungs are overall clear without focal consolidation, and there are no suspicious pulmonary nodules or masses. Additionally, there are no pleural effusions or pneumothoraces observed. The heart size is at the upper limits of normal. Overall, this indicates hyperexpanded but clear lungs."
        },
        {
            "image_id": "3930_3",
            "caption": "The patient has hyperexpanded lungs, which are indicative of obstructive lung disease. However, the lungs are overall clear without focal consolidation, and there are no suspicious pulmonary nodules or masses. Additionally, there are no pleural effusions or pneumothoraces observed. The heart size is at the upper limits of normal. Overall, this indicates hyperexpanded but clear lungs."
        },
        {
            "image_id": "2390_1",
            "caption": "The patient has several preexisting conditions related to past surgeries, including changes due to sternotomy and bypass graft, as well as postsurgical changes of the left hemithorax with rib changes and mild volume loss. The heart and aorta also showed some signs of age-related changes but were stable. Despite these preexisting conditions and changes, there was no acute interval change at the time of this exam."
        },
        {
            "image_id": "2390_2",
            "caption": "The patient has several preexisting conditions related to past surgeries, including changes due to sternotomy and bypass graft, as well as postsurgical changes of the left hemithorax with rib changes and mild volume loss. The heart and aorta also showed some signs of age-related changes but were stable. Despite these preexisting conditions and changes, there was no acute interval change at the time of this exam."
        },
        {
            "image_id": "1699_1",
            "caption": "The chest x-ray shows mild  mental prominence without pulmonary edema, a tortuous thoracic aorta. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, which is most typical for pneumonia. There is also an increased retrosternal clear space suggesting chronic obstructive pulmonary disease. A small left pleural effusion is also seen. Based on the patient's age, a follow-up chest x-ray is recommended to document resolution of the pneumonia. Overall, the impression is of a left lower lobe pneumonia with an accompanying small left parapneumonic pleural effusion, as well as radiographic signs of chronic obstructive pulmonary disease."
        },
        {
            "image_id": "1699_2",
            "caption": "The chest x-ray shows mild  mental prominence without pulmonary edema, a tortuous thoracic aorta. Focal airspace consolidation is visualized in the superior segment of the left lower lobe, which is most typical for pneumonia. There is also an increased retrosternal clear space suggesting chronic obstructive pulmonary disease. A small left pleural effusion is also seen. Based on the patient's age, a follow-up chest x-ray is recommended to document resolution of the pneumonia. Overall, the impression is of a left lower lobe pneumonia with an accompanying small left parapneumonic pleural effusion, as well as radiographic signs of chronic obstructive pulmonary disease."
        },
        {
            "image_id": "1841_1",
            "caption": "The chest x-ray shows no active disease. Both lungs are clear and expanded, with no focal abnormalities or signs of pneumonia, pneumothorax, or pleural effusion. The heart and mediastinal structures appear normal. Overall, the results suggest a normal chest exam with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1841_2",
            "caption": "The chest x-ray shows no active disease. Both lungs are clear and expanded, with no focal abnormalities or signs of pneumonia, pneumothorax, or pleural effusion. The heart and mediastinal structures appear normal. Overall, the results suggest a normal chest exam with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "682_1",
            "caption": "The x-ray image shows clear lungs, a normal heart and pulmonary vasculature, and clear pleural spaces. There are surgical clips and suture material in the right hilar region indicating prior lung surgery, but no evidence of disease recurrence. The radiologist's impression is that there is no acute cardiopulmonary disease, and no suspicious pulmonary nodules or masses present."
        },
        {
            "image_id": "682_2",
            "caption": "The x-ray image shows clear lungs, a normal heart and pulmonary vasculature, and clear pleural spaces. There are surgical clips and suture material in the right hilar region indicating prior lung surgery, but no evidence of disease recurrence. The radiologist's impression is that there is no acute cardiopulmonary disease, and no suspicious pulmonary nodules or masses present."
        },
        {
            "image_id": "3501_1",
            "caption": "The x-ray image shows the heart size, mediastinal contour, and pulmonary vascularity are within normal limits. The lungs are clear with no focal consolidation, pleural effusion, or pneumothorax identified. Additionally, there is no acute osseous abnormality identified. The impression is there are no acute cardiopulmonary abnormalities detected, indicating that the individual is in good health."
        },
        {
            "image_id": "3501_2",
            "caption": "The x-ray image shows the heart size, mediastinal contour, and pulmonary vascularity are within normal limits. The lungs are clear with no focal consolidation, pleural effusion, or pneumothorax identified. Additionally, there is no acute osseous abnormality identified. The impression is there are no acute cardiopulmonary abnormalities detected, indicating that the individual is in good health."
        },
        {
            "image_id": "3267_1",
            "caption": "The frontal and lateral radiographs of the chest show normal cardiomediastinal contours, lungs, pleura, osseous structures, and upper abdomen. No acute thoracic abnormalities are seen on the X-ray image."
        },
        {
            "image_id": "3267_2",
            "caption": "The frontal and lateral radiographs of the chest show normal cardiomediastinal contours, lungs, pleura, osseous structures, and upper abdomen. No acute thoracic abnormalities are seen on the X-ray image."
        },
        {
            "image_id": "2179_1",
            "caption": "The chest X-ray reveals flattening of the bilateral hemidiaphragms with mild hyperexpansion, indicating no acute process. Lungs are clear, and there is no visible pneumothorax or effusion. Bony structures and soft tissues are unremarkable."
        },
        {
            "image_id": "2179_2",
            "caption": "The chest X-ray reveals flattening of the bilateral hemidiaphragms with mild hyperexpansion, indicating no acute process. Lungs are clear, and there is no visible pneumothorax or effusion. Bony structures and soft tissues are unremarkable."
        },
        {
            "image_id": "1470_1",
            "caption": "The chest x-ray shows no abnormality in the heart, lungs, or pleural regions. The mediastinum appears normal. There is no evidence of pneumonia, pleural effusion, or pneumothorax. The finding suggests that the patient's overall cardiopulmonary status is good."
        },
        {
            "image_id": "1470_2",
            "caption": "The chest x-ray shows no abnormality in the heart, lungs, or pleural regions. The mediastinum appears normal. There is no evidence of pneumonia, pleural effusion, or pneumothorax. The finding suggests that the patient's overall cardiopulmonary status is good."
        },
        {
            "image_id": "1464_1",
            "caption": "The chest x-ray image reveals that the heart and mediastinum are all within normal limits. There is no evidence of a pleural effusion or pneumothorax, and no focal air space opacity that would suggest pneumonia. However, a calcified granuloma is present in the left lung base, indicating evidence of a previous granulomatous infection. Based on these findings, there is no sign of acute cardiopulmonary disease."
        },
        {
            "image_id": "1464_2",
            "caption": "The chest x-ray image reveals that the heart and mediastinum are all within normal limits. There is no evidence of a pleural effusion or pneumothorax, and no focal air space opacity that would suggest pneumonia. However, a calcified granuloma is present in the left lung base, indicating evidence of a previous granulomatous infection. Based on these findings, there is no sign of acute cardiopulmonary disease."
        },
        {
            "image_id": "3273_1",
            "caption": "The chest X-ray shows cardiomegaly without any active cardiopulmonary disease. No focal consolidation, pleural effusion, or pneumothorax is detected. The mild unfolding of the thoracic aorta is noted. Bony thorax and soft tissues appear normal. The impression indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3273_2",
            "caption": "The chest X-ray shows cardiomegaly without any active cardiopulmonary disease. No focal consolidation, pleural effusion, or pneumothorax is detected. The mild unfolding of the thoracic aorta is noted. Bony thorax and soft tissues appear normal. The impression indicates no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3515_1",
            "caption": "The x-ray reveals no active disease as the lungs are clear, and only a small calcified granuloma is present in the left lower lobe. The heart size and mediastinum are found to be normal, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3515_2",
            "caption": "The x-ray reveals no active disease as the lungs are clear, and only a small calcified granuloma is present in the left lower lobe. The heart size and mediastinum are found to be normal, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "696_1",
            "caption": "The X-ray reveals some limitations due to the patient's body habitus, but there is no evidence of acute pulmonary disease. The lungs are clear, and there is no pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal."
        },
        {
            "image_id": "696_2",
            "caption": "The X-ray reveals some limitations due to the patient's body habitus, but there is no evidence of acute pulmonary disease. The lungs are clear, and there is no pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal."
        },
        {
            "image_id": "1302_1",
            "caption": "Upon review of the x-ray image, the lungs and pleural spaces are clear with no signs of effusion or pneumothorax. The heart and mediastinum are within normal limits, however, shows mild ectasia of the aorta and the heart size is at the upper limits of normal. Additionally, there are degenerative changes in the spine. Overall, the chest appears stable without any acute abnormalities."
        },
        {
            "image_id": "1302_2",
            "caption": "Upon review of the x-ray image, the lungs and pleural spaces are clear with no signs of effusion or pneumothorax. The heart and mediastinum are within normal limits, however, shows mild ectasia of the aorta and the heart size is at the upper limits of normal. Additionally, there are degenerative changes in the spine. Overall, the chest appears stable without any acute abnormalities."
        },
        {
            "image_id": "2623_1",
            "caption": "Based on the X-ray examination, the lungs appear clear without any signs of infiltration, pleural effusion or pneumothoraces. The cardiomedistinal silhouette is also within normal limits. No acute bony or soft tissue abnormality was observed. Overall, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2623_2",
            "caption": "Based on the X-ray examination, the lungs appear clear without any signs of infiltration, pleural effusion or pneumothoraces. The cardiomedistinal silhouette is also within normal limits. No acute bony or soft tissue abnormality was observed. Overall, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "866_1",
            "caption": "The chest x-ray shows that the heart, lungs, and mediastinum are within normal limits. There are no focal consolidations, suspicious pulmonary opacities, large pleural effusions, or pneumothoraces noted. Visualized osseous structures appear intact. Based on these findings, there is no evidence of any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "26_1",
            "caption": "The chest x-ray shows normal cardiac contours and clear lungs. However, thoracic spondylosis is observed. Overall, no acute abnormalities are identified."
        },
        {
            "image_id": "26_2",
            "caption": "The chest x-ray shows normal cardiac contours and clear lungs. However, thoracic spondylosis is observed. Overall, no acute abnormalities are identified."
        },
        {
            "image_id": "2145_1",
            "caption": "The chest x-ray shows normal cardiomediastinal outline with clear lungs, no pneumothorax or pneumomediastinum, and normal bony structures. The impression is that the chest x-ray is normal and there is no abnormality detected."
        },
        {
            "image_id": "2145_2",
            "caption": "The chest x-ray shows normal cardiomediastinal outline with clear lungs, no pneumothorax or pneumomediastinum, and normal bony structures. The impression is that the chest x-ray is normal and there is no abnormality detected."
        },
        {
            "image_id": "2145_3",
            "caption": "The chest x-ray shows normal cardiomediastinal outline with clear lungs, no pneumothorax or pneumomediastinum, and normal bony structures. The impression is that the chest x-ray is normal and there is no abnormality detected."
        },
        {
            "image_id": "2151_1",
            "caption": "The X-ray shows a hyperinflated lung with a flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation or pleural effusion is present. The heart size is within normal limits without typical findings of pulmonary edema. Mild spine dextrocurvature is noted. The impression suggests hyperinflated lungs and air trapping versus inspiratory issue."
        },
        {
            "image_id": "2151_2",
            "caption": "The X-ray shows a hyperinflated lung with a flattened diaphragm and increased retrosternal airspace. No focal alveolar consolidation or pleural effusion is present. The heart size is within normal limits without typical findings of pulmonary edema. Mild spine dextrocurvature is noted. The impression suggests hyperinflated lungs and air trapping versus inspiratory issue."
        },
        {
            "image_id": "1458_1",
            "caption": "The x-ray image shows stable cardiomegaly and mediastinal contour. The lungs are clear without any focal consolidation, large pleural effusion or pneumothorax. A slight opacity is noticed at the left basilar airspace, which is secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted, but otherwise, visualized osseous structures are normal. Overall, the impression suggests stable cardiomegaly and clear lungs with no acute abnormality."
        },
        {
            "image_id": "1458_2",
            "caption": "The x-ray image shows stable cardiomegaly and mediastinal contour. The lungs are clear without any focal consolidation, large pleural effusion or pneumothorax. A slight opacity is noticed at the left basilar airspace, which is secondary to epicardial fat and overlying soft tissues. DISH of the thoracic spine is noted, but otherwise, visualized osseous structures are normal. Overall, the impression suggests stable cardiomegaly and clear lungs with no acute abnormality."
        },
        {
            "image_id": "872_1",
            "caption": "Based on the chest x-ray, the cardiac and mediastinal contours appear normal and there are no acute findings. The lungs are clear and there is no evidence of pneumonia or granulomatous disease. Bony structures are intact."
        },
        {
            "image_id": "872_2",
            "caption": "Based on the chest x-ray, the cardiac and mediastinal contours appear normal and there are no acute findings. The lungs are clear and there is no evidence of pneumonia or granulomatous disease. Bony structures are intact."
        },
        {
            "image_id": "32_1",
            "caption": "The x-ray revealed a normal sized heart and unremarkable mediastinum. Mild blunting of right costophrenic was noted, but the lungs are otherwise clear. No evidence of acute disease was found on the x-ray."
        },
        {
            "image_id": "32_2",
            "caption": "The x-ray revealed a normal sized heart and unremarkable mediastinum. Mild blunting of right costophrenic was noted, but the lungs are otherwise clear. No evidence of acute disease was found on the x-ray."
        },
        {
            "image_id": "2637_1",
            "caption": "Moderate-to-marked enlargement of the cardiac silhouette and mild bilateral posterior sulcus blunting. Abnormal pulmonary opacities with indistinct vascular margination in central lungs and bases. 1. Cardiomegaly and small bilateral pleural effusions. 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, infection, or aspiration. Clinical correlation required. Overall, the x-ray shows an enlargement in the size of the heart with some fluid accumulation around the lungs. The appearance of the lungs is abnormal and may indicate pulmonary edema, infection, or aspiration. Further evaluation and correlation with clinical symptoms are necessary to determine the underlying cause."
        },
        {
            "image_id": "2637_2",
            "caption": "Moderate-to-marked enlargement of the cardiac silhouette and mild bilateral posterior sulcus blunting. Abnormal pulmonary opacities with indistinct vascular margination in central lungs and bases. 1. Cardiomegaly and small bilateral pleural effusions. 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, infection, or aspiration. Clinical correlation required. Overall, the x-ray shows an enlargement in the size of the heart with some fluid accumulation around the lungs. The appearance of the lungs is abnormal and may indicate pulmonary edema, infection, or aspiration. Further evaluation and correlation with clinical symptoms are necessary to determine the underlying cause."
        },
        {
            "image_id": "2637_3",
            "caption": "Moderate-to-marked enlargement of the cardiac silhouette and mild bilateral posterior sulcus blunting. Abnormal pulmonary opacities with indistinct vascular margination in central lungs and bases. 1. Cardiomegaly and small bilateral pleural effusions. 2. Abnormal pulmonary opacities most suggestive of pulmonary edema, infection, or aspiration. Clinical correlation required. Overall, the x-ray shows an enlargement in the size of the heart with some fluid accumulation around the lungs. The appearance of the lungs is abnormal and may indicate pulmonary edema, infection, or aspiration. Further evaluation and correlation with clinical symptoms are necessary to determine the underlying cause."
        },
        {
            "image_id": "3529_1",
            "caption": "The x-ray shows stable postoperative changes with stable mild cardiomegaly and normal lung vascularity. The midline sternotomy is intact and the lungs are clear, indicating no acute disease."
        },
        {
            "image_id": "3529_2",
            "caption": "The x-ray shows stable postoperative changes with stable mild cardiomegaly and normal lung vascularity. The midline sternotomy is intact and the lungs are clear, indicating no acute disease."
        },
        {
            "image_id": "2804_1",
            "caption": "The X-ray image shows that the heart size and pulmonary vascularity are normal. There are no signs of focal airspace disease or pleural effusion or pneumothorax. Additionally, no nodules or adenopathy is identified which indicates that there is no evidence of active disease."
        },
        {
            "image_id": "2804_2",
            "caption": "The X-ray image shows that the heart size and pulmonary vascularity are normal. There are no signs of focal airspace disease or pleural effusion or pneumothorax. Additionally, no nodules or adenopathy is identified which indicates that there is no evidence of active disease."
        },
        {
            "image_id": "641_1",
            "caption": "The chest x-ray shows no abnormalities. The heart and lungs appear normal, and no evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax is seen. The spine shows mild dextrocurvature, but there are no acute findings. Overall, the x-ray shows no signs of active disease."
        },
        {
            "image_id": "641_2",
            "caption": "The chest x-ray shows no abnormalities. The heart and lungs appear normal, and no evidence of pneumonia, pulmonary edema, pleural effusion or pneumothorax is seen. The spine shows mild dextrocurvature, but there are no acute findings. Overall, the x-ray shows no signs of active disease."
        },
        {
            "image_id": "899_1",
            "caption": "From the chest X-ray image, it is observed that the lungs are clear without any focal consolidation or pleural effusion. Presence of a pneumothorax is also ruled out. The size and shape of the heart and mediastinum are normal. Osseous and soft tissues are unremarkable. Based on the observations, no acute cardiopulmonary disease is identified. It is advisable to consult a doctor for further evaluation and interpretation of the results."
        },
        {
            "image_id": "899_2",
            "caption": "From the chest X-ray image, it is observed that the lungs are clear without any focal consolidation or pleural effusion. Presence of a pneumothorax is also ruled out. The size and shape of the heart and mediastinum are normal. Osseous and soft tissues are unremarkable. Based on the observations, no acute cardiopulmonary disease is identified. It is advisable to consult a doctor for further evaluation and interpretation of the results."
        },
        {
            "image_id": "127_1",
            "caption": "The chest x-ray shows a normal heart size and no evident pulmonary abnormalities, such as airspace disease or pleural effusion. The mediastinal contours also appear normal, as well as the osseous structures. The impression reads that there is no current acute cardiopulmonary disease, which is reassuring for the patient."
        },
        {
            "image_id": "127_2",
            "caption": "The chest x-ray shows a normal heart size and no evident pulmonary abnormalities, such as airspace disease or pleural effusion. The mediastinal contours also appear normal, as well as the osseous structures. The impression reads that there is no current acute cardiopulmonary disease, which is reassuring for the patient."
        },
        {
            "image_id": "133_1",
            "caption": "The patient's chest x-ray shows a normal-sized heart with an unremarkable mediastinum. The lungs are clear with no signs of acute disease. The impression is that there is no acute pathology observed."
        },
        {
            "image_id": "133_2",
            "caption": "The patient's chest x-ray shows a normal-sized heart with an unremarkable mediastinum. The lungs are clear with no signs of acute disease. The impression is that there is no acute pathology observed."
        },
        {
            "image_id": "133_3",
            "caption": "The patient's chest x-ray shows a normal-sized heart with an unremarkable mediastinum. The lungs are clear with no signs of acute disease. The impression is that there is no acute pathology observed."
        },
        {
            "image_id": "655_1",
            "caption": "The x-ray image shows normal heart size and clear lungs with hyperinflation. No acute cardiopulmonary process is seen, and there are no pneumothorax or pleural effusion. Bony structures appear normal."
        },
        {
            "image_id": "655_2",
            "caption": "The x-ray image shows normal heart size and clear lungs with hyperinflation. No acute cardiopulmonary process is seen, and there are no pneumothorax or pleural effusion. Bony structures appear normal."
        },
        {
            "image_id": "2810_1",
            "caption": "The x-ray image of the chest shows a normal heart size and no abnormalities in the cardiomediastinal contours. The lungs are clear without any focal airspace opacity, pleural effusion, or pneumothorax. Additionally, mild degenerative changes in the spine are noted. Based on the findings, there are no acute cardiopulmonary abnormalities observed in the x-ray image."
        },
        {
            "image_id": "2810_2",
            "caption": "The x-ray image of the chest shows a normal heart size and no abnormalities in the cardiomediastinal contours. The lungs are clear without any focal airspace opacity, pleural effusion, or pneumothorax. Additionally, mild degenerative changes in the spine are noted. Based on the findings, there are no acute cardiopulmonary abnormalities observed in the x-ray image."
        },
        {
            "image_id": "2838_1",
            "caption": "After evaluating the x-ray image, the findings reveal that the lungs are clear, and the cardiomediastinal silhouette is within normal limits. No evidence of a pneumothorax or pleural effusion is present. Therefore, the impression is that the chest is negative for any abnormalities."
        },
        {
            "image_id": "2186_1",
            "caption": "The chest X-ray shows clear lungs with normal pulmonary vasculature, but low lung volumes. The heart and mediastinum appear normal, and there is no evidence of pleural effusion. Based on these findings, there is no indication of any acute cardiopulmonary disease."
        },
        {
            "image_id": "2186_2",
            "caption": "The chest X-ray shows clear lungs with normal pulmonary vasculature, but low lung volumes. The heart and mediastinum appear normal, and there is no evidence of pleural effusion. Based on these findings, there is no indication of any acute cardiopulmonary disease."
        },
        {
            "image_id": "3298_1",
            "caption": "The patient's x-ray shows a heart size within normal limits with no focal airspace consolidations, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3298_2",
            "caption": "The patient's x-ray shows a heart size within normal limits with no focal airspace consolidations, pneumothorax, or pleural effusion. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2192_1",
            "caption": "The X-ray shows that there are no signs of pneumonia, lung collapse, or excess fluid in the lungs, and the heart appears normal in size. However, there are some degenerative changes in the spine and a previously-declared deformity in the midthoracic spine. There is also subcutaneous shunt catheter tubing along the anterior chest wall. The impression states that there are no acute cardiopulmonary issues, but further evaluation may be needed for the spinal findings."
        },
        {
            "image_id": "2192_2",
            "caption": "The X-ray shows that there are no signs of pneumonia, lung collapse, or excess fluid in the lungs, and the heart appears normal in size. However, there are some degenerative changes in the spine and a previously-declared deformity in the midthoracic spine. There is also subcutaneous shunt catheter tubing along the anterior chest wall. The impression states that there are no acute cardiopulmonary issues, but further evaluation may be needed for the spinal findings."
        },
        {
            "image_id": "669_1",
            "caption": "The X-ray reveals cardiomegaly and mild vascular prominence in the upper lobe pulmonary vascularity, possibly indicating pulmonary venous hypertension. However, there is no evident focal airspace disease or pneumothorax. Eventration on the right hemidiaphragm and bony changes of renal osteodystrophy are observed. There are no signs of acute disease."
        },
        {
            "image_id": "669_2",
            "caption": "The X-ray reveals cardiomegaly and mild vascular prominence in the upper lobe pulmonary vascularity, possibly indicating pulmonary venous hypertension. However, there is no evident focal airspace disease or pneumothorax. Eventration on the right hemidiaphragm and bony changes of renal osteodystrophy are observed. There are no signs of acute disease."
        },
        {
            "image_id": "119_1",
            "caption": "The x-ray shows a normal size and configuration of the cardiac silhouette and mediastinal contour, along with normal  vasculature, central airways, and lung volumes. No pleural effusion or acute cardiac, pulmonary, or pleural disease is identified, indicating a healthy chest."
        },
        {
            "image_id": "2184_1",
            "caption": "The X-ray shows that the heart is mildly enlarged, with normal mediastinal contour and pulmonary vascularity. Left basilar airspace opacities are seen, compatible with atelectasis. There is a left-upper-lung granuloma, but no other focal consolidation, large pleural effusion, or pneumothorax. The comparison CT shows the atelectasis more clearly. The impression is of left basilar atelectasis, but no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "2184_2",
            "caption": "The X-ray shows that the heart is mildly enlarged, with normal mediastinal contour and pulmonary vascularity. Left basilar airspace opacities are seen, compatible with atelectasis. There is a left-upper-lung granuloma, but no other focal consolidation, large pleural effusion, or pneumothorax. The comparison CT shows the atelectasis more clearly. The impression is of left basilar atelectasis, but no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "2190_1",
            "caption": "The x-ray image shows clear lungs with normal size and contour of the heart and mediastinum. No pleural effusions or pneumothoraces were identified. However, there were degenerative changes in the spine with a spinal stimulator in place. The impression is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "2190_2",
            "caption": "The x-ray image shows clear lungs with normal size and contour of the heart and mediastinum. No pleural effusions or pneumothoraces were identified. However, there were degenerative changes in the spine with a spinal stimulator in place. The impression is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "1499_1",
            "caption": "The chest x-ray shows a normal size and shape of the heart and mediastinum without any focal airspace disease, pneumothorax, or pleural effusion. Bony thorax is unremarkable. The lung volumes are low but clear, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1499_2",
            "caption": "The chest x-ray shows a normal size and shape of the heart and mediastinum without any focal airspace disease, pneumothorax, or pleural effusion. Bony thorax is unremarkable. The lung volumes are low but clear, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "125_1",
            "caption": "The patient's x-ray shows that the heart appears normal in size and the mediastinum is stable. The lungs are clear without any signs of infiltrates or pleural effusion. The impression is that there is no acute disease present."
        },
        {
            "image_id": "125_2",
            "caption": "The patient's x-ray shows that the heart appears normal in size and the mediastinum is stable. The lungs are clear without any signs of infiltrates or pleural effusion. The impression is that there is no acute disease present."
        },
        {
            "image_id": "2806_1",
            "caption": "The X-ray shows a normal heart size and clear lungs. There is no sign of edema or effusions, indicating no acute disease in the cardiopulmonary system."
        },
        {
            "image_id": "2806_2",
            "caption": "The X-ray shows a normal heart size and clear lungs. There is no sign of edema or effusions, indicating no acute disease in the cardiopulmonary system."
        },
        {
            "image_id": "2812_1",
            "caption": "Lung volumes are low. A patchy infiltrate has developed in the right lower lobe. Heart and pulmonary are normal. The patient has a patchy right lower lobe infiltrate consistent with pneumonia. The x-ray also shows low lung volumes. It is important for the patient to follow up with their healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "2812_2",
            "caption": "Lung volumes are low. A patchy infiltrate has developed in the right lower lobe. Heart and pulmonary are normal. The patient has a patchy right lower lobe infiltrate consistent with pneumonia. The x-ray also shows low lung volumes. It is important for the patient to follow up with their healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "657_1",
            "caption": "The x-ray shows that the heart is at the upper limits of the normal size, but there is no acute abnormality detected in relation to this or any other cardiopulmonary matter. The lungs are clear without any focal infiltrates, and normal pulmonary vascularity is observed without any indications of pneumothorax or pleural effusion. This suggests that the patient has healthy cardiopulmonary activity, and there is no cause for concern."
        },
        {
            "image_id": "657_2",
            "caption": "The x-ray shows that the heart is at the upper limits of the normal size, but there is no acute abnormality detected in relation to this or any other cardiopulmonary matter. The lungs are clear without any focal infiltrates, and normal pulmonary vascularity is observed without any indications of pneumothorax or pleural effusion. This suggests that the patient has healthy cardiopulmonary activity, and there is no cause for concern."
        },
        {
            "image_id": "131_1",
            "caption": "The X-ray shows a calcified granuloma in the right mid lung zone, but the lungs are clear otherwise with no pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures are all normal. Surgical clips are present in the right upper quadrant. Based on the findings, there is no acute pulmonary disease that can be observed in the X-ray."
        },
        {
            "image_id": "131_2",
            "caption": "The X-ray shows a calcified granuloma in the right mid lung zone, but the lungs are clear otherwise with no pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures are all normal. Surgical clips are present in the right upper quadrant. Based on the findings, there is no acute pulmonary disease that can be observed in the X-ray."
        },
        {
            "image_id": "2147_1",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits while the lungs are clear. The impression is that there are no acute findings, with only mild spondylosis detected."
        },
        {
            "image_id": "2147_2",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits while the lungs are clear. The impression is that there are no acute findings, with only mild spondylosis detected."
        },
        {
            "image_id": "3259_1",
            "caption": "The x-ray shows a large calcified granuloma in the right apex along with mild patchy opacities in the upper lung zones. However, no acute pulmonary disease is identified. The heart and mediastinum appear normal, but scoliosis and arthritic changes of the spine are present."
        },
        {
            "image_id": "3259_2",
            "caption": "The x-ray shows a large calcified granuloma in the right apex along with mild patchy opacities in the upper lung zones. However, no acute pulmonary disease is identified. The heart and mediastinum appear normal, but scoliosis and arthritic changes of the spine are present."
        },
        {
            "image_id": "1328_1",
            "caption": "The X-ray image appears normal with no acute cardiopulmonary disease. The heart, pulmonary system and mediastinum are all within normal limits, and there is no pleural effusion or pneumothorax. While there is a calcified granuloma in the left lung, it does not seem to be causing any issues. There is also no sign of respiratory infection, and any previous conditions seem to have resolved."
        },
        {
            "image_id": "24_1",
            "caption": "The X-ray report shows normal cardiomediastinal silhouette and pulmonary vascularity. Lungs are clear without airspace disease, pleural effusion, or pneumothorax. Bones appear normal except for an incompletely evaluated lumbar levoscoliosis. The impression suggests no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "24_2",
            "caption": "The X-ray report shows normal cardiomediastinal silhouette and pulmonary vascularity. Lungs are clear without airspace disease, pleural effusion, or pneumothorax. Bones appear normal except for an incompletely evaluated lumbar levoscoliosis. The impression suggests no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "864_1",
            "caption": "The x-ray image findings show a stable cardiomediastinal silhouette with a tortuous thoracic aorta. There are no signs of pneumothorax, pleural effusion, or suspicious focal air space opacity, and the right lung base scarring is stable. The impression is that the exam is stable with no acute abnormality seen."
        },
        {
            "image_id": "864_2",
            "caption": "The x-ray image findings show a stable cardiomediastinal silhouette with a tortuous thoracic aorta. There are no signs of pneumothorax, pleural effusion, or suspicious focal air space opacity, and the right lung base scarring is stable. The impression is that the exam is stable with no acute abnormality seen."
        },
        {
            "image_id": "2621_1",
            "caption": "The x-ray shows that both lungs are clear and expanded, and there is no abnormality in the heart and mediastinum. The impression is that there is no active disease."
        },
        {
            "image_id": "2621_2",
            "caption": "The x-ray shows that both lungs are clear and expanded, and there is no abnormality in the heart and mediastinum. The impression is that there is no active disease."
        },
        {
            "image_id": "2635_1",
            "caption": "The x-ray shows that the heart is normal in size and contour, and the lungs are clear without evidence of infiltrate or acute disease. There is no pneumothorax or effusion present. The radiologist found no active cardiopulmonary disease in the x-ray examination."
        },
        {
            "image_id": "30_1",
            "caption": "The x-ray image shows no evidence of acute cardiopulmonary abnormality, with clear lungs without any focal consolidation, effusion, or pneumothorax. The heart is of normal size, and the bony thorax and soft tissue appear grossly unremarkable. It is also negative for pneumoperitoneum, indicating a healthy examination."
        },
        {
            "image_id": "30_2",
            "caption": "The x-ray image shows no evidence of acute cardiopulmonary abnormality, with clear lungs without any focal consolidation, effusion, or pneumothorax. The heart is of normal size, and the bony thorax and soft tissue appear grossly unremarkable. It is also negative for pneumoperitoneum, indicating a healthy examination."
        },
        {
            "image_id": "870_1",
            "caption": "The medical imaging suggests that the heart and lungs are functioning normally with no acute abnormality or disease detected. The lungs appear clear and expanded with no focal infiltrates, consolidation, or effusion. The heart and mediastinum also appear normal in size and contour. These findings indicate that there is no active disease in the patient's cardiopulmonary system."
        },
        {
            "image_id": "870_2",
            "caption": "The medical imaging suggests that the heart and lungs are functioning normally with no acute abnormality or disease detected. The lungs appear clear and expanded with no focal infiltrates, consolidation, or effusion. The heart and mediastinum also appear normal in size and contour. These findings indicate that there is no active disease in the patient's cardiopulmonary system."
        },
        {
            "image_id": "2153_1",
            "caption": "The x-ray image shows that the heart size and pulmonary vascularity are normal. The lungs are clear without any focal airspace disease, pleural effusion or pneumothorax. However, there is an elevated left hemidiaphragm. The impression suggests that there is no acute cardiopulmonary disease, but an elevated left diaphragm is observed."
        },
        {
            "image_id": "1472_1",
            "caption": "The x-ray shows that the heart is of normal size and shape. Both lungs are clear and hyperexpanded, without any signs of pneumothorax or pleural effusion. There are no acute abnormalities in the cardiopulmonary system, with a normal cardiac contour noted."
        },
        {
            "image_id": "1472_2",
            "caption": "The x-ray shows that the heart is of normal size and shape. Both lungs are clear and hyperexpanded, without any signs of pneumothorax or pleural effusion. There are no acute abnormalities in the cardiopulmonary system, with a normal cardiac contour noted."
        },
        {
            "image_id": "3265_1",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in size and contours. The lungs are clear, without any evidence of consolidation, pleural effusion or pneumothorax. There are no acute bony abnormalities observed. The impression suggests that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3265_2",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in size and contours. The lungs are clear, without any evidence of consolidation, pleural effusion or pneumothorax. There are no acute bony abnormalities observed. The impression suggests that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3503_1",
            "caption": "The x-ray image shows that the heart and mediastinal contours are within normal limits. The lungs are normally expanded and do not have any focal infiltrates, nodules or masses, pneumothorax or pleural effusion. The impression is that there are no acute radiographic cardiopulmonary processes or abnormalities identified in the x-ray image."
        },
        {
            "image_id": "680_1",
            "caption": "The X-ray shows two images. There is a small centrally calcified granuloma within the lateral right lung base, but the lungs are otherwise clear. The heart size is normal and there is no evidence of pleural effusion or pneumothorax. The impression is that no acute cardiopulmonary abnormality has been identified."
        },
        {
            "image_id": "680_2",
            "caption": "The X-ray shows two images. There is a small centrally calcified granuloma within the lateral right lung base, but the lungs are otherwise clear. The heart size is normal and there is no evidence of pleural effusion or pneumothorax. The impression is that no acute cardiopulmonary abnormality has been identified."
        },
        {
            "image_id": "1314_1",
            "caption": "The patient has clear lungs without any focal consolidation or suspicious pulmonary opacities. The heart and osseous structures are normal. No pleural effusions or pneumothorax seen. The radiologist found no evidence of acute cardiopulmonary abnormality on the X-ray."
        },
        {
            "image_id": "1314_2",
            "caption": "The patient has clear lungs without any focal consolidation or suspicious pulmonary opacities. The heart and osseous structures are normal. No pleural effusions or pneumothorax seen. The radiologist found no evidence of acute cardiopulmonary abnormality on the X-ray."
        },
        {
            "image_id": "18_1",
            "caption": "After review of the x-ray, it was observed that the heart is of normal size and the lungs are free of any significant focal alveolar consolidation or effusion. No pathognomonic findings of pulmonary edema or pneumothorax were seen. Furthermore, no acute cardiopulmonary abnormalities were identified in the x-ray examination, as per the impression given by the radiologist."
        },
        {
            "image_id": "18_2",
            "caption": "After review of the x-ray, it was observed that the heart is of normal size and the lungs are free of any significant focal alveolar consolidation or effusion. No pathognomonic findings of pulmonary edema or pneumothorax were seen. Furthermore, no acute cardiopulmonary abnormalities were identified in the x-ray examination, as per the impression given by the radiologist."
        },
        {
            "image_id": "858_1",
            "caption": "The x-ray images show no active cardiopulmonary abnormality. The findings reveal a normal size and configuration of the cardiac silhouette, normal pulmonary vasculature and clear airways. Evidence of previous granulomatous disease is seen. The mediastinal contour appears normal and no pleural effusion is detected. The overall impression is that there is no acute or active cardiac, pulmonary or pleural disease present."
        },
        {
            "image_id": "858_2",
            "caption": "The x-ray images show no active cardiopulmonary abnormality. The findings reveal a normal size and configuration of the cardiac silhouette, normal pulmonary vasculature and clear airways. Evidence of previous granulomatous disease is seen. The mediastinal contour appears normal and no pleural effusion is detected. The overall impression is that there is no acute or active cardiac, pulmonary or pleural disease present."
        },
        {
            "image_id": "1300_1",
            "caption": "The x-ray images show that the heart, lungs, and mediastinum are all within normal limits, with no signs of pleural effusion or pneumothorax. Additionally, there are no visible areas of pneumonia. The impression is that there is no acute cardiopulmonary disease in the patient. It should be noted that the patient is obese, which can impact the interpretation of the x-ray."
        },
        {
            "image_id": "694_1",
            "caption": "From the chest x-ray, it is noted that the cardiac silhouette and pulmonary vascularity are normal and lungs are clear, with no evidence of acute cardiopulmonary disease. Postoperative changes are noted in the mediastinum and lower cervical spine."
        },
        {
            "image_id": "694_2",
            "caption": "From the chest x-ray, it is noted that the cardiac silhouette and pulmonary vascularity are normal and lungs are clear, with no evidence of acute cardiopulmonary disease. Postoperative changes are noted in the mediastinum and lower cervical spine."
        },
        {
            "image_id": "3517_1",
            "caption": "The X-ray shows normal heart size with aortic atherosclerotic calcifications, and the presence of a central venous catheter tip and two AICD leads. There is no evidence of acute cardiopulmonary disease with no focal consolidation, pulmonary edema, pleural effusion or pneumothorax."
        },
        {
            "image_id": "3271_1",
            "caption": "The X-ray shows that both lungs are clear and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal and the visualized osseous structures of the thorax are without acute abnormality. The impression from this is that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "3271_2",
            "caption": "The X-ray shows that both lungs are clear and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal and the visualized osseous structures of the thorax are without acute abnormality. The impression from this is that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1466_1",
            "caption": "Based on the X-ray findings, the heart and lungs appear normal with no acute abnormalities detected. The lungs are clear without evidence of focal consolidation, pleural effusion, or pneumothorax. No visible nodules or masses were observed either. The osseous structures of the thorax also appear normal. The impression from the X-ray report is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1466_2",
            "caption": "Based on the X-ray findings, the heart and lungs appear normal with no acute abnormalities detected. The lungs are clear without evidence of focal consolidation, pleural effusion, or pneumothorax. No visible nodules or masses were observed either. The osseous structures of the thorax also appear normal. The impression from the X-ray report is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "3926_1",
            "caption": "The X-ray shows a large, unchanged heart and a slightly widened mediastinum due to cardiomegaly and a tortuous aorta. The low lung volumes have caused bibasilar atelectasis and bronchovascular crowding, but there is no evidence of focal infiltrate or effusion. The bony structures appear normal. Overall, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3926_2",
            "caption": "The X-ray shows a large, unchanged heart and a slightly widened mediastinum due to cardiomegaly and a tortuous aorta. The low lung volumes have caused bibasilar atelectasis and bronchovascular crowding, but there is no evidence of focal infiltrate or effusion. The bony structures appear normal. Overall, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2386_1",
            "caption": "The x-ray image shows a normal-sized heart with no evidence of a pneumothorax or pleural effusion. However, there are two calcified nodules, an 8mm nodule in the left midlung, and a 7mm nodule near the left hilum. The findings also indicate hyperexpanded lungs, which are consistent with chronic obstructive pulmonary disease. Overall, there are no acute cardiopulmonary findings that are suggestive of an immediate problem."
        },
        {
            "image_id": "2386_2",
            "caption": "The x-ray image shows a normal-sized heart with no evidence of a pneumothorax or pleural effusion. However, there are two calcified nodules, an 8mm nodule in the left midlung, and a 7mm nodule near the left hilum. The findings also indicate hyperexpanded lungs, which are consistent with chronic obstructive pulmonary disease. Overall, there are no acute cardiopulmonary findings that are suggestive of an immediate problem."
        },
        {
            "image_id": "3098_1",
            "caption": "The patient has no acute cardiopulmonary abnormality according to the X-ray results. The heart size, mediastinal contours, and pulmonary vascularity were all normal. There was no visible focal consolidation, suspicious pulmonary opacity, pneumothorax, or definite pleural effusion. The visualized osseous structures appeared intact."
        },
        {
            "image_id": "3098_2",
            "caption": "The patient has no acute cardiopulmonary abnormality according to the X-ray results. The heart size, mediastinal contours, and pulmonary vascularity were all normal. There was no visible focal consolidation, suspicious pulmonary opacity, pneumothorax, or definite pleural effusion. The visualized osseous structures appeared intact."
        },
        {
            "image_id": "1857_1",
            "caption": "The x-ray shows mild cardiomegaly, but the lungs are clear with no visible signs of pneumothorax or pleural effusion. The size and mediastinal contours appear normal. Overall, the x-ray does not reveal any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1857_2",
            "caption": "The x-ray shows mild cardiomegaly, but the lungs are clear with no visible signs of pneumothorax or pleural effusion. The size and mediastinal contours appear normal. Overall, the x-ray does not reveal any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1843_1",
            "caption": "The chest x-ray reveals that both lungs are clear without any signs of pneumonia, collapsed lungs, or build-up of fluid around the lungs. The heart and mediastinum are of normal size and there were no serious visible bone conditions. In summary, there is no acute abnormality or cardiopulmonary disease present in this patient."
        },
        {
            "image_id": "2392_1",
            "caption": "The X-ray image reveals no significant issues affecting the heart, lungs, or bones of the patient. The heart size, mediastinal contour, and pulmonary vasculature are normal. There is no evidence of pneumonia, pneumothorax, or pleural effusion. Additionally, the osseous structures appear to be intact. Overall, the X-ray does not indicate any acute cardiopulmonary disease, and the patient seems to be in good condition."
        },
        {
            "image_id": "3932_1",
            "caption": "The X-ray shows that the patient has a normal cardiac silhouette and mediastinal contour. There is no evidence of focal infiltrate, large pleural effusion or pneumothorax. Thus, the impression is that there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "3932_2",
            "caption": "The X-ray shows that the patient has a normal cardiac silhouette and mediastinal contour. There is no evidence of focal infiltrate, large pleural effusion or pneumothorax. Thus, the impression is that there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "3932_3",
            "caption": "The X-ray shows that the patient has a normal cardiac silhouette and mediastinal contour. There is no evidence of focal infiltrate, large pleural effusion or pneumothorax. Thus, the impression is that there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "3932_4",
            "caption": "The X-ray shows that the patient has a normal cardiac silhouette and mediastinal contour. There is no evidence of focal infiltrate, large pleural effusion or pneumothorax. Thus, the impression is that there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "469_1",
            "caption": "The X-ray shows that the heart, lungs, and mediastinum are within normal limits. No sign of pneumonia, pleural effusion, or pneumothorax was found. However, scoliotic and degenerative changes in the thoracolumbar spine were observed. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "441_1",
            "caption": "The x-ray indicates that there are no acute cardiopulmonary abnormalities. The findings show that the mediastinal contours and heart size are normal. Although there are multiple calcified pulmonary nodules, they are likely sequela of the prior granulomatous disease and the lungs are clear otherwise. There is no evidence of pneumothorax, pleural effusion or bony abnormality."
        },
        {
            "image_id": "441_2",
            "caption": "The x-ray indicates that there are no acute cardiopulmonary abnormalities. The findings show that the mediastinal contours and heart size are normal. Although there are multiple calcified pulmonary nodules, they are likely sequela of the prior granulomatous disease and the lungs are clear otherwise. There is no evidence of pneumothorax, pleural effusion or bony abnormality."
        },
        {
            "image_id": "327_1",
            "caption": "Based on the chest X-ray, the patient has stable mild cardiomegaly with normal pulmonary vasculature. The imaging also reveals mediastinal surgical clips. Further, there are no focal airspace diseases, pneumothorax, pleural effusion or acute bony findings. These changes appear to be chronic and there are no acute findings observed."
        },
        {
            "image_id": "327_2",
            "caption": "Based on the chest X-ray, the patient has stable mild cardiomegaly with normal pulmonary vasculature. The imaging also reveals mediastinal surgical clips. Further, there are no focal airspace diseases, pneumothorax, pleural effusion or acute bony findings. These changes appear to be chronic and there are no acute findings observed."
        },
        {
            "image_id": "333_1",
            "caption": "The x-ray image shows that the lungs and pleural spaces are clear and have no acute abnormality. However, the lungs are mildly hyperexpanded. Heart size and pulmonary vascularity are also within normal limits. The impression is that there is no acute pulmonary abnormality."
        },
        {
            "image_id": "333_2",
            "caption": "The x-ray image shows that the lungs and pleural spaces are clear and have no acute abnormality. However, the lungs are mildly hyperexpanded. Heart size and pulmonary vascularity are also within normal limits. The impression is that there is no acute pulmonary abnormality."
        },
        {
            "image_id": "455_1",
            "caption": "The X-ray image shows low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis, stable prominence of the right cardiac silhouette, and stable chronic degenerative changes of the thoracic spine. However, there is no pleural effusion, pneumothorax, or focal airspace disease present in the lungs. The mediastinum is unremarkable and there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "455_2",
            "caption": "The X-ray image shows low lung volumes with associated bronchovascular crowding and basilar subsegmental atelectasis, stable prominence of the right cardiac silhouette, and stable chronic degenerative changes of the thoracic spine. However, there is no pleural effusion, pneumothorax, or focal airspace disease present in the lungs. The mediastinum is unremarkable and there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "2423_1",
            "caption": "The heart is within normal size, and the lungs are clear according to the chest x-ray findings. The radiologist found no acute cardiopulmonary disease and made the impression that the patient does not have acute illness at this time. It is important to continue monitoring the patient's health through regular check-ups and screening tests."
        },
        {
            "image_id": "2423_2",
            "caption": "The heart is within normal size, and the lungs are clear according to the chest x-ray findings. The radiologist found no acute cardiopulmonary disease and made the impression that the patient does not have acute illness at this time. It is important to continue monitoring the patient's health through regular check-ups and screening tests."
        },
        {
            "image_id": "1894_1",
            "caption": "The x-ray shows normal heart size and a clear mediastinum. While there is a subtle increase in opacity in the right mid hemithorax, it is likely due to soft tissues. There is no evidence of acute disease, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "1894_2",
            "caption": "The x-ray shows normal heart size and a clear mediastinum. While there is a subtle increase in opacity in the right mid hemithorax, it is likely due to soft tissues. There is no evidence of acute disease, pleural effusion, or pneumothorax."
        },
        {
            "image_id": "2345_1",
            "caption": "The heart is within normal limits, though at the upper end of the range. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine, but there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2345_2",
            "caption": "The heart is within normal limits, though at the upper end of the range. The mediastinum is unremarkable. There is no pleural effusion, pneumothorax, or focal airspace disease. Mild chronic degenerative changes are present within the thoracic spine, but there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2351_1",
            "caption": "The x-ray shows that the heart is normal in size and contour, while scattered calcifications indicate prior granulomatous disease. Lungs appear clear without infiltrate, pneumothorax or effusion. The impression suggests no acute cardiopulmonary disease."
        },
        {
            "image_id": "2351_2",
            "caption": "The x-ray shows that the heart is normal in size and contour, while scattered calcifications indicate prior granulomatous disease. Lungs appear clear without infiltrate, pneumothorax or effusion. The impression suggests no acute cardiopulmonary disease."
        },
        {
            "image_id": "1658_1",
            "caption": "The X-ray image shows a clear chest with no signs of acute cardiopulmonary abnormality. The heart and mediastinum are normal in size and the lungs are clear. No pleural effusion or pneumothorax was detected. There are some stable chronic changes or mild degenerative changes in the spine, but no acute intrathoracic abnormality was found."
        },
        {
            "image_id": "1880_1",
            "caption": "The x-ray shows that the heart, pulmonary and mediastinum are normal. There is no sign of pleural effusion or pneumothorax. However, there is an 8mm nodule seen in the left lateral midlung partially overlapping the posterior left 7th rib. The findings indicate that a comparison to a previous scan or a noncontrast chest CT should be performed for further evaluation. Additionally, mild degenerative changes are observed in the spine. Overall, there is no acute disease observed in the scan."
        },
        {
            "image_id": "2437_1",
            "caption": "The x-ray revealed that there is no acute cardiopulmonary disease. The heart, pulmonary structure, and mediastinum all appear normal. The lungs and pleural spaces are also clear."
        },
        {
            "image_id": "2437_2",
            "caption": "The x-ray revealed that there is no acute cardiopulmonary disease. The heart, pulmonary structure, and mediastinum all appear normal. The lungs and pleural spaces are also clear."
        },
        {
            "image_id": "3729_1",
            "caption": "Upon examination of the chest X-ray, the heart appears to be of normal size and the mediastinal area is unremarkable. There are no signs of focal infiltrates or masses, pneumothorax, or pleural fluid. The osseous structures also appear to be normal. On the abdomen, there are no indications of obstruction, air-fluid levels, or intraperitoneal air. Overall, there is no radiographic evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3729_2",
            "caption": "Upon examination of the chest X-ray, the heart appears to be of normal size and the mediastinal area is unremarkable. There are no signs of focal infiltrates or masses, pneumothorax, or pleural fluid. The osseous structures also appear to be normal. On the abdomen, there are no indications of obstruction, air-fluid levels, or intraperitoneal air. Overall, there is no radiographic evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1116_1",
            "caption": "The x-ray shows that the heart is of normal size and shape, along with the mediastinal contour and pulmonary vascularity. No signs of any focal consolidation, suspicious pulmonary opacity, pleural effusion or pneumothorax were noticed. The osseous structures also appear to be intact. The presence of piercings is noticeable over the breast shadows. In short, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1116_2",
            "caption": "The x-ray shows that the heart is of normal size and shape, along with the mediastinal contour and pulmonary vascularity. No signs of any focal consolidation, suspicious pulmonary opacity, pleural effusion or pneumothorax were noticed. The osseous structures also appear to be intact. The presence of piercings is noticeable over the breast shadows. In short, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "482_1",
            "caption": "The chest X-ray shows clear lungs bilaterally, with no signs of consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal, and there are no acute abnormalities in the visualized thoracic osseous structures. A gastrostomy tube is noted. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "482_2",
            "caption": "The chest X-ray shows clear lungs bilaterally, with no signs of consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal, and there are no acute abnormalities in the visualized thoracic osseous structures. A gastrostomy tube is noted. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3701_1",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating the absence of any active disease. This is good news for the patient and suggests that their respiratory system is functioning normally."
        },
        {
            "image_id": "3701_2",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart and mediastinum, indicating the absence of any active disease. This is good news for the patient and suggests that their respiratory system is functioning normally."
        },
        {
            "image_id": "3067_1",
            "caption": "The X-ray shows that both lungs are clear and expanded with normal cardiac and mediastinal silhouettes. The pulmonary vasculature is also normal without any signs of pneumothorax or pleural effusion. Additionally, there is no acute bony abnormality. Overall, the impression is that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "3067_2",
            "caption": "The X-ray shows that both lungs are clear and expanded with normal cardiac and mediastinal silhouettes. The pulmonary vasculature is also normal without any signs of pneumothorax or pleural effusion. Additionally, there is no acute bony abnormality. Overall, the impression is that there is no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "2379_1",
            "caption": "The x-ray shows stable chronic lung changes, with no acute cardiopulmonary abnormalities. The cardiomediastinal silhouette appears normal and within regular size limits. Lungs are hyperexpanded without visible focal airspace disease or consolidation, pneumothorax or pleural effusion. The limited evaluation could not find any acute abnormality."
        },
        {
            "image_id": "2379_2",
            "caption": "The x-ray shows stable chronic lung changes, with no acute cardiopulmonary abnormalities. The cardiomediastinal silhouette appears normal and within regular size limits. Lungs are hyperexpanded without visible focal airspace disease or consolidation, pneumothorax or pleural effusion. The limited evaluation could not find any acute abnormality."
        },
        {
            "image_id": "1670_1",
            "caption": "The chest X-ray shows clear and expanded lungs with a normal heart and mediastinum.There is no evidence of active disease."
        },
        {
            "image_id": "1670_2",
            "caption": "The chest X-ray shows clear and expanded lungs with a normal heart and mediastinum.There is no evidence of active disease."
        },
        {
            "image_id": "3073_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and appearance. The lungs are clear without any focal airspace opacity, pleural effusion or pneumothorax. Additionally, there is no evidence of displaced rib fracture. The impression from the x-ray established that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3073_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and appearance. The lungs are clear without any focal airspace opacity, pleural effusion or pneumothorax. Additionally, there is no evidence of displaced rib fracture. The impression from the x-ray established that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "496_1",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart. No active diseases were detected. On the other hand, the x-ray of the left knee revealed advanced degenerative joint disease."
        },
        {
            "image_id": "496_2",
            "caption": "The chest x-ray shows clear and expanded lungs with a normal heart. No active diseases were detected. On the other hand, the x-ray of the left knee revealed advanced degenerative joint disease."
        },
        {
            "image_id": "1102_1",
            "caption": "The chest x-ray reveals stable cardiomegaly with vascular congestion and probable mild interstitial edema. Additionally, there are bilateral pleural effusions with bibasilar airspace disease, which is more prominent on the right side. No acute bony findings or pneumothorax were detected. The impression suggests the presence of Cardiomegaly, mild interstitial edema, bilateral pleural effusions, and bibasilar airspace disease. It is important to consult a physician to determine the underlying cause and proper treatment for these conditions."
        },
        {
            "image_id": "1102_2",
            "caption": "The chest x-ray reveals stable cardiomegaly with vascular congestion and probable mild interstitial edema. Additionally, there are bilateral pleural effusions with bibasilar airspace disease, which is more prominent on the right side. No acute bony findings or pneumothorax were detected. The impression suggests the presence of Cardiomegaly, mild interstitial edema, bilateral pleural effusions, and bibasilar airspace disease. It is important to consult a physician to determine the underlying cause and proper treatment for these conditions."
        },
        {
            "image_id": "1102_3",
            "caption": "The chest x-ray reveals stable cardiomegaly with vascular congestion and probable mild interstitial edema. Additionally, there are bilateral pleural effusions with bibasilar airspace disease, which is more prominent on the right side. No acute bony findings or pneumothorax were detected. The impression suggests the presence of Cardiomegaly, mild interstitial edema, bilateral pleural effusions, and bibasilar airspace disease. It is important to consult a physician to determine the underlying cause and proper treatment for these conditions."
        },
        {
            "image_id": "1102_4",
            "caption": "The chest x-ray reveals stable cardiomegaly with vascular congestion and probable mild interstitial edema. Additionally, there are bilateral pleural effusions with bibasilar airspace disease, which is more prominent on the right side. No acute bony findings or pneumothorax were detected. The impression suggests the presence of Cardiomegaly, mild interstitial edema, bilateral pleural effusions, and bibasilar airspace disease. It is important to consult a physician to determine the underlying cause and proper treatment for these conditions."
        },
        {
            "image_id": "509_1",
            "caption": "Two left-sided chest tubes noted. Improved aeration of the left lung compared to prior. Improved left lung pleural fluid. No pneumothorax. Interval improvement in aeration of left lung with interval reduction in size of left pleural effusion. Persistent patchy left lung airspace disease noted. Stable left-sided chest tubes."
        },
        {
            "image_id": "3852_1",
            "caption": "The patient's heart size appeared normal with no signs of pneumothorax or any focal airspace disease. The patient also had no pleural effusion, however, an eventration of the right hemidiaphragm was observed. Additionally, mild degenerative changes of the thoracic spine were noted, but with no signs of fractures. Overall, there were no acute cardiopulmonary findings to report."
        },
        {
            "image_id": "3852_2",
            "caption": "The patient's heart size appeared normal with no signs of pneumothorax or any focal airspace disease. The patient also had no pleural effusion, however, an eventration of the right hemidiaphragm was observed. Additionally, mild degenerative changes of the thoracic spine were noted, but with no signs of fractures. Overall, there were no acute cardiopulmonary findings to report."
        },
        {
            "image_id": "2594_1",
            "caption": "The x-ray shows a normal heart size with a tortuous aorta and normal mediastinal contour. There is low lung volume and mild elevation of the right diaphragm. A streaky opacity is present in the right lower lobe with no presence of nodules or masses. Pneumothorax or pleural fluid is not visible. No free intraperitoneal air is visible under the diaphragm. The impression suggests a streaky right lower lobe infiltrate versus atelectasis."
        },
        {
            "image_id": "2594_2",
            "caption": "The x-ray shows a normal heart size with a tortuous aorta and normal mediastinal contour. There is low lung volume and mild elevation of the right diaphragm. A streaky opacity is present in the right lower lobe with no presence of nodules or masses. Pneumothorax or pleural fluid is not visible. No free intraperitoneal air is visible under the diaphragm. The impression suggests a streaky right lower lobe infiltrate versus atelectasis."
        },
        {
            "image_id": "2594_3",
            "caption": "The x-ray shows a normal heart size with a tortuous aorta and normal mediastinal contour. There is low lung volume and mild elevation of the right diaphragm. A streaky opacity is present in the right lower lobe with no presence of nodules or masses. Pneumothorax or pleural fluid is not visible. No free intraperitoneal air is visible under the diaphragm. The impression suggests a streaky right lower lobe infiltrate versus atelectasis."
        },
        {
            "image_id": "1923_1",
            "caption": "The X-ray shows clear lungs without any signs of consolidation, fluid accumulation or pneumothorax. However, the lungs appear hyperinflated and there is cardiomegaly present. The bony thorax and soft tissues appear normal. The impression from the report suggests that there is cardiomegaly present without any active cardiopulmonary abnormalities. It is important to consult with a doctor for further evaluation and treatment."
        },
        {
            "image_id": "1923_2",
            "caption": "The X-ray shows clear lungs without any signs of consolidation, fluid accumulation or pneumothorax. However, the lungs appear hyperinflated and there is cardiomegaly present. The bony thorax and soft tissues appear normal. The impression from the report suggests that there is cardiomegaly present without any active cardiopulmonary abnormalities. It is important to consult with a doctor for further evaluation and treatment."
        },
        {
            "image_id": "1937_1",
            "caption": "Based on the X-ray image, the heart size and pulmonary vascularity appears within normal limits. The lungs are also free of focal airspace disease, and no pleural effusion or pneumothorax is seen, indicating no evidence of active disease."
        },
        {
            "image_id": "1937_2",
            "caption": "Based on the X-ray image, the heart size and pulmonary vascularity appears within normal limits. The lungs are also free of focal airspace disease, and no pleural effusion or pneumothorax is seen, indicating no evidence of active disease."
        },
        {
            "image_id": "3846_1",
            "caption": "The x-ray of the patient showed normal heart size and mediastinal contour, and normal pulmonary vascularity. However, a moderate-sized left pleural effusion had recurred, while the right lung was clear. The x-ray also showed limited right base stringy density compatible with atelectasis, and dextroscoliosis of the thoracic spine. The impression based on the findings is that there is a recurrence of a moderate-sized left pleural effusion."
        },
        {
            "image_id": "3846_2",
            "caption": "The x-ray of the patient showed normal heart size and mediastinal contour, and normal pulmonary vascularity. However, a moderate-sized left pleural effusion had recurred, while the right lung was clear. The x-ray also showed limited right base stringy density compatible with atelectasis, and dextroscoliosis of the thoracic spine. The impression based on the findings is that there is a recurrence of a moderate-sized left pleural effusion."
        },
        {
            "image_id": "2580_1",
            "caption": "The x-ray shows no acute abnormalities. The heart size and mediastinal contours are normal. The right upper lobe scarring with pleural thickening is stable with no visible pleural effusion, pneumothorax or consolidation. Therefore, the chest is stable with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2580_2",
            "caption": "The x-ray shows no acute abnormalities. The heart size and mediastinal contours are normal. The right upper lobe scarring with pleural thickening is stable with no visible pleural effusion, pneumothorax or consolidation. Therefore, the chest is stable with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1089_1",
            "caption": "The x-ray image shows no evidence of active cardiopulmonary disease. However, the left hemidiaphragm is elevated. The heart size, pulmonary vascularity, and barium enema are within normal limits. The descending thoracic aorta is tortuous, while the central venous catheter is noted in the image. No focal airspace disease, pneumothorax, or pleural effusion is found in the lungs."
        },
        {
            "image_id": "1089_2",
            "caption": "The x-ray image shows no evidence of active cardiopulmonary disease. However, the left hemidiaphragm is elevated. The heart size, pulmonary vascularity, and barium enema are within normal limits. The descending thoracic aorta is tortuous, while the central venous catheter is noted in the image. No focal airspace disease, pneumothorax, or pleural effusion is found in the lungs."
        },
        {
            "image_id": "535_1",
            "caption": "The x-ray shows S-shaped thoracolumbar scoliosis along with T-spine osteophytes. The left lower lobe shows an opacity which could be either atelectasis or scarring. No pneumothorax or large pleural effusion is seen. The cardiomediastinal silhouette is within normal limits, and there is no lobar pneumonia. Calcified hilar lymph nodes are present. Based on these findings, the impression is that the opacity in the left lung base represents atelectasis or scarring."
        },
        {
            "image_id": "535_2",
            "caption": "The x-ray shows S-shaped thoracolumbar scoliosis along with T-spine osteophytes. The left lower lobe shows an opacity which could be either atelectasis or scarring. No pneumothorax or large pleural effusion is seen. The cardiomediastinal silhouette is within normal limits, and there is no lobar pneumonia. Calcified hilar lymph nodes are present. Based on these findings, the impression is that the opacity in the left lung base represents atelectasis or scarring."
        },
        {
            "image_id": "253_1",
            "caption": "The X-ray shows a moderate left pneumothorax which has remained the same as the previous X-ray. A left pleural catheter is also visible overlying the left upper lung at the level of the left 5th and 6th ribs. The cardiomedial silhouette is normal and there is no focal consolidation visible. Based on the findings, there is no change in the patient's condition."
        },
        {
            "image_id": "253_2",
            "caption": "The X-ray shows a moderate left pneumothorax which has remained the same as the previous X-ray. A left pleural catheter is also visible overlying the left upper lung at the level of the left 5th and 6th ribs. The cardiomedial silhouette is normal and there is no focal consolidation visible. Based on the findings, there is no change in the patient's condition."
        },
        {
            "image_id": "247_1",
            "caption": "The X-ray report shows that the heart and lung structures are normal, without any visible abnormalities such as pneumothorax, pleural effusion or acute bone abnormality. There are no acute cardiopulmonary processes identified, thus indicating a normal radiological interpretation."
        },
        {
            "image_id": "247_2",
            "caption": "The X-ray report shows that the heart and lung structures are normal, without any visible abnormalities such as pneumothorax, pleural effusion or acute bone abnormality. There are no acute cardiopulmonary processes identified, thus indicating a normal radiological interpretation."
        },
        {
            "image_id": "521_1",
            "caption": "The X-ray shows low lung volumes with bronchovascular crowding but no focal alveolar consolidation or pleural effusion. The heart size appears normal and there is no widening of vascular injury. Additionally, there is no visible pleural line of pneumothorax. However, the limited quality exam means that no definite acute findings can be confirmed. Overall, further evaluation may be necessary to fully assess the patient's condition."
        },
        {
            "image_id": "521_2",
            "caption": "The X-ray shows low lung volumes with bronchovascular crowding but no focal alveolar consolidation or pleural effusion. The heart size appears normal and there is no widening of vascular injury. Additionally, there is no visible pleural line of pneumothorax. However, the limited quality exam means that no definite acute findings can be confirmed. Overall, further evaluation may be necessary to fully assess the patient's condition."
        },
        {
            "image_id": "3649_1",
            "caption": "The patient's x-ray image shows clear lungs bilaterally with no signs of pneumothorax or large pleural effusion. The cardiac contour appears normal. Overall, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3649_2",
            "caption": "The patient's x-ray image shows clear lungs bilaterally with no signs of pneumothorax or large pleural effusion. The cardiac contour appears normal. Overall, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1738_1",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits. Additionally, no acute findings were observed in the lungs or bony structures. The mild aortic tortuosity was noted, but no other abnormalities were detected."
        },
        {
            "image_id": "1738_2",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are within normal limits. Additionally, no acute findings were observed in the lungs or bony structures. The mild aortic tortuosity was noted, but no other abnormalities were detected."
        },
        {
            "image_id": "2231_1",
            "caption": "The findings of the imaging suggest that the heart, mediastinum, and bony structures are unremarkable. However, there is a possible subtle increased opacity in the right apex compared to technique."
        },
        {
            "image_id": "2231_2",
            "caption": "The findings of the imaging suggest that the heart, mediastinum, and bony structures are unremarkable. However, there is a possible subtle increased opacity in the right apex compared to technique."
        },
        {
            "image_id": "2231_3",
            "caption": "The findings of the imaging suggest that the heart, mediastinum, and bony structures are unremarkable. However, there is a possible subtle increased opacity in the right apex compared to technique."
        },
        {
            "image_id": "2225_1",
            "caption": "The x-ray image shows that the heart and lungs are within normal limits, and there is no pulmonary or cardiac abnormality. The lungs are clear, and bony structures are normal. The radiologist did not observe any acute findings, and there is no evidence of active disease, scarring or atelectasis. The report confirms that the patient's cardiothoracic region is healthy, and there is no sign of pneumothorax or pleural effusion."
        },
        {
            "image_id": "2225_2",
            "caption": "The x-ray image shows that the heart and lungs are within normal limits, and there is no pulmonary or cardiac abnormality. The lungs are clear, and bony structures are normal. The radiologist did not observe any acute findings, and there is no evidence of active disease, scarring or atelectasis. The report confirms that the patient's cardiothoracic region is healthy, and there is no sign of pneumothorax or pleural effusion."
        },
        {
            "image_id": "3885_1",
            "caption": "From the findings, it is observed that the heart, pulmonary, and mediastinum are normal. No pleural effusion or pneumothorax is detected, and there is no focal air space opacity suggestive of pneumonia. Thus, the impression is that there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "3885_2",
            "caption": "From the findings, it is observed that the heart, pulmonary, and mediastinum are normal. No pleural effusion or pneumothorax is detected, and there is no focal air space opacity suggestive of pneumonia. Thus, the impression is that there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "1062_1",
            "caption": "A chest X-ray was performed. The heart size and aortic contours are normal. The lungs are clear without effusion or pneumothorax. No acute pulmonary disease or displaced rib fracture is visualized."
        },
        {
            "image_id": "3675_1",
            "caption": "The chest x-ray examination shows that there is no enlargement in the heart silhouette and mediastinal contours. There is no sign of acute findings and no presence of effusion or pneumothorax. The impression is that there is no acute pulmonary disease found in the examination."
        },
        {
            "image_id": "3675_2",
            "caption": "The chest x-ray examination shows that there is no enlargement in the heart silhouette and mediastinal contours. There is no sign of acute findings and no presence of effusion or pneumothorax. The impression is that there is no acute pulmonary disease found in the examination."
        },
        {
            "image_id": "3113_1",
            "caption": "The chest X-ray shows clear lungs without any signs of pleural effusion or pneumothorax. The heart is normal, and there is no evidence of acute cardiopulmonary disease. Atherosclerotic changes are observed in the aorta, but the skeletal structures are unremarkable. The impression suggests no evidence for mass lung apices, indicating the absence of any apical mass."
        },
        {
            "image_id": "3113_2",
            "caption": "The chest X-ray shows clear lungs without any signs of pleural effusion or pneumothorax. The heart is normal, and there is no evidence of acute cardiopulmonary disease. Atherosclerotic changes are observed in the aorta, but the skeletal structures are unremarkable. The impression suggests no evidence for mass lung apices, indicating the absence of any apical mass."
        },
        {
            "image_id": "1704_1",
            "caption": "The chest X-ray shows a moderate to large left pleural effusion with adjacent atelectasis or infiltrate in the left lung base. A minimal bandlike atelectasis is also seen within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction, and the right IJ venous catheter terminates at the proximal SVC. The impression suggests the presence of lines and tubes as mentioned and confirms the moderate-to-large left pleural effusion with adjacent airspace disease or atelectasis that needs further evaluation and treatment."
        },
        {
            "image_id": "1704_2",
            "caption": "The chest X-ray shows a moderate to large left pleural effusion with adjacent atelectasis or infiltrate in the left lung base. A minimal bandlike atelectasis is also seen within the right lung base. Heart size is normal. Left-sided tunneled catheter terminates at the caval atrial junction, and the right IJ venous catheter terminates at the proximal SVC. The impression suggests the presence of lines and tubes as mentioned and confirms the moderate-to-large left pleural effusion with adjacent airspace disease or atelectasis that needs further evaluation and treatment."
        },
        {
            "image_id": "290_1",
            "caption": "The X-ray shows clear lungs without any active disease. However, small surgical clips are visible overlying the upper thorax bilaterally and the lower cervical region which have an uncertain significance. The heart and mediastinum are normal, and a screw is visible in the right shoulder. Based on the X-ray image, there seems to be no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "290_2",
            "caption": "The X-ray shows clear lungs without any active disease. However, small surgical clips are visible overlying the upper thorax bilaterally and the lower cervical region which have an uncertain significance. The heart and mediastinum are normal, and a screw is visible in the right shoulder. Based on the X-ray image, there seems to be no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "284_1",
            "caption": "The cardiomediastinal silhouette is normal, and there is no evidence of pneumonia, pneumothorax or rib fracture. No projectile is seen. The bilateral renal collecting systems are enhanced with contrast, and contrast is likely in the left colon. The X-ray shows no signs of acute abnormalities, and no projectile is visualized."
        },
        {
            "image_id": "284_2",
            "caption": "The cardiomediastinal silhouette is normal, and there is no evidence of pneumonia, pneumothorax or rib fracture. No projectile is seen. The bilateral renal collecting systems are enhanced with contrast, and contrast is likely in the left colon. The X-ray shows no signs of acute abnormalities, and no projectile is visualized."
        },
        {
            "image_id": "1710_1",
            "caption": "The x-ray shows that the heart is normal in size and the lungs are clear with no evidence of a pneumothorax or pleural effusion. Based on this, there are no acute cardiopulmonary findings identified in the exam."
        },
        {
            "image_id": "1710_2",
            "caption": "The x-ray shows that the heart is normal in size and the lungs are clear with no evidence of a pneumothorax or pleural effusion. Based on this, there are no acute cardiopulmonary findings identified in the exam."
        },
        {
            "image_id": "3661_1",
            "caption": "The X-ray reveals clear lungs, intact osseous structures, and no signs of acute cardiopulmonary abnormalities such as pleural effusions, pneumothorax or consolidation. The heart is of normal size within normal limits."
        },
        {
            "image_id": "3661_2",
            "caption": "The X-ray reveals clear lungs, intact osseous structures, and no signs of acute cardiopulmonary abnormalities such as pleural effusions, pneumothorax or consolidation. The heart is of normal size within normal limits."
        },
        {
            "image_id": "1076_1",
            "caption": "The x-ray shows opacity at the posterior aspect of the lower chest, suggestive of left lower lobe pneumonia and/or pleural effusion, and old fracture deformities of multiple right ribs. There may also be small bilateral pleural effusion. The heart size is mildly enlarged with mild central vascular congestive changes, which is borderline."
        },
        {
            "image_id": "1076_2",
            "caption": "The x-ray shows opacity at the posterior aspect of the lower chest, suggestive of left lower lobe pneumonia and/or pleural effusion, and old fracture deformities of multiple right ribs. There may also be small bilateral pleural effusion. The heart size is mildly enlarged with mild central vascular congestive changes, which is borderline."
        },
        {
            "image_id": "3488_1",
            "caption": "The X-ray reveals that the heart, mediastinum, and vasculature are normal with clear and properly inflated lungs. There are visible degenerative changes in the spine. Based on the X-ray results, there is no indication of any acute radiographic cardiopulmonary problem."
        },
        {
            "image_id": "3488_2",
            "caption": "The X-ray reveals that the heart, mediastinum, and vasculature are normal with clear and properly inflated lungs. There are visible degenerative changes in the spine. Based on the X-ray results, there is no indication of any acute radiographic cardiopulmonary problem."
        },
        {
            "image_id": "2796_1",
            "caption": "The x-ray reveals that the cardiac and mediastinal contours are normal, the lungs are clear and the bony structures are intact, indicating that there is no acute process present."
        },
        {
            "image_id": "2796_2",
            "caption": "The x-ray reveals that the cardiac and mediastinal contours are normal, the lungs are clear and the bony structures are intact, indicating that there is no acute process present."
        },
        {
            "image_id": "2796_3",
            "caption": "The x-ray reveals that the cardiac and mediastinal contours are normal, the lungs are clear and the bony structures are intact, indicating that there is no acute process present."
        },
        {
            "image_id": "2782_1",
            "caption": "The X-ray shows no abnormalities. The heart, lungs, and mediastinum all appear normal. There are no signs of acute cardiopulmonary disease or active abnormalities. The bony structures are intact except for some degenerative changes of the spine. The X-ray also reveals several surgical clips of uncertain significance in the upper thorax and lower cervical region. The report indicates possible left lower lobe pneumonia and/or pleural effusion along with borderline heart size and mild central vascular congestive changes. The X-ray also shows an increasing upper mediastinal mass, which is likely a goiter. Overall, the X-ray findings suggest that there is no current cardiopulmonary disease or active abnormalities present."
        },
        {
            "image_id": "2782_2",
            "caption": "The X-ray shows no abnormalities. The heart, lungs, and mediastinum all appear normal. There are no signs of acute cardiopulmonary disease or active abnormalities. The bony structures are intact except for some degenerative changes of the spine. The X-ray also reveals several surgical clips of uncertain significance in the upper thorax and lower cervical region. The report indicates possible left lower lobe pneumonia and/or pleural effusion along with borderline heart size and mild central vascular congestive changes. The X-ray also shows an increasing upper mediastinal mass, which is likely a goiter. Overall, the X-ray findings suggest that there is no current cardiopulmonary disease or active abnormalities present."
        },
        {
            "image_id": "737_1",
            "caption": "On examination, the heart size and pulmonary vascular engorgement appear normal, with unremarkable mediastinal contour. No areas of focal consolidation, pleural effusion, or pneumothorax were identified, and no acute bony changes were observed. The impression is that there is no acute cardiopulmonary abnormality present for concern."
        },
        {
            "image_id": "737_2",
            "caption": "On examination, the heart size and pulmonary vascular engorgement appear normal, with unremarkable mediastinal contour. No areas of focal consolidation, pleural effusion, or pneumothorax were identified, and no acute bony changes were observed. The impression is that there is no acute cardiopulmonary abnormality present for concern."
        },
        {
            "image_id": "2972_1",
            "caption": "The radiograph shows that the heart is normal in size and the mediastinum is unremarkable. However, there are hypoinflated lungs and blunted costophrenic view due to small bilateral pleural effusions. No focal consolidation or pneumothorax is observed. The impression suggests low lung volumes with blunted costophrenic views, which may indicate bilateral pleural effusions."
        },
        {
            "image_id": "2972_2",
            "caption": "The radiograph shows that the heart is normal in size and the mediastinum is unremarkable. However, there are hypoinflated lungs and blunted costophrenic view due to small bilateral pleural effusions. No focal consolidation or pneumothorax is observed. The impression suggests low lung volumes with blunted costophrenic views, which may indicate bilateral pleural effusions."
        },
        {
            "image_id": "2966_1",
            "caption": "The x-ray shows no evidence of active disease. The heart and pulmonary arteries appear normal, and the lungs are clear without any pleural effusion or pneumothorax. However, some scoliosis and degenerative changes are present in the spine."
        },
        {
            "image_id": "2966_2",
            "caption": "The x-ray shows no evidence of active disease. The heart and pulmonary arteries appear normal, and the lungs are clear without any pleural effusion or pneumothorax. However, some scoliosis and degenerative changes are present in the spine."
        },
        {
            "image_id": "723_1",
            "caption": "The x-ray shows no abnormalities in the heart and mediastinum. There are also low lung volumes and a calcified right hilar lymph node. Based on these findings, the impression is that there is bibasilar atelectasis present."
        },
        {
            "image_id": "723_2",
            "caption": "The x-ray shows no abnormalities in the heart and mediastinum. There are also low lung volumes and a calcified right hilar lymph node. Based on these findings, the impression is that there is bibasilar atelectasis present."
        },
        {
            "image_id": "2033_1",
            "caption": "The x-ray image shows normal pulmonary vasculature, with no observable focal airspace disease, pneumothorax, or pleural effusion. Although the cardiac silhouette is near upper limits of normal in size, there are no acute cardiopulmonary findings. There are mild degenerative endplate changes in the thoracic spine, but no acute bony findings are present. The mild tortuosity of the descending thoracic aorta does not pose a significant risk."
        },
        {
            "image_id": "2033_2",
            "caption": "The x-ray image shows normal pulmonary vasculature, with no observable focal airspace disease, pneumothorax, or pleural effusion. Although the cardiac silhouette is near upper limits of normal in size, there are no acute cardiopulmonary findings. There are mild degenerative endplate changes in the thoracic spine, but no acute bony findings are present. The mild tortuosity of the descending thoracic aorta does not pose a significant risk."
        },
        {
            "image_id": "910_1",
            "caption": "The patient has a moderately enlarged heart. Mediastinum is normal, and there is no pleural effusion or pneumothorax. Chronically increased interstitial lung markings without superimposed focal airspace disease were identified, along with degenerative changes in the spine. However, no acute disease except cardiomegaly was noted in the patient's X-ray."
        },
        {
            "image_id": "910_2",
            "caption": "The patient has a moderately enlarged heart. Mediastinum is normal, and there is no pleural effusion or pneumothorax. Chronically increased interstitial lung markings without superimposed focal airspace disease were identified, along with degenerative changes in the spine. However, no acute disease except cardiomegaly was noted in the patient's X-ray."
        },
        {
            "image_id": "2755_1",
            "caption": "Upon examination, the cardiomediastinal silhouette appears unchanged with mild cardiomegaly. The right hemidiaphragm is relatively elevated, without any signs of pneumothorax or effusion. Irregularity of the right fifth and sixth ribs that appeared after previous surgery shows no significant changes. A bone anchor is noted in the left shoulder rotator cuff, and no acute osseous abnormality is visible. In conclusion, the patient presents with mild cardiomegaly and stable surgical changes of the right hemithorax, without any acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2755_2",
            "caption": "Upon examination, the cardiomediastinal silhouette appears unchanged with mild cardiomegaly. The right hemidiaphragm is relatively elevated, without any signs of pneumothorax or effusion. Irregularity of the right fifth and sixth ribs that appeared after previous surgery shows no significant changes. A bone anchor is noted in the left shoulder rotator cuff, and no acute osseous abnormality is visible. In conclusion, the patient presents with mild cardiomegaly and stable surgical changes of the right hemithorax, without any acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2999_1",
            "caption": "The size of the cardiac silhouette is at the upper limits of normal. In the left lung base, patchy opacities are demonstrated, and there is no focal pulmonary consolidation or pneumothorax. However, there are minimal degenerative changes of the thoracic spine. The findings indicate the presence of patchy left basilar subsegmental atelectasis, infiltrates, and/or small left pleural effusion."
        },
        {
            "image_id": "2999_2",
            "caption": "The size of the cardiac silhouette is at the upper limits of normal. In the left lung base, patchy opacities are demonstrated, and there is no focal pulmonary consolidation or pneumothorax. However, there are minimal degenerative changes of the thoracic spine. The findings indicate the presence of patchy left basilar subsegmental atelectasis, infiltrates, and/or small left pleural effusion."
        },
        {
            "image_id": "904_1",
            "caption": "The x-ray shows a normal appearing heart size. There is a stable pleural nodule on the left mid chest and left chest tip mid SVC, with surgical clips present in the right axillary region. No acute cardiopulmonary findings observed on today\u2019s study. Overall, the chest appears stable."
        },
        {
            "image_id": "1248_1",
            "caption": "The x-ray image shows a normal heart size and no cardiopulmonary abnormality observed. Neither pneumothorax nor pleural effusion is seen, and no focal consolidation is identified. Degenerative changes are detected in the midlower thoracic spine. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1248_2",
            "caption": "The x-ray image shows a normal heart size and no cardiopulmonary abnormality observed. Neither pneumothorax nor pleural effusion is seen, and no focal consolidation is identified. Degenerative changes are detected in the midlower thoracic spine. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3339_1",
            "caption": "The X-ray report reveals that the lungs are clear and there are no focal areas of consolidation or suspicious pulmonary opacities. The heart size is normal and there are no pleural effusions or evidence of pneumothorax. Osseous structures are intact. The impression is that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "3339_2",
            "caption": "The X-ray report reveals that the lungs are clear and there are no focal areas of consolidation or suspicious pulmonary opacities. The heart size is normal and there are no pleural effusions or evidence of pneumothorax. Osseous structures are intact. The impression is that there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2027_1",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are within normal limits. The lungs are clear of any focal airspace disease, pleural effusion, or pneumothorax. However, a 1.5 cm nodule is seen in the left midlung zone, which appears somewhat dense and may contain calcium. The impression suggests a comparison to old films, if available, to determine the stability and chronicity of the nodule. Additionally, a CT scan could be useful to evaluate the presence of calcium."
        },
        {
            "image_id": "2027_2",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are within normal limits. The lungs are clear of any focal airspace disease, pleural effusion, or pneumothorax. However, a 1.5 cm nodule is seen in the left midlung zone, which appears somewhat dense and may contain calcium. The impression suggests a comparison to old films, if available, to determine the stability and chronicity of the nodule. Additionally, a CT scan could be useful to evaluate the presence of calcium."
        },
        {
            "image_id": "1506_1",
            "caption": "The X-ray image indicates that the patient has a stable and well-positioned. The heart size and lung volumes are normal, but the pulmonary vascularity is slightly prominent. There is subpleural edema and peribronchial cuffing, which could be due to either volume overload or viral bronchiolitis. No large consolidation, effusion, or pneumothorax is seen. It is important to further investigate the underlying cause of the pulmonary findings through additional testing and evaluation."
        },
        {
            "image_id": "1506_2",
            "caption": "The X-ray image indicates that the patient has a stable and well-positioned. The heart size and lung volumes are normal, but the pulmonary vascularity is slightly prominent. There is subpleural edema and peribronchial cuffing, which could be due to either volume overload or viral bronchiolitis. No large consolidation, effusion, or pneumothorax is seen. It is important to further investigate the underlying cause of the pulmonary findings through additional testing and evaluation."
        },
        {
            "image_id": "3311_1",
            "caption": "The x-ray shows clear lungs without any pleural effusion. The heart, mediastinum, skeletal structures, and soft tissues all appear normal with no active disease detected."
        },
        {
            "image_id": "3311_2",
            "caption": "The x-ray shows clear lungs without any pleural effusion. The heart, mediastinum, skeletal structures, and soft tissues all appear normal with no active disease detected."
        },
        {
            "image_id": "2769_1",
            "caption": "The chest x-ray shows normal cardiomediastinal silhouette with no acute findings of pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. The biapical bullous emphysematous changes are stable. The impression suggests no active cardiopulmonary abnormality and stable bullous emphysematous changes."
        },
        {
            "image_id": "2769_2",
            "caption": "The chest x-ray shows normal cardiomediastinal silhouette with no acute findings of pneumothorax or pleural effusion. There are mild degenerative changes in the thoracic spine. The biapical bullous emphysematous changes are stable. The impression suggests no active cardiopulmonary abnormality and stable bullous emphysematous changes."
        },
        {
            "image_id": "3477_1",
            "caption": "The findings show a normal-sized heart and unremarkable mediastinum. The lungs are clear of any disease and there is no evidence of active tuberculosis. The impression is that there is no acute disease present in the patient's chest."
        },
        {
            "image_id": "3477_2",
            "caption": "The findings show a normal-sized heart and unremarkable mediastinum. The lungs are clear of any disease and there is no evidence of active tuberculosis. The impression is that there is no acute disease present in the patient's chest."
        },
        {
            "image_id": "938_1",
            "caption": "The X-ray report indicates a normal size heart and mediastinum with clear lungs, except for residuals of prior granulomatous infection, and no pleural effusions or pneumothoraces. The impression suggests the absence of any acute cardiopulmonary process."
        },
        {
            "image_id": "938_2",
            "caption": "The X-ray report indicates a normal size heart and mediastinum with clear lungs, except for residuals of prior granulomatous infection, and no pleural effusions or pneumothoraces. The impression suggests the absence of any acute cardiopulmonary process."
        },
        {
            "image_id": "1274_1",
            "caption": "Upon examination, the cardiomediastinal silhouette appeared normal in size and configuration. The pulmonary vasculature was noted to be within normal limits, while the lungs were well-aerated. There were no findings indicative of pneumothorax, pleural effusion, or focal consolidation. As such, there was no evidence of acute cardiopulmonary disease on the X-ray image."
        },
        {
            "image_id": "1274_2",
            "caption": "Upon examination, the cardiomediastinal silhouette appeared normal in size and configuration. The pulmonary vasculature was noted to be within normal limits, while the lungs were well-aerated. There were no findings indicative of pneumothorax, pleural effusion, or focal consolidation. As such, there was no evidence of acute cardiopulmonary disease on the X-ray image."
        },
        {
            "image_id": "3305_1",
            "caption": "The chest x-ray shows a right PICC in place with no complications, but an enlarged cardiac silhouette is noted. Streaky bibasilar opacities, which may indicate subsegmental atelectasis, are visible without any significant pulmonary edema, large pleural effusion, or pneumothorax. The right hemidiaphragm appears mildly elevated, and there are degenerative changes of the spine with bilateral surgical clips. Further evaluation is necessary to determine the cause of the observed abnormalities."
        },
        {
            "image_id": "3305_2",
            "caption": "The chest x-ray shows a right PICC in place with no complications, but an enlarged cardiac silhouette is noted. Streaky bibasilar opacities, which may indicate subsegmental atelectasis, are visible without any significant pulmonary edema, large pleural effusion, or pneumothorax. The right hemidiaphragm appears mildly elevated, and there are degenerative changes of the spine with bilateral surgical clips. Further evaluation is necessary to determine the cause of the observed abnormalities."
        },
        {
            "image_id": "1512_1",
            "caption": "The x-ray shows clear lungs, normal heart and pulmonary measures, and clear pleural spaces. The mediastinal contours are also normal. Overall, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1512_2",
            "caption": "The x-ray shows clear lungs, normal heart and pulmonary measures, and clear pleural spaces. The mediastinal contours are also normal. Overall, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3462_1",
            "caption": "The x-ray reveals that there is no acute disease. The heart is within normal size with stable mediastinum. The lungs appear clear, and no pneumothorax is seen. However, there is a presence of small retrocardiac density, probably due to small hiatal hernia, and left IJ catheter tip at cavoatrial junction."
        },
        {
            "image_id": "3462_2",
            "caption": "The x-ray reveals that there is no acute disease. The heart is within normal size with stable mediastinum. The lungs appear clear, and no pneumothorax is seen. However, there is a presence of small retrocardiac density, probably due to small hiatal hernia, and left IJ catheter tip at cavoatrial junction."
        },
        {
            "image_id": "939_1",
            "caption": "The X-ray shows clear lungs with no pleural effusion or pneumothorax. The heart, mediastinum and skeletel structures appear normal. The impression is that there is no acute pulmonary disease."
        },
        {
            "image_id": "939_2",
            "caption": "The X-ray shows clear lungs with no pleural effusion or pneumothorax. The heart, mediastinum and skeletel structures appear normal. The impression is that there is no acute pulmonary disease."
        },
        {
            "image_id": "1513_1",
            "caption": "The x-ray reveals mild streakiness in the right base, and no focal infiltrate or effusion are seen. The heart and mediastinal contours are normal, and osseous structures appear intact. Calcified granulomatous disease is noted. The impression suggests that the mild streakiness may represent subsegmental atelectasis versus an early infiltrate in the right lower lobe. The finding and impression indicate a need for close monitoring and further testing to determine the exact cause of the streakiness in the right lung."
        },
        {
            "image_id": "1513_2",
            "caption": "The x-ray reveals mild streakiness in the right base, and no focal infiltrate or effusion are seen. The heart and mediastinal contours are normal, and osseous structures appear intact. Calcified granulomatous disease is noted. The impression suggests that the mild streakiness may represent subsegmental atelectasis versus an early infiltrate in the right lower lobe. The finding and impression indicate a need for close monitoring and further testing to determine the exact cause of the streakiness in the right lung."
        },
        {
            "image_id": "3304_1",
            "caption": "The x-ray shows that the heart and lungs are normal with no signs of acute disease. The spine does have levoscoliosis, but there are no other abnormalities detected, such as pleural effusion, pneumothorax or focal consolidation. Overall, the results indicate a healthy cardiopulmonary system with only a slight issue in the spine."
        },
        {
            "image_id": "3304_2",
            "caption": "The x-ray shows that the heart and lungs are normal with no signs of acute disease. The spine does have levoscoliosis, but there are no other abnormalities detected, such as pleural effusion, pneumothorax or focal consolidation. Overall, the results indicate a healthy cardiopulmonary system with only a slight issue in the spine."
        },
        {
            "image_id": "3310_1",
            "caption": "The findings on the x-ray image show that there is no evidence of any acute cardiopulmonary abnormality. Specifically, there is no pneumothorax, pleural effusion or airspace consolidation. The cardiomediastinal size is within normal limits and pulmonary vasculature is normal. Overall, the x-ray indicates a stable condition of the cardiopulmonary organs and structures with no active disease."
        },
        {
            "image_id": "3310_2",
            "caption": "The findings on the x-ray image show that there is no evidence of any acute cardiopulmonary abnormality. Specifically, there is no pneumothorax, pleural effusion or airspace consolidation. The cardiomediastinal size is within normal limits and pulmonary vasculature is normal. Overall, the x-ray indicates a stable condition of the cardiopulmonary organs and structures with no active disease."
        },
        {
            "image_id": "1261_1",
            "caption": "The x-ray image shows mild enlargement of the heart, otherwise known as mild cardiomegaly. There are no focal infiltrate, pneumothorax or pleural effusion. Pulmonary vascularity appears normal but there is tortuosity of the descending aorta. The combination of these findings suggests the patient should be evaluated further by a cardiologist."
        },
        {
            "image_id": "1261_2",
            "caption": "The x-ray image shows mild enlargement of the heart, otherwise known as mild cardiomegaly. There are no focal infiltrate, pneumothorax or pleural effusion. Pulmonary vascularity appears normal but there is tortuosity of the descending aorta. The combination of these findings suggests the patient should be evaluated further by a cardiologist."
        },
        {
            "image_id": "2768_1",
            "caption": "A chest examination was obtained from the front and side. The heart is a normal size and shape, and the aorta looks normal. The lungs do not show any acute issues, and there is no fluid or air buildup around the lungs. The impression from this x-ray is that there is no current lung disease."
        },
        {
            "image_id": "2768_2",
            "caption": "A chest examination was obtained from the front and side. The heart is a normal size and shape, and the aorta looks normal. The lungs do not show any acute issues, and there is no fluid or air buildup around the lungs. The impression from this x-ray is that there is no current lung disease."
        },
        {
            "image_id": "1249_1",
            "caption": "The X-ray examination shows that the lungs are clear without any evidence of focal airspace disease. There are calcified granulomas in the left lower lobe. The cardiac and mediastinal contours are within normal limits, and there is no evidence of pneumothorax or large pleural effusion. The X-rays are unremarkable. Based on these findings, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1249_2",
            "caption": "The X-ray examination shows that the lungs are clear without any evidence of focal airspace disease. There are calcified granulomas in the left lower lobe. The cardiac and mediastinal contours are within normal limits, and there is no evidence of pneumothorax or large pleural effusion. The X-rays are unremarkable. Based on these findings, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2998_1",
            "caption": "According to the chest x-ray findings, the lungs are clear with no indication of any focal consolidation, pneumothorax or pleural effusion. In addition, both the cardio mediastinal silhouette and the visualized osseous structures of the thorax appear normal. No displaced rib fractures were identified. Therefore, the overall impression is of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2998_2",
            "caption": "According to the chest x-ray findings, the lungs are clear with no indication of any focal consolidation, pneumothorax or pleural effusion. In addition, both the cardio mediastinal silhouette and the visualized osseous structures of the thorax appear normal. No displaced rib fractures were identified. Therefore, the overall impression is of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2740_1",
            "caption": "On examination, the trachea is midline and the cardiomediastinal silhouette appears normal. The lungs are clear and there is no evidence of acute infiltrate or effusion. Furthermore, there is no pneumothorax and no acute abnormalities were found on visualizing the thoracic bony structures. The lateral view, however, reveals some degenerative changes of the thoracic spine. Based on these results, there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "2740_2",
            "caption": "On examination, the trachea is midline and the cardiomediastinal silhouette appears normal. The lungs are clear and there is no evidence of acute infiltrate or effusion. Furthermore, there is no pneumothorax and no acute abnormalities were found on visualizing the thoracic bony structures. The lateral view, however, reveals some degenerative changes of the thoracic spine. Based on these results, there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "2026_1",
            "caption": "Upon examination of the chest X-ray, the findings indicate that the trachea is midline and the cardiomediastinal silhouette is normal. Clear lungs with no evidence of focal consolidation or pleural effusion and no pneumothorax observed. The visualized bony structures reveal no acute abnormalities. Based on these observations, there are no acute cardiopulmonary abnormalities detected at this time."
        },
        {
            "image_id": "2026_2",
            "caption": "Upon examination of the chest X-ray, the findings indicate that the trachea is midline and the cardiomediastinal silhouette is normal. Clear lungs with no evidence of focal consolidation or pleural effusion and no pneumothorax observed. The visualized bony structures reveal no acute abnormalities. Based on these observations, there are no acute cardiopulmonary abnormalities detected at this time."
        },
        {
            "image_id": "2032_1",
            "caption": "The lungs are clear with no focal airspace consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.  The X-ray shows clear lungs with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2032_2",
            "caption": "The lungs are clear with no focal airspace consolidation, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal.  The X-ray shows clear lungs with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2754_1",
            "caption": "The chest X-ray shows clear lungs with normal heart and pulmonary vasculature, as well as clear pleural spaces and normal mediastinal contours. Based on these findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2754_2",
            "caption": "The chest X-ray shows clear lungs with normal heart and pulmonary vasculature, as well as clear pleural spaces and normal mediastinal contours. Based on these findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "911_1",
            "caption": "The heart is normal in size and shape, and the lungs are clear without any focal consolidations, pleural effusions, or pneumothorax. The bony structures and soft tissues are unremarkable. There is no evidence of acute cardiopulmonary disease or active tuberculosis."
        },
        {
            "image_id": "911_2",
            "caption": "The heart is normal in size and shape, and the lungs are clear without any focal consolidations, pleural effusions, or pneumothorax. The bony structures and soft tissues are unremarkable. There is no evidence of acute cardiopulmonary disease or active tuberculosis."
        },
        {
            "image_id": "722_1",
            "caption": "From the chest X-ray, the heart size and mediastinal contours are normal, and there are no signs of acute pulmonary disease such as consolidation or pleural effusion. Pneumothorax is also ruled out. The impression is that there are no acute findings reported from the X-ray image."
        },
        {
            "image_id": "722_2",
            "caption": "From the chest X-ray, the heart size and mediastinal contours are normal, and there are no signs of acute pulmonary disease such as consolidation or pleural effusion. Pneumothorax is also ruled out. The impression is that there are no acute findings reported from the X-ray image."
        },
        {
            "image_id": "2967_1",
            "caption": "The x-ray examination shows that the heart, pulmonary vascularity, and lungs appear normal and clear. There is no evidence of active disease, as there is no focal airspace disease, pleural effusion or pneumothorax seen in the x-ray. The report suggests that the patient's cardiopulmonary health is stable and without any immediate concern."
        },
        {
            "image_id": "2783_1",
            "caption": "The X-ray shows no significant change in the bony thorax. The heart appears normal, but with an ectatic tortuous aorta. The lungs are clear with no signs of infiltrate or pleural effusion. The retrohilar nodule identified earlier does not show any progression. The chest radiograph is stable with no acute or progressive abnormality. The impression is that there is no enlargement of the known retrohilar nodule or any new pulmonary nodules."
        },
        {
            "image_id": "2783_2",
            "caption": "The X-ray shows no significant change in the bony thorax. The heart appears normal, but with an ectatic tortuous aorta. The lungs are clear with no signs of infiltrate or pleural effusion. The retrohilar nodule identified earlier does not show any progression. The chest radiograph is stable with no acute or progressive abnormality. The impression is that there is no enlargement of the known retrohilar nodule or any new pulmonary nodules."
        },
        {
            "image_id": "2797_1",
            "caption": "The X-ray shows that the trachea is in the center and the heart and mediastinum are normal. The lungs are clear with no signs of infection or fluid accumulation, and there is no collapsed lung. The bones appear normal too. The overall finding is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "2797_2",
            "caption": "The X-ray shows that the trachea is in the center and the heart and mediastinum are normal. The lungs are clear with no signs of infection or fluid accumulation, and there is no collapsed lung. The bones appear normal too. The overall finding is that there are no acute cardiopulmonary abnormalities present."
        },
        {
            "image_id": "3489_1",
            "caption": "The cardiomediastinal silhouette is normal and there is no evidence of acute abnormalities in the X-ray. No focal consolidation, pneumothorax or large pleural effusion is seen. The X-ray is negative for any acute cardiopulmonary abnormality or disease."
        },
        {
            "image_id": "3489_2",
            "caption": "The cardiomediastinal silhouette is normal and there is no evidence of acute abnormalities in the X-ray. No focal consolidation, pneumothorax or large pleural effusion is seen. The X-ray is negative for any acute cardiopulmonary abnormality or disease."
        },
        {
            "image_id": "3106_1",
            "caption": "The findings of the x-ray indicate normal cardiac and mediastinal contours, clear lungs, and intact bony structures with no acute abnormalities. The impression is negative for any acute findings or abnormalities."
        },
        {
            "image_id": "3106_2",
            "caption": "The findings of the x-ray indicate normal cardiac and mediastinal contours, clear lungs, and intact bony structures with no acute abnormalities. The impression is negative for any acute findings or abnormalities."
        },
        {
            "image_id": "2218_1",
            "caption": "The x-ray shows stable left basilar opacity with associated elevated hemidiaphragm, and stable cardiomegaly. The large amount of distended stomach is incidentally seen on prior exams."
        },
        {
            "image_id": "2218_2",
            "caption": "The x-ray shows stable left basilar opacity with associated elevated hemidiaphragm, and stable cardiomegaly. The large amount of distended stomach is incidentally seen on prior exams."
        },
        {
            "image_id": "2218_3",
            "caption": "The x-ray shows stable left basilar opacity with associated elevated hemidiaphragm, and stable cardiomegaly. The large amount of distended stomach is incidentally seen on prior exams."
        },
        {
            "image_id": "1711_1",
            "caption": "The heart is of normal size and the lung contours are stable as well. The left hemidiaphragm is eventrated. There is no clear evidence of pleural effusion or pulmonary edema, and no indication of urgent abnormalities in the lungs. Overall, there are no acute findings of concern in the x-ray radiography report."
        },
        {
            "image_id": "1711_2",
            "caption": "The heart is of normal size and the lung contours are stable as well. The left hemidiaphragm is eventrated. There is no clear evidence of pleural effusion or pulmonary edema, and no indication of urgent abnormalities in the lungs. Overall, there are no acute findings of concern in the x-ray radiography report."
        },
        {
            "image_id": "1077_1",
            "caption": "The X-ray shows no active disease in the heart and lungs. Both lungs are clear and expanded with a normal heart and mediastinum. This indicates that the patient is in a stable condition and there are no signs of acute abnormality."
        },
        {
            "image_id": "1077_2",
            "caption": "The X-ray shows no active disease in the heart and lungs. Both lungs are clear and expanded with a normal heart and mediastinum. This indicates that the patient is in a stable condition and there are no signs of acute abnormality."
        },
        {
            "image_id": "3660_1",
            "caption": "The x-ray reveals clear lungs without any focal consolidation, effusion or pneumothorax. Heart size is normal and the bony structure with soft tissue is unremarkable. The report concludes that there is no acute cardiopulmonary abnormality detected, hence, no need to worry."
        },
        {
            "image_id": "3660_2",
            "caption": "The x-ray reveals clear lungs without any focal consolidation, effusion or pneumothorax. Heart size is normal and the bony structure with soft tissue is unremarkable. The report concludes that there is no acute cardiopulmonary abnormality detected, hence, no need to worry."
        },
        {
            "image_id": "1063_1",
            "caption": "The X-ray image shows minimal opacity at the left lung base, which most likely represents atelectasis. However, the lungs are otherwise clear and the heart size is normal. There is no pneumothorax. The impression suggests that there is left base atelectasis but lungs are clear, indicating the absence of any other acute or progressive pulmonary abnormality."
        },
        {
            "image_id": "1063_2",
            "caption": "The X-ray image shows minimal opacity at the left lung base, which most likely represents atelectasis. However, the lungs are otherwise clear and the heart size is normal. There is no pneumothorax. The impression suggests that there is left base atelectasis but lungs are clear, indicating the absence of any other acute or progressive pulmonary abnormality."
        },
        {
            "image_id": "291_1",
            "caption": "The X-ray shows no significant changes in the lungs or heart. There are no signs of consolidation, pleural effusion, or pneumothorax in the lungs. The cardiomediastinal silhouette and the osseous structures of the thorax appear normal. In summary, there are no acute cardiopulmonary abnormalities observed in the X-ray."
        },
        {
            "image_id": "291_2",
            "caption": "The X-ray shows no significant changes in the lungs or heart. There are no signs of consolidation, pleural effusion, or pneumothorax in the lungs. The cardiomediastinal silhouette and the osseous structures of the thorax appear normal. In summary, there are no acute cardiopulmonary abnormalities observed in the X-ray."
        },
        {
            "image_id": "1705_1",
            "caption": "The x-ray shows a stable cardiomediastinal silhouette with unremarkable pulmonary vasculature. Lungs are clear with no airspace disease, pneumothorax or pleural effusion. In summary, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3112_1",
            "caption": "The chest X-ray shows no evidence of acute or active disease. The heart is within normal limits and the mediastinum is unremarkable. The lungs are clear and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The limited evaluation also reveals no acute abnormality in the bony structures of the thorax. Therefore, the impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3112_2",
            "caption": "The chest X-ray shows no evidence of acute or active disease. The heart is within normal limits and the mediastinum is unremarkable. The lungs are clear and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The limited evaluation also reveals no acute abnormality in the bony structures of the thorax. Therefore, the impression is negative for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2224_1",
            "caption": "The x-ray indicates that the heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Although there are scattered granulomas and bilateral perihilar calcified lymph nodes, these are stable, and there is also stable lingular scarring. The x-ray did not identify any focal consolidation, large pleural effusion, or pneumothorax. Additionally, there are no bony abnormalities. In terms of overall impression, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2224_2",
            "caption": "The x-ray indicates that the heart size, mediastinal contour, and pulmonary vasculature are within normal limits. Although there are scattered granulomas and bilateral perihilar calcified lymph nodes, these are stable, and there is also stable lingular scarring. The x-ray did not identify any focal consolidation, large pleural effusion, or pneumothorax. Additionally, there are no bony abnormalities. In terms of overall impression, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2542_1",
            "caption": "The chest x-ray examination revealed a normal cardiomediastinal contour and no abnormalities in the pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax was identified. The visualized osseous structures and upper abdomen were also unremarkable. Based on these findings, there were no signs of acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "2542_2",
            "caption": "The chest x-ray examination revealed a normal cardiomediastinal contour and no abnormalities in the pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax was identified. The visualized osseous structures and upper abdomen were also unremarkable. Based on these findings, there were no signs of acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "3884_1",
            "caption": "The X-ray image shows bilateral interstitial opacities that indicate interstitial edema with central vascular congestion. There is no evidence of pleural effusion, pneumothorax, or focal consolidation. Additionally, the heart appears to be of normal size. Overall, the findings suggest diffuse interstitial edema that is greater on the right side than the left."
        },
        {
            "image_id": "3884_2",
            "caption": "The X-ray image shows bilateral interstitial opacities that indicate interstitial edema with central vascular congestion. There is no evidence of pleural effusion, pneumothorax, or focal consolidation. Additionally, the heart appears to be of normal size. Overall, the findings suggest diffuse interstitial edema that is greater on the right side than the left."
        },
        {
            "image_id": "3890_1",
            "caption": "The x-ray image shows clear lungs without any focal infiltrate, pleural effusion or pneumothorax. The size of the heart and mediastinum is normal. The bones and soft tissues appear normal. The impression is of no acute cardiopulmonary abnormality, indicating a healthy chest x-ray result."
        },
        {
            "image_id": "3890_2",
            "caption": "The x-ray image shows clear lungs without any focal infiltrate, pleural effusion or pneumothorax. The size of the heart and mediastinum is normal. The bones and soft tissues appear normal. The impression is of no acute cardiopulmonary abnormality, indicating a healthy chest x-ray result."
        },
        {
            "image_id": "3648_1",
            "caption": "The X-ray shows that the heart and cardiomediastinal silhouette are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact, and no acute cardiopulmonary finding is identified."
        },
        {
            "image_id": "3648_2",
            "caption": "The X-ray shows that the heart and cardiomediastinal silhouette are normal in size and contour. There is no focal airspace opacity, pleural effusion, or pneumothorax. The osseous structures are intact, and no acute cardiopulmonary finding is identified."
        },
        {
            "image_id": "2230_1",
            "caption": "Based on the X-ray image, the mediastinal contours and lungs appear normal, with clear lungs and no evidence of pneumothorax or pleural effusion. The heart is slightly larger than normal, but there is no focal airspace opacity or bony abnormality. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2230_2",
            "caption": "Based on the X-ray image, the mediastinal contours and lungs appear normal, with clear lungs and no evidence of pneumothorax or pleural effusion. The heart is slightly larger than normal, but there is no focal airspace opacity or bony abnormality. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1739_1",
            "caption": "In this x-ray examination, a cortical irregularity and focal retrosternal hypodense convexity are observed along the anterior margin of the sternum, which may represent an age-indeterminate nondisplaced fracture and callus formation respectively. The cardiopulmonary silhouette is within normal limits except for left basilar atelectasis with otherwise clear lungs. No pneumothorax or large pleural effusion is visible. Moreover, thoracic aorta is torturous but the mediastinal contours are within normal limits. Hyperinflation of the lungs and thoracic kyphosis are also noted."
        },
        {
            "image_id": "1739_2",
            "caption": "In this x-ray examination, a cortical irregularity and focal retrosternal hypodense convexity are observed along the anterior margin of the sternum, which may represent an age-indeterminate nondisplaced fracture and callus formation respectively. The cardiopulmonary silhouette is within normal limits except for left basilar atelectasis with otherwise clear lungs. No pneumothorax or large pleural effusion is visible. Moreover, thoracic aorta is torturous but the mediastinal contours are within normal limits. Hyperinflation of the lungs and thoracic kyphosis are also noted."
        },
        {
            "image_id": "246_1",
            "caption": "The x-ray finding shows clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum appear normal and the skeletal structures are also normal. Based on this, there is no acute pulmonary disease present as per the impression."
        },
        {
            "image_id": "246_2",
            "caption": "The x-ray finding shows clear lungs with no pleural effusion or pneumothorax. The heart and mediastinum appear normal and the skeletal structures are also normal. Based on this, there is no acute pulmonary disease present as per the impression."
        },
        {
            "image_id": "520_1",
            "caption": "The X-ray shows no signs of lung or pleural disease, such as pneumothorax, pleural effusion or airspace consolidation. The cardiomediastinal size and pulmonary vasculature are normal. The patient has old, healed rib fractures, and there is a stable increased density overlying the lower mediastinum. The latter may be due to a hiatal hernia seen on a previous examination. Taken together, there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "534_1",
            "caption": "The x-ray image indicates normal heart and mediastinum size, with mild left-sided scarring and subsegmental atelectasis. There are no focal infiltrates or pleural effusions. The left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region reflect mild subsegmental atelectasis. The impression suggests mild scarring and subsegmental atelectasis, but no definite infiltrate."
        },
        {
            "image_id": "534_2",
            "caption": "The x-ray image indicates normal heart and mediastinum size, with mild left-sided scarring and subsegmental atelectasis. There are no focal infiltrates or pleural effusions. The left perihilar scarring is noted in the upper lobe. Streaky opacities in the retrocardiac region reflect mild subsegmental atelectasis. The impression suggests mild scarring and subsegmental atelectasis, but no definite infiltrate."
        },
        {
            "image_id": "252_1",
            "caption": "The X-ray shows that there is no acute disease in the heart, lungs or any other features of the chest. The heart is normal in size and shape, and the lungs are clear without any evidence of infiltrate, pneumothorax or effusion. Overall, the X-ray indicates that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "252_2",
            "caption": "The X-ray shows that there is no acute disease in the heart, lungs or any other features of the chest. The heart is normal in size and shape, and the lungs are clear without any evidence of infiltrate, pneumothorax or effusion. Overall, the X-ray indicates that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1936_1",
            "caption": "The chest X-ray revealed that the right internal jugular catheter has been replaced with a larger left internal jugular central venous catheter, and the catheter tip is located at the cavoatrial junction. The findings also indicate stable thoracolumbar scoliosis with no acute bone findings. Additionally, there are no signs of pneumothorax, pleural effusion, or airspace consolidation. The cardiomegaly seen on the X-ray remains stable. In conclusion, there are no acute cardiopulmonary abnormalities identified in the chest X-ray."
        },
        {
            "image_id": "1936_2",
            "caption": "The chest X-ray revealed that the right internal jugular catheter has been replaced with a larger left internal jugular central venous catheter, and the catheter tip is located at the cavoatrial junction. The findings also indicate stable thoracolumbar scoliosis with no acute bone findings. Additionally, there are no signs of pneumothorax, pleural effusion, or airspace consolidation. The cardiomegaly seen on the X-ray remains stable. In conclusion, there are no acute cardiopulmonary abnormalities identified in the chest X-ray."
        },
        {
            "image_id": "1088_1",
            "caption": "The heart is normal in size. The lungs are negative for focal consolidation, pleural effusion, or pneumothorax. There is a small streaky opacity in the lateral right lung which may be due to subsegmental atelectasis or scarring. The presence of a small streaky opacity lateral to the right lung may indicate subsegmental atelectasis or scarring, but no acute cardiopulmonary disease is observed in the X-ray image."
        },
        {
            "image_id": "1088_2",
            "caption": "The heart is normal in size. The lungs are negative for focal consolidation, pleural effusion, or pneumothorax. There is a small streaky opacity in the lateral right lung which may be due to subsegmental atelectasis or scarring. The presence of a small streaky opacity lateral to the right lung may indicate subsegmental atelectasis or scarring, but no acute cardiopulmonary disease is observed in the X-ray image."
        },
        {
            "image_id": "2581_1",
            "caption": "Upon examining the chest X-ray, the heart, pulmonary vasculature, and mediastinum appear normal with no evidence of pleural effusion or pneumothorax. There are also no focal air space opacities indicating pneumonia. Some mild degenerative changes of the spine are evident while hemidiaphragms appear flattened. When examining the abdomen, a normal bowel pattern is observed, with an identified IVC and phleboliths in the pelvis. In summary, there is no acute cardiopulmonary disease, and the bowel pattern is normal."
        },
        {
            "image_id": "2581_2",
            "caption": "Upon examining the chest X-ray, the heart, pulmonary vasculature, and mediastinum appear normal with no evidence of pleural effusion or pneumothorax. There are also no focal air space opacities indicating pneumonia. Some mild degenerative changes of the spine are evident while hemidiaphragms appear flattened. When examining the abdomen, a normal bowel pattern is observed, with an identified IVC and phleboliths in the pelvis. In summary, there is no acute cardiopulmonary disease, and the bowel pattern is normal."
        },
        {
            "image_id": "3847_1",
            "caption": "Both lungs are hyperexpanded with no focal infiltrates. A small pleural or collection is currently present in the right apex, but it has decreased considerably since the previous examination. Heart size is normal. The patient suffers from COPD and has an almost completely resolved right apical pleural air collection."
        },
        {
            "image_id": "3847_2",
            "caption": "Both lungs are hyperexpanded with no focal infiltrates. A small pleural or collection is currently present in the right apex, but it has decreased considerably since the previous examination. Heart size is normal. The patient suffers from COPD and has an almost completely resolved right apical pleural air collection."
        },
        {
            "image_id": "2595_1",
            "caption": "The chest x-ray shows clear lungs bilaterally without any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also normal and the visualized bones are without acute abnormality. Overall, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2595_2",
            "caption": "The chest x-ray shows clear lungs bilaterally without any focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is also normal and the visualized bones are without acute abnormality. Overall, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "508_1",
            "caption": "From the conducted exam, it can be concluded that there is no acute cardiopulmonary abnormality. The heart size and mediastinal contours are normal. There is no focal airspace consolidation, pleural effusion, or pneumothorax observed. Similarly, visualized osseous structures show no acute abnormality."
        },
        {
            "image_id": "508_2",
            "caption": "From the conducted exam, it can be concluded that there is no acute cardiopulmonary abnormality. The heart size and mediastinal contours are normal. There is no focal airspace consolidation, pleural effusion, or pneumothorax observed. Similarly, visualized osseous structures show no acute abnormality."
        },
        {
            "image_id": "1922_1",
            "caption": "On the x-ray, there is no sign of acute cardiopulmonary disease. The heart, mediastinum, bony structures, and lung fields all appear normal. The radiologist's impression is that there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1922_2",
            "caption": "On the x-ray, there is no sign of acute cardiopulmonary disease. The heart, mediastinum, bony structures, and lung fields all appear normal. The radiologist's impression is that there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3072_1",
            "caption": "The x-ray shows that the patient has sequela from cystic fibrosis, with extensive bilateral bronchiectasis, cystic changes, and scarring. There is no focal pulmonary infiltrate, pleural effusion or acute abnormalities in the bony structures. The heart size is normal, while the left-sided medication injection has its tip projecting over the cavoatrial junction. Overall, the impression is that there is extensive pulmonary bronchiectasis and scarring from cystic fibrosis, which is not significantly different from prior scans."
        },
        {
            "image_id": "3072_2",
            "caption": "The x-ray shows that the patient has sequela from cystic fibrosis, with extensive bilateral bronchiectasis, cystic changes, and scarring. There is no focal pulmonary infiltrate, pleural effusion or acute abnormalities in the bony structures. The heart size is normal, while the left-sided medication injection has its tip projecting over the cavoatrial junction. Overall, the impression is that there is extensive pulmonary bronchiectasis and scarring from cystic fibrosis, which is not significantly different from prior scans."
        },
        {
            "image_id": "1665_1",
            "caption": "The chest x-ray shows a normal cardiac contour along with clear lungs with no pleural effusion or pneumothorax. There is a stable calcified granuloma in the left upper lobe. The impression indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1665_2",
            "caption": "The chest x-ray shows a normal cardiac contour along with clear lungs with no pleural effusion or pneumothorax. There is a stable calcified granuloma in the left upper lobe. The impression indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1103_1",
            "caption": "The chest x-ray shows a normal heart size and pulmonary vasculature. No focal airspace opacity, pleural effusion, or pneumothorax is present, but a stable calcified granuloma in the right lung is noted. Mild degenerative changes are present along the thoracic spine, but no acute bony abnormality is observed. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1103_2",
            "caption": "The chest x-ray shows a normal heart size and pulmonary vasculature. No focal airspace opacity, pleural effusion, or pneumothorax is present, but a stable calcified granuloma in the right lung is noted. Mild degenerative changes are present along the thoracic spine, but no acute bony abnormality is observed. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "497_1",
            "caption": "The x-ray report shows that the heart size, lungs, and mediastinum are all normal with no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The findings indicate a normal chest."
        },
        {
            "image_id": "497_2",
            "caption": "The x-ray report shows that the heart size, lungs, and mediastinum are all normal with no signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The findings indicate a normal chest."
        },
        {
            "image_id": "3714_1",
            "caption": "During the examination, the cardio mediastinal silhouette and pulmonary vascular pattern appeared normal, with mildly low lung volumes. There were no indications of any pleural effusions, pulmonary edema or pneumothorax, and no focal infiltrate was observed. The impression is of no acute cardiopulmonary disease."
        },
        {
            "image_id": "3714_2",
            "caption": "During the examination, the cardio mediastinal silhouette and pulmonary vascular pattern appeared normal, with mildly low lung volumes. There were no indications of any pleural effusions, pulmonary edema or pneumothorax, and no focal infiltrate was observed. The impression is of no acute cardiopulmonary disease."
        },
        {
            "image_id": "3700_1",
            "caption": "The chest x-ray shows cardiomegaly with mild vascular prominence, which is unchanged from the previous examination. No focal airspace disease, pleural effusion, or pneumothorax is identified. These findings suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "483_1",
            "caption": "The x-ray indicates hyperexpanded lungs with flattened hemidiaphragms, which suggests COPD. The heart is borderline enlarged, but within the normal size range. There are prominent interstitial markings, and atherosclerotic institutions of the aorta are present. However, there is no evidence of pneumonia, pneumothorax or pleural effusion, and no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "483_2",
            "caption": "The x-ray indicates hyperexpanded lungs with flattened hemidiaphragms, which suggests COPD. The heart is borderline enlarged, but within the normal size range. There are prominent interstitial markings, and atherosclerotic institutions of the aorta are present. However, there is no evidence of pneumonia, pneumothorax or pleural effusion, and no acute cardiopulmonary abnormality is detected."
        },
        {
            "image_id": "1117_1",
            "caption": "The x-ray shows that the heart and pulmonary vasculature are normal in size. However, there is an ill-defined airspace opacity in the posterior left lower lobe, which may suggest pneumonia. Additionally, there is a focal opacity in the right upper lobe which may be due to scarring and/or granulomas. There is no pneumothorax or pleural effusion seen on the x-ray. Further evaluation may be required to rule out any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1117_2",
            "caption": "The x-ray shows that the heart and pulmonary vasculature are normal in size. However, there is an ill-defined airspace opacity in the posterior left lower lobe, which may suggest pneumonia. Additionally, there is a focal opacity in the right upper lobe which may be due to scarring and/or granulomas. There is no pneumothorax or pleural effusion seen on the x-ray. Further evaluation may be required to rule out any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1671_1",
            "caption": "The findings indicate that the heart size and mediastinal contours are normal, and there is no acute cardiopulmonary abnormality. Specifically, there is no evidence of pneumothorax, pleural effusion, or focal airspace consolidation. This suggests that the patient is currently in good respiratory health."
        },
        {
            "image_id": "1671_2",
            "caption": "The findings indicate that the heart size and mediastinal contours are normal, and there is no acute cardiopulmonary abnormality. Specifically, there is no evidence of pneumothorax, pleural effusion, or focal airspace consolidation. This suggests that the patient is currently in good respiratory health."
        },
        {
            "image_id": "2378_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouettes are normal and there is no evidence of any acute cardiopulmonary abnormalities. Lungs are clear and there is no consolidation or fluid accumulation. The image also reveals a stable calcified granuloma in the left lower lobe and a remote left clavicle fracture. This information can be used to diagnose and treat any underlying conditions."
        },
        {
            "image_id": "2378_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouettes are normal and there is no evidence of any acute cardiopulmonary abnormalities. Lungs are clear and there is no consolidation or fluid accumulation. The image also reveals a stable calcified granuloma in the left lower lobe and a remote left clavicle fracture. This information can be used to diagnose and treat any underlying conditions."
        },
        {
            "image_id": "3066_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The heart and mediastinum are within normal size and limits respectively. The lungs show mild emphysematous changes but no focal consolidation, pleural effusion or pneumothorax is noted. The impression suggests emphysema without acute disease."
        },
        {
            "image_id": "3066_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The heart and mediastinum are within normal size and limits respectively. The lungs show mild emphysematous changes but no focal consolidation, pleural effusion or pneumothorax is noted. The impression suggests emphysema without acute disease."
        },
        {
            "image_id": "1881_1",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality. The x-ray shows no significant changes from the previous examination. It is negative and there are no acute abnormalities. The aortic atherosclerosis is stable without any significant changes."
        },
        {
            "image_id": "1881_2",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. Aortic atherosclerosis. No focal consolidation, pneumothorax or large pleural effusion. Negative for acute bone abnormality. The x-ray shows no significant changes from the previous examination. It is negative and there are no acute abnormalities. The aortic atherosclerosis is stable without any significant changes."
        },
        {
            "image_id": "1659_1",
            "caption": "The x-ray indicates that the heart size is normal and there is no evidence of focal airspace disease, pneumothorax, or pleural effusion. The impression of the x-ray is that there are no acute cardiopulmonary findings or displaced fractures. It is important to note that the patient's overall health should continue to be monitored."
        },
        {
            "image_id": "1659_2",
            "caption": "The x-ray indicates that the heart size is normal and there is no evidence of focal airspace disease, pneumothorax, or pleural effusion. The impression of the x-ray is that there are no acute cardiopulmonary findings or displaced fractures. It is important to note that the patient's overall health should continue to be monitored."
        },
        {
            "image_id": "2350_1",
            "caption": "The medical imaging report indicates that the patient has no acute abnormalities in their cardiopulmonary system. Specifically, their heart size is within normal limits and there is no focal consolidation, suspicious pulmonary opacities, pleural effusions or pneumothorax. However, mild degenerative changes are present in the thoracic spine. Overall, the report suggests that the patient is in a stable condition with no significant changes from previous scans."
        },
        {
            "image_id": "2350_2",
            "caption": "The medical imaging report indicates that the patient has no acute abnormalities in their cardiopulmonary system. Specifically, their heart size is within normal limits and there is no focal consolidation, suspicious pulmonary opacities, pleural effusions or pneumothorax. However, mild degenerative changes are present in the thoracic spine. Overall, the report suggests that the patient is in a stable condition with no significant changes from previous scans."
        },
        {
            "image_id": "3728_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart, lungs, and mediastinal contours are within normal limits, and no focal consolidation, pleural effusion, or pneumothorax is identified. The visualized osseous structures and upper abdomen are unremarkable. The impression is that there is no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "3728_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart, lungs, and mediastinal contours are within normal limits, and no focal consolidation, pleural effusion, or pneumothorax is identified. The visualized osseous structures and upper abdomen are unremarkable. The impression is that there is no evidence of an acute cardiopulmonary process."
        },
        {
            "image_id": "2422_1",
            "caption": "After examining the x-ray, it has been found that the patient is having bibasilar pneumonia. Consolidation is seen in the left lower lobe and a patchy infiltrate is also present in the right lower lobe. However, the heart size is normal and no other abnormality is identified in the x-ray. It is recommended to take necessary treatments immediately to prevent worsening of the condition."
        },
        {
            "image_id": "2422_2",
            "caption": "After examining the x-ray, it has been found that the patient is having bibasilar pneumonia. Consolidation is seen in the left lower lobe and a patchy infiltrate is also present in the right lower lobe. However, the heart size is normal and no other abnormality is identified in the x-ray. It is recommended to take necessary treatments immediately to prevent worsening of the condition."
        },
        {
            "image_id": "2344_1",
            "caption": "The x-ray shows that the heart is normal in size and the mediastinum is unremarkable. While the lungs are mildly hypoinflated, there is no focal consolidation. The finding suggests no acute disease. There are also postsurgical/biopsy changes overlying the right breast. Overall, the impression is mild hypoinflation without acute disease."
        },
        {
            "image_id": "2344_2",
            "caption": "The x-ray shows that the heart is normal in size and the mediastinum is unremarkable. While the lungs are mildly hypoinflated, there is no focal consolidation. The finding suggests no acute disease. There are also postsurgical/biopsy changes overlying the right breast. Overall, the impression is mild hypoinflation without acute disease."
        },
        {
            "image_id": "1895_1",
            "caption": "The X-ray examination is limited due to the motion artifact in lateral images but it shows no definite acute intrathoracic findings. The heart is of normal size and there is no focal consolidation, large pneumothorax or large pleural effusion."
        },
        {
            "image_id": "1895_2",
            "caption": "The X-ray examination is limited due to the motion artifact in lateral images but it shows no definite acute intrathoracic findings. The heart is of normal size and there is no focal consolidation, large pneumothorax or large pleural effusion."
        },
        {
            "image_id": "332_1",
            "caption": "The x-ray image shows streaky retrocardiac left lower lobe opacities which could indicate pneumonia depending on the clinical context. There is no evidence of pneumothorax or pleural effusion and the cardiac silhouette appears normal. The impression suggests that the observed opacities are indeed suggestive of pneumonia."
        },
        {
            "image_id": "332_2",
            "caption": "The x-ray image shows streaky retrocardiac left lower lobe opacities which could indicate pneumonia depending on the clinical context. There is no evidence of pneumothorax or pleural effusion and the cardiac silhouette appears normal. The impression suggests that the observed opacities are indeed suggestive of pneumonia."
        },
        {
            "image_id": "454_1",
            "caption": "The chest X-ray shows stable mild cardiomegaly, but no acute cardiopulmonary findings were found. The lungs are clear and there is no evidence of pneumothorax or large pleural effusion. The bony structures appear normal as well."
        },
        {
            "image_id": "440_1",
            "caption": "The X-ray reveals normal heart size with emphysematous changes and atherosclerotic calcifications of the aortic wall. The left apex presents focal pleural thickening due to scarring. There is no focal infiltrate, pneumothorax, or pleural effusion observed. Based on the results, there are no acute findings regarding the cardiopulmonary system."
        },
        {
            "image_id": "440_2",
            "caption": "The X-ray reveals normal heart size with emphysematous changes and atherosclerotic calcifications of the aortic wall. The left apex presents focal pleural thickening due to scarring. There is no focal infiltrate, pneumothorax, or pleural effusion observed. Based on the results, there are no acute findings regarding the cardiopulmonary system."
        },
        {
            "image_id": "2393_1",
            "caption": "The x-ray shows that the heart size and mediastinal contour are normal and there are no pleural effusions or pneumothoraces. The lungs appear hyperexpanded but clear, indicating the absence of focal air space disease. Biapical scarring is visible on the x-ray. The impression is that the lungs are hyperexpanded without any acute cardiopulmonary disease."
        },
        {
            "image_id": "2393_2",
            "caption": "The x-ray shows that the heart size and mediastinal contour are normal and there are no pleural effusions or pneumothoraces. The lungs appear hyperexpanded but clear, indicating the absence of focal air space disease. Biapical scarring is visible on the x-ray. The impression is that the lungs are hyperexpanded without any acute cardiopulmonary disease."
        },
        {
            "image_id": "468_1",
            "caption": "The x-ray shows hyperexpanded lungs; however, there are no acute abnormalities in the lungs and pleural spaces. There is a nodule in the right apex projecting between the third and fourth posterior ribs, and scattered densities throughout the chest from a prior gunshot wound. The heart size and pulmonary vascularity are normal, and there is chronic blunting of the costophrenic angle, as well as a healed right 10th and left 9th posterolateral rib fracture. The impression suggests further evaluation of the right apical nodule to exclude the possibility of pulmonary malignancy, but no acute pulmonary abnormalities are present."
        },
        {
            "image_id": "468_2",
            "caption": "The x-ray shows hyperexpanded lungs; however, there are no acute abnormalities in the lungs and pleural spaces. There is a nodule in the right apex projecting between the third and fourth posterior ribs, and scattered densities throughout the chest from a prior gunshot wound. The heart size and pulmonary vascularity are normal, and there is chronic blunting of the costophrenic angle, as well as a healed right 10th and left 9th posterolateral rib fracture. The impression suggests further evaluation of the right apical nodule to exclude the possibility of pulmonary malignancy, but no acute pulmonary abnormalities are present."
        },
        {
            "image_id": "3933_1",
            "caption": "The x-ray image shows no acute abnormalities in the cardiopulmonary region. The heart size is normal and there is no evidence of pneumothorax or large pleural effusions. No focal airspace opacities are found. Therefore, there are no acute cardiopulmonary abnormalities observed in the image."
        },
        {
            "image_id": "3933_2",
            "caption": "The x-ray image shows no acute abnormalities in the cardiopulmonary region. The heart size is normal and there is no evidence of pneumothorax or large pleural effusions. No focal airspace opacities are found. Therefore, there are no acute cardiopulmonary abnormalities observed in the image."
        },
        {
            "image_id": "1856_1",
            "caption": "The x-ray shows that the cardiomediastinal silhouette and pulmonary vasculature are normal. Lungs are clear and there are no signs of pneumothorax or pleural effusion. There are also no acute osseous findings. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3099_1",
            "caption": "The X-ray examination shows normal heart size, clear lungs without any focal abnormality such as consolidation, effusion, or pneumothorax. Bony thorax and soft tissues appear to be normal. However, a calcified left hilar structure is observed. Based on these findings, there is no acute cardiopulmonary abnormality identified in the examination."
        },
        {
            "image_id": "3099_2",
            "caption": "The X-ray examination shows normal heart size, clear lungs without any focal abnormality such as consolidation, effusion, or pneumothorax. Bony thorax and soft tissues appear to be normal. However, a calcified left hilar structure is observed. Based on these findings, there is no acute cardiopulmonary abnormality identified in the examination."
        },
        {
            "image_id": "2387_1",
            "caption": "The x-ray reveals that the heart size is at the upper limits of normal for AP projection, but the mediastinal contours and pulmonary vasculature appear normal. Due to the patient's chin, the bilateral lung apices are obscured. However, there are no visible signs of pleural effusion, pneumothorax, or displaced rib fractures. Additionally, moderate degenerative changes are present along the thoracic spine. Overall, there is no acute cardiopulmonary abnormality, but moderate thoracic spondylosis is observed."
        },
        {
            "image_id": "2387_2",
            "caption": "The x-ray reveals that the heart size is at the upper limits of normal for AP projection, but the mediastinal contours and pulmonary vasculature appear normal. Due to the patient's chin, the bilateral lung apices are obscured. However, there are no visible signs of pleural effusion, pneumothorax, or displaced rib fractures. Additionally, moderate degenerative changes are present along the thoracic spine. Overall, there is no acute cardiopulmonary abnormality, but moderate thoracic spondylosis is observed."
        },
        {
            "image_id": "2608_1",
            "caption": "The x-ray shows persistent bibasilar airspace disease and bilateral pleural fluid. There is also consolidation and costophrenic blunting in both lower lobes. However, the heart and pulmonary vasculature appear normal and there are no other visible infiltrates. It is important to consult a healthcare professional for further evaluation and treatment."
        },
        {
            "image_id": "2608_2",
            "caption": "The x-ray shows persistent bibasilar airspace disease and bilateral pleural fluid. There is also consolidation and costophrenic blunting in both lower lobes. However, the heart and pulmonary vasculature appear normal and there are no other visible infiltrates. It is important to consult a healthcare professional for further evaluation and treatment."
        },
        {
            "image_id": "3516_1",
            "caption": "The X-ray shows that there is no acute abnormality in the heart and lungs of the patient. The heart size and mediastinal contours are normal, and there is no focal airspace consolidation, pneumothorax, or pleural effusion. The impression is that there is no acute cardiopulmonary abnormality, based on the X-ray findings."
        },
        {
            "image_id": "3516_2",
            "caption": "The X-ray shows that there is no acute abnormality in the heart and lungs of the patient. The heart size and mediastinal contours are normal, and there is no focal airspace consolidation, pneumothorax, or pleural effusion. The impression is that there is no acute cardiopulmonary abnormality, based on the X-ray findings."
        },
        {
            "image_id": "695_1",
            "caption": "The X-ray reveals mild elevation of the right hemidiaphragm and subtle patchy opacities in the lower lungs bilaterally, indicative of COPD and chronic opacities. The heart appears normal, but the aorta is calcified and tortuous. The skeletal structures reveal scoliosis and arthritic changes."
        },
        {
            "image_id": "695_2",
            "caption": "The X-ray reveals mild elevation of the right hemidiaphragm and subtle patchy opacities in the lower lungs bilaterally, indicative of COPD and chronic opacities. The heart appears normal, but the aorta is calcified and tortuous. The skeletal structures reveal scoliosis and arthritic changes."
        },
        {
            "image_id": "1301_1",
            "caption": "The X-ray shows no significant findings. The heart size is normal, mediastinal and hilar contours are stable. There are mediastinal calcifications indicating a previous granulomatous process. No signs of pulmonary edema or pleural effusion are seen, and there is no focal alveolar consolidation. Thus, the impression suggests no acute findings in the X-ray."
        },
        {
            "image_id": "1301_2",
            "caption": "The X-ray shows no significant findings. The heart size is normal, mediastinal and hilar contours are stable. There are mediastinal calcifications indicating a previous granulomatous process. No signs of pulmonary edema or pleural effusion are seen, and there is no focal alveolar consolidation. Thus, the impression suggests no acute findings in the X-ray."
        },
        {
            "image_id": "1467_1",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear bilaterally with no signs of consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable and the osseous structures of the thorax show no acute abnormality."
        },
        {
            "image_id": "1467_2",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear bilaterally with no signs of consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is unremarkable and the osseous structures of the thorax show no acute abnormality."
        },
        {
            "image_id": "3270_1",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs, with clear lungs and normal heart size. However, there are endplate changes within the spine."
        },
        {
            "image_id": "3264_1",
            "caption": "The chest x-ray shows calcified granulomas and symmetric apical scarring with findings suggestive of emphysema. The shape of the chest is somewhat barrel-shaped and the diaphragms are flattened. However, the cardiothymic silhouette is within normal limits for size, and there is no acute bony abnormality or significant changes in the pulmonary vasculature. These findings indicate an ongoing respiratory disease process and may require further evaluation with additional imaging or pulmonary function tests."
        },
        {
            "image_id": "3264_2",
            "caption": "The chest x-ray shows calcified granulomas and symmetric apical scarring with findings suggestive of emphysema. The shape of the chest is somewhat barrel-shaped and the diaphragms are flattened. However, the cardiothymic silhouette is within normal limits for size, and there is no acute bony abnormality or significant changes in the pulmonary vasculature. These findings indicate an ongoing respiratory disease process and may require further evaluation with additional imaging or pulmonary function tests."
        },
        {
            "image_id": "1473_1",
            "caption": "The patient's X-ray image shows no acute abnormalities in the cardiothoracic area. The lungs are normally inflated with no evidence of any focal airspace disease, pleural effusion, or pneumothorax. Bones do not show any acute abnormality either. It indicates a healthy cardiothoracic profile of the patient without any acute cardiopulmonary process."
        },
        {
            "image_id": "1473_2",
            "caption": "The patient's X-ray image shows no acute abnormalities in the cardiothoracic area. The lungs are normally inflated with no evidence of any focal airspace disease, pleural effusion, or pneumothorax. Bones do not show any acute abnormality either. It indicates a healthy cardiothoracic profile of the patient without any acute cardiopulmonary process."
        },
        {
            "image_id": "859_1",
            "caption": "The findings note that the heart and lungs are normal, with no evidence of pneumonia, fluid build-up, or collapsed lung. However, there is a slight opacity in the lower right lung, which may be due to soft tissue overlapping or minimal atelectasis. Also, no bone abnormality is detected. The overall impression is that there is no cardiopulmonary issue that requires immediate attention."
        },
        {
            "image_id": "859_2",
            "caption": "The findings note that the heart and lungs are normal, with no evidence of pneumonia, fluid build-up, or collapsed lung. However, there is a slight opacity in the lower right lung, which may be due to soft tissue overlapping or minimal atelectasis. Also, no bone abnormality is detected. The overall impression is that there is no cardiopulmonary issue that requires immediate attention."
        },
        {
            "image_id": "19_1",
            "caption": "Based on the x-ray image, there is no acute cardiopulmonary process. The heart size is normal, and no pleural effusions or pneumothoraces were observed. Additionally, there is no focal airspace disease or effusion. However, some degenerative changes were noted in the thoracic spine, and the thoracic aorta is tortuous, but it is stable when compared with previous findings."
        },
        {
            "image_id": "19_2",
            "caption": "Based on the x-ray image, there is no acute cardiopulmonary process. The heart size is normal, and no pleural effusions or pneumothoraces were observed. Additionally, there is no focal airspace disease or effusion. However, some degenerative changes were noted in the thoracic spine, and the thoracic aorta is tortuous, but it is stable when compared with previous findings."
        },
        {
            "image_id": "1315_1",
            "caption": "The x-ray image shows that the heart size and mediastinal silhouette are normal. Additionally, there is no evidence of pneumothorax, pleural effusion or suspicious focal airspace opacity. Overall, the impression is that the exam is normal."
        },
        {
            "image_id": "1315_2",
            "caption": "The x-ray image shows that the heart size and mediastinal silhouette are normal. Additionally, there is no evidence of pneumothorax, pleural effusion or suspicious focal airspace opacity. Overall, the impression is that the exam is normal."
        },
        {
            "image_id": "681_1",
            "caption": "The X-ray shows normal heart size and pulmonary vascularity. The right PICC line is malpositioned and the tip is now in left innominate vein. There are some ill-defined focal opacities in the left and right mid-lung zones which may represent small areas of pneumonia. Nevertheless, there are no signs of pneumothorax or pleural effusion. Overall, the radiologist's impression is that there are no acute issues, but the malpositioned PICC line and focal opacities should be monitored by the patient's medical team."
        },
        {
            "image_id": "681_2",
            "caption": "The X-ray shows normal heart size and pulmonary vascularity. The right PICC line is malpositioned and the tip is now in left innominate vein. There are some ill-defined focal opacities in the left and right mid-lung zones which may represent small areas of pneumonia. Nevertheless, there are no signs of pneumothorax or pleural effusion. Overall, the radiologist's impression is that there are no acute issues, but the malpositioned PICC line and focal opacities should be monitored by the patient's medical team."
        },
        {
            "image_id": "3502_1",
            "caption": "The patient has undergone CABG with multiple surgical changes, including sternotomy sutures, clips and markers. The sternotomy sutures are broken, and a fragment from a sternotomy appears to be in the left posterior pleural space. Cardiomegaly with central pulmonary vascular prominence is stable, and there is no evidence of focal airspace disease, pneumothorax, effusion or acute bony abnormality. The findings suggest that the patient has undergone CABG, and the presence of broken sternotomy sutures and a fragment in the posterior left pleural space should be noted for proper management."
        },
        {
            "image_id": "3502_2",
            "caption": "The patient has undergone CABG with multiple surgical changes, including sternotomy sutures, clips and markers. The sternotomy sutures are broken, and a fragment from a sternotomy appears to be in the left posterior pleural space. Cardiomegaly with central pulmonary vascular prominence is stable, and there is no evidence of focal airspace disease, pneumothorax, effusion or acute bony abnormality. The findings suggest that the patient has undergone CABG, and the presence of broken sternotomy sutures and a fragment in the posterior left pleural space should be noted for proper management."
        },
        {
            "image_id": "871_1",
            "caption": "The chest x-ray shows normal heart size and no focal airspace disease, pneumothorax, or effusions. The pelvis x-ray reveals numerous clips overlying the pelvis and lower abdomen, with a nonobstructive bowel pattern and no pathologic calcifications or fractures. Both x-rays indicate no acute abnormalities, providing a reassuring report for the patient."
        },
        {
            "image_id": "871_2",
            "caption": "The chest x-ray shows normal heart size and no focal airspace disease, pneumothorax, or effusions. The pelvis x-ray reveals numerous clips overlying the pelvis and lower abdomen, with a nonobstructive bowel pattern and no pathologic calcifications or fractures. Both x-rays indicate no acute abnormalities, providing a reassuring report for the patient."
        },
        {
            "image_id": "2634_1",
            "caption": "The patient's chest x-ray shows clear lungs with no visible signs of infiltration, effusion or pneumothorax. The heart and mediastinal contours appear to be normal. However, the thoracic spine shows significant degenerative changes. Overall, the x-ray reveals no acute cardiopulmonary disease."
        },
        {
            "image_id": "2152_1",
            "caption": "The X-ray shows a normal heart size, mediastinal silhouette, and pulmonary vascularity. No pneumothorax, pleural effusion or suspicious focal airspace opacity is visible. The impression is a normal exam, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2152_2",
            "caption": "The X-ray shows a normal heart size, mediastinal silhouette, and pulmonary vascularity. No pneumothorax, pleural effusion or suspicious focal airspace opacity is visible. The impression is a normal exam, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3258_1",
            "caption": "The x-ray shows normal findings with clear lungs and unremarkable mediastinal contours. There are no indications of any acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion. The exam shows no significant abnormalities."
        },
        {
            "image_id": "3258_2",
            "caption": "The x-ray shows normal findings with clear lungs and unremarkable mediastinal contours. There are no indications of any acute cardiopulmonary abnormalities such as pneumothorax or pleural effusion. The exam shows no significant abnormalities."
        },
        {
            "image_id": "2146_1",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours, clear lungs, and intact bony structures. There are no signs of acute cardiopulmonary disease, making it a negative chest x-ray."
        },
        {
            "image_id": "2146_2",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours, clear lungs, and intact bony structures. There are no signs of acute cardiopulmonary disease, making it a negative chest x-ray."
        },
        {
            "image_id": "2146_3",
            "caption": "The chest x-ray shows normal cardiac and mediastinal contours, clear lungs, and intact bony structures. There are no signs of acute cardiopulmonary disease, making it a negative chest x-ray."
        },
        {
            "image_id": "2620_1",
            "caption": "The chest x-ray shows that the cardiac silhouette is within normal limits and there is no evidence of acute cardiopulmonary process. The lungs are clear with no edema or focal consolidation, and there is no pneumothorax or pleural effusion. The visualized osseous structures are unremarkable. The impression is a negative chest x-ray."
        },
        {
            "image_id": "2620_2",
            "caption": "The chest x-ray shows that the cardiac silhouette is within normal limits and there is no evidence of acute cardiopulmonary process. The lungs are clear with no edema or focal consolidation, and there is no pneumothorax or pleural effusion. The visualized osseous structures are unremarkable. The impression is a negative chest x-ray."
        },
        {
            "image_id": "865_1",
            "caption": "The chest x-ray shows a normal cardiac silhouette and pulmonary vasculature with clear lungs without any abnormalities such as consolidation or effusion. The impression is negative for any acute cardiopulmonary findings."
        },
        {
            "image_id": "865_2",
            "caption": "The chest x-ray shows a normal cardiac silhouette and pulmonary vasculature with clear lungs without any abnormalities such as consolidation or effusion. The impression is negative for any acute cardiopulmonary findings."
        },
        {
            "image_id": "25_1",
            "caption": "The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.  There are left lower lobe airspace disease and bilateral pleural effusions, left greater than right. This may be secondary to inhalational injury. It is recommended to follow up to ensure complete resolution."
        },
        {
            "image_id": "25_2",
            "caption": "The heart is within normal limits in size. Surgical suture material projects over the right lung apex. The lungs are hyperlucent and hyperinflated compatible with emphysema. There is left lower lobe airspace disease identified. There is moderate left pleural effusion and small right pleural effusion. No visualized pneumothorax.  There are left lower lobe airspace disease and bilateral pleural effusions, left greater than right. This may be secondary to inhalational injury. It is recommended to follow up to ensure complete resolution."
        },
        {
            "image_id": "1329_1",
            "caption": "Two nodules, one measuring 13 mm and the other measuring 16 mm in diameter, are noted in the right and left lower lobes of the lungs, respectively. No other pulmonary nodules are present. However, further evaluation for lung nodules is recommended. Heart and mediastinal contours are normal. No pleural effusions or pneumothoraces are identified. The findings are concerning for metastatic disease, and prompt follow-up and further tests are advised."
        },
        {
            "image_id": "1329_2",
            "caption": "Two nodules, one measuring 13 mm and the other measuring 16 mm in diameter, are noted in the right and left lower lobes of the lungs, respectively. No other pulmonary nodules are present. However, further evaluation for lung nodules is recommended. Heart and mediastinal contours are normal. No pleural effusions or pneumothoraces are identified. The findings are concerning for metastatic disease, and prompt follow-up and further tests are advised."
        },
        {
            "image_id": "2813_1",
            "caption": "The x-ray shows that the heart is of normal size and there is no focal airspace disease. There is no presence of pneumothorax or effusion. Mild degenerative changes are seen in the thoracic spine. The overall impression states that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2813_2",
            "caption": "The x-ray shows that the heart is of normal size and there is no focal airspace disease. There is no presence of pneumothorax or effusion. Mild degenerative changes are seen in the thoracic spine. The overall impression states that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "130_1",
            "caption": "The lungs are clear and heart size is normal. No pneumothorax is found in the x-ray. However, a left chest abnormality is visible with its tip appearing over the lower SVC. Additionally, there is deformity in the midthoracic spine. The x-ray shows clear lungs but a deformity in the midthoracic spine and an abnormality in the left chest. Further evaluation may be required."
        },
        {
            "image_id": "2807_1",
            "caption": "The chest X-ray shows that the heart and lungs are normal with no active disease or abnormalities that could be a cause for concern. The mediastinal contour, pulmonary vasculature, and airways look normal, and there is no evidence of pleural effusion. In short, the X-ray is normal, and there is no acute or active cardiac, pulmonary, or pleural disease present."
        },
        {
            "image_id": "2807_2",
            "caption": "The chest X-ray shows that the heart and lungs are normal with no active disease or abnormalities that could be a cause for concern. The mediastinal contour, pulmonary vasculature, and airways look normal, and there is no evidence of pleural effusion. In short, the X-ray is normal, and there is no acute or active cardiac, pulmonary, or pleural disease present."
        },
        {
            "image_id": "1498_1",
            "caption": "On the apical lordotic frontal view, the heart size is within normal limits with mild aortic ectasia/tortuosity. No focal alveolar consolidation or pleural effusion was seen, and there are no typical findings of pulmonary edema. However, there is a chronic appearing contour irregularity of the distal left clavicle and widened thoracic spine, which may be posttraumatic or postsurgical in nature. Verterbroplasty was noted at the thoracolumbar junction. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1498_2",
            "caption": "On the apical lordotic frontal view, the heart size is within normal limits with mild aortic ectasia/tortuosity. No focal alveolar consolidation or pleural effusion was seen, and there are no typical findings of pulmonary edema. However, there is a chronic appearing contour irregularity of the distal left clavicle and widened thoracic spine, which may be posttraumatic or postsurgical in nature. Verterbroplasty was noted at the thoracolumbar junction. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2191_1",
            "caption": "The patient's x-ray shows no acute abnormality in the bones or soft tissues, and normal vascular markings. However, there is a borderline enlargement of the heart and a left basilar retrocardiac opacity, which are findings consistent with left base airspace disease. There is no evidence of pneumothorax. Further evaluation and management of the airspace disease may be needed."
        },
        {
            "image_id": "2185_1",
            "caption": "There are low lung volumes with bibasilar opacities potentially representing subsegmental atelectasis. The cardiac silhouette is of normal size. There is no pneumothorax or pleural effusion. Findings are suggestive of subsegmental atelectasis."
        },
        {
            "image_id": "2185_2",
            "caption": "There are low lung volumes with bibasilar opacities potentially representing subsegmental atelectasis. The cardiac silhouette is of normal size. There is no pneumothorax or pleural effusion. Findings are suggestive of subsegmental atelectasis."
        },
        {
            "image_id": "118_1",
            "caption": "The chest X-ray shows that the heart is within normal limits in size and shape. However, there is a focal airspace disease in the right middle lobe which is most concerning for pneumonia. There is no evidence of a pneumothorax or effusion. The impression is that there should be a follow-up to ensure that there is complete resolution of the pneumonia."
        },
        {
            "image_id": "118_2",
            "caption": "The chest X-ray shows that the heart is within normal limits in size and shape. However, there is a focal airspace disease in the right middle lobe which is most concerning for pneumonia. There is no evidence of a pneumothorax or effusion. The impression is that there should be a follow-up to ensure that there is complete resolution of the pneumonia."
        },
        {
            "image_id": "143_1",
            "caption": "The x-ray shows no acute pulmonary disease. The lungs are clear with no pleural effusion. The heart is normal in size and shape. The finding of calcified right hilar and infracarinal lymph node suggests old granulomatous disease. The skeletal structures appear normal based on the X-ray image."
        },
        {
            "image_id": "143_2",
            "caption": "The x-ray shows no acute pulmonary disease. The lungs are clear with no pleural effusion. The heart is normal in size and shape. The finding of calcified right hilar and infracarinal lymph node suggests old granulomatous disease. The skeletal structures appear normal based on the X-ray image."
        },
        {
            "image_id": "2860_1",
            "caption": "The x-ray shows scattered degenerative changes of the thoracic spine, surgical clips overlying the right upper quadrant, anterior cervical fusion, and a tortuous and ectatic aorta. However, there is no acute osseous abnormality or radiographic cardiopulmonary process. There are no focal areas of consolidation, pleural effusion, or pneumothorax seen on the x-ray."
        },
        {
            "image_id": "2860_2",
            "caption": "The x-ray shows scattered degenerative changes of the thoracic spine, surgical clips overlying the right upper quadrant, anterior cervical fusion, and a tortuous and ectatic aorta. However, there is no acute osseous abnormality or radiographic cardiopulmonary process. There are no focal areas of consolidation, pleural effusion, or pneumothorax seen on the x-ray."
        },
        {
            "image_id": "631_1",
            "caption": "The X-ray shows a normal size heart with no evident cardiopulmonary issues. However, bibasilar opacities found in the moderately hypoinflated lungs raises concern of bilateral atelectasis. The presence of an ill-defined density overlying the anterior left 5th rib is possibly a healing deformity or superimposition of structures. Dual-lumen right IJ catheter is identified without pneumothorax. Additional evaluation may be necessary to ensure proper diagnosis and treatment."
        },
        {
            "image_id": "631_2",
            "caption": "The X-ray shows a normal size heart with no evident cardiopulmonary issues. However, bibasilar opacities found in the moderately hypoinflated lungs raises concern of bilateral atelectasis. The presence of an ill-defined density overlying the anterior left 5th rib is possibly a healing deformity or superimposition of structures. Dual-lumen right IJ catheter is identified without pneumothorax. Additional evaluation may be necessary to ensure proper diagnosis and treatment."
        },
        {
            "image_id": "2874_1",
            "caption": "The x-ray image shows clear lungs with normal heart. A calcified granuloma is observed in the right lung base and calcified right hilar lymph node. However, there is no evidence of metastatic disease or suspicious nodules or masses. Mediastinal contours are normal and pleural spaces are clear. The x-ray indicates no acute cardiopulmonary disease, making it a positive report."
        },
        {
            "image_id": "2874_2",
            "caption": "The x-ray image shows clear lungs with normal heart. A calcified granuloma is observed in the right lung base and calcified right hilar lymph node. However, there is no evidence of metastatic disease or suspicious nodules or masses. Mediastinal contours are normal and pleural spaces are clear. The x-ray indicates no acute cardiopulmonary disease, making it a positive report."
        },
        {
            "image_id": "157_1",
            "caption": "The X-ray shows that the previously seen bibasilar interstitial infiltrates and pulmonary venous engorgement have now resolved. The heart size is normal and there are no infiltrates. This indicates that the pulmonary interstitial edema and pulmonary venous hypertension are resolving."
        },
        {
            "image_id": "81_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality identified. Heart size and pulmonary vascular engorgement appear within limits of normal. Mediastinal contour is unremarkable. No focal consolidation, pleural effusion, or pneumothorax identified. No convincing acute bony findings."
        },
        {
            "image_id": "619_1",
            "caption": "The patient had an interval sternotomy with intact sternotomy wires. The size of the heart is slightly larger than normal with unfolding of the aorta. The lungs appear clear without any acute pulmonary findings. The bones appear normal. The impression suggests cardiomegaly without any acute cardiopulmonary findings."
        },
        {
            "image_id": "619_2",
            "caption": "The patient had an interval sternotomy with intact sternotomy wires. The size of the heart is slightly larger than normal with unfolding of the aorta. The lungs appear clear without any acute pulmonary findings. The bones appear normal. The impression suggests cardiomegaly without any acute cardiopulmonary findings."
        },
        {
            "image_id": "2684_1",
            "caption": "The chest x-ray shows that the cardiac and mediastinal contours are normal in appearance. The lungs appear clear without any evidence of consolidation or effusion. However, there is a calcified granuloma identified in the left lower lobe, and calcified lymph nodes in the left hilar region. Minimal degenerative endplate changes are seen in the thoracic spine. There are no acute intrathoracic abnormalities observed."
        },
        {
            "image_id": "2684_2",
            "caption": "The chest x-ray shows that the cardiac and mediastinal contours are normal in appearance. The lungs appear clear without any evidence of consolidation or effusion. However, there is a calcified granuloma identified in the left lower lobe, and calcified lymph nodes in the left hilar region. Minimal degenerative endplate changes are seen in the thoracic spine. There are no acute intrathoracic abnormalities observed."
        },
        {
            "image_id": "2690_1",
            "caption": "After reviewing the chest X-ray, there are no significant abnormalities found in the cardiopulmonary system. The heart, pulmonary structures, and mediastinum are within normal limits. No pleural effusion or pneumothorax is detected, and no focal airspace opacity is observed to suggest pneumonia except for a calcified granuloma in the left midlung. The results suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "2690_2",
            "caption": "After reviewing the chest X-ray, there are no significant abnormalities found in the cardiopulmonary system. The heart, pulmonary structures, and mediastinum are within normal limits. No pleural effusion or pneumothorax is detected, and no focal airspace opacity is observed to suggest pneumonia except for a calcified granuloma in the left midlung. The results suggest no acute cardiopulmonary disease."
        },
        {
            "image_id": "2848_1",
            "caption": "The X-ray image shows mild cardiomegaly, which means an enlarged heart, but no evidence of acute cardiopulmonary disease. The lungs are clear and there is no pleural effusion or pneumothorax. However, calcified hilar lymph nodes are present. The soft tissues appear unremarkable. The radiologist notes that there is no evidence of active tuberculosis."
        },
        {
            "image_id": "2848_2",
            "caption": "The X-ray image shows mild cardiomegaly, which means an enlarged heart, but no evidence of acute cardiopulmonary disease. The lungs are clear and there is no pleural effusion or pneumothorax. However, calcified hilar lymph nodes are present. The soft tissues appear unremarkable. The radiologist notes that there is no evidence of active tuberculosis."
        },
        {
            "image_id": "95_1",
            "caption": "The x-ray shows no acute abnormalities in the heart, lungs or pleural spaces. There is a single calcified granuloma in the right lung base, and cholecystectomy clips are seen in the right upper quadrant of the abdomen. Small T-spine osteophytes are also noted. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "95_2",
            "caption": "The x-ray shows no acute abnormalities in the heart, lungs or pleural spaces. There is a single calcified granuloma in the right lung base, and cholecystectomy clips are seen in the right upper quadrant of the abdomen. Small T-spine osteophytes are also noted. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1399_1",
            "caption": "The x-ray shows normal cardiac contours and clear lungs. However, there is evidence of thoracic spondylosis and partial fusion of 2 vertebral bodies near the thoracolumbar junction. Overall, there is no acute process observed in the x-ray."
        },
        {
            "image_id": "1399_2",
            "caption": "The x-ray shows normal cardiac contours and clear lungs. However, there is evidence of thoracic spondylosis and partial fusion of 2 vertebral bodies near the thoracolumbar junction. Overall, there is no acute process observed in the x-ray."
        },
        {
            "image_id": "3203_1",
            "caption": "The x-ray shows normal results with no significant abnormalities found. The cardiac and mediastinal contours are within the normal limits, and the lungs are clear. Bony structures appear intact. No acute findings are observed, and the x-ray is normal."
        },
        {
            "image_id": "3203_2",
            "caption": "The x-ray shows normal results with no significant abnormalities found. The cardiac and mediastinal contours are within the normal limits, and the lungs are clear. Bony structures appear intact. No acute findings are observed, and the x-ray is normal."
        },
        {
            "image_id": "1372_1",
            "caption": "The x-ray image shows the heart to be of normal size and the mediastinum slightly enlarged. There are predominantly interstitial pulmonary opacities at the bottom of both lungs, with no visible pneumothorax or pleural effusion. The impression is that it is most likely mild bibasilar atelectasis causing the airspace disease. It is important to follow up on this finding to monitor for resolution."
        },
        {
            "image_id": "1372_2",
            "caption": "The x-ray image shows the heart to be of normal size and the mediastinum slightly enlarged. There are predominantly interstitial pulmonary opacities at the bottom of both lungs, with no visible pneumothorax or pleural effusion. The impression is that it is most likely mild bibasilar atelectasis causing the airspace disease. It is important to follow up on this finding to monitor for resolution."
        },
        {
            "image_id": "3565_1",
            "caption": "The X-ray shows stable appearance of the cardiomediastinal silhouette. There is complete opacification of the right middle lobe but no significant associated volume loss. The left lung appears clear with no pneumothorax or pleural effusion. The thoracic spine is intact. The impression is that this is a stable right middle lobe consolidation, which is most consistent with pneumonia."
        },
        {
            "image_id": "3565_2",
            "caption": "The X-ray shows stable appearance of the cardiomediastinal silhouette. There is complete opacification of the right middle lobe but no significant associated volume loss. The left lung appears clear with no pneumothorax or pleural effusion. The thoracic spine is intact. The impression is that this is a stable right middle lobe consolidation, which is most consistent with pneumonia."
        },
        {
            "image_id": "3571_1",
            "caption": "The X-ray findings reveal no acute abnormalities in the cardiopulmonary system. The heart size, pulmonary vascularity, and stomach contour appear normal. The lungs are clear with no signs of pneumothorax, pleural effusion, or airspace opacity suggestive of pneumonia. However, there is degenerative change in the thoracic spine and right hemidiaphragmatic elevation is observed. The combination of these findings suggests no acute cardiopulmonary process but right hemidiaphragmatic elevation needs to be further assessed."
        },
        {
            "image_id": "3571_2",
            "caption": "The X-ray findings reveal no acute abnormalities in the cardiopulmonary system. The heart size, pulmonary vascularity, and stomach contour appear normal. The lungs are clear with no signs of pneumothorax, pleural effusion, or airspace opacity suggestive of pneumonia. However, there is degenerative change in the thoracic spine and right hemidiaphragmatic elevation is observed. The combination of these findings suggests no acute cardiopulmonary process but right hemidiaphragmatic elevation needs to be further assessed."
        },
        {
            "image_id": "1366_1",
            "caption": "The chest x-ray shows clear lungs and a normal heart size, with unremarkable findings in the chest structures. There are no acute cardiopulmonary abnormalities detected on the x-ray."
        },
        {
            "image_id": "1366_2",
            "caption": "The chest x-ray shows clear lungs and a normal heart size, with unremarkable findings in the chest structures. There are no acute cardiopulmonary abnormalities detected on the x-ray."
        },
        {
            "image_id": "1400_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and appearance. Lungs are clear without any signs of acute abnormalities or diseases. There is no presence of pneumothorax, pleural effusion, or other features that suggest lung pathology. Overall, the x-ray is unremarkable, and there is no sign of acute cardiopulmonary disease."
        },
        {
            "image_id": "1400_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and appearance. Lungs are clear without any signs of acute abnormalities or diseases. There is no presence of pneumothorax, pleural effusion, or other features that suggest lung pathology. Overall, the x-ray is unremarkable, and there is no sign of acute cardiopulmonary disease."
        },
        {
            "image_id": "194_1",
            "caption": "The chest X-ray shows that the heart is slightly enlarged and there is a small amount of airspace disease in the left lower part of the lungs. However, there are no significant lesions, pneumothorax or accumulation of fluids in the lungs. The impression suggests that this could be due to atelectasis (partial collapse of lung tissue) and/or infiltrate, but there is no evidence of tuberculosis. It is important to further evaluate the patient's clinical history and symptoms to determine the appropriate course of treatment."
        },
        {
            "image_id": "194_2",
            "caption": "The chest X-ray shows that the heart is slightly enlarged and there is a small amount of airspace disease in the left lower part of the lungs. However, there are no significant lesions, pneumothorax or accumulation of fluids in the lungs. The impression suggests that this could be due to atelectasis (partial collapse of lung tissue) and/or infiltrate, but there is no evidence of tuberculosis. It is important to further evaluate the patient's clinical history and symptoms to determine the appropriate course of treatment."
        },
        {
            "image_id": "2109_1",
            "caption": "The chest x-ray shows no signs of acute disease. The heart size and pulmonary vascularity appear within normal limits, and the lungs are free of focal airspace disease. There is no pleural effusion or pneumothorax either. However, low lung volumes are present, and surgical clips are seen in the abdomen. The finding suggests no evidence of active disease."
        },
        {
            "image_id": "2109_2",
            "caption": "The chest x-ray shows no signs of acute disease. The heart size and pulmonary vascularity appear within normal limits, and the lungs are free of focal airspace disease. There is no pleural effusion or pneumothorax either. However, low lung volumes are present, and surgical clips are seen in the abdomen. The finding suggests no evidence of active disease."
        },
        {
            "image_id": "3217_1",
            "caption": "The chest x-ray shows an irregularity within the right apex which is consistent with the patient's known cavitary lesion as a result of prior tuberculosis. There is no evidence of active infection, and no other abnormalities are identified such as focal consolidations, pneumothorax or effusions. The paramediastinal silhouette is stable and within normal limits, and there are no acute bony abnormality seen. Overall, this is indicative of a right apical cavitary lesion without any active infectious process identified."
        },
        {
            "image_id": "1428_1",
            "caption": "The X-ray image shows no acute abnormalities. The lungs are clear without any focal consolidation, visualized pneumothorax, or large pleural effusions. The heart size and cardiomediastinal silhouette are normal without any acute bony findings."
        },
        {
            "image_id": "1428_2",
            "caption": "The X-ray image shows no acute abnormalities. The lungs are clear without any focal consolidation, visualized pneumothorax, or large pleural effusions. The heart size and cardiomediastinal silhouette are normal without any acute bony findings."
        },
        {
            "image_id": "2121_1",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs. However, there is an ectasia/tortuosity of the thoracic aorta and calcified hilar lymph nodes. A calcific density is also present over the left lower lobe and may represent mitral annular calcifications. The x-ray does not show any focal airspace consolidations, pleural effusions, or pneumothorax. Additionally, degenerative changes are seen in the thoracic spine but there are no acute bony abnormalities. In conclusion, there are no acute cardiopulmonary findings detected in the x-ray."
        },
        {
            "image_id": "2121_2",
            "caption": "The x-ray shows no acute abnormalities in the heart or lungs. However, there is an ectasia/tortuosity of the thoracic aorta and calcified hilar lymph nodes. A calcific density is also present over the left lower lobe and may represent mitral annular calcifications. The x-ray does not show any focal airspace consolidations, pleural effusions, or pneumothorax. Additionally, degenerative changes are seen in the thoracic spine but there are no acute bony abnormalities. In conclusion, there are no acute cardiopulmonary findings detected in the x-ray."
        },
        {
            "image_id": "3559_1",
            "caption": "The x-ray shows no significant finding, as there is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal, and mild levocurvature of the thoracic spine is present. However, a 9 mm pulmonary nodule is observed partially covering the posterior 6th right rib on the frontal view. The impression emphasizes that there is no acute abnormality."
        },
        {
            "image_id": "3559_2",
            "caption": "The x-ray shows no significant finding, as there is no focal consolidation, pleural effusion, or pneumothorax. The heart size is normal, and mild levocurvature of the thoracic spine is present. However, a 9 mm pulmonary nodule is observed partially covering the posterior 6th right rib on the frontal view. The impression emphasizes that there is no acute abnormality."
        },
        {
            "image_id": "2647_1",
            "caption": "The x-ray image shows no acute abnormalities. The lungs are clear without any focal airspace opacity. The size and contour of the cardiomediastinal silhouette are normal and stable. There is no evidence of any pneumothorax or large pleural effusion. The foreign body in the posterior soft tissues appears stable."
        },
        {
            "image_id": "2647_2",
            "caption": "The x-ray image shows no acute abnormalities. The lungs are clear without any focal airspace opacity. The size and contour of the cardiomediastinal silhouette are normal and stable. There is no evidence of any pneumothorax or large pleural effusion. The foreign body in the posterior soft tissues appears stable."
        },
        {
            "image_id": "42_1",
            "caption": "The X-ray shows no significant abnormalities. The heart size, lung, and thoracic spine are normal. No consolidation, effusion, or pneumothorax identified. The impression suggests the absence of any acute cardiopulmonary abnormality. It indicates a typical or routine result, and the patient may discuss further diagnosis with the doctor."
        },
        {
            "image_id": "42_2",
            "caption": "The X-ray shows no significant abnormalities. The heart size, lung, and thoracic spine are normal. No consolidation, effusion, or pneumothorax identified. The impression suggests the absence of any acute cardiopulmonary abnormality. It indicates a typical or routine result, and the patient may discuss further diagnosis with the doctor."
        },
        {
            "image_id": "42_3",
            "caption": "The X-ray shows no significant abnormalities. The heart size, lung, and thoracic spine are normal. No consolidation, effusion, or pneumothorax identified. The impression suggests the absence of any acute cardiopulmonary abnormality. It indicates a typical or routine result, and the patient may discuss further diagnosis with the doctor."
        },
        {
            "image_id": "56_1",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. It also indicates that the lungs are clear and there is no acute disease present."
        },
        {
            "image_id": "56_2",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. It also indicates that the lungs are clear and there is no acute disease present."
        },
        {
            "image_id": "2653_1",
            "caption": "The chest x-ray shows that the heart size and mediastinal contours are within normal limits, and the pulmonary vascularity is also normal. There are no signs of focal consolidation, suspicious pulmonary opacity, pneumothorax, or definite pleural effusion. Additionally, mild degenerative changes are noted in the thoracic spine. Based on these findings, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "2653_2",
            "caption": "The chest x-ray shows that the heart size and mediastinal contours are within normal limits, and the pulmonary vascularity is also normal. There are no signs of focal consolidation, suspicious pulmonary opacity, pneumothorax, or definite pleural effusion. Additionally, mild degenerative changes are noted in the thoracic spine. Based on these findings, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "2135_1",
            "caption": "The x-ray examination reveals no focal consolidation. Mild blunting may represent small effusions, but there is no presence of pneumothorax. The pulmonary vascular appears normal. The patient has moderate cardiomegaly. Based on the findings, the impression is that the patient's cardiomegaly is unchanged, and there may be question of pleural effusions."
        },
        {
            "image_id": "2135_2",
            "caption": "The x-ray examination reveals no focal consolidation. Mild blunting may represent small effusions, but there is no presence of pneumothorax. The pulmonary vascular appears normal. The patient has moderate cardiomegaly. Based on the findings, the impression is that the patient's cardiomegaly is unchanged, and there may be question of pleural effusions."
        },
        {
            "image_id": "4_1",
            "caption": "The chest x-ray shows diffuse bilateral interstitial and alveolar opacities indicative of chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could be a cavitary lesion. Streaky opacities in the right upper lobe suggest scarring. The cardiomediastinal silhouette is normal. There is no pneumothorax or large pleural effusion. The impression is bullous emphysema and interstitial fibrosis, probably scarring in the left apex, and opacities in bilateral upper lobes potential scarring. The recommendation is to have short interval follow-up radiograph or CT thorax to document resolution."
        },
        {
            "image_id": "4_2",
            "caption": "The chest x-ray shows diffuse bilateral interstitial and alveolar opacities indicative of chronic obstructive lung disease and bullous emphysema. There are irregular opacities in the left lung apex, that could be a cavitary lesion. Streaky opacities in the right upper lobe suggest scarring. The cardiomediastinal silhouette is normal. There is no pneumothorax or large pleural effusion. The impression is bullous emphysema and interstitial fibrosis, probably scarring in the left apex, and opacities in bilateral upper lobes potential scarring. The recommendation is to have short interval follow-up radiograph or CT thorax to document resolution."
        },
        {
            "image_id": "427_1",
            "caption": "The x-ray examination shows that the heart and mediastinal contours are normal. Lungs are without any focal airspace disease, pleural effusion, or pneumothorax. There are no acute abnormal findings in osseous structures. Taken together, the impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "427_2",
            "caption": "The x-ray examination shows that the heart and mediastinal contours are normal. Lungs are without any focal airspace disease, pleural effusion, or pneumothorax. There are no acute abnormal findings in osseous structures. Taken together, the impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "341_1",
            "caption": "The x-ray images of the chest and right foot have been examined. In the chest x-ray, both lungs are clear and expanded, and the heart and mediastinum are normal. No active disease was found. In the right foot x-ray, hindfoot, midfoot, and forefoot bones are intact without any fractures or bone destruction. The findings suggest no abnormality in the chest and right foot."
        },
        {
            "image_id": "341_2",
            "caption": "The x-ray images of the chest and right foot have been examined. In the chest x-ray, both lungs are clear and expanded, and the heart and mediastinum are normal. No active disease was found. In the right foot x-ray, hindfoot, midfoot, and forefoot bones are intact without any fractures or bone destruction. The findings suggest no abnormality in the chest and right foot."
        },
        {
            "image_id": "355_1",
            "caption": "The X-ray findings show that the lung volumes are low and there are prominent interstitial markings in both lungs which are unchanged in the interval. Bullae are present, more on the right upper lobe than the left. There are no pleural air collections and the heart size is normal. The impression is chronic interstitial and bullous disease, with no evidence of acute findings."
        },
        {
            "image_id": "355_2",
            "caption": "The X-ray findings show that the lung volumes are low and there are prominent interstitial markings in both lungs which are unchanged in the interval. Bullae are present, more on the right upper lobe than the left. There are no pleural air collections and the heart size is normal. The impression is chronic interstitial and bullous disease, with no evidence of acute findings."
        },
        {
            "image_id": "3798_1",
            "caption": "The chest x-ray shows no signs of cardiomegaly or abnormalities in the mediastinum or pulmonary vascularity. There is no evidence of pneumothorax or pleural effusion. However, there is patchy opacification in the right lower lung indicative of right basilar airspace disease. Further evaluation and management may be necessary."
        },
        {
            "image_id": "3798_2",
            "caption": "The chest x-ray shows no signs of cardiomegaly or abnormalities in the mediastinum or pulmonary vascularity. There is no evidence of pneumothorax or pleural effusion. However, there is patchy opacification in the right lower lung indicative of right basilar airspace disease. Further evaluation and management may be necessary."
        },
        {
            "image_id": "3940_1",
            "caption": "There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax. The chest X-ray shows a stable appearance with no notable abnormalities, aside from the previously identified closure device and lung scarring."
        },
        {
            "image_id": "3940_2",
            "caption": "There is a stable closure device projected over the heart. The heart and mediastinum are otherwise normal. There is stable scarring of left mid lung. The lungs are otherwise clear. There is no infiltrate, effusion, mass or pneumothorax. The chest X-ray shows a stable appearance with no notable abnormalities, aside from the previously identified closure device and lung scarring."
        },
        {
            "image_id": "2486_1",
            "caption": "The X-ray shows a normal heart size with no focal infiltrations, pneumothorax, or pleural fluid. There is a presence of prominent epipericardial fat and right 7th and 8th rib deformities. No free intraperitoneal air under the diaphragm is visible. Based on the findings, there is no radiographic evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2486_2",
            "caption": "The X-ray shows a normal heart size with no focal infiltrations, pneumothorax, or pleural fluid. There is a presence of prominent epipericardial fat and right 7th and 8th rib deformities. No free intraperitoneal air under the diaphragm is visible. Based on the findings, there is no radiographic evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1831_1",
            "caption": "The heart is normal in size and there are no abnormal mediastinal contours. The lungs are clear without any signs of pneumonia, pleural effusion, or pneumothorax. The x-ray shows no acute abnormality in the chest."
        },
        {
            "image_id": "1831_2",
            "caption": "The heart is normal in size and there are no abnormal mediastinal contours. The lungs are clear without any signs of pneumonia, pleural effusion, or pneumothorax. The x-ray shows no acute abnormality in the chest."
        },
        {
            "image_id": "3954_1",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. Additionally, the lungs appear clear. In other words, there is no acute disease present in this scan."
        },
        {
            "image_id": "3954_2",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. Additionally, the lungs appear clear. In other words, there is no acute disease present in this scan."
        },
        {
            "image_id": "2492_1",
            "caption": "Upon examination of the patient's chest x-ray, the cardiac silhouette and pulmonary vascularity appear normal. There is no indication of pleural effusion or pneumothorax, however, there are atherosclerotic changes observed in the thoracic aorta. The patient presents with deformity of multiple left anterior ribs due to previous fractures, as well as lumbar scoliosis. Based on these findings, there is no evidence of acute cardiopulmonary disease in the patient."
        },
        {
            "image_id": "2492_2",
            "caption": "Upon examination of the patient's chest x-ray, the cardiac silhouette and pulmonary vascularity appear normal. There is no indication of pleural effusion or pneumothorax, however, there are atherosclerotic changes observed in the thoracic aorta. The patient presents with deformity of multiple left anterior ribs due to previous fractures, as well as lumbar scoliosis. Based on these findings, there is no evidence of acute cardiopulmonary disease in the patient."
        },
        {
            "image_id": "2479_1",
            "caption": "The x-ray image shows a right-sided chest tube identified with no acute abnormality. Lung volumes are low with elevated right hemidiaphragm, but no focal infiltrate, pleural effusion or pneumothorax is visible. Heart size is normal with normal pulmonary vascularity, mediastinal and hilar contours. There are degenerative changes of the spine, and the lungs appear grossly clear. The impression suggests no acute abnormality."
        },
        {
            "image_id": "1170_1",
            "caption": "The patient's X-ray shows no signs of pneumothorax, pleural effusion, or focal airspace disease, and the bony structures appear intact. However, mild cardiomegaly is present. The cardiovascular and mediastinal structures appear unremarkable."
        },
        {
            "image_id": "1170_2",
            "caption": "The patient's X-ray shows no signs of pneumothorax, pleural effusion, or focal airspace disease, and the bony structures appear intact. However, mild cardiomegaly is present. The cardiovascular and mediastinal structures appear unremarkable."
        },
        {
            "image_id": "1170_3",
            "caption": "The patient's X-ray shows no signs of pneumothorax, pleural effusion, or focal airspace disease, and the bony structures appear intact. However, mild cardiomegaly is present. The cardiovascular and mediastinal structures appear unremarkable."
        },
        {
            "image_id": "1616_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear and the cardiac and mediastinal silhouettes, as well as the pulmonary vasculature, are normal. There is no evidence of pneumothorax or pleural effusion. The ribs do not show any displaced or nondisplaced fractures. Additionally, there are no acute bony abnormalities or soft tissue injuries observed."
        },
        {
            "image_id": "1616_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. The lungs are clear and the cardiac and mediastinal silhouettes, as well as the pulmonary vasculature, are normal. There is no evidence of pneumothorax or pleural effusion. The ribs do not show any displaced or nondisplaced fractures. Additionally, there are no acute bony abnormalities or soft tissue injuries observed."
        },
        {
            "image_id": "382_1",
            "caption": "The x-ray image shows normal cardiac size, mediastinum and central pulmonary vasculature. There are marked bullous emphysematous changes and traction bronchiectasis in the bilateral upper lobes. Additionally, there is a stable ovoid opacity in the left upper lobe which is suspected to be superimposed aspergilloma. No pleural effusion or pneumothorax is identified. The impression suggests that there are marked bullous emphysematous changes and traction bronchiectasis, especially in the bilateral upper lobes. The presence of a stable suspected superimposed left upper lobe aspergilloma is noted."
        },
        {
            "image_id": "382_2",
            "caption": "The x-ray image shows normal cardiac size, mediastinum and central pulmonary vasculature. There are marked bullous emphysematous changes and traction bronchiectasis in the bilateral upper lobes. Additionally, there is a stable ovoid opacity in the left upper lobe which is suspected to be superimposed aspergilloma. No pleural effusion or pneumothorax is identified. The impression suggests that there are marked bullous emphysematous changes and traction bronchiectasis, especially in the bilateral upper lobes. The presence of a stable suspected superimposed left upper lobe aspergilloma is noted."
        },
        {
            "image_id": "3001_1",
            "caption": "The frontal and lateral views of the chest reveal normal findings with an unchanged cardiomediastinal silhouette, normal mediastinal contour, pulmonary vasculature and central airways, and adequate lung aeration. The radiograph cannot completely exclude small pleural effusions, however, there is no acute or active cardiac or pulmonary disease process identified."
        },
        {
            "image_id": "3001_2",
            "caption": "The frontal and lateral views of the chest reveal normal findings with an unchanged cardiomediastinal silhouette, normal mediastinal contour, pulmonary vasculature and central airways, and adequate lung aeration. The radiograph cannot completely exclude small pleural effusions, however, there is no acute or active cardiac or pulmonary disease process identified."
        },
        {
            "image_id": "3015_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormalities. The heart size and mediastinal contours are normal. There is no focal airspace consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities detected."
        },
        {
            "image_id": "396_1",
            "caption": "The x-ray indicates that there is no active disease or evidence of acute cardiopulmonary findings. The lungs are clear, without any focal airspace consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal, and there are minimal degenerative changes of the spine."
        },
        {
            "image_id": "396_2",
            "caption": "The x-ray indicates that there is no active disease or evidence of acute cardiopulmonary findings. The lungs are clear, without any focal airspace consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal, and there are minimal degenerative changes of the spine."
        },
        {
            "image_id": "3773_1",
            "caption": "The x-ray indicates that there is no acute abnormality in the lungs and pleural spaces. The heart is slightly larger than normal with a predominantly left ventricular contour, but the pulmonary vascularity is within normal limits. Overall, there is no evidence of active disease."
        },
        {
            "image_id": "3773_2",
            "caption": "The x-ray indicates that there is no acute abnormality in the lungs and pleural spaces. The heart is slightly larger than normal with a predominantly left ventricular contour, but the pulmonary vascularity is within normal limits. Overall, there is no evidence of active disease."
        },
        {
            "image_id": "3983_1",
            "caption": "The chest x-ray reveals a left basilar airspace opacity and right basilar atelectasis. The heart size and mediastinal silhouette appear normal with no evidence of pneumothorax or pleural effusions. The intact ribs indicate there is no acute bony abnormality. This is concerning for pneumonia in the left lung and atelectasis in the right lung. It is recommended for further evaluation and treatment by a healthcare professional."
        },
        {
            "image_id": "3983_2",
            "caption": "The chest x-ray reveals a left basilar airspace opacity and right basilar atelectasis. The heart size and mediastinal silhouette appear normal with no evidence of pneumothorax or pleural effusions. The intact ribs indicate there is no acute bony abnormality. This is concerning for pneumonia in the left lung and atelectasis in the right lung. It is recommended for further evaluation and treatment by a healthcare professional."
        },
        {
            "image_id": "2445_1",
            "caption": "The chest x-ray shows that the heart is normal in size and the mediastinum is unremarkable. The lungs appear clear with no acute disease present. Overall, the results are within normal limits."
        },
        {
            "image_id": "2445_2",
            "caption": "The chest x-ray shows that the heart is normal in size and the mediastinum is unremarkable. The lungs appear clear with no acute disease present. Overall, the results are within normal limits."
        },
        {
            "image_id": "2323_1",
            "caption": "The x-ray image shows no signs of acute disease or abnormality. The lungs are clear bilaterally, and there is no evidence of pleural effusion or pneumothorax. The heart size is normal, and the mediastinum appears unremarkable with no acute cardiopulmonary findings present. Similarly, there is no acute bony abnormality or any soft tissue abnormality."
        },
        {
            "image_id": "2323_2",
            "caption": "The x-ray image shows no signs of acute disease or abnormality. The lungs are clear bilaterally, and there is no evidence of pleural effusion or pneumothorax. The heart size is normal, and the mediastinum appears unremarkable with no acute cardiopulmonary findings present. Similarly, there is no acute bony abnormality or any soft tissue abnormality."
        },
        {
            "image_id": "3029_1",
            "caption": "The x-ray image reveals a normal cardiac contour with clear lung fields and no signs of pleural effusion or pneumothorax. Additionally, degenerative changes are seen in the cervical spine. Overall, there are no acute cardiopulmonary abnormalities present on this x-ray."
        },
        {
            "image_id": "3029_2",
            "caption": "The x-ray image reveals a normal cardiac contour with clear lung fields and no signs of pleural effusion or pneumothorax. Additionally, degenerative changes are seen in the cervical spine. Overall, there are no acute cardiopulmonary abnormalities present on this x-ray."
        },
        {
            "image_id": "2337_1",
            "caption": "The chest X-ray shows no signs of acute pulmonary abnormalities. The lungs and pleural spaces are clear, and the heart size and pulmonary vascularity are normal. However, the patient has stable paratracheal soft tissue density and hyperexpanded lungs. The radiologist recommends further evaluation to make a proper diagnosis."
        },
        {
            "image_id": "3997_1",
            "caption": "The finding shows the heart size within normal limits and a small, nodular opacity in the right upper lobe which likely represents a granuloma. There is no evidence of acute infiltrate, pneumothorax, or effusions. The impression states no acute findings and no evidence for active TB."
        },
        {
            "image_id": "3997_2",
            "caption": "The finding shows the heart size within normal limits and a small, nodular opacity in the right upper lobe which likely represents a granuloma. There is no evidence of acute infiltrate, pneumothorax, or effusions. The impression states no acute findings and no evidence for active TB."
        },
        {
            "image_id": "2451_1",
            "caption": "The chest X-ray shows no acute cardiopulmonary abnormalities. Heart size is within normal limits without any focal airspace disease, pneumothorax or effusions. However, mild degenerative changes are present throughout the thoracic spine. Moving on to the right knee, there are advanced degenerative changes, most severe in the medial compartment due to a prior ligamentous repair. There are no joint effusions, fractures, or dislocations."
        },
        {
            "image_id": "2451_2",
            "caption": "The chest X-ray shows no acute cardiopulmonary abnormalities. Heart size is within normal limits without any focal airspace disease, pneumothorax or effusions. However, mild degenerative changes are present throughout the thoracic spine. Moving on to the right knee, there are advanced degenerative changes, most severe in the medial compartment due to a prior ligamentous repair. There are no joint effusions, fractures, or dislocations."
        },
        {
            "image_id": "1158_1",
            "caption": "The findings reveal a slightly enlarged heart and tortuous aorta, but no evidence of failure or pneumonia. The pulmonary structures are normal, and there are no infiltrates or masses in the lungs."
        },
        {
            "image_id": "1158_2",
            "caption": "The findings reveal a slightly enlarged heart and tortuous aorta, but no evidence of failure or pneumonia. The pulmonary structures are normal, and there are no infiltrates or masses in the lungs."
        },
        {
            "image_id": "553_1",
            "caption": "The x-ray shows a normal heart size and clear lungs without any focal airspace disease, pleural effusion or pneumothorax. There are scattered calcified granulomas and degenerative changes in the spine, but no acute bony abnormalities. The x-ray overall shows no acute cardiopulmonary process."
        },
        {
            "image_id": "553_2",
            "caption": "The x-ray shows a normal heart size and clear lungs without any focal airspace disease, pleural effusion or pneumothorax. There are scattered calcified granulomas and degenerative changes in the spine, but no acute bony abnormalities. The x-ray overall shows no acute cardiopulmonary process."
        },
        {
            "image_id": "3808_1",
            "caption": "The X-ray image shows no acute abnormality. The heart size, mediastinal contours, and pulmonary vasculature are all within normal limits. There are scattered calcified granulomas noted, but they are stable. The lungs also show no signs of consolidation, pneumothorax, or large pleural effusion. Additionally, there is no acute osseous abnormality. The impression is that there is no acute abnormality present in the X-ray image."
        },
        {
            "image_id": "3808_2",
            "caption": "The X-ray image shows no acute abnormality. The heart size, mediastinal contours, and pulmonary vasculature are all within normal limits. There are scattered calcified granulomas noted, but they are stable. The lungs also show no signs of consolidation, pneumothorax, or large pleural effusion. Additionally, there is no acute osseous abnormality. The impression is that there is no acute abnormality present in the X-ray image."
        },
        {
            "image_id": "235_1",
            "caption": "The chest X-ray shows a left-sided biventricular cardiac pacemaker with intact leads that do not indicate pneumothorax. There is a mild cardiomegaly and diffuse bilateral interstitial opacities which may suggest pulmonary edema. Additionally, there are some unclear opacities above the left lung base, possibly due to lingular atelectasis or infiltrate. However, there is no evident large pleural effusion in the lateral view. Based on these findings, further evaluation may be necessary to understand the cardiac and pulmonary conditions more comprehensively."
        },
        {
            "image_id": "1979_1",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette without any focal consolidation or acute bony abnormality. There is no radiographic evidence of cardiopulmonary disease such as pneumothorax or pleural effusion. This indicates a healthy state of the lungs and heart with normal functioning."
        },
        {
            "image_id": "1979_2",
            "caption": "The chest x-ray shows a normal cardiomediastinal silhouette without any focal consolidation or acute bony abnormality. There is no radiographic evidence of cardiopulmonary disease such as pneumothorax or pleural effusion. This indicates a healthy state of the lungs and heart with normal functioning."
        },
        {
            "image_id": "221_1",
            "caption": "The findings indicate that the cardiac and mediastinal contours are unremarkable but there is an atherosclerotic aorta. There is also mild blunting left costophrenic recess, which could be due to scarring or mild atelectasis. No consolidation or pleural effusion was seen in the x-ray. Additionally, the patient has thoracic spondylosis. The impression is suggestive of mild scarring or atelectasis in the left lung base but no acute findings. It is recommended to correlate clinically."
        },
        {
            "image_id": "221_2",
            "caption": "The findings indicate that the cardiac and mediastinal contours are unremarkable but there is an atherosclerotic aorta. There is also mild blunting left costophrenic recess, which could be due to scarring or mild atelectasis. No consolidation or pleural effusion was seen in the x-ray. Additionally, the patient has thoracic spondylosis. The impression is suggestive of mild scarring or atelectasis in the left lung base but no acute findings. It is recommended to correlate clinically."
        },
        {
            "image_id": "547_1",
            "caption": "The X-ray shows no signs of acute disease in the heart or lungs. There is no evidence of pneumothorax or pleural effusion. However, degenerative changes are observed in the thoracic spine. It is important to consult with a healthcare provider for a complete evaluation and interpretation of the findings."
        },
        {
            "image_id": "547_2",
            "caption": "The X-ray shows no signs of acute disease in the heart or lungs. There is no evidence of pneumothorax or pleural effusion. However, degenerative changes are observed in the thoracic spine. It is important to consult with a healthcare provider for a complete evaluation and interpretation of the findings."
        },
        {
            "image_id": "3834_1",
            "caption": "The x-ray image shows an S-shaped scoliosis of the thoracic spine. The heart size and pulmonary vascularity are within normal limits. There is no radiographic evidence of acute cardiopulmonary disease, such as focal infiltrate, pneumothorax, or pleural effusion."
        },
        {
            "image_id": "1951_1",
            "caption": "The X-ray reveals normal findings with no acute cardiopulmonary disease. The cardiomediastinal silhouette is within normal limits and pulmonary vasculature is unremarkable. No focal infiltrate, pneumothorax, or large pleural effusion are identified. The osseous structures and soft tissues are unchanged."
        },
        {
            "image_id": "1951_2",
            "caption": "The X-ray reveals normal findings with no acute cardiopulmonary disease. The cardiomediastinal silhouette is within normal limits and pulmonary vasculature is unremarkable. No focal infiltrate, pneumothorax, or large pleural effusion are identified. The osseous structures and soft tissues are unchanged."
        },
        {
            "image_id": "3820_1",
            "caption": "The X-ray reveals that there is no acute pulmonary abnormality, and the lungs and pleural spaces show no acute abnormality. Although the heart size is at the upper limits of normal, pulmonary vascularity is normal. The X-ray also shows straightening of the normal thoracic kyphosis and levocurvature of the lumbar spine (incompletely imaged)."
        },
        {
            "image_id": "3820_2",
            "caption": "The X-ray reveals that there is no acute pulmonary abnormality, and the lungs and pleural spaces show no acute abnormality. Although the heart size is at the upper limits of normal, pulmonary vascularity is normal. The X-ray also shows straightening of the normal thoracic kyphosis and levocurvature of the lumbar spine (incompletely imaged)."
        },
        {
            "image_id": "1004_1",
            "caption": "The X-ray image shows no evidence of acute cardiopulmonary disease. The heart, pulmonary vasculature and mediastinum are within normal limits. Also, there is no pleural effusion or pneumothorax. Furthermore, the X-ray did not indicate any focal air space opacity to suggest pneumonia. However, there are some noted findings such as the tortuous and ectatic aorta, acromioclavicular joint degenerative changes, spine degenerative changes, and an IVC (inferior vena cava) abnormality."
        },
        {
            "image_id": "1004_2",
            "caption": "The X-ray image shows no evidence of acute cardiopulmonary disease. The heart, pulmonary vasculature and mediastinum are within normal limits. Also, there is no pleural effusion or pneumothorax. Furthermore, the X-ray did not indicate any focal air space opacity to suggest pneumonia. However, there are some noted findings such as the tortuous and ectatic aorta, acromioclavicular joint degenerative changes, spine degenerative changes, and an IVC (inferior vena cava) abnormality."
        },
        {
            "image_id": "590_1",
            "caption": "The X-ray shows that the cardiomediastinal silhouette is within normal limits, and pulmonary vasculature is normal. However, there is a possibility of atelectasis or pneumonia in the right middle lobe airspace disease. There is no evidence of pleural effusion or pneumothorax. Additionally, an elevated right hemidiaphragm is identified. It is recommended to consult a physician for further evaluation and diagnosis of the condition observed in the X-ray."
        },
        {
            "image_id": "590_2",
            "caption": "The X-ray shows that the cardiomediastinal silhouette is within normal limits, and pulmonary vasculature is normal. However, there is a possibility of atelectasis or pneumonia in the right middle lobe airspace disease. There is no evidence of pleural effusion or pneumothorax. Additionally, an elevated right hemidiaphragm is identified. It is recommended to consult a physician for further evaluation and diagnosis of the condition observed in the X-ray."
        },
        {
            "image_id": "3175_1",
            "caption": "There is stable obscuration of the left cardiac shadow, possibly representing left pleural thickening. A stable nodular opacity is seen within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. The cardiomediastinal silhouette is stable and the other structures are unremarkable. The findings suggest no acute cardiopulmonary abnormality. However, there is a possibility of left pleural thickening and further evaluation may be needed. There is no evidence of tuberculosis."
        },
        {
            "image_id": "3175_2",
            "caption": "There is stable obscuration of the left cardiac shadow, possibly representing left pleural thickening. A stable nodular opacity is seen within the left midlung. The lungs are clear bilaterally with no focal consolidation, pleural effusions, or pneumothoraces. The cardiomediastinal silhouette is stable and the other structures are unremarkable. The findings suggest no acute cardiopulmonary abnormality. However, there is a possibility of left pleural thickening and further evaluation may be needed. There is no evidence of tuberculosis."
        },
        {
            "image_id": "1776_1",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. Heart size and mediastinal contours are stable. No focal consolidation or visible pleural effusion or pneumothorax is observed. Pulmonary vasculature is unremarkable. There are mild degenerative changes along the thoracic spine but no displaced rib fractures are seen."
        },
        {
            "image_id": "1776_2",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. Heart size and mediastinal contours are stable. No focal consolidation or visible pleural effusion or pneumothorax is observed. Pulmonary vasculature is unremarkable. There are mild degenerative changes along the thoracic spine but no displaced rib fractures are seen."
        },
        {
            "image_id": "584_1",
            "caption": "The X-ray image depicts a normal cardiopulmonary structure with no significant abnormalities found. No focal consolidation, pneumothorax or pleural effusions identified. Osseous structures intact. The impression is that there is no radiographic evidence of cardiopulmonary disease present."
        },
        {
            "image_id": "584_2",
            "caption": "The X-ray image depicts a normal cardiopulmonary structure with no significant abnormalities found. No focal consolidation, pneumothorax or pleural effusions identified. Osseous structures intact. The impression is that there is no radiographic evidence of cardiopulmonary disease present."
        },
        {
            "image_id": "1010_1",
            "caption": "The chest X-ray shows that the cardiac and mediastinal contours are within normal limits, the lungs are clear, and bony structures are intact. The impression is a negative chest X-ray. This indicates that there is no evidence of acute cardiopulmonary abnormality on the X-ray."
        },
        {
            "image_id": "1010_2",
            "caption": "The chest X-ray shows that the cardiac and mediastinal contours are within normal limits, the lungs are clear, and bony structures are intact. The impression is a negative chest X-ray. This indicates that there is no evidence of acute cardiopulmonary abnormality on the X-ray."
        },
        {
            "image_id": "3607_1",
            "caption": "The findings show that the heart size and pulmonary vascularity are normal in addition to the patient being post-CABG. Some opacities are present in the left base, which may be indicative of scarring or atelectasis. However, there is no evidence of pneumothorax or pleural effusion. There are also degenerative changes present in the spine. The impression notes the presence of opacities in the left base while there is no other significant abnormality present."
        },
        {
            "image_id": "2519_1",
            "caption": "There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax. Based on the x-ray, there is stable mild cardiomegaly with no acute pulmonary abnormality."
        },
        {
            "image_id": "2519_2",
            "caption": "There is mild cardiomegaly, similar to prior exams. No focal consolidation. No visible pleural effusion or pneumothorax. Based on the x-ray, there is stable mild cardiomegaly with no acute pulmonary abnormality."
        },
        {
            "image_id": "2531_1",
            "caption": "The chest x-ray shows clear lungs without any focal abnormality such as consolidation, pneumothorax, or pleural effusion. Scattered calcified granulomas are noted. The heart and mediastinum are within normal limits. There are mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality. Overall, there is no acute cardiopulmonary abnormality seen in the x-ray."
        },
        {
            "image_id": "2531_2",
            "caption": "The chest x-ray shows clear lungs without any focal abnormality such as consolidation, pneumothorax, or pleural effusion. Scattered calcified granulomas are noted. The heart and mediastinum are within normal limits. There are mild multilevel degenerative disc disease of the thoracolumbar spine without acute abnormality. Overall, there is no acute cardiopulmonary abnormality seen in the x-ray."
        },
        {
            "image_id": "2257_1",
            "caption": "The X-ray shows no signs of acute cardiopulmonary disease. Specifically, there are no areas of consolidation, pleural effusions, or pneumothorax. The heart is within normal limits and there are degenerative changes in the thoracic spine."
        },
        {
            "image_id": "2257_2",
            "caption": "The X-ray shows no signs of acute cardiopulmonary disease. Specifically, there are no areas of consolidation, pleural effusions, or pneumothorax. The heart is within normal limits and there are degenerative changes in the thoracic spine."
        },
        {
            "image_id": "3149_1",
            "caption": "The chest x-ray shows lung hyperexpansion with no focal airspace disease. The cardiomediastinal silhouette appears within normal limits, and there is no evidence of pleural effusion, focal airspace opacities or pneumothorax. The overall impression suggests lung hyperexpansion with no acute pulmonary abnormality."
        },
        {
            "image_id": "3149_2",
            "caption": "The chest x-ray shows lung hyperexpansion with no focal airspace disease. The cardiomediastinal silhouette appears within normal limits, and there is no evidence of pleural effusion, focal airspace opacities or pneumothorax. The overall impression suggests lung hyperexpansion with no acute pulmonary abnormality."
        },
        {
            "image_id": "1986_1",
            "caption": "The chest x-ray reveals no acute cardiopulmonary finding. The heart size and cardia mediastinal silhouette are normal. No focal airspace opacity, pleural effusion, or pneumothorax is observed. A small opacity is detected overlying the sixth anterior rib, and several calcified granulomas are scattered. The osseous structures are intact, and mild degenerative changes are present in the thoracic spine."
        },
        {
            "image_id": "1992_1",
            "caption": "The radiological finding of the patient shows a borderline heart size, hyperexpanded and hyperlucent lungs suggestive of chronic obstructive pulmonary disease. However, there are no visible focal air space consolidations, pleural effusions, or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications are seen along with normal pulmonary vascularity. Additionally, there is bone demineralization observed. The impression suggests the presence of chronic obstructive pulmonary disease. These findings indicate a potential concern and may require further evaluation and management by a healthcare professional to address the underlying condition appropriately."
        },
        {
            "image_id": "1992_2",
            "caption": "The radiological finding of the patient shows a borderline heart size, hyperexpanded and hyperlucent lungs suggestive of chronic obstructive pulmonary disease. However, there are no visible focal air space consolidations, pleural effusions, or pneumothoraces. The hilar and mediastinal contours are unchanged. Aortic vascular calcifications are seen along with normal pulmonary vascularity. Additionally, there is bone demineralization observed. The impression suggests the presence of chronic obstructive pulmonary disease. These findings indicate a potential concern and may require further evaluation and management by a healthcare professional to address the underlying condition appropriately."
        },
        {
            "image_id": "2243_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and there is no pleural effusion, pneumothorax, or focal airspace disease. There is a calcified granuloma in the left lower lobe, which appears to be stable. The thoracic spine shows stable chronic degenerative changes. Based on these observations, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "2243_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and there is no pleural effusion, pneumothorax, or focal airspace disease. There is a calcified granuloma in the left lower lobe, which appears to be stable. The thoracic spine shows stable chronic degenerative changes. Based on these observations, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "2243_3",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and there is no pleural effusion, pneumothorax, or focal airspace disease. There is a calcified granuloma in the left lower lobe, which appears to be stable. The thoracic spine shows stable chronic degenerative changes. Based on these observations, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "2243_4",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and there is no pleural effusion, pneumothorax, or focal airspace disease. There is a calcified granuloma in the left lower lobe, which appears to be stable. The thoracic spine shows stable chronic degenerative changes. Based on these observations, there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "751_1",
            "caption": "The heart is of normal size and there is no visible pleural effusion, pneumothorax, or typical findings of pulmonary edema. No focal alveolar consolidation is identified. The impression states no acute cardiopulmonary findings in the x-ray image."
        },
        {
            "image_id": "751_2",
            "caption": "The heart is of normal size and there is no visible pleural effusion, pneumothorax, or typical findings of pulmonary edema. No focal alveolar consolidation is identified. The impression states no acute cardiopulmonary findings in the x-ray image."
        },
        {
            "image_id": "751_3",
            "caption": "The heart is of normal size and there is no visible pleural effusion, pneumothorax, or typical findings of pulmonary edema. No focal alveolar consolidation is identified. The impression states no acute cardiopulmonary findings in the x-ray image."
        },
        {
            "image_id": "989_1",
            "caption": "The X-ray shows normal cardiac contours and clear lungs. The patient has thoracic spondylosis and prior cholecystectomy, but there is no acute process detected in the image."
        },
        {
            "image_id": "989_2",
            "caption": "The X-ray shows normal cardiac contours and clear lungs. The patient has thoracic spondylosis and prior cholecystectomy, but there is no acute process detected in the image."
        },
        {
            "image_id": "745_1",
            "caption": "On examination of the chest x-ray, the lungs appear clear with no signs of acute pulmonary disease such as focal airspace opacity, pleural effusion or pneumothorax. The heart is normal in size and there is no significant enlargement. Additionally, there are atherosclerotic changes of the aorta and arthritic changes of the skeletal structures noted. Overall, there are no acute findings, indicating the absence of any immediate medical concerns."
        },
        {
            "image_id": "745_2",
            "caption": "On examination of the chest x-ray, the lungs appear clear with no signs of acute pulmonary disease such as focal airspace opacity, pleural effusion or pneumothorax. The heart is normal in size and there is no significant enlargement. Additionally, there are atherosclerotic changes of the aorta and arthritic changes of the skeletal structures noted. Overall, there are no acute findings, indicating the absence of any immediate medical concerns."
        },
        {
            "image_id": "2096_1",
            "caption": "The X-ray reveals that the heart size and mediastinal contours are normal. The lungs are clear and there is no evidence of a pneumothorax or pleural effusion. Additionally, there are no focal consolidations or typical findings of pulmonary edema. The findings show no acute cardiopulmonary abnormalities present.  This information is helpful in determining the current state of the patient's lung and heart health. By ruling out any acute abnormalities, the patient can continue with their prescribed treatment plan and maintain overall wellness."
        },
        {
            "image_id": "2096_2",
            "caption": "The X-ray reveals that the heart size and mediastinal contours are normal. The lungs are clear and there is no evidence of a pneumothorax or pleural effusion. Additionally, there are no focal consolidations or typical findings of pulmonary edema. The findings show no acute cardiopulmonary abnormalities present.  This information is helpful in determining the current state of the patient's lung and heart health. By ruling out any acute abnormalities, the patient can continue with their prescribed treatment plan and maintain overall wellness."
        },
        {
            "image_id": "3388_1",
            "caption": "During the examination, the heart size and mediastinal contours were noted to be normal, and the visualized osseous structures were unremarkable in appearance. A stable calcification was also observed in the left upper lobe, which most likely represented a granuloma. No other significant findings were detected, with no focal airspace opacities, pleural effusion, or pneumothorax. The impression following these findings indicated no acute cardiopulmonary abnormalities, nor radiographic evidence of metastatic disease."
        },
        {
            "image_id": "3388_2",
            "caption": "During the examination, the heart size and mediastinal contours were noted to be normal, and the visualized osseous structures were unremarkable in appearance. A stable calcification was also observed in the left upper lobe, which most likely represented a granuloma. No other significant findings were detected, with no focal airspace opacities, pleural effusion, or pneumothorax. The impression following these findings indicated no acute cardiopulmonary abnormalities, nor radiographic evidence of metastatic disease."
        },
        {
            "image_id": "2928_1",
            "caption": "The x-ray image shows that there are no urgent or serious issues present. The mediastinal contours are normal, and the lungs are clear, without any infiltrate or effusion. The patient has a large hiatal hernia but it is stable and unchanged from the previous visit. The visualized bone structures appear without any abnormalities. It is noted that some changes due to chronic conditions are present. Overall, there are no acute cardiopulmonary issues in the image."
        },
        {
            "image_id": "2928_2",
            "caption": "The x-ray image shows that there are no urgent or serious issues present. The mediastinal contours are normal, and the lungs are clear, without any infiltrate or effusion. The patient has a large hiatal hernia but it is stable and unchanged from the previous visit. The visualized bone structures appear without any abnormalities. It is noted that some changes due to chronic conditions are present. Overall, there are no acute cardiopulmonary issues in the image."
        },
        {
            "image_id": "779_1",
            "caption": "The X-ray finding shows that the cardiomediastinal silhouette is normal in size and contour. There is no focal consolidation, pneumothorax, or large pleural effusion. The impression concludes that the X-ray is negative for acute abnormalities."
        },
        {
            "image_id": "779_2",
            "caption": "The X-ray finding shows that the cardiomediastinal silhouette is normal in size and contour. There is no focal consolidation, pneumothorax, or large pleural effusion. The impression concludes that the X-ray is negative for acute abnormalities."
        },
        {
            "image_id": "2082_1",
            "caption": "The results of the chest X-ray show cardiomegaly with vascular congestion and suspected pulmonary edema. Diffusely increased interstitial and mild patchy airspace opacities were noted, suggesting pulmonary vascular congestion. There is no evidence of pneumothorax or large pleural effusion. There are no acute bony findings to suggest any bone-related problems. These findings suggest further evaluation and management of the cardiovascular and respiratory systems may be necessary."
        },
        {
            "image_id": "2082_2",
            "caption": "The results of the chest X-ray show cardiomegaly with vascular congestion and suspected pulmonary edema. Diffusely increased interstitial and mild patchy airspace opacities were noted, suggesting pulmonary vascular congestion. There is no evidence of pneumothorax or large pleural effusion. There are no acute bony findings to suggest any bone-related problems. These findings suggest further evaluation and management of the cardiovascular and respiratory systems may be necessary."
        },
        {
            "image_id": "3377_1",
            "caption": "The X-ray images show clear lungs with no evidence of pneumothorax or pleural effusion. The heart and mediastinum are within normal limits and bony structures appear intact. These findings suggest no acute cardiopulmonary process. However, if the patient's symptoms persist, a repeat study may be recommended to further evaluate the chest in one week."
        },
        {
            "image_id": "2069_1",
            "caption": "The X-ray image shows a normal size heart with clear lungs. No evidence of pneumonia, effusions, edema, pneumothorax, adenopathy or masses were found. The chest appears to be normal."
        },
        {
            "image_id": "2069_2",
            "caption": "The X-ray image shows a normal size heart with clear lungs. No evidence of pneumonia, effusions, edema, pneumothorax, adenopathy or masses were found. The chest appears to be normal."
        },
        {
            "image_id": "1560_1",
            "caption": "The X-ray shows a normal heart, clear lungs with no signs of pneumothorax or pleural effusion. The impression is that there are no acute findings."
        },
        {
            "image_id": "1560_2",
            "caption": "The X-ray shows a normal heart, clear lungs with no signs of pneumothorax or pleural effusion. The impression is that there are no acute findings."
        },
        {
            "image_id": "792_1",
            "caption": "The patient's X-ray report suggests that there are no acute findings. The lungs are clear and pleural spaces are clear as well. The heart and mediastinal contours also appear to be normal. There is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "792_2",
            "caption": "The patient's X-ray report suggests that there are no acute findings. The lungs are clear and pleural spaces are clear as well. The heart and mediastinal contours also appear to be normal. There is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3411_1",
            "caption": "The x-ray image shows low lung volumes with bronchovascular crowding, patchy left lower lobe airspace disease, and right mid lung subsegmental atelectasis. There is also aortic atherosclerotic vascular calcification present. However, there is no significant pleural effusion or pneumothorax, and heart size is within normal limits. Based on these findings, it is possible that the patient has atelectasis or pneumonia in the left lower lobe and subsegmental atelectasis in the right mid lung. Further evaluation and treatment may be necessary to address these conditions."
        },
        {
            "image_id": "3411_2",
            "caption": "The x-ray image shows low lung volumes with bronchovascular crowding, patchy left lower lobe airspace disease, and right mid lung subsegmental atelectasis. There is also aortic atherosclerotic vascular calcification present. However, there is no significant pleural effusion or pneumothorax, and heart size is within normal limits. Based on these findings, it is possible that the patient has atelectasis or pneumonia in the left lower lobe and subsegmental atelectasis in the right mid lung. Further evaluation and treatment may be necessary to address these conditions."
        },
        {
            "image_id": "3405_1",
            "caption": "The patient's X-ray shows that the heart is of normal size and that the mediastinum is unremarkable. Furthermore, there is no finding of pneumothorax, pleural effusion, or focal airspace disease. Although mild degenerative changes are present within the spine, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3405_2",
            "caption": "The patient's X-ray shows that the heart is of normal size and that the mediastinum is unremarkable. Furthermore, there is no finding of pneumothorax, pleural effusion, or focal airspace disease. Although mild degenerative changes are present within the spine, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1212_1",
            "caption": "The x-ray shows no acute abnormality with a normal-sized heart and unremarkable mediastinum. The lungs are clear with no signs of pneumothorax or pleural effusion. The impression states that there is no acute disease, indicating that the patient is healthy based on the x-ray results."
        },
        {
            "image_id": "1212_2",
            "caption": "The x-ray shows no acute abnormality with a normal-sized heart and unremarkable mediastinum. The lungs are clear with no signs of pneumothorax or pleural effusion. The impression states that there is no acute disease, indicating that the patient is healthy based on the x-ray results."
        },
        {
            "image_id": "1574_1",
            "caption": "Based on the X-ray findings, there is no evidence of any acute cardiopulmonary abnormality. The lungs and mediastinum are clear, with no pleural effusion or pneumothorax. The heart appears normal in size, and no significant bone abnormalities were observed."
        },
        {
            "image_id": "1574_2",
            "caption": "Based on the X-ray findings, there is no evidence of any acute cardiopulmonary abnormality. The lungs and mediastinum are clear, with no pleural effusion or pneumothorax. The heart appears normal in size, and no significant bone abnormalities were observed."
        },
        {
            "image_id": "3363_1",
            "caption": "The x-ray shows the heart is normal in size and the mediastinum is stable. The lungs appear clear, except for some possible opacities in the lung bases. Bullet fragments are visible in various locations, including the posterior left chest, right neck base and left costophrenic region. However, there is no evidence of acute parenchymal abnormalities. It is important to consider the presence of bullet fragments and correlate with the patient's history."
        },
        {
            "image_id": "3363_2",
            "caption": "The x-ray shows the heart is normal in size and the mediastinum is stable. The lungs appear clear, except for some possible opacities in the lung bases. Bullet fragments are visible in various locations, including the posterior left chest, right neck base and left costophrenic region. However, there is no evidence of acute parenchymal abnormalities. It is important to consider the presence of bullet fragments and correlate with the patient's history."
        },
        {
            "image_id": "2733_1",
            "caption": "The x-ray shows bibasilar airspace opacities, which are greater on the right side than on the left side. There are no signs of pneumothorax or pleural effusions. The heart size and mediastinal silhouette are normal. These findings suggest that the patient may have pneumonia and should be further evaluated and treated by a healthcare provider."
        },
        {
            "image_id": "2733_2",
            "caption": "The x-ray shows bibasilar airspace opacities, which are greater on the right side than on the left side. There are no signs of pneumothorax or pleural effusions. The heart size and mediastinal silhouette are normal. These findings suggest that the patient may have pneumonia and should be further evaluated and treated by a healthcare provider."
        },
        {
            "image_id": "976_1",
            "caption": "There are sternotomy sutures and bypass graft markers present in the postoperative chest x-ray. Lung volumes are low and there are no infiltrates or pleural air collections seen. Heart size is normal. The x-ray shows no visible active cardiopulmonary disease, and the findings are consistent with a postoperative chest x-ray. The presence of sternotomy sutures and bypass graft markers suggest a history of cardiac surgery."
        },
        {
            "image_id": "976_2",
            "caption": "There are sternotomy sutures and bypass graft markers present in the postoperative chest x-ray. Lung volumes are low and there are no infiltrates or pleural air collections seen. Heart size is normal. The x-ray shows no visible active cardiopulmonary disease, and the findings are consistent with a postoperative chest x-ray. The presence of sternotomy sutures and bypass graft markers suggest a history of cardiac surgery."
        },
        {
            "image_id": "962_1",
            "caption": "The x-ray shows no evidence of acute abnormalities. The lungs, heart, mediastinum, and skeletal structures all appear normal with no signs of disease, fluid accumulation, or collapsing air sacs. The x-ray indicates the absence of any current health issues."
        },
        {
            "image_id": "962_2",
            "caption": "The x-ray shows no evidence of acute abnormalities. The lungs, heart, mediastinum, and skeletal structures all appear normal with no signs of disease, fluid accumulation, or collapsing air sacs. The x-ray indicates the absence of any current health issues."
        },
        {
            "image_id": "2727_1",
            "caption": "Heart is normal in size, the cardiomediastinal silhouette is stable. There are no signs of pneumothorax, pleural effusion, or focal airspace disease. Nodular densities are present, which is consistent with chronic granulomatous disease. The bony structures appear to be intact. There is also emphysema. The patient's results are negative for acute cardiopulmonary disease. However, no pulmonary nodules were identified within the patient's results."
        },
        {
            "image_id": "2727_2",
            "caption": "Heart is normal in size, the cardiomediastinal silhouette is stable. There are no signs of pneumothorax, pleural effusion, or focal airspace disease. Nodular densities are present, which is consistent with chronic granulomatous disease. The bony structures appear to be intact. There is also emphysema. The patient's results are negative for acute cardiopulmonary disease. However, no pulmonary nodules were identified within the patient's results."
        },
        {
            "image_id": "2727_3",
            "caption": "Heart is normal in size, the cardiomediastinal silhouette is stable. There are no signs of pneumothorax, pleural effusion, or focal airspace disease. Nodular densities are present, which is consistent with chronic granulomatous disease. The bony structures appear to be intact. There is also emphysema. The patient's results are negative for acute cardiopulmonary disease. However, no pulmonary nodules were identified within the patient's results."
        },
        {
            "image_id": "3439_1",
            "caption": "The patient's chest x-ray shows a normal-sized heart and clear lungs without any pneumothorax or pleural effusion. The radiologist's impression is that there are no acute findings in the x-ray."
        },
        {
            "image_id": "3439_2",
            "caption": "The patient's chest x-ray shows a normal-sized heart and clear lungs without any pneumothorax or pleural effusion. The radiologist's impression is that there are no acute findings in the x-ray."
        },
        {
            "image_id": "2041_1",
            "caption": "The chest x-ray shows no significant findings of acute cardiopulmonary abnormality. The heart is within normal size and the lungs are clear. There is no evidence of pneumothorax or pleural effusions. The x-ray report indicates that there are no focal space opacities or nodules. Overall, the chest x-ray is negative for acute abnormalities."
        },
        {
            "image_id": "2041_2",
            "caption": "The chest x-ray shows no significant findings of acute cardiopulmonary abnormality. The heart is within normal size and the lungs are clear. There is no evidence of pneumothorax or pleural effusions. The x-ray report indicates that there are no focal space opacities or nodules. Overall, the chest x-ray is negative for acute abnormalities."
        },
        {
            "image_id": "2041_3",
            "caption": "The chest x-ray shows no significant findings of acute cardiopulmonary abnormality. The heart is within normal size and the lungs are clear. There is no evidence of pneumothorax or pleural effusions. The x-ray report indicates that there are no focal space opacities or nodules. Overall, the chest x-ray is negative for acute abnormalities."
        },
        {
            "image_id": "1548_1",
            "caption": "The x-ray examination shows a normal cardiomediastinal silhouette and pulmonary vasculature. There are no abnormalities like pneumothorax or pleural effusion. Furthermore, the x-ray image does not show any focal areas of consolidation. However, there are small T-spine osteophytes. In conclusion, the patient does not have any acute cardiopulmonary abnormalities based on the x-ray findings."
        },
        {
            "image_id": "1548_2",
            "caption": "The x-ray examination shows a normal cardiomediastinal silhouette and pulmonary vasculature. There are no abnormalities like pneumothorax or pleural effusion. Furthermore, the x-ray image does not show any focal areas of consolidation. However, there are small T-spine osteophytes. In conclusion, the patient does not have any acute cardiopulmonary abnormalities based on the x-ray findings."
        },
        {
            "image_id": "3438_1",
            "caption": "The findings show that the heart is of normal size and shape with no mediastinal widening. Lungs appear clear on both sides with no large pleural effusion or pneumothorax. There are no focal areas of consolidation in the lungs. The impression indicates that no acute cardiopulmonary abnormalities were found."
        },
        {
            "image_id": "2726_1",
            "caption": "The heart appears normal in size and the mediastinum is within normal limits. Although the study is somewhat limited, no focal consolidation is seen, and there is no evidence of acute disease found in the x-ray image."
        },
        {
            "image_id": "2726_2",
            "caption": "The heart appears normal in size and the mediastinum is within normal limits. Although the study is somewhat limited, no focal consolidation is seen, and there is no evidence of acute disease found in the x-ray image."
        },
        {
            "image_id": "963_1",
            "caption": "The x-ray image shows that the heart, pulmonary system, and mediastinum are all within normal range, with no visible pleural effusion or pneumothorax. The spine shows only minimal degenerative changes. Based on these findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "963_2",
            "caption": "The x-ray image shows that the heart, pulmonary system, and mediastinum are all within normal range, with no visible pleural effusion or pneumothorax. The spine shows only minimal degenerative changes. Based on these findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1549_1",
            "caption": "Based on the x-ray image, the lungs are clear bilaterally and there is no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette and visualized osseous structures of the thorax also appear normal. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "977_1",
            "caption": "Upon examination of the X-ray image, the radiologist found that the heart was normal in size and shape. The lungs were also clear with no signs of infiltrate, pneumothorax, or effusion. The impression from the X-ray was that there was no acute cardiopulmonary disease present. This means that there were no recent abnormalities or diseases observed in the heart and lungs of the patient that required immediate medical attention."
        },
        {
            "image_id": "977_2",
            "caption": "Upon examination of the X-ray image, the radiologist found that the heart was normal in size and shape. The lungs were also clear with no signs of infiltrate, pneumothorax, or effusion. The impression from the X-ray was that there was no acute cardiopulmonary disease present. This means that there were no recent abnormalities or diseases observed in the heart and lungs of the patient that required immediate medical attention."
        },
        {
            "image_id": "787_1",
            "caption": "The x-ray report reveals that the patient's heart and lungs are functioning normally, with no signs of acute disease, abnormalities, or infections. The lungs are clear and the heart is of normal size and contour. Additionally, the mediastinum, pleura are all unremarkable. This suggests that there are no immediate issues with the patient's cardiopulmonary health."
        },
        {
            "image_id": "1213_1",
            "caption": "The x-ray image shows that the heart size and configuration are normal, with no acute or active cardiac, pulmonary or pleural disease. The pulmonary vasculature and central airways are also normal, without any focal airspace consolidation or pleural effusion visible. The frontal and lateral views of the chest with overlying external cardiac monitor leads present an accurate picture of the patient's cardiac and pulmonary health."
        },
        {
            "image_id": "1213_2",
            "caption": "The x-ray image shows that the heart size and configuration are normal, with no acute or active cardiac, pulmonary or pleural disease. The pulmonary vasculature and central airways are also normal, without any focal airspace consolidation or pleural effusion visible. The frontal and lateral views of the chest with overlying external cardiac monitor leads present an accurate picture of the patient's cardiac and pulmonary health."
        },
        {
            "image_id": "3404_1",
            "caption": "The x-ray image shows a normal heart size and stable mediastinum with clear lungs. There are postsurgical changes in the left breast, but no acute disease is present."
        },
        {
            "image_id": "3404_2",
            "caption": "The x-ray image shows a normal heart size and stable mediastinum with clear lungs. There are postsurgical changes in the left breast, but no acute disease is present."
        },
        {
            "image_id": "3362_1",
            "caption": "From the chest X-ray finding, it appears that there is no evidence of acute abnormality in the lungs and pleural spaces. The size of the heart is near the upper limit of normal, but the pulmonary vasculature is within normal limits. The impression suggests that there is no acute pulmonary abnormality identified in the image."
        },
        {
            "image_id": "3362_2",
            "caption": "From the chest X-ray finding, it appears that there is no evidence of acute abnormality in the lungs and pleural spaces. The size of the heart is near the upper limit of normal, but the pulmonary vasculature is within normal limits. The impression suggests that there is no acute pulmonary abnormality identified in the image."
        },
        {
            "image_id": "3362_3",
            "caption": "From the chest X-ray finding, it appears that there is no evidence of acute abnormality in the lungs and pleural spaces. The size of the heart is near the upper limit of normal, but the pulmonary vasculature is within normal limits. The impression suggests that there is no acute pulmonary abnormality identified in the image."
        },
        {
            "image_id": "1561_1",
            "caption": "The chest x-ray image shows no signs of acute or active disease. The lungs are clear without any effusion, consolidation, or pneumothorax. The heart size is normal and the soft tissues are unremarkable. The image is negative for any acute cardiopulmonary abnormality, indicating a healthy chest."
        },
        {
            "image_id": "1561_2",
            "caption": "The chest x-ray image shows no signs of acute or active disease. The lungs are clear without any effusion, consolidation, or pneumothorax. The heart size is normal and the soft tissues are unremarkable. The image is negative for any acute cardiopulmonary abnormality, indicating a healthy chest."
        },
        {
            "image_id": "2068_1",
            "caption": "According to the chest X-ray, the lungs are clear without any focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal along with the normal size of the heart. There are no acute cardiopulmonary abnormalities detected in the X-ray. The findings suggest that the chest is negative and there is no sign of any pulmonary or pleural disease."
        },
        {
            "image_id": "2068_2",
            "caption": "According to the chest X-ray, the lungs are clear without any focal consolidation, effusion or pneumothorax. The cardiomediastinal silhouette is normal along with the normal size of the heart. There are no acute cardiopulmonary abnormalities detected in the X-ray. The findings suggest that the chest is negative and there is no sign of any pulmonary or pleural disease."
        },
        {
            "image_id": "3410_1",
            "caption": "The x-ray shows hyperexpanded lungs with no infiltrates or masses. The heart is of normal size. However, there are some calcified left hilar structures and a small granuloma on the left. The impression indicates no acute disease. It is important to discuss the findings and impression with a qualified healthcare professional."
        },
        {
            "image_id": "3410_2",
            "caption": "The x-ray shows hyperexpanded lungs with no infiltrates or masses. The heart is of normal size. However, there are some calcified left hilar structures and a small granuloma on the left. The impression indicates no acute disease. It is important to discuss the findings and impression with a qualified healthcare professional."
        },
        {
            "image_id": "1207_1",
            "caption": "The chest x-ray reveals clear lungs with normal heart. There is no pneumothorax or pleural effusion observed. The pleural spaces and mediastinal contours appear to be normal. The overall impression of the x-ray indicates no acute cardiopulmonary disease."
        },
        {
            "image_id": "1207_2",
            "caption": "The chest x-ray reveals clear lungs with normal heart. There is no pneumothorax or pleural effusion observed. The pleural spaces and mediastinal contours appear to be normal. The overall impression of the x-ray indicates no acute cardiopulmonary disease."
        },
        {
            "image_id": "793_1",
            "caption": "The X-ray examination shows normal cardiomediastinal contours and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax is identified in the lungs. The osseous structures appear unremarkable except for a sclerotic density projecting over the inferior right glenoid. This indicates the possibility of synovial osteochondromatosis or cortical bone thickening. However, this hasn't changed since the previous examination. Based on the findings, there is no evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "793_2",
            "caption": "The X-ray examination shows normal cardiomediastinal contours and pulmonary vascularity. No focal consolidation, pleural effusion, or pneumothorax is identified in the lungs. The osseous structures appear unremarkable except for a sclerotic density projecting over the inferior right glenoid. This indicates the possibility of synovial osteochondromatosis or cortical bone thickening. However, this hasn't changed since the previous examination. Based on the findings, there is no evidence of acute cardiopulmonary process."
        },
        {
            "image_id": "778_1",
            "caption": "Based on the chest x-ray image, the cardiomediastinal silhouettes are normal and within the normal range. Lungs appear clear and there is no focal consolidation, pneumothorax, or pleural effusion observed. Stable calcified granulomas are detected and the bony thorax appears unremarkable. As per the x-ray report, there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "778_2",
            "caption": "Based on the chest x-ray image, the cardiomediastinal silhouettes are normal and within the normal range. Lungs appear clear and there is no focal consolidation, pneumothorax, or pleural effusion observed. Stable calcified granulomas are detected and the bony thorax appears unremarkable. As per the x-ray report, there are no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "2083_1",
            "caption": "The x-ray image revealed no significant abnormalities. The lungs are clear and the cardiac and mediastinal silhouettes are within normal limits with no evidence of pneumothorax or pleural effusion. The bony thorax appears unremarkable without any acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality present in the image."
        },
        {
            "image_id": "2083_2",
            "caption": "The x-ray image revealed no significant abnormalities. The lungs are clear and the cardiac and mediastinal silhouettes are within normal limits with no evidence of pneumothorax or pleural effusion. The bony thorax appears unremarkable without any acute bony abnormality. The impression is that there is no acute cardiopulmonary abnormality present in the image."
        },
        {
            "image_id": "3389_1",
            "caption": "According to the X-ray, the heart and lungs are stable in the interval, the lungs are clear and expanded, and the heart and mediastinum are normal. As per the impression, there is no active cardiopulmonary disease."
        },
        {
            "image_id": "3389_2",
            "caption": "According to the X-ray, the heart and lungs are stable in the interval, the lungs are clear and expanded, and the heart and mediastinum are normal. As per the impression, there is no active cardiopulmonary disease."
        },
        {
            "image_id": "2097_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality or pneumothorax. The trachea is midline and the cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. The visualized bony structures reveal no abnormalities."
        },
        {
            "image_id": "2097_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality or pneumothorax. The trachea is midline and the cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. The visualized bony structures reveal no abnormalities."
        },
        {
            "image_id": "2097_3",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality or pneumothorax. The trachea is midline and the cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. The visualized bony structures reveal no abnormalities."
        },
        {
            "image_id": "2097_4",
            "caption": "The chest x-ray shows no acute cardiopulmonary abnormality or pneumothorax. The trachea is midline and the cardiomediastinal silhouette is normal. The lungs are clear without evidence of acute infiltrate or effusion. The visualized bony structures reveal no abnormalities."
        },
        {
            "image_id": "2929_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart is within normal limits, and the lungs are clear. Although hypoinflated, there is no sign of infiltrate or effusion. There was no indication of acute disease."
        },
        {
            "image_id": "2929_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart is within normal limits, and the lungs are clear. Although hypoinflated, there is no sign of infiltrate or effusion. There was no indication of acute disease."
        },
        {
            "image_id": "744_1",
            "caption": "The finding reveals normal heart size and pulmonary vascularity, with no pleural effusion or pneumothorax observed. However, a right upper lobe opacity seen in the medial right apex is noted, which appears improved compared to a previous X-ray scan. There is no evidence of acute disease, but further investigation may be required to monitor the right upper lobe opacity over time."
        },
        {
            "image_id": "744_2",
            "caption": "The finding reveals normal heart size and pulmonary vascularity, with no pleural effusion or pneumothorax observed. However, a right upper lobe opacity seen in the medial right apex is noted, which appears improved compared to a previous X-ray scan. There is no evidence of acute disease, but further investigation may be required to monitor the right upper lobe opacity over time."
        },
        {
            "image_id": "988_1",
            "caption": "The patient's chest x-ray showed clear lungs, with no signs of focal infiltrate, pleural effusion, or pneumothorax. The cardiomediastinal silhouette appeared normal, and the impression was of no active disease detected. This is great news, and suggests that the patient's lungs and heart are functioning appropriately at this time."
        },
        {
            "image_id": "988_2",
            "caption": "The patient's chest x-ray showed clear lungs, with no signs of focal infiltrate, pleural effusion, or pneumothorax. The cardiomediastinal silhouette appeared normal, and the impression was of no active disease detected. This is great news, and suggests that the patient's lungs and heart are functioning appropriately at this time."
        },
        {
            "image_id": "750_1",
            "caption": "The chest X-ray shows that the heart and mediastinum are normal in size and shape. The lungs are clear without any evidence of infiltrates, nodules or masses. There is no visible pneumothorax or pleural fluid. Mild degenerative changes are seen in the midthoracic spine. No acute radiographic cardiopulmonary process is seen."
        },
        {
            "image_id": "750_2",
            "caption": "The chest X-ray shows that the heart and mediastinum are normal in size and shape. The lungs are clear without any evidence of infiltrates, nodules or masses. There is no visible pneumothorax or pleural fluid. Mild degenerative changes are seen in the midthoracic spine. No acute radiographic cardiopulmonary process is seen."
        },
        {
            "image_id": "2915_1",
            "caption": "The X-ray image shows that the heart size and mediastinal contour are normal. Lungs are free of any focal infiltrates, nodules, or masses, and no visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air under the diaphragm. As per the impression, there is no acute radiographic cardiopulmonary process. Overall, the X-ray scan is normal and does not show any active disease."
        },
        {
            "image_id": "2915_2",
            "caption": "The X-ray image shows that the heart size and mediastinal contour are normal. Lungs are free of any focal infiltrates, nodules, or masses, and no visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air under the diaphragm. As per the impression, there is no acute radiographic cardiopulmonary process. Overall, the X-ray scan is normal and does not show any active disease."
        },
        {
            "image_id": "1993_1",
            "caption": "The chest x-ray shows hyperexpanded lungs, but no focal consolidation, effusion, or pneumothorax is present. The heart size and bony thorax appear normal, as do the soft tissues. The impression is indicative of mild emphysema, but no acute cardiopulmonary abnormality is seen."
        },
        {
            "image_id": "1993_2",
            "caption": "The chest x-ray shows hyperexpanded lungs, but no focal consolidation, effusion, or pneumothorax is present. The heart size and bony thorax appear normal, as do the soft tissues. The impression is indicative of mild emphysema, but no acute cardiopulmonary abnormality is seen."
        },
        {
            "image_id": "2524_1",
            "caption": "A chest X-ray image showed that the cardiac contours were normal. The lungs were clear, but prior granulomatous disease and thoracic spondylosis were detected. However, there were no signs of any active or acute cardiopulmonary issues."
        },
        {
            "image_id": "2524_2",
            "caption": "A chest X-ray image showed that the cardiac contours were normal. The lungs were clear, but prior granulomatous disease and thoracic spondylosis were detected. However, there were no signs of any active or acute cardiopulmonary issues."
        },
        {
            "image_id": "2530_1",
            "caption": "Based on the X-ray image, the heart size and pulmonary vascularity appear normal, and there is no focal airspace disease. The lungs are clear of any pleural effusion or pneumothorax, and no discrete nodules or masses are present. However, an old rib fracture is observed projecting over the anterior left 7th rib. The ascending aorta is prominent, and the descending thoracic aorta is tortuous. The overall impression is no acute abnormality, clear lungs, and an apparent old rib fracture on the left anterior chest."
        },
        {
            "image_id": "1039_1",
            "caption": "The X-ray reveals that there are no signs of a pneumothorax or pleural effusion, and the cardiac contour is normal. The lungs appear clear on both sides. The overall impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1987_1",
            "caption": "The X-ray shows that the heart and mediastinal contours are normal, and pulmonary vascularity is within normal limits. No acute abnormalities are found in the lungs, and the visualized osseous structures appear intact. The impression indicates there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1987_2",
            "caption": "The X-ray shows that the heart and mediastinal contours are normal, and pulmonary vascularity is within normal limits. No acute abnormalities are found in the lungs, and the visualized osseous structures appear intact. The impression indicates there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3148_1",
            "caption": "The X-ray reveals stable cardiomediastinal contour with mild cardiomegaly. The lungs are mildly hypoinflated without any focal consolidation, pneumothorax or significant pulmonary edema but with mildly low lung volumes. There is a small left pleural effusion present. Overall, the impression states that there is no acute cardiopulmonary abnormality seen on the X-ray, except for the small left pleural effusion and stable mild cardiomegaly that are present."
        },
        {
            "image_id": "3148_2",
            "caption": "The X-ray reveals stable cardiomediastinal contour with mild cardiomegaly. The lungs are mildly hypoinflated without any focal consolidation, pneumothorax or significant pulmonary edema but with mildly low lung volumes. There is a small left pleural effusion present. Overall, the impression states that there is no acute cardiopulmonary abnormality seen on the X-ray, except for the small left pleural effusion and stable mild cardiomegaly that are present."
        },
        {
            "image_id": "2256_1",
            "caption": "A chest examination was obtained, including one expiratory view that was repeated. The heart appears normal in size and shape, and the lungs are clear without any visible infiltrates, effusions, or pneumothorax. No acute pulmonary disease was found in the x-ray examination."
        },
        {
            "image_id": "2256_2",
            "caption": "A chest examination was obtained, including one expiratory view that was repeated. The heart appears normal in size and shape, and the lungs are clear without any visible infiltrates, effusions, or pneumothorax. No acute pulmonary disease was found in the x-ray examination."
        },
        {
            "image_id": "2256_3",
            "caption": "A chest examination was obtained, including one expiratory view that was repeated. The heart appears normal in size and shape, and the lungs are clear without any visible infiltrates, effusions, or pneumothorax. No acute pulmonary disease was found in the x-ray examination."
        },
        {
            "image_id": "1777_1",
            "caption": "During the examination, the patient was positioned in a rotated to the left posture. The size of the cardiomediastinal silhouette is within normal limits. There is a lucency along the left ventricular border, which is related to the interface between the heart and aerated lung. Patchy opacities are observed in the right perihilar/upper lobe region, which abut the minor fissure on the lateral projection. No pneumothorax or pleural effusion was detected. An exaggerated thoracic kyphosis is apparent. The impression reveals \"right upper lobe pneumonia,\" and suggests that follow-up chest X-ray is required following appropriate therapy."
        },
        {
            "image_id": "1777_2",
            "caption": "During the examination, the patient was positioned in a rotated to the left posture. The size of the cardiomediastinal silhouette is within normal limits. There is a lucency along the left ventricular border, which is related to the interface between the heart and aerated lung. Patchy opacities are observed in the right perihilar/upper lobe region, which abut the minor fissure on the lateral projection. No pneumothorax or pleural effusion was detected. An exaggerated thoracic kyphosis is apparent. The impression reveals \"right upper lobe pneumonia,\" and suggests that follow-up chest X-ray is required following appropriate therapy."
        },
        {
            "image_id": "3160_1",
            "caption": "The chest x-ray shows the heart size to be at the upper limits of normal but stable. The lungs appear normally inflated and clear, with no acute radiographic cardiopulmonary process. However, there are multiple radiopaque densities overlying the patient, and degenerative changes are noted in the spinal region. Further evaluation may be necessary."
        },
        {
            "image_id": "2518_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart, lungs, and mediastinum are within normal limits. There is no visible pneumothorax or pleural effusion. No areas of focal consolidation or suspicious pulmonary opacity are noted. Follow-up imaging may be required to investigate T-spine osteophytes."
        },
        {
            "image_id": "2518_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart, lungs, and mediastinum are within normal limits. There is no visible pneumothorax or pleural effusion. No areas of focal consolidation or suspicious pulmonary opacity are noted. Follow-up imaging may be required to investigate T-spine osteophytes."
        },
        {
            "image_id": "3606_1",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are normal and the lungs are clear. The bony structures appear intact, and there are no acute findings visible."
        },
        {
            "image_id": "3606_2",
            "caption": "The x-ray shows that the cardiac and mediastinal contours are normal and the lungs are clear. The bony structures appear intact, and there are no acute findings visible."
        },
        {
            "image_id": "1011_1",
            "caption": "Based on the x-ray findings, there is no evidence of acute disease. The heart and mediastinal contours appear normal and the lungs are clear. These results suggest that there are no immediate concerns for cardiopulmonary abnormalities."
        },
        {
            "image_id": "1011_2",
            "caption": "Based on the x-ray findings, there is no evidence of acute disease. The heart and mediastinal contours appear normal and the lungs are clear. These results suggest that there are no immediate concerns for cardiopulmonary abnormalities."
        },
        {
            "image_id": "585_1",
            "caption": "The X-ray shows prominent epicardial fat pads. Unchanged streaky opacities represent chronic scarring or atelectasis. However, there is no acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There are no pneumothorax or pleural effusion and no focal areas of consolidation, indicating that the lungs are clear."
        },
        {
            "image_id": "585_2",
            "caption": "The X-ray shows prominent epicardial fat pads. Unchanged streaky opacities represent chronic scarring or atelectasis. However, there is no acute cardiopulmonary abnormality. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There are no pneumothorax or pleural effusion and no focal areas of consolidation, indicating that the lungs are clear."
        },
        {
            "image_id": "591_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The cardiomediastinal silhouette is normal and the lungs are clear without areas of focal consolidation. However, there is a calcified granuloma in the left lung base and there is a suggestion of a deep sulcus sign on the right. No definite pleural line or pneumothorax is visualized. Additionally, there is age-indeterminate wedging of several midthoracic vertebral bodies. Follow-up may be needed for further evaluation of the mentioned findings."
        },
        {
            "image_id": "591_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The cardiomediastinal silhouette is normal and the lungs are clear without areas of focal consolidation. However, there is a calcified granuloma in the left lung base and there is a suggestion of a deep sulcus sign on the right. No definite pleural line or pneumothorax is visualized. Additionally, there is age-indeterminate wedging of several midthoracic vertebral bodies. Follow-up may be needed for further evaluation of the mentioned findings."
        },
        {
            "image_id": "1005_1",
            "caption": "On examination of the chest x-ray, the cardiac and mediastinal contours appear normal, while the lungs are clear and bony structures appear intact. No acute findings were observed, indicating a normal result."
        },
        {
            "image_id": "1005_2",
            "caption": "On examination of the chest x-ray, the cardiac and mediastinal contours appear normal, while the lungs are clear and bony structures appear intact. No acute findings were observed, indicating a normal result."
        },
        {
            "image_id": "3612_1",
            "caption": "The chest x-ray shows no acute disease. The heart is normal in size and the mediastinum is stable. Calcified right paratracheal lymph nodes are visible and the aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation, and there is no pleural effusion."
        },
        {
            "image_id": "3612_2",
            "caption": "The chest x-ray shows no acute disease. The heart is normal in size and the mediastinum is stable. Calcified right paratracheal lymph nodes are visible and the aorta is atherosclerotic. The lungs are mildly hypoinflated without focal consolidation, and there is no pleural effusion."
        },
        {
            "image_id": "3174_1",
            "caption": "The X-ray reveals that the patient's lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the diaphragm. There appear to be multiple reticular-nodular opacities in the upper lobes bilaterally. The heart is normal in size and there is no evidence of any focal airspace disease, pneumothorax, or pleural effusion. Based on the findings, the impression is that the patient has chronic upper lobe reticular-nodular pleural-parenchymal opacities and hilar retraction with no gross interval change from the previous X-ray."
        },
        {
            "image_id": "3174_2",
            "caption": "The X-ray reveals that the patient's lungs are hyperinflated with biapical pleural-parenchymal scarring and upward retraction of the diaphragm. There appear to be multiple reticular-nodular opacities in the upper lobes bilaterally. The heart is normal in size and there is no evidence of any focal airspace disease, pneumothorax, or pleural effusion. Based on the findings, the impression is that the patient has chronic upper lobe reticular-nodular pleural-parenchymal opacities and hilar retraction with no gross interval change from the previous X-ray."
        },
        {
            "image_id": "1763_1",
            "caption": "The finding observed in the X-ray image shows stable results with no radiographic evidence of acute cardiopulmonary disease. The heart, mediastinum, and bony structures appear normal without any remarkable signs. However, there are stable increased lung volumes consistent with chronic lung disease, and no focal infiltrates are noted."
        },
        {
            "image_id": "1763_2",
            "caption": "The finding observed in the X-ray image shows stable results with no radiographic evidence of acute cardiopulmonary disease. The heart, mediastinum, and bony structures appear normal without any remarkable signs. However, there are stable increased lung volumes consistent with chronic lung disease, and no focal infiltrates are noted."
        },
        {
            "image_id": "1950_1",
            "caption": "The findings of the x-ray reveal normal cardiac and mediastinal contours with clear lungs bilaterally, indicating no acute cardiopulmonary abnormalities. The scan also shows no evidence of pneumothorax, pleural effusion, or focal consolidation. The impressions suggest normal findings with no acute cardiopulmonary disease."
        },
        {
            "image_id": "1950_2",
            "caption": "The findings of the x-ray reveal normal cardiac and mediastinal contours with clear lungs bilaterally, indicating no acute cardiopulmonary abnormalities. The scan also shows no evidence of pneumothorax, pleural effusion, or focal consolidation. The impressions suggest normal findings with no acute cardiopulmonary disease."
        },
        {
            "image_id": "1788_1",
            "caption": "The chest x-ray shows normal findings. The cardiac and mediastinal structures are unremarkable, and there is no evidence of lung abnormalities such as pneumothorax, pleural effusion, or airspace consolidation. The trachea is in the midline, and the heart size is normal. Based on these observations, there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "1788_2",
            "caption": "The chest x-ray shows normal findings. The cardiac and mediastinal structures are unremarkable, and there is no evidence of lung abnormalities such as pneumothorax, pleural effusion, or airspace consolidation. The trachea is in the midline, and the heart size is normal. Based on these observations, there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "2281_1",
            "caption": "The chest X-ray shows a normal heart size and vascularity. The lungs are clear with no effusions or pneumothorax. The impression is a normal chest with no acute abnormalities detected."
        },
        {
            "image_id": "3821_1",
            "caption": "The x-ray scan shows that there is no acute cardiopulmonary abnormality. The lungs are clear and there are no focal air space opacity. The cardiomediastinal silhouette is normal in size and contour and there are no signs of pneumothorax or large pleural effusion."
        },
        {
            "image_id": "3821_2",
            "caption": "The x-ray scan shows that there is no acute cardiopulmonary abnormality. The lungs are clear and there are no focal air space opacity. The cardiomediastinal silhouette is normal in size and contour and there are no signs of pneumothorax or large pleural effusion."
        },
        {
            "image_id": "3835_1",
            "caption": "The lungs are clear bilaterally with no focal consolidation, pleural effusion, or pneumothorax, widening adjacent to the right paratracheal stripe, most likely representing the SVC with rotated position. Cardiopulmonary silhouette and pulmonary vasculature are within normal limits. No acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "3835_2",
            "caption": "The lungs are clear bilaterally with no focal consolidation, pleural effusion, or pneumothorax, widening adjacent to the right paratracheal stripe, most likely representing the SVC with rotated position. Cardiopulmonary silhouette and pulmonary vasculature are within normal limits. No acute cardiopulmonary abnormality observed."
        },
        {
            "image_id": "2295_1",
            "caption": "The x-ray image shows that the heart and mediastinum are normal, with no signs of acute abnormality. The lungs are clear with no pneumonia or effusion, and the bony structures are intact. The impression states that there is no acute cardiopulmonary disease, indicating a normal chest radiograph."
        },
        {
            "image_id": "2295_2",
            "caption": "The x-ray image shows that the heart and mediastinum are normal, with no signs of acute abnormality. The lungs are clear with no pneumonia or effusion, and the bony structures are intact. The impression states that there is no acute cardiopulmonary disease, indicating a normal chest radiograph."
        },
        {
            "image_id": "208_1",
            "caption": "The X-ray shows a normal heart size and mediastinal contour. Lungs are free of any focal infiltrates, nodules, or masses. No visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air. The impression indicates no acute radiographic cardiopulmonary process. All in all, the patient's X-ray looks normal and healthy."
        },
        {
            "image_id": "208_2",
            "caption": "The X-ray shows a normal heart size and mediastinal contour. Lungs are free of any focal infiltrates, nodules, or masses. No visible pneumothorax or pleural fluid. There is no visible free intraperitoneal air. The impression indicates no acute radiographic cardiopulmonary process. All in all, the patient's X-ray looks normal and healthy."
        },
        {
            "image_id": "220_1",
            "caption": "The heart is normal in size. The mediastinum is stable. Left-sided chest appearing radioopaque object is again visualized with the tip at the cavoatrial junction. There are numerous bilateral pulmonary nodules. The dominant nodule/mass in the left midlung is also mildly increased. There is no pneumothorax, and there is no pleural effusion. The X-ray report indicates that there has been an interval increase in size and number of the innumerable bilateral pulmonary nodules which is consistent with worsening metastatic disease."
        },
        {
            "image_id": "220_2",
            "caption": "The heart is normal in size. The mediastinum is stable. Left-sided chest appearing radioopaque object is again visualized with the tip at the cavoatrial junction. There are numerous bilateral pulmonary nodules. The dominant nodule/mass in the left midlung is also mildly increased. There is no pneumothorax, and there is no pleural effusion. The X-ray report indicates that there has been an interval increase in size and number of the innumerable bilateral pulmonary nodules which is consistent with worsening metastatic disease."
        },
        {
            "image_id": "220_3",
            "caption": "The heart is normal in size. The mediastinum is stable. Left-sided chest appearing radioopaque object is again visualized with the tip at the cavoatrial junction. There are numerous bilateral pulmonary nodules. The dominant nodule/mass in the left midlung is also mildly increased. There is no pneumothorax, and there is no pleural effusion. The X-ray report indicates that there has been an interval increase in size and number of the innumerable bilateral pulmonary nodules which is consistent with worsening metastatic disease."
        },
        {
            "image_id": "3809_1",
            "caption": "The chest x-ray shows that the heart and mediastinal contours are normal, and the lungs are clear with intact bony structures. Based on these findings, the impression is negative for any abnormalities in the chest x-ray."
        },
        {
            "image_id": "3809_2",
            "caption": "The chest x-ray shows that the heart and mediastinal contours are normal, and the lungs are clear with intact bony structures. Based on these findings, the impression is negative for any abnormalities in the chest x-ray."
        },
        {
            "image_id": "3809_3",
            "caption": "The chest x-ray shows that the heart and mediastinal contours are normal, and the lungs are clear with intact bony structures. Based on these findings, the impression is negative for any abnormalities in the chest x-ray."
        },
        {
            "image_id": "552_1",
            "caption": "The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are T-spine osteophytes. A calcified granuloma is seen in the right apex. The x-ray does not show any acute cardiopulmonary abnormality. However, T-spine osteophytes are present along with a calcified granuloma in the right apex. Further clinical correlation may be needed."
        },
        {
            "image_id": "552_2",
            "caption": "The cardiomediastinal silhouette and pulmonary vasculature are within normal limits. There is no pneumothorax or pleural effusion. There are no focal areas of consolidation. There are T-spine osteophytes. A calcified granuloma is seen in the right apex. The x-ray does not show any acute cardiopulmonary abnormality. However, T-spine osteophytes are present along with a calcified granuloma in the right apex. Further clinical correlation may be needed."
        },
        {
            "image_id": "1978_1",
            "caption": "The X-ray shows normal cardiomediastinal silhouette and pulmonary vasculature without any evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation, but cholecystectomy clips can be seen. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1978_2",
            "caption": "The X-ray shows normal cardiomediastinal silhouette and pulmonary vasculature without any evidence of pneumothorax or pleural effusion. There are no focal areas of consolidation, but cholecystectomy clips can be seen. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "234_1",
            "caption": "The chest x-ray, lateral, and decubitus, show no acute abnormalities in the cardiomediastinal silhouette, pulmonary vasculature, or lungs. The trachea appears midline, and there is no evidence of pneumothorax, layering pleural effusion, or acute abnormalities in the visualized bony structures. However, mild degenerative changes are observed in the thoracic spine. The findings suggest no acute cardiopulmonary abnormalities, and no evidence of pleural effusion is seen on decubitus exam."
        },
        {
            "image_id": "234_2",
            "caption": "The chest x-ray, lateral, and decubitus, show no acute abnormalities in the cardiomediastinal silhouette, pulmonary vasculature, or lungs. The trachea appears midline, and there is no evidence of pneumothorax, layering pleural effusion, or acute abnormalities in the visualized bony structures. However, mild degenerative changes are observed in the thoracic spine. The findings suggest no acute cardiopulmonary abnormalities, and no evidence of pleural effusion is seen on decubitus exam."
        },
        {
            "image_id": "2336_1",
            "caption": "After examining the chest x-ray image, the lungs were found to be hyperinflated but clear, without any focal infiltrates or effusion. The heart and mediastinal contours were within normal limits with the identification of calcified mediastinal structures. The impression concluded that the lungs were hyperinflated but clear with no acute abnormalities found in the x-ray image."
        },
        {
            "image_id": "2336_2",
            "caption": "After examining the chest x-ray image, the lungs were found to be hyperinflated but clear, without any focal infiltrates or effusion. The heart and mediastinal contours were within normal limits with the identification of calcified mediastinal structures. The impression concluded that the lungs were hyperinflated but clear with no acute abnormalities found in the x-ray image."
        },
        {
            "image_id": "2336_3",
            "caption": "After examining the chest x-ray image, the lungs were found to be hyperinflated but clear, without any focal infiltrates or effusion. The heart and mediastinal contours were within normal limits with the identification of calcified mediastinal structures. The impression concluded that the lungs were hyperinflated but clear with no acute abnormalities found in the x-ray image."
        },
        {
            "image_id": "3028_1",
            "caption": "The chest X-ray showed no acute abnormalities, with clear lungs and no pleural effusion or pneumothorax. The cardiovascular and mediastinal structures appear normal. Minimal degenerative changes in the thoracic spine were observed. The X-ray also revealed atherosclerotic calcifications of the aortic wall. In summary, there was no evidence of any acute cardiopulmonary disease or any other abnormalities noted in the X-ray."
        },
        {
            "image_id": "3028_2",
            "caption": "The chest X-ray showed no acute abnormalities, with clear lungs and no pleural effusion or pneumothorax. The cardiovascular and mediastinal structures appear normal. Minimal degenerative changes in the thoracic spine were observed. The X-ray also revealed atherosclerotic calcifications of the aortic wall. In summary, there was no evidence of any acute cardiopulmonary disease or any other abnormalities noted in the X-ray."
        },
        {
            "image_id": "1159_1",
            "caption": "The chest X-ray shows no signs of any acute cardiopulmonary abnormality. The lungs are clear, with no focal infiltration or effusion, and there is no evidence of a pneumothorax or pleural effusion. The heart, mediastinum, and bony structures all appear unremarkable."
        },
        {
            "image_id": "2450_1",
            "caption": "After reviewing the patient's chest X-ray, the findings show that the heart, lungs, and bony structures appear normal with no evidence of acute abnormality. There are no signs of pneumothorax or pleural effusion. The impression is that the patient has no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2450_2",
            "caption": "After reviewing the patient's chest X-ray, the findings show that the heart, lungs, and bony structures appear normal with no evidence of acute abnormality. There are no signs of pneumothorax or pleural effusion. The impression is that the patient has no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3996_1",
            "caption": "After conducting a radiographic examination of the chest and spine, the findings reveal clear lungs, a normal heart size, and no presence of pneumothorax. While endplate changes in the spine were observed, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "3996_2",
            "caption": "After conducting a radiographic examination of the chest and spine, the findings reveal clear lungs, a normal heart size, and no presence of pneumothorax. While endplate changes in the spine were observed, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2444_1",
            "caption": "The x-ray examination shows no evidence of acute cardiopulmonary disease. The cardiomediastinal silhouette is normal and there is no focal consolidation or pneumothorax. The bony structures are intact except for degenerative changes in the acromioclavicular joint. No large pleural effusion is noted."
        },
        {
            "image_id": "2444_2",
            "caption": "The x-ray examination shows no evidence of acute cardiopulmonary disease. The cardiomediastinal silhouette is normal and there is no focal consolidation or pneumothorax. The bony structures are intact except for degenerative changes in the acromioclavicular joint. No large pleural effusion is noted."
        },
        {
            "image_id": "3982_1",
            "caption": "The x-ray image shows that the lungs are clear and there is no evidence of acute cardiopulmonary process or abnormality. The heart and mediastinum are normal in size and shape, and the bony structures are intact, except for some degenerative changes. The exam did not reveal any pneumothorax or pleural effusion, and there are no focal consolidations or bony abnormalities. The results indicate that there is no radiographic evidence of acute cardiopulmonary disease, and no acute cardiothoracic abnormality was observed."
        },
        {
            "image_id": "3982_2",
            "caption": "The x-ray image shows that the lungs are clear and there is no evidence of acute cardiopulmonary process or abnormality. The heart and mediastinum are normal in size and shape, and the bony structures are intact, except for some degenerative changes. The exam did not reveal any pneumothorax or pleural effusion, and there are no focal consolidations or bony abnormalities. The results indicate that there is no radiographic evidence of acute cardiopulmonary disease, and no acute cardiothoracic abnormality was observed."
        },
        {
            "image_id": "2322_1",
            "caption": "Lung volumes are decreased and there is a focal area of opacity in the right middle lobe, but there are no other signs of consolidation or pleural effusion. The heart appears normal. The x-ray shows continued hypoinflation with right middle lobe focal atelectasis, indicating an ongoing lung problem or disease. It is important to investigate further and seek medical attention to address this issue."
        },
        {
            "image_id": "2322_2",
            "caption": "Lung volumes are decreased and there is a focal area of opacity in the right middle lobe, but there are no other signs of consolidation or pleural effusion. The heart appears normal. The x-ray shows continued hypoinflation with right middle lobe focal atelectasis, indicating an ongoing lung problem or disease. It is important to investigate further and seek medical attention to address this issue."
        },
        {
            "image_id": "1603_1",
            "caption": "The X-ray finding shows that the heart is normal in size and lungs are clear. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses are present which indicates a normal chest. Hence, the impression is that there is no evidence of tuberculosis."
        },
        {
            "image_id": "1603_2",
            "caption": "The X-ray finding shows that the heart is normal in size and lungs are clear. No pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses are present which indicates a normal chest. Hence, the impression is that there is no evidence of tuberculosis."
        },
        {
            "image_id": "397_1",
            "caption": "There is a nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. A nodular density is present at the left costophrenic angle. We recommend a CT scan for further evaluation."
        },
        {
            "image_id": "397_2",
            "caption": "There is a nodular density at the left lung base. Lungs are otherwise clear. The CT scan without IV contrast could be performed for further evaluation. No pleural effusions or pneumothoraces. Heart and mediastinum of normal size and contour. Degenerative changes in the thoracic spine. A nodular density is present at the left costophrenic angle. We recommend a CT scan for further evaluation."
        },
        {
            "image_id": "3014_1",
            "caption": "The chest X-ray reveals distortion of the right hilum with volume loss of the right hand side. It suggests that there might have been a prior right upper lobe resection or a neoplastic growth. However, there is no current evidence of focal infiltrate, pneumothorax or pleural effusion. The heart appears to be normal in size. Further evaluation may be needed."
        },
        {
            "image_id": "3014_2",
            "caption": "The chest X-ray reveals distortion of the right hilum with volume loss of the right hand side. It suggests that there might have been a prior right upper lobe resection or a neoplastic growth. However, there is no current evidence of focal infiltrate, pneumothorax or pleural effusion. The heart appears to be normal in size. Further evaluation may be needed."
        },
        {
            "image_id": "3772_1",
            "caption": "Based on the X-ray finding, the heart and pulmonary vascularity appear to be normal, and there is no focal disease seen in the lungs. In addition, there are no pleural effusion or pneumothorax detected. Calcified granuloma is present, and degenerative changes are present in the spine. The impression based on the finding suggests that there is no evidence of active disease present in the X-ray image."
        },
        {
            "image_id": "3772_2",
            "caption": "Based on the X-ray finding, the heart and pulmonary vascularity appear to be normal, and there is no focal disease seen in the lungs. In addition, there are no pleural effusion or pneumothorax detected. Calcified granuloma is present, and degenerative changes are present in the spine. The impression based on the finding suggests that there is no evidence of active disease present in the X-ray image."
        },
        {
            "image_id": "1165_1",
            "caption": "The x-ray images of frontal and lateral views of the chest reveal a normal cardiac silhouette without any active pulmonary, cardiac or pleural disease. The mediastinal area, pulmonary vasculature, and lung volumes are within the normal limit, and there is no evidence of pleural effusion."
        },
        {
            "image_id": "1171_1",
            "caption": "Heart size upper limits of normal. Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. No pneumothorax or effusions. The X-ray shows low lung volumes with right base airspace disease. It is recommended to consult a physician for further evaluation and treatment options."
        },
        {
            "image_id": "1171_2",
            "caption": "Heart size upper limits of normal. Low lung volumes with mild bronchovascular crowding and right basilar airspace disease. No pneumothorax or effusions. The X-ray shows low lung volumes with right base airspace disease. It is recommended to consult a physician for further evaluation and treatment options."
        },
        {
            "image_id": "3766_1",
            "caption": "The chest X-ray image shows no acute pulmonary disease. The lungs are clear and there is no pleural effusion or pneumothorax. The heart is not significantly enlarged, but there are atherosclerotic changes of the aorta. The patient has mild arthritic changes of the thoracic spine."
        },
        {
            "image_id": "3766_2",
            "caption": "The chest X-ray image shows no acute pulmonary disease. The lungs are clear and there is no pleural effusion or pneumothorax. The heart is not significantly enlarged, but there are atherosclerotic changes of the aorta. The patient has mild arthritic changes of the thoracic spine."
        },
        {
            "image_id": "2478_1",
            "caption": "The chest X-ray shows regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present but there is no focal consolidation or evidence of pleural effusion. The heart is not enlarged and the mediastinum is normal. There are arthritic changes in the spine. Based on the X-ray findings, the impression is suggestive of COPD and interstitial lung disease with no definite pneumonia. There appears to be progression of changes since the last X-ray. It is advisable to consult a pulmonologist for further evaluation and management."
        },
        {
            "image_id": "2478_2",
            "caption": "The chest X-ray shows regular interstitial changes and possibly fibrosis in the left mid and lower lung zone and region of the right middle lobe. Hyperinflation is present but there is no focal consolidation or evidence of pleural effusion. The heart is not enlarged and the mediastinum is normal. There are arthritic changes in the spine. Based on the X-ray findings, the impression is suggestive of COPD and interstitial lung disease with no definite pneumonia. There appears to be progression of changes since the last X-ray. It is advisable to consult a pulmonologist for further evaluation and management."
        },
        {
            "image_id": "3000_1",
            "caption": "The chest x-ray shows multiple bilateral pulmonary nodules, such as a 12mm left lower lobe nodule visible on the frontal view, raising concerns for metastatic disease. Heart size is within normal limits, and there is no evidence of pleural effusion or pneumothorax. The left hilar contour is prominent, indicating possible enlargement of the left pulmonary artery. Additionally, degenerative changes are observed in the spine. Further evaluation is recommended for better diagnosis and treatment planning."
        },
        {
            "image_id": "3000_2",
            "caption": "The chest x-ray shows multiple bilateral pulmonary nodules, such as a 12mm left lower lobe nodule visible on the frontal view, raising concerns for metastatic disease. Heart size is within normal limits, and there is no evidence of pleural effusion or pneumothorax. The left hilar contour is prominent, indicating possible enlargement of the left pulmonary artery. Additionally, degenerative changes are observed in the spine. Further evaluation is recommended for better diagnosis and treatment planning."
        },
        {
            "image_id": "383_1",
            "caption": "The chest X-ray shows normal findings with no signs of acute or cardiopulmonary disease. The heart and pulmonary vessels have a normal size and configuration. No evidence of pleural effusion or pneumothorax was seen. However, anterior osteophytes were found in the thoracic spine. Overall, the results indicate a healthy chest X-ray with no concerning abnormalities."
        },
        {
            "image_id": "383_2",
            "caption": "The chest X-ray shows normal findings with no signs of acute or cardiopulmonary disease. The heart and pulmonary vessels have a normal size and configuration. No evidence of pleural effusion or pneumothorax was seen. However, anterior osteophytes were found in the thoracic spine. Overall, the results indicate a healthy chest X-ray with no concerning abnormalities."
        },
        {
            "image_id": "1617_1",
            "caption": "The X-ray shows normal cardiac contours with calcified tortuous thoracic aorta, emphysema, mild apical scarring, and thoracic spondylosis, but no acute process. Discuss with your doctor for further evaluation and diagnosis."
        },
        {
            "image_id": "1617_2",
            "caption": "The X-ray shows normal cardiac contours with calcified tortuous thoracic aorta, emphysema, mild apical scarring, and thoracic spondylosis, but no acute process. Discuss with your doctor for further evaluation and diagnosis."
        },
        {
            "image_id": "368_1",
            "caption": "The x-ray shows no abnormalities in the cardiopulmonary system. The lungs are clear without any evidence of fluid collection or collapsed areas. The bones also appear normal. In other words, there is no current sickness in the chest."
        },
        {
            "image_id": "368_2",
            "caption": "The x-ray shows no abnormalities in the cardiopulmonary system. The lungs are clear without any evidence of fluid collection or collapsed areas. The bones also appear normal. In other words, there is no current sickness in the chest."
        },
        {
            "image_id": "1824_1",
            "caption": "The x-ray image shows that both lungs are clear and expanded, with a normal heart and mediastinum. There is no sign of active disease according to the x-ray."
        },
        {
            "image_id": "2493_1",
            "caption": "The chest X-ray reveals no significant abnormalities. The trachea is in the midline, and the heart and lung structures appear normal. No areas of consolidation, effusion or pneumothorax were noted, and there were no acute bony abnormalities. Based on these findings, there is no active cardiopulmonary disease present at this time."
        },
        {
            "image_id": "2493_2",
            "caption": "The chest X-ray reveals no significant abnormalities. The trachea is in the midline, and the heart and lung structures appear normal. No areas of consolidation, effusion or pneumothorax were noted, and there were no acute bony abnormalities. Based on these findings, there is no active cardiopulmonary disease present at this time."
        },
        {
            "image_id": "2487_1",
            "caption": "The X-ray shows a normal cardiomediastinal silhouette, lungs, and spine without any significant changes or abnormalities. Mild degenerative changes were present in the upper and lumbar spine. No acute cardiopulmonary process was observed. The vertebral body and disc spaces were maintained. The alignment was within normal limits, and no acute bony abnormality was found in the spine. A moderate amount of stool was detected."
        },
        {
            "image_id": "2487_2",
            "caption": "The X-ray shows a normal cardiomediastinal silhouette, lungs, and spine without any significant changes or abnormalities. Mild degenerative changes were present in the upper and lumbar spine. No acute cardiopulmonary process was observed. The vertebral body and disc spaces were maintained. The alignment was within normal limits, and no acute bony abnormality was found in the spine. A moderate amount of stool was detected."
        },
        {
            "image_id": "3941_1",
            "caption": "The x-ray shows no significant abnormalities in the lungs, with no evidence of pneumonia, effusion or pneumothorax. The heart is normal in size, but there is an enlargement in the cardiomegaly area. The spine shows levocurvature of the thoracic spine and lumbar vertebral body stabilization. Overall, there are no acute cardiopulmonary findings, but cardiomegaly is present and needs further evaluation."
        },
        {
            "image_id": "3941_2",
            "caption": "The x-ray shows no significant abnormalities in the lungs, with no evidence of pneumonia, effusion or pneumothorax. The heart is normal in size, but there is an enlargement in the cardiomegaly area. The spine shows levocurvature of the thoracic spine and lumbar vertebral body stabilization. Overall, there are no acute cardiopulmonary findings, but cardiomegaly is present and needs further evaluation."
        },
        {
            "image_id": "1830_1",
            "caption": "The x-ray shows a pacemaker/defibrillator on the left anterior chest wall, but it is stable. The cardiomediastinal silhouette appears normal without any observable focal consolidation, pneumothorax or large pleural effusion, and the person has an exaggerated thoracic kyphosis and spurring of the thoracic spine. The impression suggests that there is no acute abnormality in the x-ray findings."
        },
        {
            "image_id": "354_1",
            "caption": "The x-ray image shows no signs of acute disease. The heart appears normal in size and the mediastinum is stable. The lungs are clear without any evidence of focal infiltrate, effusion, or pneumothorax noted. The findings suggest that the patient has no active cardiopulmonary disease requiring immediate attention."
        },
        {
            "image_id": "354_2",
            "caption": "The x-ray image shows no signs of acute disease. The heart appears normal in size and the mediastinum is stable. The lungs are clear without any evidence of focal infiltrate, effusion, or pneumothorax noted. The findings suggest that the patient has no active cardiopulmonary disease requiring immediate attention."
        },
        {
            "image_id": "432_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and stable, and the lungs are clear and normally inflated, without any acute abnormalities such as focal airspace disease, pleural effusion, or pneumothorax. The presence of cholecystectomy clips overlying the right upper quadrant is noted, but there is no acute bone abnormality. The overall impression of the x-ray is that there is no evidence of acute cardiopulmonary disease or process."
        },
        {
            "image_id": "432_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and stable, and the lungs are clear and normally inflated, without any acute abnormalities such as focal airspace disease, pleural effusion, or pneumothorax. The presence of cholecystectomy clips overlying the right upper quadrant is noted, but there is no acute bone abnormality. The overall impression of the x-ray is that there is no evidence of acute cardiopulmonary disease or process."
        },
        {
            "image_id": "3969_1",
            "caption": "The x-ray shows hyperexpanded lungs, indicating possible emphysema. However, the heart size and pulmonary vasculature are normal, and there is no evidence of pleural effusion or pneumothorax. The spine shows signs of osteopenia and degenerative changes. Overall, there is no active disease visible in the x-ray."
        },
        {
            "image_id": "3969_2",
            "caption": "The x-ray shows hyperexpanded lungs, indicating possible emphysema. However, the heart size and pulmonary vasculature are normal, and there is no evidence of pleural effusion or pneumothorax. The spine shows signs of osteopenia and degenerative changes. Overall, there is no active disease visible in the x-ray."
        },
        {
            "image_id": "426_1",
            "caption": "The patient's x-ray shows no signs of acute cardiopulmonary abnormality. The heart appears normal in size, but there is some tortuosity in the thoracic aorta present. The lungs are clear without any specific signs of focal disease, pneumothorax or pleural effusion. However, hyperexpansion of the lungs suggests emphysema. The spine shows degenerative changes, but there is no evidence of active disease."
        },
        {
            "image_id": "426_2",
            "caption": "The patient's x-ray shows no signs of acute cardiopulmonary abnormality. The heart appears normal in size, but there is some tortuosity in the thoracic aorta present. The lungs are clear without any specific signs of focal disease, pneumothorax or pleural effusion. However, hyperexpansion of the lungs suggests emphysema. The spine shows degenerative changes, but there is no evidence of active disease."
        },
        {
            "image_id": "340_1",
            "caption": "The X-ray reveals that the heart is moderately enlarged with stable mediastinal contours. The lateral view shows curvilinear densities over the heart that suggest coronary artery stents. The diaphragm shows eventration. However, there is no focal alveolar consolidation, pleural effusion or typical findings of pulmonary edema seen. The impression gathers that there is Cardiomegaly but no acute pulmonary findings."
        },
        {
            "image_id": "340_2",
            "caption": "The X-ray reveals that the heart is moderately enlarged with stable mediastinal contours. The lateral view shows curvilinear densities over the heart that suggest coronary artery stents. The diaphragm shows eventration. However, there is no focal alveolar consolidation, pleural effusion or typical findings of pulmonary edema seen. The impression gathers that there is Cardiomegaly but no acute pulmonary findings."
        },
        {
            "image_id": "2652_1",
            "caption": "A chest examination was obtained which includes both anterior-posterior and lateral views. No enlargement of heart silhouette and mediastinal contours were observed. However, there is calcified mediastinal lymph node. No acute findings were observed in the lungs, and there is no evidence of effusion or pneumothorax. The patient has no acute pulmonary disease. It is advisable to perform further examinations to assess the calcified mediastinal lymph node."
        },
        {
            "image_id": "2652_2",
            "caption": "A chest examination was obtained which includes both anterior-posterior and lateral views. No enlargement of heart silhouette and mediastinal contours were observed. However, there is calcified mediastinal lymph node. No acute findings were observed in the lungs, and there is no evidence of effusion or pneumothorax. The patient has no acute pulmonary disease. It is advisable to perform further examinations to assess the calcified mediastinal lymph node."
        },
        {
            "image_id": "817_1",
            "caption": "The chest X-ray revealed some findings related to the left upper lobe of the lungs. However, there is no evidence of active tuberculosis. The lungs are otherwise clear, and there is no pleural effusion or pneumothorax. The heart is within normal limits in size. It's possible that the appearance of the opacities indicates subsegmental atelectasis or scarring, but further evaluation may be needed to confirm this."
        },
        {
            "image_id": "817_2",
            "caption": "The chest X-ray revealed some findings related to the left upper lobe of the lungs. However, there is no evidence of active tuberculosis. The lungs are otherwise clear, and there is no pleural effusion or pneumothorax. The heart is within normal limits in size. It's possible that the appearance of the opacities indicates subsegmental atelectasis or scarring, but further evaluation may be needed to confirm this."
        },
        {
            "image_id": "817_3",
            "caption": "The chest X-ray revealed some findings related to the left upper lobe of the lungs. However, there is no evidence of active tuberculosis. The lungs are otherwise clear, and there is no pleural effusion or pneumothorax. The heart is within normal limits in size. It's possible that the appearance of the opacities indicates subsegmental atelectasis or scarring, but further evaluation may be needed to confirm this."
        },
        {
            "image_id": "57_1",
            "caption": "The x-ray shows the tracheostomy tube tip 5 cm above the carina. The heart size is within normal limits, and there are mild degenerative changes of the spine. There are no focal airspace consolidations, pleural effusions or pneumothorax but there are prominent bilateral interstitial opacities, stable from prior radiographs. The findings suggest the patient\u2019s lungs may not be functioning normally. It is recommended that the patient be further evaluated by a medical professional to determine any underlying conditions and appropriate treatment."
        },
        {
            "image_id": "57_2",
            "caption": "The x-ray shows the tracheostomy tube tip 5 cm above the carina. The heart size is within normal limits, and there are mild degenerative changes of the spine. There are no focal airspace consolidations, pleural effusions or pneumothorax but there are prominent bilateral interstitial opacities, stable from prior radiographs. The findings suggest the patient\u2019s lungs may not be functioning normally. It is recommended that the patient be further evaluated by a medical professional to determine any underlying conditions and appropriate treatment."
        },
        {
            "image_id": "5_1",
            "caption": "The X-ray reveals no acute findings. The heart, pulmonary vasculature, and cardiomediastinal silhouette are within normal limits without acute cardiopulmonary abnormalities. The lungs are mildly hyperexpanded, with small T-spine osteophytes and biapical pleural thickening, which is unchanged from prior. No focal areas of consolidation, pneumothorax, or pleural effusion are detected on the X-ray. Additionally, cholecystectomy clips are present."
        },
        {
            "image_id": "5_2",
            "caption": "The X-ray reveals no acute findings. The heart, pulmonary vasculature, and cardiomediastinal silhouette are within normal limits without acute cardiopulmonary abnormalities. The lungs are mildly hyperexpanded, with small T-spine osteophytes and biapical pleural thickening, which is unchanged from prior. No focal areas of consolidation, pneumothorax, or pleural effusion are detected on the X-ray. Additionally, cholecystectomy clips are present."
        },
        {
            "image_id": "2120_1",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. The lungs are clear and there is no acute disease."
        },
        {
            "image_id": "2120_2",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is unremarkable. The lungs are clear and there is no acute disease."
        },
        {
            "image_id": "1429_1",
            "caption": "The chest x-ray shows normal mediastinal contours and heart size, as well as clear lungs without any evidence of acute disease such as pneumothorax or pleural effusion. The impression from the findings is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1429_2",
            "caption": "The chest x-ray shows normal mediastinal contours and heart size, as well as clear lungs without any evidence of acute disease such as pneumothorax or pleural effusion. The impression from the findings is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "803_1",
            "caption": "A left chest wall cardiac generator with 2 leads is seen in the X-ray, with the heart size being near normal and the cardiomediastinal silhouette showing a normal appearance. The lungs are clear without any focal air space opacity, pleural effusion or pneumothorax. There are degenerative changes in the thoracic spine. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "43_1",
            "caption": "The heart and lungs have not shown any change in the interval. There is no evidence of any abnormalities in both the lungs, which appear clear and expanded. The heart and mediastinum appear normal. The X-ray has not revealed any active disease in the heart or lungs."
        },
        {
            "image_id": "43_2",
            "caption": "The heart and lungs have not shown any change in the interval. There is no evidence of any abnormalities in both the lungs, which appear clear and expanded. The heart and mediastinum appear normal. The X-ray has not revealed any active disease in the heart or lungs."
        },
        {
            "image_id": "2646_1",
            "caption": "The x-ray shows that there is no focal airspace disease, pleural effusion or pneumothorax. The cardiomediastinal silhouette is normal while there are prominent lateral osteophytes along the right aspect of the mid thoracic spine which are stable. There is no free subdiaphragmatic air. The impression is that there is no acute pulmonary disease. This x-ray result is important for assessing the overall health status of the patient's lungs and heart."
        },
        {
            "image_id": "1367_1",
            "caption": "The X-ray shows that the heart size is normal and the lungs are clear, with no signs of abnormality such as pneumothorax or large pleural effusion. The bony structures also appear normal. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1367_2",
            "caption": "The X-ray shows that the heart size is normal and the lungs are clear, with no signs of abnormality such as pneumothorax or large pleural effusion. The bony structures also appear normal. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3570_1",
            "caption": "The chest x-ray shows normal heart size and mediastinal contours without any acute cardiopulmonary abnormality. However, there is a possibility of subsegmental atelectasis versus scarring in the right midlung and left lower lobe resulting in low lung volumes. No focal airspace disease, pleural effusion or pneumothorax was found. The visualized bony structures were unremarkable in appearance. It is recommended to consult a physician regarding the possibility of subsegmental atelectasis versus scarring in the lungs."
        },
        {
            "image_id": "3570_2",
            "caption": "The chest x-ray shows normal heart size and mediastinal contours without any acute cardiopulmonary abnormality. However, there is a possibility of subsegmental atelectasis versus scarring in the right midlung and left lower lobe resulting in low lung volumes. No focal airspace disease, pleural effusion or pneumothorax was found. The visualized bony structures were unremarkable in appearance. It is recommended to consult a physician regarding the possibility of subsegmental atelectasis versus scarring in the lungs."
        },
        {
            "image_id": "3570_3",
            "caption": "The chest x-ray shows normal heart size and mediastinal contours without any acute cardiopulmonary abnormality. However, there is a possibility of subsegmental atelectasis versus scarring in the right midlung and left lower lobe resulting in low lung volumes. No focal airspace disease, pleural effusion or pneumothorax was found. The visualized bony structures were unremarkable in appearance. It is recommended to consult a physician regarding the possibility of subsegmental atelectasis versus scarring in the lungs."
        },
        {
            "image_id": "3216_1",
            "caption": "The patient's chest radiograph shows a normal heart size with no evidence of pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact. In summary, the chest x-ray results indicate a normal chest radiograph with no acute or chronic abnormalities."
        },
        {
            "image_id": "3216_2",
            "caption": "The patient's chest radiograph shows a normal heart size with no evidence of pneumothorax, pleural effusion, or focal airspace disease. Bony structures are intact. In summary, the chest x-ray results indicate a normal chest radiograph with no acute or chronic abnormalities."
        },
        {
            "image_id": "2108_1",
            "caption": "On the x-ray image, both the heart and lungs appear normal and unchanged since the last examination. There are no signs of active disease, such as focal airspace disease, pleural effusion or pneumothorax, and both lungs are clear and expanded. The mediastinum is also normal, indicating no acute cardiopulmonary abnormality. Overall, the chest radiograph appears normal with no immediate concerns."
        },
        {
            "image_id": "2108_2",
            "caption": "On the x-ray image, both the heart and lungs appear normal and unchanged since the last examination. There are no signs of active disease, such as focal airspace disease, pleural effusion or pneumothorax, and both lungs are clear and expanded. The mediastinum is also normal, indicating no acute cardiopulmonary abnormality. Overall, the chest radiograph appears normal with no immediate concerns."
        },
        {
            "image_id": "195_1",
            "caption": "During the examination, the lungs were found to be clear with no signs of a pneumothorax or pleural effusion, while the cardiac contours were normal. A diagnosis of no acute cardiopulmonary abnormalities was made based on the radiograph interpretation, indicating a positive result."
        },
        {
            "image_id": "195_2",
            "caption": "During the examination, the lungs were found to be clear with no signs of a pneumothorax or pleural effusion, while the cardiac contours were normal. A diagnosis of no acute cardiopulmonary abnormalities was made based on the radiograph interpretation, indicating a positive result."
        },
        {
            "image_id": "1415_1",
            "caption": "The x-ray indicates that the examined individual has a normal chest with clear lungs, a normal heart size and no abnormalities such as pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression clearly states that the chest is normal."
        },
        {
            "image_id": "1415_2",
            "caption": "The x-ray indicates that the examined individual has a normal chest with clear lungs, a normal heart size and no abnormalities such as pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression clearly states that the chest is normal."
        },
        {
            "image_id": "181_1",
            "caption": "Based on the chest X-ray image, the heart appears normal in size and mediastinal contours are normal. There is no focal airspace disease, pleural effusion, or pneumothorax observed. Further, there is eventration of the right hemidiaphragm observed. However, there is no acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "181_2",
            "caption": "Based on the chest X-ray image, the heart appears normal in size and mediastinal contours are normal. There is no focal airspace disease, pleural effusion, or pneumothorax observed. Further, there is eventration of the right hemidiaphragm observed. However, there is no acute cardiopulmonary abnormality found."
        },
        {
            "image_id": "3202_1",
            "caption": "The chest x-ray reveals normal findings with no acute abnormalities. The heart and mediastinum appear normal in size and shape, and there is no evidence of airspace opacity, pleural effusion, or pneumothorax. The x-ray also shows multiple healed rib fractures on the left side. However, overall, there are no active cardiopulmonary diseases found in the chest radiograph."
        },
        {
            "image_id": "3202_2",
            "caption": "The chest x-ray reveals normal findings with no acute abnormalities. The heart and mediastinum appear normal in size and shape, and there is no evidence of airspace opacity, pleural effusion, or pneumothorax. The x-ray also shows multiple healed rib fractures on the left side. However, overall, there are no active cardiopulmonary diseases found in the chest radiograph."
        },
        {
            "image_id": "3564_1",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is stable. Surgical clips are present overlying the superior mediastinum, and there is a retrocardiac density consistent with a hiatal hernia. The lungs are mildly hypoinflated, but there are no signs of acute infiltrate or pleural effusion. Overall, the X-ray indicates mild hypoinflation without acute disease and a retrocardiac density that is compatible with a hiatal hernia."
        },
        {
            "image_id": "3564_2",
            "caption": "The X-ray shows that the heart is normal in size and the mediastinum is stable. Surgical clips are present overlying the superior mediastinum, and there is a retrocardiac density consistent with a hiatal hernia. The lungs are mildly hypoinflated, but there are no signs of acute infiltrate or pleural effusion. Overall, the X-ray indicates mild hypoinflation without acute disease and a retrocardiac density that is compatible with a hiatal hernia."
        },
        {
            "image_id": "1373_1",
            "caption": "The finding shows that the lungs are clear with no pleural effusion or pneumothorax. The heart is not significantly enlarged, but there are atherosclerotic changes of the aorta while arthritic changes of the skeletal structures are noted. The impression reveals no acute pulmonary disease. Hence, regular check-ups and a healthy lifestyle can prevent further complications. Do you have any questions or concerns regarding the finding and impression?"
        },
        {
            "image_id": "1373_2",
            "caption": "The finding shows that the lungs are clear with no pleural effusion or pneumothorax. The heart is not significantly enlarged, but there are atherosclerotic changes of the aorta while arthritic changes of the skeletal structures are noted. The impression reveals no acute pulmonary disease. Hence, regular check-ups and a healthy lifestyle can prevent further complications. Do you have any questions or concerns regarding the finding and impression?"
        },
        {
            "image_id": "1398_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear bilaterally with no sign of focal consolidation, pneumothorax, or pleural effusion. A mild right basilar atelectasis and relative elevation of the right hemidiaphragm is noted. The cardiomediastinal silhouette is unremarkable and the visualized osseous structures of the thorax are without acute abnormality."
        },
        {
            "image_id": "94_1",
            "caption": "The X-ray shows no acute abnormalities in the heart, lungs, or any bones of the thorax. Specifically, there is no evidence of pneumonia, pleural effusion, or pneumothorax. The size and shape of the heart and mediastinum are normal. There are no signs of any suspicious pulmonary opacity or osseous abnormality. The X-ray indicates no active disease or abnormality in the cardiopulmonary and thoracic structure."
        },
        {
            "image_id": "94_2",
            "caption": "The X-ray shows no acute abnormalities in the heart, lungs, or any bones of the thorax. Specifically, there is no evidence of pneumonia, pleural effusion, or pneumothorax. The size and shape of the heart and mediastinum are normal. There are no signs of any suspicious pulmonary opacity or osseous abnormality. The X-ray indicates no active disease or abnormality in the cardiopulmonary and thoracic structure."
        },
        {
            "image_id": "2685_1",
            "caption": "The radiograph shows no abnormality in the heart, mediastinum, lungs, and pleural cavity. The size and contours of the heart and mediastinum appear normal, and there is no evidence of focal airspace disease, pneumothorax or pleural effusion in the lungs. A mild eventration of the right hemidiaphragm is noted. The impression is that there is no acute disease present in the patient."
        },
        {
            "image_id": "2685_2",
            "caption": "The radiograph shows no abnormality in the heart, mediastinum, lungs, and pleural cavity. The size and contours of the heart and mediastinum appear normal, and there is no evidence of focal airspace disease, pneumothorax or pleural effusion in the lungs. A mild eventration of the right hemidiaphragm is noted. The impression is that there is no acute disease present in the patient."
        },
        {
            "image_id": "618_1",
            "caption": "The radiographic evaluation shows that there is no sign of acute cardiopulmonary disease. Additionally, there is no evidence for metastatic disease. The heart, pulmonary structures, and mediastinum all appear to be within normal limits. No pleural effusion or pneumothorax is seen. There is also no evidence of pneumonia or pulmonary nodules. The X-ray only partly shows the patient's left humerus prosthesis."
        },
        {
            "image_id": "618_2",
            "caption": "The radiographic evaluation shows that there is no sign of acute cardiopulmonary disease. Additionally, there is no evidence for metastatic disease. The heart, pulmonary structures, and mediastinum all appear to be within normal limits. No pleural effusion or pneumothorax is seen. There is also no evidence of pneumonia or pulmonary nodules. The X-ray only partly shows the patient's left humerus prosthesis."
        },
        {
            "image_id": "80_1",
            "caption": "From the radiographic findings, the heart size and mediastinal contour appear normal. There are no signs of focal airspace consolidation, pneumothorax, or large pleural effusion. In addition, there is no acute abnormality in the bones. Therefore, the impression from the given report reveals no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "80_2",
            "caption": "From the radiographic findings, the heart size and mediastinal contour appear normal. There are no signs of focal airspace consolidation, pneumothorax, or large pleural effusion. In addition, there is no acute abnormality in the bones. Therefore, the impression from the given report reveals no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "80_3",
            "caption": "From the radiographic findings, the heart size and mediastinal contour appear normal. There are no signs of focal airspace consolidation, pneumothorax, or large pleural effusion. In addition, there is no acute abnormality in the bones. Therefore, the impression from the given report reveals no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "630_1",
            "caption": "The patient has clear lungs without any acute abnormality, along with normal heart as well as mediastinal contours. The pleural spaces are also clear. Overall, there is no acute cardiopulmonary disease. It's noteworthy that the patient underwent a sternotomy and CABG earlier."
        },
        {
            "image_id": "630_2",
            "caption": "The patient has clear lungs without any acute abnormality, along with normal heart as well as mediastinal contours. The pleural spaces are also clear. Overall, there is no acute cardiopulmonary disease. It's noteworthy that the patient underwent a sternotomy and CABG earlier."
        },
        {
            "image_id": "142_1",
            "caption": "Based on the chest X-ray performed, the cardiopulmonary system appears normal with no acute abnormalities detected. The lungs are clear and there is no evidence of pneumothorax or pleural effusion. Additionally, there are no acute osseous findings. The radiologist's impression is that there are no acute cardiopulmonary findings, specifically, no radiographic evidence of active tuberculosis. It is recommended to further consult a physician for a complete evaluation."
        },
        {
            "image_id": "142_2",
            "caption": "Based on the chest X-ray performed, the cardiopulmonary system appears normal with no acute abnormalities detected. The lungs are clear and there is no evidence of pneumothorax or pleural effusion. Additionally, there are no acute osseous findings. The radiologist's impression is that there are no acute cardiopulmonary findings, specifically, no radiographic evidence of active tuberculosis. It is recommended to further consult a physician for a complete evaluation."
        },
        {
            "image_id": "624_1",
            "caption": "The x-ray shows normal cardiac contours with no focal consolidation. However, the lungs appear hyperinflated with flattening of diaphragms and tapering of distal pulmonary vasculature. Patient's spine shows thoracic spondylosis, mild dextroscoliosis, and prior anterior cervical fusion. The overall impression suggests emphysema without superimposed pneumonia."
        },
        {
            "image_id": "624_2",
            "caption": "The x-ray shows normal cardiac contours with no focal consolidation. However, the lungs appear hyperinflated with flattening of diaphragms and tapering of distal pulmonary vasculature. Patient's spine shows thoracic spondylosis, mild dextroscoliosis, and prior anterior cervical fusion. The overall impression suggests emphysema without superimposed pneumonia."
        },
        {
            "image_id": "2861_1",
            "caption": "The x-ray indicates that the heart size and pulmonary vascularity are normal. The lungs are clear of focal airspace disease, pleural effusion, or pneumothorax. There is no evidence of active disease."
        },
        {
            "image_id": "2861_2",
            "caption": "The x-ray indicates that the heart size and pulmonary vascularity are normal. The lungs are clear of focal airspace disease, pleural effusion, or pneumothorax. There is no evidence of active disease."
        },
        {
            "image_id": "154_1",
            "caption": "The patient's X-ray shows normal results for the heart, mediastinum and pulmonary system with no evidence of acute cardiopulmonary disease, such as consolidation, pneumothorax or pleural effusion. Furthermore, the osseous structures and soft tissues appear normal."
        },
        {
            "image_id": "154_2",
            "caption": "The patient's X-ray shows normal results for the heart, mediastinum and pulmonary system with no evidence of acute cardiopulmonary disease, such as consolidation, pneumothorax or pleural effusion. Furthermore, the osseous structures and soft tissues appear normal."
        },
        {
            "image_id": "632_1",
            "caption": "The patient's X-ray shows an unremarkable cardiac and mediastinal silhouette. Lungs are clear, with no focal consolidation, pneumothorax, or pleural effusion. Additionally, soft tissue are unremarkable, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "632_2",
            "caption": "The patient's X-ray shows an unremarkable cardiac and mediastinal silhouette. Lungs are clear, with no focal consolidation, pneumothorax, or pleural effusion. Additionally, soft tissue are unremarkable, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2877_1",
            "caption": "The X-ray shows that there is no acute abnormality. The cardiomediastinal silhouette is normal in size and contour, and the lungs are clear. No focal consolidation, pneumothorax or large pleural effusion identified."
        },
        {
            "image_id": "2877_2",
            "caption": "The X-ray shows that there is no acute abnormality. The cardiomediastinal silhouette is normal in size and contour, and the lungs are clear. No focal consolidation, pneumothorax or large pleural effusion identified."
        },
        {
            "image_id": "2863_1",
            "caption": "The x-ray shows clear lungs bilaterally, with no signs of pneumonia, collapsed lung or fluid buildup in pleural space. The cardio-mediastinal silhouette and visualized osseous structures appear normal. Based on these findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2863_2",
            "caption": "The x-ray shows clear lungs bilaterally, with no signs of pneumonia, collapsed lung or fluid buildup in pleural space. The cardio-mediastinal silhouette and visualized osseous structures appear normal. Based on these findings, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "626_1",
            "caption": "The x-ray image shows that the heart size is slightly larger than normal but within the upper limits. However, there is no significant abnormality observed in the mediastinal contour. The lungs are clear and show no signs of large pleural effusion or pneumothorax. Overall, the report indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "626_2",
            "caption": "The x-ray image shows that the heart size is slightly larger than normal but within the upper limits. However, there is no significant abnormality observed in the mediastinal contour. The lungs are clear and show no signs of large pleural effusion or pneumothorax. Overall, the report indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "626_3",
            "caption": "The x-ray image shows that the heart size is slightly larger than normal but within the upper limits. However, there is no significant abnormality observed in the mediastinal contour. The lungs are clear and show no signs of large pleural effusion or pneumothorax. Overall, the report indicates no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "168_1",
            "caption": "The X-ray reveals clear lungs bilaterally, with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal, and the visualized osseous structures of the thorax indicate stable mild multilevel degenerative disc disease of the thoracolumbar spine, as well as chronic left-sided rib fractures without acute abnormality. The impression noted by the radiologist is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "168_2",
            "caption": "The X-ray reveals clear lungs bilaterally, with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette appears normal, and the visualized osseous structures of the thorax indicate stable mild multilevel degenerative disc disease of the thoracolumbar spine, as well as chronic left-sided rib fractures without acute abnormality. The impression noted by the radiologist is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2693_1",
            "caption": "The x-ray shows low lung volumes with no signs of acute cardiopulmonary disease. The cardiac silhouette and mediastinal contours are within normal limits, and there are no pneumothorax or large pleural effusion. However, there is tortuosity of the thoracic aorta, which requires further investigation."
        },
        {
            "image_id": "2693_2",
            "caption": "The x-ray shows low lung volumes with no signs of acute cardiopulmonary disease. The cardiac silhouette and mediastinal contours are within normal limits, and there are no pneumothorax or large pleural effusion. However, there is tortuosity of the thoracic aorta, which requires further investigation."
        },
        {
            "image_id": "96_1",
            "caption": "The patient's chest X-ray indicate that the lungs are clear and the heart, pulmonary vessels, and mediastinal structures are all within normal limits. There is no evidence of acute cardiopulmonary abnormality in the radiographic evaluation."
        },
        {
            "image_id": "96_2",
            "caption": "The patient's chest X-ray indicate that the lungs are clear and the heart, pulmonary vessels, and mediastinal structures are all within normal limits. There is no evidence of acute cardiopulmonary abnormality in the radiographic evaluation."
        },
        {
            "image_id": "82_1",
            "caption": "The chest X-ray shows no signs of acute abnormalities. The heart size and mediastinal contour are normal, and there is no focal airspace disease, effusion, or noncalcified nodule. Therefore, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "82_2",
            "caption": "The chest X-ray shows no signs of acute abnormalities. The heart size and mediastinal contour are normal, and there is no focal airspace disease, effusion, or noncalcified nodule. Therefore, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2687_1",
            "caption": "The x-ray shows that the heart size and mediastinal contours are normal. No abnormalities are found in the lungs such as airspace consolidation, pleural effusions or pneumothorax. There are surgical clips overlying the left breast soft tissues and multilevel degenerative changes in the thoracic spine. However, there are no acute bony abnormalities. Overall, there are no signs of acute cardiopulmonary findings."
        },
        {
            "image_id": "2687_2",
            "caption": "The x-ray shows that the heart size and mediastinal contours are normal. No abnormalities are found in the lungs such as airspace consolidation, pleural effusions or pneumothorax. There are surgical clips overlying the left breast soft tissues and multilevel degenerative changes in the thoracic spine. However, there are no acute bony abnormalities. Overall, there are no signs of acute cardiopulmonary findings."
        },
        {
            "image_id": "3599_1",
            "caption": "The x-ray indicates intact midline sternotomy sutures and postsurgical changes from a prior CABG. The heart size and mediastinal silhouette are normal, with no evidence of focal airspace opacity, pleural effusion, or pneumothorax. Mild degenerative changes in the thoracic spine are visible. The radiologist's impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3599_2",
            "caption": "The x-ray indicates intact midline sternotomy sutures and postsurgical changes from a prior CABG. The heart size and mediastinal silhouette are normal, with no evidence of focal airspace opacity, pleural effusion, or pneumothorax. Mild degenerative changes in the thoracic spine are visible. The radiologist's impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1403_1",
            "caption": "The X-ray shows bibasilar atelectasis, which indicates that there is partial or complete collapse of the lungs in the dependent lung regions. However, there is no other acute abnormality observed in the lungs as the heart size and mediastinal contours appear normal. Additionally, there are no pleural effusions or pneumothoraces. The normal hilar mediastinal contours and pulmonary vascularity indicate that there is no obstruction in the pulmonary artery. It is important to follow up with a healthcare provider to address the bibasilar atelectasis observed in the X-ray."
        },
        {
            "image_id": "1403_2",
            "caption": "The X-ray shows bibasilar atelectasis, which indicates that there is partial or complete collapse of the lungs in the dependent lung regions. However, there is no other acute abnormality observed in the lungs as the heart size and mediastinal contours appear normal. Additionally, there are no pleural effusions or pneumothoraces. The normal hilar mediastinal contours and pulmonary vascularity indicate that there is no obstruction in the pulmonary artery. It is important to follow up with a healthcare provider to address the bibasilar atelectasis observed in the X-ray."
        },
        {
            "image_id": "197_1",
            "caption": "The patient has hyperexpanded lungs but there is no evidence of effusion or infiltrate. A small calcified granuloma in the right lower lobe was found but it is unchanged from previous examinations. The cardiomediastinal silhouette is normal and there are no acute bony abnormalities, pneumothorax, or pneumomediastinum. Overall, the patient's condition is stable except for the hyperexpanded lungs."
        },
        {
            "image_id": "197_2",
            "caption": "The patient has hyperexpanded lungs but there is no evidence of effusion or infiltrate. A small calcified granuloma in the right lower lobe was found but it is unchanged from previous examinations. The cardiomediastinal silhouette is normal and there are no acute bony abnormalities, pneumothorax, or pneumomediastinum. Overall, the patient's condition is stable except for the hyperexpanded lungs."
        },
        {
            "image_id": "3214_1",
            "caption": "There is a marked increase in the size of the heart with pericardial effusion, and a small right pleural effusion is also noted. However, the lungs are clear and there is no evidence of focal infiltrates. Moreover, there is normal pulmonary vascularity and no pneumothorax. The X-ray report indicates a large pericardial effusion. It is recommended to consult a cardiologist for further evaluation and management."
        },
        {
            "image_id": "3214_2",
            "caption": "There is a marked increase in the size of the heart with pericardial effusion, and a small right pleural effusion is also noted. However, the lungs are clear and there is no evidence of focal infiltrates. Moreover, there is normal pulmonary vascularity and no pneumothorax. The X-ray report indicates a large pericardial effusion. It is recommended to consult a cardiologist for further evaluation and management."
        },
        {
            "image_id": "69_1",
            "caption": "Based on the X-ray image, there is no acute cardiopulmonary disease observed. The heart and lungs appear normal without any abnormalities such as infiltrate, effusion, or pneumothorax."
        },
        {
            "image_id": "69_2",
            "caption": "Based on the X-ray image, there is no acute cardiopulmonary disease observed. The heart and lungs appear normal without any abnormalities such as infiltrate, effusion, or pneumothorax."
        },
        {
            "image_id": "1365_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart size and mediastinal contours are normal, and there is no alveolar consolidation, pleural effusion, or pulmonary edema. Additionally, there is no evidence of pneumothorax. The finding suggests that there are small rounded bilateral axillary densities that are most likely artifacts, and a healed right lateral 10th rib fracture is also noted. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1365_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart size and mediastinal contours are normal, and there is no alveolar consolidation, pleural effusion, or pulmonary edema. Additionally, there is no evidence of pneumothorax. The finding suggests that there are small rounded bilateral axillary densities that are most likely artifacts, and a healed right lateral 10th rib fracture is also noted. There are no acute cardiopulmonary findings."
        },
        {
            "image_id": "829_1",
            "caption": "On examining the x-ray, it was found that the cardiomediastinal silhouettes were within normal limits. The lungs were clear without any focal consolidation, pneumothorax, or pleural effusion. The bony thorax was unremarkable. The impression was that there were no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "829_2",
            "caption": "On examining the x-ray, it was found that the cardiomediastinal silhouettes were within normal limits. The lungs were clear without any focal consolidation, pneumothorax, or pleural effusion. The bony thorax was unremarkable. The impression was that there were no acute cardiopulmonary abnormalities detected."
        },
        {
            "image_id": "3566_1",
            "caption": "The X-ray shows normal heart size and mediastinal contours. There is low lung volume with mild bibasilar atelectasis, but no other focal airspace consolidation, pleural effusion or pneumothorax observed. The visualized osseous structures appear unremarkable, except for large cervical spine osteophytes, which were found incidentally. The lateral views were limited due to patient motion while taking the exam, and the note also suggests a technically limited exam. Overall, the impression is that there is no acute cardiopulmonary abnormality, but a further evaluation may be required due to the presence of cervical spine osteophytes."
        },
        {
            "image_id": "3566_2",
            "caption": "The X-ray shows normal heart size and mediastinal contours. There is low lung volume with mild bibasilar atelectasis, but no other focal airspace consolidation, pleural effusion or pneumothorax observed. The visualized osseous structures appear unremarkable, except for large cervical spine osteophytes, which were found incidentally. The lateral views were limited due to patient motion while taking the exam, and the note also suggests a technically limited exam. Overall, the impression is that there is no acute cardiopulmonary abnormality, but a further evaluation may be required due to the presence of cervical spine osteophytes."
        },
        {
            "image_id": "3566_3",
            "caption": "The X-ray shows normal heart size and mediastinal contours. There is low lung volume with mild bibasilar atelectasis, but no other focal airspace consolidation, pleural effusion or pneumothorax observed. The visualized osseous structures appear unremarkable, except for large cervical spine osteophytes, which were found incidentally. The lateral views were limited due to patient motion while taking the exam, and the note also suggests a technically limited exam. Overall, the impression is that there is no acute cardiopulmonary abnormality, but a further evaluation may be required due to the presence of cervical spine osteophytes."
        },
        {
            "image_id": "3566_4",
            "caption": "The X-ray shows normal heart size and mediastinal contours. There is low lung volume with mild bibasilar atelectasis, but no other focal airspace consolidation, pleural effusion or pneumothorax observed. The visualized osseous structures appear unremarkable, except for large cervical spine osteophytes, which were found incidentally. The lateral views were limited due to patient motion while taking the exam, and the note also suggests a technically limited exam. Overall, the impression is that there is no acute cardiopulmonary abnormality, but a further evaluation may be required due to the presence of cervical spine osteophytes."
        },
        {
            "image_id": "183_1",
            "caption": "Based on the X-ray image, the heart size is within normal limits. There are low lung volumes, and the bronchovascular crowding is noticed. Also, there is a mild increase in airspace opacity within the right lung base, which might indicate atelectasis or infiltrate. The X-ray did not show any pneumothorax or large pleural effusion. However, there is multilevel degenerative disease of the spine. Based on this finding, it is recommended to have follow-up radiographs after the treatment for the lung condition to ensure complete resolution."
        },
        {
            "image_id": "183_2",
            "caption": "Based on the X-ray image, the heart size is within normal limits. There are low lung volumes, and the bronchovascular crowding is noticed. Also, there is a mild increase in airspace opacity within the right lung base, which might indicate atelectasis or infiltrate. The X-ray did not show any pneumothorax or large pleural effusion. However, there is multilevel degenerative disease of the spine. Based on this finding, it is recommended to have follow-up radiographs after the treatment for the lung condition to ensure complete resolution."
        },
        {
            "image_id": "1417_1",
            "caption": "The x-ray image shows no acute abnormal findings. The cardiac and mediastinal contours are normal, and the lungs are clear without any focal airspace opacity, pleural effusion, or pneumothorax. However, there are increased lucencies in the bilateral apices with scarring in the left upper lobe, suggestive of emphysematous bullae. The pulmonary vascularity is normal. Follow-up evaluation may be needed to monitor the lucencies and scarring in the lungs."
        },
        {
            "image_id": "1417_2",
            "caption": "The x-ray image shows no acute abnormal findings. The cardiac and mediastinal contours are normal, and the lungs are clear without any focal airspace opacity, pleural effusion, or pneumothorax. However, there are increased lucencies in the bilateral apices with scarring in the left upper lobe, suggestive of emphysematous bullae. The pulmonary vascularity is normal. Follow-up evaluation may be needed to monitor the lucencies and scarring in the lungs."
        },
        {
            "image_id": "2136_1",
            "caption": "The X-ray indicates that there is no acute cardiopulmonary abnormality found. The mediastinal contours are normal and the lungs are clear, with no evidence of pneumothorax or large pleural effusion. This is a reassuring result, but it is always important to seek medical advice if you have any ongoing concerns or symptoms."
        },
        {
            "image_id": "2136_2",
            "caption": "The X-ray indicates that there is no acute cardiopulmonary abnormality found. The mediastinal contours are normal and the lungs are clear, with no evidence of pneumothorax or large pleural effusion. This is a reassuring result, but it is always important to seek medical advice if you have any ongoing concerns or symptoms."
        },
        {
            "image_id": "7_1",
            "caption": "The x-ray examination revealed normal cardiac contours with basilar atelectasis. There were clear lungs with evidence of thoracic spondylosis and lower cervical arthritis. The impression was of no confluent lobar consolidation or pleural effusion. However, the patient is recommended to have follow-up exams to monitor the atelectasis."
        },
        {
            "image_id": "7_2",
            "caption": "The x-ray examination revealed normal cardiac contours with basilar atelectasis. There were clear lungs with evidence of thoracic spondylosis and lower cervical arthritis. The impression was of no confluent lobar consolidation or pleural effusion. However, the patient is recommended to have follow-up exams to monitor the atelectasis."
        },
        {
            "image_id": "3228_1",
            "caption": "The heart is normal in size. The mediastinum is unremarkable. There is biapical scarring, but the lungs are clear. There is a small and stable calcified left lower lobe granuloma. No acute disease is present."
        },
        {
            "image_id": "3228_2",
            "caption": "The heart is normal in size. The mediastinum is unremarkable. There is biapical scarring, but the lungs are clear. There is a small and stable calcified left lower lobe granuloma. No acute disease is present."
        },
        {
            "image_id": "55_1",
            "caption": "The X-ray shows hypoinflation without any visible active cardiopulmonary disease. The lung lines remain low, but no focal infiltrates are identified. The heart and pulmonary structures are normal."
        },
        {
            "image_id": "55_2",
            "caption": "The X-ray shows hypoinflation without any visible active cardiopulmonary disease. The lung lines remain low, but no focal infiltrates are identified. The heart and pulmonary structures are normal."
        },
        {
            "image_id": "1359_1",
            "caption": "The x-ray shows that the heart appears normal in size and mediastinal contours. There are no signs of focal airspace consolidation, pleural effusions, pneumothorax, or acute bony abnormalities. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "1359_2",
            "caption": "The x-ray shows that the heart appears normal in size and mediastinal contours. There are no signs of focal airspace consolidation, pleural effusions, pneumothorax, or acute bony abnormalities. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2888_1",
            "caption": "The X-ray shows that the heart and lungs are functioning normally without any acute abnormalities. The descending thoracic aorta appears tortuous and there are signs of degenerative changes in the spine. However, there is no evidence of active disease, and no focal airspace disease, pleural effusion, or pneumothorax is seen."
        },
        {
            "image_id": "2888_2",
            "caption": "The X-ray shows that the heart and lungs are functioning normally without any acute abnormalities. The descending thoracic aorta appears tortuous and there are signs of degenerative changes in the spine. However, there is no evidence of active disease, and no focal airspace disease, pleural effusion, or pneumothorax is seen."
        },
        {
            "image_id": "2650_1",
            "caption": "The x-ray reveals multiple intact sternotomy wires and redemonstration of an AICD in the left chest wall with intact stable placement. The cardiac silhouette is enlarged and the mediastinal silhouette appears unremarkable. The left hemidiaphragm is elevated but there is no visible pneumothorax, focal airspace opacity, or pleural effusion. There is also no visible free air under the diaphragm. Additionally, there is redemonstration of degenerative changes in the thoracic spine. The impression suggests stable cardiomegaly without infiltrates."
        },
        {
            "image_id": "2644_1",
            "caption": "The chest X-ray shows mild cardiomegaly and normal pulmonary vasculature. There is increased curvature of the thoracic spine and a calcified lymph node in the right hilum. A small oval-shaped density measuring 2.2 x 1.6 cm is seen within the heart. The lingular nodule requires further evaluation. No pneumothorax is noted. Further medical evaluation may be necessary based on the findings of the X-ray."
        },
        {
            "image_id": "2644_2",
            "caption": "The chest X-ray shows mild cardiomegaly and normal pulmonary vasculature. There is increased curvature of the thoracic spine and a calcified lymph node in the right hilum. A small oval-shaped density measuring 2.2 x 1.6 cm is seen within the heart. The lingular nodule requires further evaluation. No pneumothorax is noted. Further medical evaluation may be necessary based on the findings of the X-ray."
        },
        {
            "image_id": "41_1",
            "caption": "The x-ray shows no signs of pneumothorax or pleural effusion. However, there is a slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings mainly in the peripheral aspect of the left lung and the left lung base, consistent with slight worsening of known interstitial lung disease. Mild left-sided volume loss was also noted but appears stable, and the thoracic spine looks intact."
        },
        {
            "image_id": "41_2",
            "caption": "The x-ray shows no signs of pneumothorax or pleural effusion. However, there is a slight interval worsening of the diffusely increased bilateral pulmonary interstitial markings mainly in the peripheral aspect of the left lung and the left lung base, consistent with slight worsening of known interstitial lung disease. Mild left-sided volume loss was also noted but appears stable, and the thoracic spine looks intact."
        },
        {
            "image_id": "801_1",
            "caption": "The x-ray shows a normal chest without any acute abnormalities. The heart is of normal size without any focal consolidations, pleural effusion, or pneumothorax. There are no visible destructive or acute bone abnormalities present."
        },
        {
            "image_id": "801_2",
            "caption": "The x-ray shows a normal chest without any acute abnormalities. The heart is of normal size without any focal consolidations, pleural effusion, or pneumothorax. There are no visible destructive or acute bone abnormalities present."
        },
        {
            "image_id": "2122_1",
            "caption": "The x-ray reveals no acute cardiopulmonary abnormalities. There is no evidence of focal consolidation, pneumothorax, or large pleural effusion. The heart size and cardiomediastinal contours appear normal."
        },
        {
            "image_id": "430_1",
            "caption": "The x-ray shows clear lungs, with no evidence of focal infiltrate, effusion or pneumothorax. Heart and mediastinal contours are within normal limits, with no acute or destructive bone abnormality. In other words, there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "430_2",
            "caption": "The x-ray shows clear lungs, with no evidence of focal infiltrate, effusion or pneumothorax. Heart and mediastinal contours are within normal limits, with no acute or destructive bone abnormality. In other words, there is no acute cardiopulmonary disease present in the patient."
        },
        {
            "image_id": "356_1",
            "caption": "The chest X-ray shows a normal cardiomediastinal outline without any significant changes in heart size or contour. The lungs are clear with no signs of pneumonia, pleural effusion, or collapsed lung. The bones appear normal for the patient's age. Overall, there is no evidence of any acute respiratory or cardiac issues in the X-ray image."
        },
        {
            "image_id": "356_2",
            "caption": "The chest X-ray shows a normal cardiomediastinal outline without any significant changes in heart size or contour. The lungs are clear with no signs of pneumonia, pleural effusion, or collapsed lung. The bones appear normal for the patient's age. Overall, there is no evidence of any acute respiratory or cardiac issues in the X-ray image."
        },
        {
            "image_id": "342_1",
            "caption": "The patient's chest x-ray shows a stable left upper lobe calcified granuloma and mild cardiomegaly. There were no acute pulmonary findings observed and the pleural spaces appeared normal. The heart size was mildly enlarged with pulmonary vascularity within normal limits, and there was mild tortuosity of the descending thoracic aorta."
        },
        {
            "image_id": "342_2",
            "caption": "The patient's chest x-ray shows a stable left upper lobe calcified granuloma and mild cardiomegaly. There were no acute pulmonary findings observed and the pleural spaces appeared normal. The heart size was mildly enlarged with pulmonary vascularity within normal limits, and there was mild tortuosity of the descending thoracic aorta."
        },
        {
            "image_id": "424_1",
            "caption": "The X-ray shows that the lungs are clear and there is no visible consolidation, pleural effusion or pneumothorax. The heart and mediastinum also appear normal in size and shape. Additionally, the soft tissues and chest structures are unremarkable, except for a probable nerve stimulator that is noted. Overall, there is no indication of acute cardiopulmonary disease."
        },
        {
            "image_id": "3957_1",
            "caption": "The patient's x-ray shows normal cardiac and mediastinal contours. The lungs appear clear and the bony structures are intact. There are no acute findings reported in the impression."
        },
        {
            "image_id": "3957_2",
            "caption": "The patient's x-ray shows normal cardiac and mediastinal contours. The lungs appear clear and the bony structures are intact. There are no acute findings reported in the impression."
        },
        {
            "image_id": "2491_1",
            "caption": "On examination, the cardiomediastinal silhouette and pulmonary vasculature are normal without any abnormality in pulmonary function, including the absence of pneumothorax or pleural effusion, and no focal areas of consolidation. There is no acute cardiopulmonary abnormality detected as per the impression mentioned in the report."
        },
        {
            "image_id": "2491_2",
            "caption": "On examination, the cardiomediastinal silhouette and pulmonary vasculature are normal without any abnormality in pulmonary function, including the absence of pneumothorax or pleural effusion, and no focal areas of consolidation. There is no acute cardiopulmonary abnormality detected as per the impression mentioned in the report."
        },
        {
            "image_id": "1826_1",
            "caption": "The chest X-ray image shows a midline central airway that is clear. The heart and mediastinum are of normal size and shape. There are no signs of focal lung consolidation, pleural effusion or pneumothorax, and the Osseous structures appear normal. The radiologist's impression is that there are no acute cardiopulmonary abnormalities, and the chest radiograph is normal."
        },
        {
            "image_id": "1826_2",
            "caption": "The chest X-ray image shows a midline central airway that is clear. The heart and mediastinum are of normal size and shape. There are no signs of focal lung consolidation, pleural effusion or pneumothorax, and the Osseous structures appear normal. The radiologist's impression is that there are no acute cardiopulmonary abnormalities, and the chest radiograph is normal."
        },
        {
            "image_id": "1832_1",
            "caption": "The patient's chest x-ray showed no large focal areas of consolidation or pleural effusions. However, the finding displayed interval development of left base streaky opacities. There was no evidence of pneumothorax or osseous abnormalities. The impression made was of stable cardiomegaly and the possibility of atelectasis versus infiltrate. It is recommended to keep a close watch on the patient's condition and take further examinations to evaluate the findings."
        },
        {
            "image_id": "1832_2",
            "caption": "The patient's chest x-ray showed no large focal areas of consolidation or pleural effusions. However, the finding displayed interval development of left base streaky opacities. There was no evidence of pneumothorax or osseous abnormalities. The impression made was of stable cardiomegaly and the possibility of atelectasis versus infiltrate. It is recommended to keep a close watch on the patient's condition and take further examinations to evaluate the findings."
        },
        {
            "image_id": "3943_1",
            "caption": "On examination of the chest X-ray, there were no visible defects found in the bony thorax, and the size of the heart was normal. The lung spaces did not exhibit any signs of infiltrates, and neither was there any pleural effusion. Despite this, the left hilar calcifications that were previously found in the patient were still present. Based on the result of the chest X-ray, the impression is negative chest, indicating no notable abnormalities or issues related to the heart and lungs."
        },
        {
            "image_id": "2485_1",
            "caption": "There is bilateral lower lung airspace disease with small to moderate sized bilateral pleural effusions, left being greater than right. There is also a calcified left hilar lymph node. However, there is no pneumothorax observed and the mediastinal silhouette is normal. The findings on the X-ray indicate small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis. It is recommended to consult a physician for further evaluation and treatment."
        },
        {
            "image_id": "2485_2",
            "caption": "There is bilateral lower lung airspace disease with small to moderate sized bilateral pleural effusions, left being greater than right. There is also a calcified left hilar lymph node. However, there is no pneumothorax observed and the mediastinal silhouette is normal. The findings on the X-ray indicate small to moderate sized bilateral pleural effusions with adjacent infiltrate or atelectasis. It is recommended to consult a physician for further evaluation and treatment."
        },
        {
            "image_id": "418_1",
            "caption": "Enlargement of cardiac silhouette with surgical clips and CABG markers. Densities in the left base are stable, suggestive of scarring or chronic subsegmental atelectasis. No alveolar consolidation, no pleural effusion seen. Right hilar calcifications suggestive of previous granulomatous process. No acute findings.  This chest x-ray shows stable findings of known cardiac issues and scarring in the lungs. No new abnormalities are noted, indicating no acute problems. The presence of previous granulomatous process is also noted. Overall, the chest x-ray is not concerning for any immediate issues."
        },
        {
            "image_id": "418_2",
            "caption": "Enlargement of cardiac silhouette with surgical clips and CABG markers. Densities in the left base are stable, suggestive of scarring or chronic subsegmental atelectasis. No alveolar consolidation, no pleural effusion seen. Right hilar calcifications suggestive of previous granulomatous process. No acute findings.  This chest x-ray shows stable findings of known cardiac issues and scarring in the lungs. No new abnormalities are noted, indicating no acute problems. The presence of previous granulomatous process is also noted. Overall, the chest x-ray is not concerning for any immediate issues."
        },
        {
            "image_id": "1167_1",
            "caption": "The chest X-ray shows hyperinflated lungs suggestive of emphysema. Small opacities in the lingula may represent subsegmental atelectasis or scarring. No focal airspace consolidation, pleural effusion, or pneumothorax is seen. The heart size is normal. Degenerative changes of the spine and aortic atherosclerotic vascular calcification are also noted. Follow-up with a healthcare provider for further evaluation and management is recommended."
        },
        {
            "image_id": "1167_2",
            "caption": "The chest X-ray shows hyperinflated lungs suggestive of emphysema. Small opacities in the lingula may represent subsegmental atelectasis or scarring. No focal airspace consolidation, pleural effusion, or pneumothorax is seen. The heart size is normal. Degenerative changes of the spine and aortic atherosclerotic vascular calcification are also noted. Follow-up with a healthcare provider for further evaluation and management is recommended."
        },
        {
            "image_id": "3770_1",
            "caption": "The X-ray reveals that the lungs are clear and there is no evidence of pleural effusion or pneumothorax. The heart and mediastinum present normal size and contour. Additionally, the X-ray shows degenerative changes in the spine. It is concluded that there is no focal lung opacity, pleural effusion or pneumothorax present in the image."
        },
        {
            "image_id": "3770_2",
            "caption": "The X-ray reveals that the lungs are clear and there is no evidence of pleural effusion or pneumothorax. The heart and mediastinum present normal size and contour. Additionally, the X-ray shows degenerative changes in the spine. It is concluded that there is no focal lung opacity, pleural effusion or pneumothorax present in the image."
        },
        {
            "image_id": "3016_1",
            "caption": "The findings reveal that the cardiac and mediastinal contours are normal, there is a prior history of granulomatous disease, the lungs are clear, and thoracic spondylosis is present. However, no acute findings are observed. It is important to follow-up with a healthcare provider to discuss the prior granulomatous disease and assess the thoracic spondylosis."
        },
        {
            "image_id": "3016_2",
            "caption": "The findings reveal that the cardiac and mediastinal contours are normal, there is a prior history of granulomatous disease, the lungs are clear, and thoracic spondylosis is present. However, no acute findings are observed. It is important to follow-up with a healthcare provider to discuss the prior granulomatous disease and assess the thoracic spondylosis."
        },
        {
            "image_id": "395_1",
            "caption": "After reviewing the x-ray image, there is no evidence of an acute cardiopulmonary process. The cardiac and mediastinal silhouettes appear normal and the lungs are well expanded with no focal air space opacities or pleural effusion present. The bony thorax is intact and there are calcified hilar lymph nodes indicating a prior granulomatous disease. Overall, the findings show no acute abnormalities present."
        },
        {
            "image_id": "395_2",
            "caption": "After reviewing the x-ray image, there is no evidence of an acute cardiopulmonary process. The cardiac and mediastinal silhouettes appear normal and the lungs are well expanded with no focal air space opacities or pleural effusion present. The bony thorax is intact and there are calcified hilar lymph nodes indicating a prior granulomatous disease. Overall, the findings show no acute abnormalities present."
        },
        {
            "image_id": "1601_1",
            "caption": "The X-ray examination shows that the lungs and pleural spaces are clear, with no acute abnormality. Additionally, the heart size and pulmonary vascularity appear normal, suggesting no acute pulmonary abnormality."
        },
        {
            "image_id": "1601_2",
            "caption": "The X-ray examination shows that the lungs and pleural spaces are clear, with no acute abnormality. Additionally, the heart size and pulmonary vascularity appear normal, suggesting no acute pulmonary abnormality."
        },
        {
            "image_id": "3002_1",
            "caption": "The x-ray shows no acute abnormalities or injuries. The lungs are clear and the cardiac and mediastinal structures are normal. There is no evidence of pneumonia, pneumothorax, or pleural effusion. The bony thorax appears intact without any fractures or abnormalities. In other words, the x-ray appears to be completely normal with no signs of cardiopulmonary disease or injury."
        },
        {
            "image_id": "3002_2",
            "caption": "The x-ray shows no acute abnormalities or injuries. The lungs are clear and the cardiac and mediastinal structures are normal. There is no evidence of pneumonia, pneumothorax, or pleural effusion. The bony thorax appears intact without any fractures or abnormalities. In other words, the x-ray appears to be completely normal with no signs of cardiopulmonary disease or injury."
        },
        {
            "image_id": "3764_1",
            "caption": "The chest x-ray shows a normal heart size and clear lungs. The X-rays and other structures are normal with no signs of pneumonia, effusion, edema, pneumothorax, adenopathy, nodules, or masses. Overall, it is a normal chest x-ray."
        },
        {
            "image_id": "3764_2",
            "caption": "The chest x-ray shows a normal heart size and clear lungs. The X-rays and other structures are normal with no signs of pneumonia, effusion, edema, pneumothorax, adenopathy, nodules, or masses. Overall, it is a normal chest x-ray."
        },
        {
            "image_id": "1173_1",
            "caption": "The patient's chest X-ray shows stable findings with moderate cardiomediastinal silhouette and atherosclerotic calcifications of the aortic area. There are emphysematous changes with flattening of the hemidiaphragms and blunting of the costophrenic angles. However, there is no evidence of focal airspace disease, pulmonary edema, or pneumothorax. The osseous structures of the chest appear to be normal. Overall, the impression is that the patient has emphysematous changes without any acute pulmonary abnormality."
        },
        {
            "image_id": "1173_2",
            "caption": "The patient's chest X-ray shows stable findings with moderate cardiomediastinal silhouette and atherosclerotic calcifications of the aortic area. There are emphysematous changes with flattening of the hemidiaphragms and blunting of the costophrenic angles. However, there is no evidence of focal airspace disease, pulmonary edema, or pneumothorax. The osseous structures of the chest appear to be normal. Overall, the impression is that the patient has emphysematous changes without any acute pulmonary abnormality."
        },
        {
            "image_id": "3994_1",
            "caption": "There is mild cardiomegaly and prominent pulmonary vascularity. There are no focal consolidations, pleural effusions or pneumothorax. Additionally, there is no acute bony abnormality. The findings indicate mild cardiomegaly with early indications of failure. Please consult with a healthcare professional for further evaluation and treatment."
        },
        {
            "image_id": "3994_2",
            "caption": "There is mild cardiomegaly and prominent pulmonary vascularity. There are no focal consolidations, pleural effusions or pneumothorax. Additionally, there is no acute bony abnormality. The findings indicate mild cardiomegaly with early indications of failure. Please consult with a healthcare professional for further evaluation and treatment."
        },
        {
            "image_id": "2334_1",
            "caption": "The x-ray shows no acute osseous abnormality with scattered degenerative changes throughout the thoracic spine. There are scattered bilateral granulomas and a patchy left basal airspace opacity, which may represent early infection or atelectasis. Bilateral small effusions are also noted. The impression suggests follow-up with a PA and lateral chest x-ray in 6 weeks to ensure resolution of the left base opacity and presence of bilateral small pleural effusions."
        },
        {
            "image_id": "2334_2",
            "caption": "The x-ray shows no acute osseous abnormality with scattered degenerative changes throughout the thoracic spine. There are scattered bilateral granulomas and a patchy left basal airspace opacity, which may represent early infection or atelectasis. Bilateral small effusions are also noted. The impression suggests follow-up with a PA and lateral chest x-ray in 6 weeks to ensure resolution of the left base opacity and presence of bilateral small pleural effusions."
        },
        {
            "image_id": "2320_1",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary disease. The cardio mediastinal silhouette and pulmonary vascular pattern are within normal limits. There is no indication of pneumothorax, pneumonia or pleural effusion. There are mild degenerative changes in the mid thoracic spine."
        },
        {
            "image_id": "2320_2",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary disease. The cardio mediastinal silhouette and pulmonary vascular pattern are within normal limits. There is no indication of pneumothorax, pneumonia or pleural effusion. There are mild degenerative changes in the mid thoracic spine."
        },
        {
            "image_id": "1629_1",
            "caption": "The cardiac and mediastinal contours are normal. The lungs are clear with no significant adenopathy or abnormality. The osseous structures are normal for age.  The x-ray shows no active disease."
        },
        {
            "image_id": "3980_1",
            "caption": "The chest x-ray shows a moderately enlarged heart and mild left pleural effusion or pleural thickening. Streaky and patchy bibasilar opacities are present which may be due to atelectasis or consolidation, aspiration, or other causes, and clinical correlation is recommended. There is also mild blunting of the left costophrenic angle and eventration of the right hemidiaphragm. No typical findings of pulmonary edema are noted. In summary, the x-ray suggests the possibility of cardiopulmonary disease and further evaluation may be required."
        },
        {
            "image_id": "3980_2",
            "caption": "The chest x-ray shows a moderately enlarged heart and mild left pleural effusion or pleural thickening. Streaky and patchy bibasilar opacities are present which may be due to atelectasis or consolidation, aspiration, or other causes, and clinical correlation is recommended. There is also mild blunting of the left costophrenic angle and eventration of the right hemidiaphragm. No typical findings of pulmonary edema are noted. In summary, the x-ray suggests the possibility of cardiopulmonary disease and further evaluation may be required."
        },
        {
            "image_id": "2446_1",
            "caption": "The X-ray image shows that the heart and lungs are functioning normally, and there is no evidence of any active disease. The lungs are clear, and there are no signs of any significant changes in the heart and mediastinum. The aorta is tortuous, but this is not a cause for concern. Overall, the X-ray shows no active cardiopulmonary disease."
        },
        {
            "image_id": "2446_2",
            "caption": "The X-ray image shows that the heart and lungs are functioning normally, and there is no evidence of any active disease. The lungs are clear, and there are no signs of any significant changes in the heart and mediastinum. The aorta is tortuous, but this is not a cause for concern. Overall, the X-ray shows no active cardiopulmonary disease."
        },
        {
            "image_id": "544_1",
            "caption": "The X-ray image shows normal findings of the heart and mediastinum, with intact bony structures. There is no evidence of focal consolidation, pleural effusion, or pneumothorax indicating no acute cardiopulmonary findings."
        },
        {
            "image_id": "544_2",
            "caption": "The X-ray image shows normal findings of the heart and mediastinum, with intact bony structures. There is no evidence of focal consolidation, pleural effusion, or pneumothorax indicating no acute cardiopulmonary findings."
        },
        {
            "image_id": "222_1",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are normal, and there is no evidence of active disease. The lungs are clear of focal airspace abnormality, pleural effusion, or pneumothorax. Overall, there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "222_2",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are normal, and there is no evidence of active disease. The lungs are clear of focal airspace abnormality, pleural effusion, or pneumothorax. Overall, there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "236_1",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormalities. The heart size is normal and there are no focal airspace consolidations, pneumothorax, or pleural effusion. The patient's bony structures are also intact. Overall, there is no evidence of active disease or injury in the chest area."
        },
        {
            "image_id": "236_2",
            "caption": "The x-ray image shows no signs of acute cardiopulmonary abnormalities. The heart size is normal and there are no focal airspace consolidations, pneumothorax, or pleural effusion. The patient's bony structures are also intact. Overall, there is no evidence of active disease or injury in the chest area."
        },
        {
            "image_id": "578_1",
            "caption": "The chest x-ray shows normal cardiomediastinal silhouette and hilar contours, clear lungs without any focal consolidation, pleural effusion, or pneumothorax. The findings are compatible with the prior granulomatous disease. The visualized bony structures are intact without any acute osseous abnormality. The impression is that there are no acute radiographic cardiopulmonary processes, as per the chest radiograph."
        },
        {
            "image_id": "578_2",
            "caption": "The chest x-ray shows normal cardiomediastinal silhouette and hilar contours, clear lungs without any focal consolidation, pleural effusion, or pneumothorax. The findings are compatible with the prior granulomatous disease. The visualized bony structures are intact without any acute osseous abnormality. The impression is that there are no acute radiographic cardiopulmonary processes, as per the chest radiograph."
        },
        {
            "image_id": "2283_1",
            "caption": "The X-ray image shows the heart and mediastinum within normal limits while the lungs are clear with no focal airspace opacity, large effusion, or pneumothorax. The impression is on the absence of any acute visualized cardiopulmonary abnormality. The finding on interval removal of right PICC and persistent elevation of left hemidiaphragm was also noted."
        },
        {
            "image_id": "2283_2",
            "caption": "The X-ray image shows the heart and mediastinum within normal limits while the lungs are clear with no focal airspace opacity, large effusion, or pneumothorax. The impression is on the absence of any acute visualized cardiopulmonary abnormality. The finding on interval removal of right PICC and persistent elevation of left hemidiaphragm was also noted."
        },
        {
            "image_id": "1952_1",
            "caption": "The chest x-ray shows a normal midline trachea and cardiomediastinal silhouette. However, there is low lung volume causing bibasilar atelectasis and bronchovascular crowding. Additionally, there is a pulmonary opacity seen in the right lung base which may indicate a focal infiltrate or atelectasis. There is no pleural effusion or pneumothorax. The visualized bony structures do not show any acute abnormalities. Based on these findings, it is recommended that the right lower lobe opacity be closely monitored as it may represent a focal infiltrate or atelectasis. It is also noted that the patient has low lung volume."
        },
        {
            "image_id": "1946_1",
            "caption": "The chest x-ray shows normal findings. The image reveals a normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion. This indicates no acute intrathoracic disease."
        },
        {
            "image_id": "1946_2",
            "caption": "The chest x-ray shows normal findings. The image reveals a normal cardiomediastinal silhouette, central airways, pulmonary vasculature and lung volumes without focal air space consolidation or pleural effusion. This indicates no acute intrathoracic disease."
        },
        {
            "image_id": "3189_1",
            "caption": "The X-ray shows that the heart is of normal size and the mediastinum is unremarkable. However, the lungs are hypoinflated, but no acute disease was observed in the X-ray image."
        },
        {
            "image_id": "2297_1",
            "caption": "The chest x-ray shows normal cardiac and pulmonary contours with no active pulmonary disease. However, there is evidence of thoracic spondylosis and mild spinal curvature at the thoracolumbar junction. It is recommended to correlate these findings with the patient's clinical history and symptoms."
        },
        {
            "image_id": "2297_2",
            "caption": "The chest x-ray shows normal cardiac and pulmonary contours with no active pulmonary disease. However, there is evidence of thoracic spondylosis and mild spinal curvature at the thoracolumbar junction. It is recommended to correlate these findings with the patient's clinical history and symptoms."
        },
        {
            "image_id": "3837_1",
            "caption": "The x-ray shows that there is no evidence of acute disease in the heart or lungs. The lungs are clear and there are no signs of pneumothorax or pleural effusion. The bony structures of the patient are intact. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "3837_2",
            "caption": "The x-ray shows that there is no evidence of acute disease in the heart or lungs. The lungs are clear and there are no signs of pneumothorax or pleural effusion. The bony structures of the patient are intact. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "587_1",
            "caption": "The cardiomediastinal silhouette is normal, and there are no signs of pulmonary consolidation, pneumothorax or pleural effusion. The appearance of the opacities in the lower lobes of both lungs remain unchanged. The thoracic spine looks normal. The X-ray shows no significant changes so far. However, further evaluation may be necessary to determine the underlying cause of the opacities in the lower lobes of the lungs. Further tests may include a follow-up X-ray, CT scan, or clinical examination. Please consult your healthcare provider for more information."
        },
        {
            "image_id": "587_2",
            "caption": "The cardiomediastinal silhouette is normal, and there are no signs of pulmonary consolidation, pneumothorax or pleural effusion. The appearance of the opacities in the lower lobes of both lungs remain unchanged. The thoracic spine looks normal. The X-ray shows no significant changes so far. However, further evaluation may be necessary to determine the underlying cause of the opacities in the lower lobes of the lungs. Further tests may include a follow-up X-ray, CT scan, or clinical examination. Please consult your healthcare provider for more information."
        },
        {
            "image_id": "587_3",
            "caption": "The cardiomediastinal silhouette is normal, and there are no signs of pulmonary consolidation, pneumothorax or pleural effusion. The appearance of the opacities in the lower lobes of both lungs remain unchanged. The thoracic spine looks normal. The X-ray shows no significant changes so far. However, further evaluation may be necessary to determine the underlying cause of the opacities in the lower lobes of the lungs. Further tests may include a follow-up X-ray, CT scan, or clinical examination. Please consult your healthcare provider for more information."
        },
        {
            "image_id": "1013_1",
            "caption": "After conducting the X-ray evaluation, it can be concluded that there is stable mild cardiomegaly without any active cardiopulmonary abnormality. The lungs appear clear without any focal airspace disease or pleural effusion. The bony structures also appear to be intact. It was observed that there is a right humeral head bone anchor."
        },
        {
            "image_id": "1013_2",
            "caption": "After conducting the X-ray evaluation, it can be concluded that there is stable mild cardiomegaly without any active cardiopulmonary abnormality. The lungs appear clear without any focal airspace disease or pleural effusion. The bony structures also appear to be intact. It was observed that there is a right humeral head bone anchor."
        },
        {
            "image_id": "1775_1",
            "caption": "Based on the x-ray analysis, the lungs and pleural space show no acute abnormality with heart size and pulmonary vascularity within normal limits, indicating no acute pulmonary abnormality present."
        },
        {
            "image_id": "1775_2",
            "caption": "Based on the x-ray analysis, the lungs and pleural space show no acute abnormality with heart size and pulmonary vascularity within normal limits, indicating no acute pulmonary abnormality present."
        },
        {
            "image_id": "3176_1",
            "caption": "The x-ray image shows that both lungs are clear and expanded, and the heart and mediastinum appear normal. The impression based on the findings is that there is no active disease present."
        },
        {
            "image_id": "3176_2",
            "caption": "The x-ray image shows that both lungs are clear and expanded, and the heart and mediastinum appear normal. The impression based on the findings is that there is no active disease present."
        },
        {
            "image_id": "3610_1",
            "caption": "The chest X-ray shows a normal heart size and clear lungs. There is no evidence of pneumonia, pleural effusions, edema, pneumothorax, adenopathy, nodules, or masses. The overall chest X-ray is normal and there is no evidence of tuberculosis."
        },
        {
            "image_id": "3610_2",
            "caption": "The chest X-ray shows a normal heart size and clear lungs. There is no evidence of pneumonia, pleural effusions, edema, pneumothorax, adenopathy, nodules, or masses. The overall chest X-ray is normal and there is no evidence of tuberculosis."
        },
        {
            "image_id": "1007_1",
            "caption": "The x-ray shows normal findings with no evidence of acute abnormalities. The cardiomediastinal silhouette is within normal limits, and there is no evidence of acute infiltrate or effusion in the lungs. The bony structures are intact, and there is no pneumothorax. The lateral view reveals mild degenerative changes in the thoracic spine. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1007_2",
            "caption": "The x-ray shows normal findings with no evidence of acute abnormalities. The cardiomediastinal silhouette is within normal limits, and there is no evidence of acute infiltrate or effusion in the lungs. The bony structures are intact, and there is no pneumothorax. The lateral view reveals mild degenerative changes in the thoracic spine. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1007_3",
            "caption": "The x-ray shows normal findings with no evidence of acute abnormalities. The cardiomediastinal silhouette is within normal limits, and there is no evidence of acute infiltrate or effusion in the lungs. The bony structures are intact, and there is no pneumothorax. The lateral view reveals mild degenerative changes in the thoracic spine. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "593_1",
            "caption": "The X-ray image shows no indication of an acute disease or radiographic cardiopulmonary process. The cardiomediastinal silhouette, lungs, and pleural spaces appear normal. However, there are extensive degenerative changes of the thoracic spine and a mildly enlarged heart with tortuous aorta and aortic calcifications. No focal area of consolidation, pleural effusion, or pneumothorax was seen in the X-ray image."
        },
        {
            "image_id": "593_2",
            "caption": "The X-ray image shows no indication of an acute disease or radiographic cardiopulmonary process. The cardiomediastinal silhouette, lungs, and pleural spaces appear normal. However, there are extensive degenerative changes of the thoracic spine and a mildly enlarged heart with tortuous aorta and aortic calcifications. No focal area of consolidation, pleural effusion, or pneumothorax was seen in the X-ray image."
        },
        {
            "image_id": "3638_1",
            "caption": "Upon examination of the chest X-ray, it was observed that there's cardiomegaly present, but no other acute findings such as pneumothorax or pleural effusion. The Impression made from these observations was that there's cardiomegaly."
        },
        {
            "image_id": "3638_2",
            "caption": "Upon examination of the chest X-ray, it was observed that there's cardiomegaly present, but no other acute findings such as pneumothorax or pleural effusion. The Impression made from these observations was that there's cardiomegaly."
        },
        {
            "image_id": "1991_1",
            "caption": "The x-ray shows the heart is normal in size and the mediastinum is stable. The lungs appear hypoinflated, with streaky opacities in the left lung base, possibly caused by scarring and atelectasis. There is definite infiltrate is not excluded. However, there is no large effusion present. Additionally, mild central vascular congestion and bronchovascular crowding are observed. Overall, these findings suggest low lung volumes with possible scarring and atelectasis in the left lung base, but definite infiltrate cannot be completely excluded."
        },
        {
            "image_id": "1991_2",
            "caption": "The x-ray shows the heart is normal in size and the mediastinum is stable. The lungs appear hypoinflated, with streaky opacities in the left lung base, possibly caused by scarring and atelectasis. There is definite infiltrate is not excluded. However, there is no large effusion present. Additionally, mild central vascular congestion and bronchovascular crowding are observed. Overall, these findings suggest low lung volumes with possible scarring and atelectasis in the left lung base, but definite infiltrate cannot be completely excluded."
        },
        {
            "image_id": "2240_1",
            "caption": "The X-ray shows a normal sized heart and unremarkable mediastinum. The lungs appear clear, with no acute disease detected."
        },
        {
            "image_id": "2240_2",
            "caption": "The X-ray shows a normal sized heart and unremarkable mediastinum. The lungs appear clear, with no acute disease detected."
        },
        {
            "image_id": "2254_1",
            "caption": "The patient's x-ray shows clear lungs with no acute disease. The heart size is normal and there is no evidence of pneumothorax. However, surgical clips are seen in the upper abdomen. Based on these findings, there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1985_1",
            "caption": "It revealed that the heart silhouette is normal in size and contour. There were no acute findings in the lungs. Additionally, there was no effusion or pneumothorax present. Based on the results of the chest examination, there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "1985_2",
            "caption": "It revealed that the heart silhouette is normal in size and contour. There were no acute findings in the lungs. Additionally, there was no effusion or pneumothorax present. Based on the results of the chest examination, there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "2532_1",
            "caption": "The x-ray shows stable enlargement of the cardiac silhouette and interlobar fissural thickening. Abnormal pulmonary opacities, most suggestive of pulmonary edema, are also present in the central lungs and bases. The impression suggests cardiomegaly and small bilateral pleural effusions, along with possible infectious and inflammatory processes as the cause of the pulmonary abnormalities. Further evaluation and clinical correlation may be needed to determine the underlying cause and appropriate treatment."
        },
        {
            "image_id": "2532_2",
            "caption": "The x-ray shows stable enlargement of the cardiac silhouette and interlobar fissural thickening. Abnormal pulmonary opacities, most suggestive of pulmonary edema, are also present in the central lungs and bases. The impression suggests cardiomegaly and small bilateral pleural effusions, along with possible infectious and inflammatory processes as the cause of the pulmonary abnormalities. Further evaluation and clinical correlation may be needed to determine the underlying cause and appropriate treatment."
        },
        {
            "image_id": "746_1",
            "caption": "The chest X-ray shows stable scarring or atelectasis in the left midlung, but the lungs are otherwise clear. The heart is slightly enlarged but within normal limits, and there are no pleural effusions or pneumothorax. Some osteophytes are noted in the T-spine. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "746_2",
            "caption": "The chest X-ray shows stable scarring or atelectasis in the left midlung, but the lungs are otherwise clear. The heart is slightly enlarged but within normal limits, and there are no pleural effusions or pneumothorax. Some osteophytes are noted in the T-spine. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2903_1",
            "caption": "The x-ray examination shows that the cardiac silhouette is normal in size. The lungs are mildly hypoinflated but clear of any abnormalities such as focal airspace disease, pneumothorax, or pleural effusion. The pulmonary vasculature appears normal and there are no acute bony findings. Overall, the x-ray suggests the presence of mildly hypoinflated but clear lungs with no acute disease."
        },
        {
            "image_id": "2903_2",
            "caption": "The x-ray examination shows that the cardiac silhouette is normal in size. The lungs are mildly hypoinflated but clear of any abnormalities such as focal airspace disease, pneumothorax, or pleural effusion. The pulmonary vasculature appears normal and there are no acute bony findings. Overall, the x-ray suggests the presence of mildly hypoinflated but clear lungs with no acute disease."
        },
        {
            "image_id": "2917_1",
            "caption": "Lungs are hyperexpanded with bullae present in the upper lobes. No focal infiltrates or masses seen in lungs. Heart size is normal. The patient is diagnosed with COPD and no acute disease is detected."
        },
        {
            "image_id": "2917_2",
            "caption": "Lungs are hyperexpanded with bullae present in the upper lobes. No focal infiltrates or masses seen in lungs. Heart size is normal. The patient is diagnosed with COPD and no acute disease is detected."
        },
        {
            "image_id": "752_1",
            "caption": "The x-ray image shows clear lungs with stable calcified granulomas and mediastinal lymph nodes. The heart and pulmonary arteries are normal, with normal mediastinal contours and clear pleural spaces. The impression suggests no acute cardiopulmonary disease, which is encouraging."
        },
        {
            "image_id": "752_2",
            "caption": "The x-ray image shows clear lungs with stable calcified granulomas and mediastinal lymph nodes. The heart and pulmonary arteries are normal, with normal mediastinal contours and clear pleural spaces. The impression suggests no acute cardiopulmonary disease, which is encouraging."
        },
        {
            "image_id": "1588_1",
            "caption": "The chest x-ray shows the heart size and lung fields to be normal. The visualized structures are within normal limits and no acute cardiopulmonary disease is identified. The x-ray also rules out any presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. Overall, the chest x-ray is normal and does not indicate any concerning abnormalities."
        },
        {
            "image_id": "1588_2",
            "caption": "The chest x-ray shows the heart size and lung fields to be normal. The visualized structures are within normal limits and no acute cardiopulmonary disease is identified. The x-ray also rules out any presence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. Overall, the chest x-ray is normal and does not indicate any concerning abnormalities."
        },
        {
            "image_id": "2081_1",
            "caption": "The x-ray shows well-expanded and clear lungs with a normal cardiomediastinal contour. No pleural effusion or pneumothorax is identified and no acute osseous lesions are found. The impression indicates no active pulmonary disease, making the x-ray image normal."
        },
        {
            "image_id": "2081_2",
            "caption": "The x-ray shows well-expanded and clear lungs with a normal cardiomediastinal contour. No pleural effusion or pneumothorax is identified and no acute osseous lesions are found. The impression indicates no active pulmonary disease, making the x-ray image normal."
        },
        {
            "image_id": "2095_1",
            "caption": "The patient's X-ray shows patchy subsegmental atelectasis in the bibasilar region but also shows no evidence of pneumothorax or pleural effusion. Old fractures are also seen in the left 9th rib, but overall there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "2095_2",
            "caption": "The patient's X-ray shows patchy subsegmental atelectasis in the bibasilar region but also shows no evidence of pneumothorax or pleural effusion. Old fractures are also seen in the left 9th rib, but overall there are no acute cardiopulmonary abnormalities observed."
        },
        {
            "image_id": "1577_1",
            "caption": "Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact. The X-ray suggests low lung volumes without acute cardiopulmonary findings. It is important to follow up with the healthcare provider to determine the best course of treatment."
        },
        {
            "image_id": "1577_2",
            "caption": "Heart size is normal. Low lung volumes. No pneumothorax, pleural effusion, or focal airspace disease. Bony structures grossly intact. The X-ray suggests low lung volumes without acute cardiopulmonary findings. It is important to follow up with the healthcare provider to determine the best course of treatment."
        },
        {
            "image_id": "3360_1",
            "caption": "On examination of the chest X-ray, the lungs are clear bilaterally with no evidence of focal consolidation, pneumothorax or pleural effusion. However, left basilar subsegmental atelectasis or scar was noted. The cardio mediastinal silhouette is unremarkable and the visualized osseous structures of the thorax are without acute abnormality. The impression is that there is no acute cardiopulmonary abnormality and specifically, no evidence of active tuberculous process."
        },
        {
            "image_id": "3360_2",
            "caption": "On examination of the chest X-ray, the lungs are clear bilaterally with no evidence of focal consolidation, pneumothorax or pleural effusion. However, left basilar subsegmental atelectasis or scar was noted. The cardio mediastinal silhouette is unremarkable and the visualized osseous structures of the thorax are without acute abnormality. The impression is that there is no acute cardiopulmonary abnormality and specifically, no evidence of active tuberculous process."
        },
        {
            "image_id": "2718_1",
            "caption": "The x-ray image shows no abnormalities in the heart or lungs. The spine shows mild degenerative changes but no acute abnormalities are detected. The cardiomediastinal contours are normal and pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is seen. Overall, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "2718_2",
            "caption": "The x-ray image shows no abnormalities in the heart or lungs. The spine shows mild degenerative changes but no acute abnormalities are detected. The cardiomediastinal contours are normal and pulmonary vasculature is unremarkable. No focal airspace opacity, pleural effusion or pneumothorax is seen. Overall, there is no acute cardiopulmonary abnormality detected in the x-ray."
        },
        {
            "image_id": "3406_1",
            "caption": "The x-ray image shows no acute abnormalities for cardiopulmonary system. The heart appears normal along with the mediastinal contours. Lungs are clear without evident of pleural effusion or pneumothorax. However, calcified granuloma is noted in the left mid-lung. No bony deformities are detected. Overall, the chest x-ray is normal with no cardiopulmonary abnormality found."
        },
        {
            "image_id": "3406_2",
            "caption": "The x-ray image shows no acute abnormalities for cardiopulmonary system. The heart appears normal along with the mediastinal contours. Lungs are clear without evident of pleural effusion or pneumothorax. However, calcified granuloma is noted in the left mid-lung. No bony deformities are detected. Overall, the chest x-ray is normal with no cardiopulmonary abnormality found."
        },
        {
            "image_id": "1211_1",
            "caption": "The x-ray shows no acute changes or abnormalities. The heart size and mediastinal contours appear normal. There are no focal airspace opacities, pneumothorax or pleural effusion detected. The visualized structures are also unremarkable, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "1211_2",
            "caption": "The x-ray shows no acute changes or abnormalities. The heart size and mediastinal contours appear normal. There are no focal airspace opacities, pneumothorax or pleural effusion detected. The visualized structures are also unremarkable, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "785_1",
            "caption": "The chest x-ray shows that there are no signs of acute cardiopulmonary abnormalities. Specifically, there is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses, active tuberculous process, or acute bony abnormalities. The lungs are clear and free of focal airspace disease, and the heart and mediastinal contours are within normal limits. There are no acute osseous lesions."
        },
        {
            "image_id": "785_2",
            "caption": "The chest x-ray shows that there are no signs of acute cardiopulmonary abnormalities. Specifically, there is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses, active tuberculous process, or acute bony abnormalities. The lungs are clear and free of focal airspace disease, and the heart and mediastinal contours are within normal limits. There are no acute osseous lesions."
        },
        {
            "image_id": "949_1",
            "caption": "During a chest X-ray, the heart and lungs were examined. The cardiac silhouette was normal and the lungs were clear. However, there was a calcified right hilar lymph node and a focal contour abnormality in the inferior posterior mediastinum, which may reflect a focal aneurysm of the descending thoracic aorta. Since this has been present without significant change for some time, a non-emergent chest CT may be useful. Overall, there were no signs of acute cardiopulmonary disease."
        },
        {
            "image_id": "791_1",
            "caption": "The x-ray report shows no acute abnormalities in the heart and lungs. The cardiomediastinal silhouette is stable, and the lungs are clear bilaterally, without any pleural effusion or pneumothorax. The report indicates a tortuous aorta. Overall, the impression suggests no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "791_2",
            "caption": "The x-ray report shows no acute abnormalities in the heart and lungs. The cardiomediastinal silhouette is stable, and the lungs are clear bilaterally, without any pleural effusion or pneumothorax. The report indicates a tortuous aorta. Overall, the impression suggests no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1205_1",
            "caption": "The x-ray finding reveals a normal heart size and clear lungs without any pneumothorax or pleural effusion. Overall, the chest exam is normal with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1205_2",
            "caption": "The x-ray finding reveals a normal heart size and clear lungs without any pneumothorax or pleural effusion. Overall, the chest exam is normal with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3412_1",
            "caption": "The chest x-ray showed clear lungs without any evidence of pneumonia. The heart and pulmonary areas were normal, and there were no signs of acute cardiopulmonary disease. Additionally, there were no pleural effusions or acute bony abnormalities observed. However, it's important to note that the bony overlap in the lung apices could obscure a small pulmonary nodule. Overall, the chest exam is considered normal, but further testing could be necessary to confirm the absence of small nodules."
        },
        {
            "image_id": "3412_2",
            "caption": "The chest x-ray showed clear lungs without any evidence of pneumonia. The heart and pulmonary areas were normal, and there were no signs of acute cardiopulmonary disease. Additionally, there were no pleural effusions or acute bony abnormalities observed. However, it's important to note that the bony overlap in the lung apices could obscure a small pulmonary nodule. Overall, the chest exam is considered normal, but further testing could be necessary to confirm the absence of small nodules."
        },
        {
            "image_id": "3374_1",
            "caption": "Lungs are free of infiltrates except for a 1 cm diameter nodule in the left lower lobe that is not calcified. The right lung is clear. The heart, vasculature, and mediastinum are normal. Chest CT may be necessary to identify the nodule. No acute cardiopulmonary disease except for the left lower lobe nodule of uncertain identity. A message has been sent to the concerned authority. Please consult a doctor for further information and treatment."
        },
        {
            "image_id": "3374_2",
            "caption": "Lungs are free of infiltrates except for a 1 cm diameter nodule in the left lower lobe that is not calcified. The right lung is clear. The heart, vasculature, and mediastinum are normal. Chest CT may be necessary to identify the nodule. No acute cardiopulmonary disease except for the left lower lobe nodule of uncertain identity. A message has been sent to the concerned authority. Please consult a doctor for further information and treatment."
        },
        {
            "image_id": "1563_1",
            "caption": "The chest x-ray shows no acute cardiopulmonary findings. The heart appears normal in size and there are no signs of pneumothorax, effusions, or focal airspace opacity. However, there is a 1 cm diameter nodule in the left lower lobe that is not calcified, which may require further investigation by chest CT. Additionally, there are mild degenerative changes in the thoracic spine and emphysematous changes, suggesting chronic lung disease. Overall, the x-ray indicates chronic lung disease without acute abnormalities."
        },
        {
            "image_id": "1563_2",
            "caption": "The chest x-ray shows no acute cardiopulmonary findings. The heart appears normal in size and there are no signs of pneumothorax, effusions, or focal airspace opacity. However, there is a 1 cm diameter nodule in the left lower lobe that is not calcified, which may require further investigation by chest CT. Additionally, there are mild degenerative changes in the thoracic spine and emphysematous changes, suggesting chronic lung disease. Overall, the x-ray indicates chronic lung disease without acute abnormalities."
        },
        {
            "image_id": "961_1",
            "caption": "There is an opacity projecting over the left midlung on the X-ray, with no pleural effusions or evidence of pneumothorax. Heart size is within normal limits and there are degenerative changes in the thoracic spine. The X-ray suggests the presence of an opacity over the left midlung. To determine the nature of the opacity, comparison examinations or additional testing such as a CT scan would be useful. It is recommended to follow up with a healthcare provider for further evaluation."
        },
        {
            "image_id": "961_2",
            "caption": "There is an opacity projecting over the left midlung on the X-ray, with no pleural effusions or evidence of pneumothorax. Heart size is within normal limits and there are degenerative changes in the thoracic spine. The X-ray suggests the presence of an opacity over the left midlung. To determine the nature of the opacity, comparison examinations or additional testing such as a CT scan would be useful. It is recommended to follow up with a healthcare provider for further evaluation."
        },
        {
            "image_id": "2724_1",
            "caption": "The patient's lungs are clear, indicating no presence of any respiratory abnormalities such as pneumothorax or pleural effusion, and the heart appears normal in size. Although there is some tortuosity of the aorta, the patient has clear lungs, and degenerative changes in the thoracic spine. Based on the x-ray, there are no acute cardiopulmonary findings that suggest any abnormalities."
        },
        {
            "image_id": "2724_2",
            "caption": "The patient's lungs are clear, indicating no presence of any respiratory abnormalities such as pneumothorax or pleural effusion, and the heart appears normal in size. Although there is some tortuosity of the aorta, the patient has clear lungs, and degenerative changes in the thoracic spine. Based on the x-ray, there are no acute cardiopulmonary findings that suggest any abnormalities."
        },
        {
            "image_id": "2730_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascular engorgement are within normal limits. No focal consolidation, pleural effusion, or pneumothorax were identified, and the mediastinal contour is unremarkable. Furthermore, there were no convincing acute bony findings. Therefore, no acute cardiopulmonary abnormality was detected, indicating a healthy medical condition."
        },
        {
            "image_id": "2730_2",
            "caption": "The x-ray shows that the heart size and pulmonary vascular engorgement are within normal limits. No focal consolidation, pleural effusion, or pneumothorax were identified, and the mediastinal contour is unremarkable. Furthermore, there were no convincing acute bony findings. Therefore, no acute cardiopulmonary abnormality was detected, indicating a healthy medical condition."
        },
        {
            "image_id": "975_1",
            "caption": "The patient's X-ray shows no abnormalities of the heart, lungs or mediastinal contour. There is no focal airspace disease, pleural effusion, or pneumothorax identified. Degenerative changes of the thoracic spine and emphysematous changes are present without acute cardiopulmonary disease. Further evaluation would be helpful if comparison examinations exist. Comparison examinations may include a chest CT or a Veriphy message sent directly to the physician. It is important to monitor and report any changes in future X-ray images."
        },
        {
            "image_id": "975_2",
            "caption": "The patient's X-ray shows no abnormalities of the heart, lungs or mediastinal contour. There is no focal airspace disease, pleural effusion, or pneumothorax identified. Degenerative changes of the thoracic spine and emphysematous changes are present without acute cardiopulmonary disease. Further evaluation would be helpful if comparison examinations exist. Comparison examinations may include a chest CT or a Veriphy message sent directly to the physician. It is important to monitor and report any changes in future X-ray images."
        },
        {
            "image_id": "3348_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear without focal airspace disease, pneumothorax, or pleural effusion. There is stable cardiomegaly and left lung base calcifications. The heart size and pulmonary vasculature are within normal limits while the bony structures of the thorax are intact. This is indicative of a stable condition with no evidence of any significant changes since the previous examination."
        },
        {
            "image_id": "3348_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary abnormality. The lungs are clear without focal airspace disease, pneumothorax, or pleural effusion. There is stable cardiomegaly and left lung base calcifications. The heart size and pulmonary vasculature are within normal limits while the bony structures of the thorax are intact. This is indicative of a stable condition with no evidence of any significant changes since the previous examination."
        },
        {
            "image_id": "2056_1",
            "caption": "The x-ray shows that there are no immediate issues with the heart or lungs. There is no sign of pneumonia or serious pulmonary concerns. However, the heart is slightly larger than normal. Further evaluation may be necessary to determine if this is of any significant concern or if it is a natural variation."
        },
        {
            "image_id": "2056_2",
            "caption": "The x-ray shows that there are no immediate issues with the heart or lungs. There is no sign of pneumonia or serious pulmonary concerns. However, the heart is slightly larger than normal. Further evaluation may be necessary to determine if this is of any significant concern or if it is a natural variation."
        },
        {
            "image_id": "1238_1",
            "caption": "The x-ray shows that the heart size and pulmonary vascularity are normal. The lungs do not have any focal airspace disease, pleural effusion, or pneumothorax. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "974_1",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with mild congestion but no edema. Lungs are clear of airspace disease and there is no presence of pneumothorax or pleural effusion. Additionally, the image shows redemonstrated endplate depressions of the vertebral bodies. The impression suggests a stable chest with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "974_2",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with mild congestion but no edema. Lungs are clear of airspace disease and there is no presence of pneumothorax or pleural effusion. Additionally, the image shows redemonstrated endplate depressions of the vertebral bodies. The impression suggests a stable chest with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "974_3",
            "caption": "The x-ray image shows a stable cardiomediastinal silhouette with mild congestion but no edema. Lungs are clear of airspace disease and there is no presence of pneumothorax or pleural effusion. Additionally, the image shows redemonstrated endplate depressions of the vertebral bodies. The impression suggests a stable chest with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3349_1",
            "caption": "The x-ray image shows hyperexpanded lungs which are consistent with emphysema. Additionally, the patient has pectus carinatum. However, there is no evidence of acute disease found in the examination. The heart size and pulmonary vascularity appear within normal limits and the lungs are free of focal airspace disease. Calcified granulomas and vascular calcification are also noted in the examination."
        },
        {
            "image_id": "3349_2",
            "caption": "The x-ray image shows hyperexpanded lungs which are consistent with emphysema. Additionally, the patient has pectus carinatum. However, there is no evidence of acute disease found in the examination. The heart size and pulmonary vascularity appear within normal limits and the lungs are free of focal airspace disease. Calcified granulomas and vascular calcification are also noted in the examination."
        },
        {
            "image_id": "2725_1",
            "caption": "The patient's chest X-ray shows that there are no acute cardiopulmonary abnormalities or evidence of active disease. The cardiac and mediastinal contours are within normal limits. The lungs are clear without any focal airspace disease. However, there are hyper-expanded lungs consistent with emphysema and calcified granulomas are noted. The patient has pectus carinatum and deformed right ribs along with thoracic spondylosis. The X-ray also shows that the patient has a cardiac defibrillator, and the leads overlie the right atrium, right ventricle, and left lateral coronary vein which appear intact. Additionally, the X-ray reports mild bibasilar interstitial opacities, which may reflect atelectasis and/or mild fibrotic changes. Overall, the X-ray indicates stable chest with no acute findings, but the findings may require further investigations to rule out any complications."
        },
        {
            "image_id": "2725_2",
            "caption": "The patient's chest X-ray shows that there are no acute cardiopulmonary abnormalities or evidence of active disease. The cardiac and mediastinal contours are within normal limits. The lungs are clear without any focal airspace disease. However, there are hyper-expanded lungs consistent with emphysema and calcified granulomas are noted. The patient has pectus carinatum and deformed right ribs along with thoracic spondylosis. The X-ray also shows that the patient has a cardiac defibrillator, and the leads overlie the right atrium, right ventricle, and left lateral coronary vein which appear intact. Additionally, the X-ray reports mild bibasilar interstitial opacities, which may reflect atelectasis and/or mild fibrotic changes. Overall, the X-ray indicates stable chest with no acute findings, but the findings may require further investigations to rule out any complications."
        },
        {
            "image_id": "960_1",
            "caption": "The X-ray shows no acute findings. There is no evidence of pneumothorax or pleural effusion. Heart size appears normal and no acute osseous injury is demonstrated. However, it is noted that fractures may not be visible in the X-ray, and additional imaging may be required. Dextroscoliosis is also noted. This suggests that the patient may need further evaluation and monitoring."
        },
        {
            "image_id": "960_2",
            "caption": "The X-ray shows no acute findings. There is no evidence of pneumothorax or pleural effusion. Heart size appears normal and no acute osseous injury is demonstrated. However, it is noted that fractures may not be visible in the X-ray, and additional imaging may be required. Dextroscoliosis is also noted. This suggests that the patient may need further evaluation and monitoring."
        },
        {
            "image_id": "3413_1",
            "caption": "The chest x-ray shows that the heart and mediastinal contours are stable. The lungs do not have any focal infiltrate, pleural effusion or pneumothorax indicating absence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3413_2",
            "caption": "The chest x-ray shows that the heart and mediastinal contours are stable. The lungs do not have any focal infiltrate, pleural effusion or pneumothorax indicating absence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1204_1",
            "caption": "The X-ray of the chest shows no evidence of acute disease. The heart size and mediastinal contours are normal. The lungs are clear without focal infiltrate, pneumothorax, or pleural effusion. The findings indicate no acute cardiopulmonary disease."
        },
        {
            "image_id": "1204_2",
            "caption": "The X-ray of the chest shows no evidence of acute disease. The heart size and mediastinal contours are normal. The lungs are clear without focal infiltrate, pneumothorax, or pleural effusion. The findings indicate no acute cardiopulmonary disease."
        },
        {
            "image_id": "790_1",
            "caption": "The x-ray shows clear and expanded lungs, with a normal heart and mediastinum. Surgical clips are visible in the epigastrium of the abdomen. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "790_2",
            "caption": "The x-ray shows clear and expanded lungs, with a normal heart and mediastinum. Surgical clips are visible in the epigastrium of the abdomen. The impression is that there is no evidence of active disease."
        },
        {
            "image_id": "948_1",
            "caption": "The chest x-ray reveals normal findings with borderline cardiomegaly. The heart is slightly enlarged but stable, while the mediastinum is within normal limits. Lungs appear clear without any acute cardiopulmonary disease. The impression suggests that there are no signs of acute disease, but further evaluation may be recommended to monitor potential borderline cardiomegaly."
        },
        {
            "image_id": "948_2",
            "caption": "The chest x-ray reveals normal findings with borderline cardiomegaly. The heart is slightly enlarged but stable, while the mediastinum is within normal limits. Lungs appear clear without any acute cardiopulmonary disease. The impression suggests that there are no signs of acute disease, but further evaluation may be recommended to monitor potential borderline cardiomegaly."
        },
        {
            "image_id": "1562_1",
            "caption": "The x-ray image shows low lung volumes with a magnified appearance of the heart which appears to be normal in size. No acute cardiopulmonary abnormality is noted and the bony thorax and soft tissues appear grossly unremarkable. There is no evidence of consolidation, effusion, or pneumothorax. The finding indicates a healthy cardiac and mediastinal contour."
        },
        {
            "image_id": "1562_2",
            "caption": "The x-ray image shows low lung volumes with a magnified appearance of the heart which appears to be normal in size. No acute cardiopulmonary abnormality is noted and the bony thorax and soft tissues appear grossly unremarkable. There is no evidence of consolidation, effusion, or pneumothorax. The finding indicates a healthy cardiac and mediastinal contour."
        },
        {
            "image_id": "3375_1",
            "caption": "The x-ray shows that heart size is normal and there are no signs of any lung abnormality such as consolidation, pneumothorax or pleural effusion. The midthoracic spine, however, has degenerative changes. The overall impression of the x-ray is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3375_2",
            "caption": "The x-ray shows that heart size is normal and there are no signs of any lung abnormality such as consolidation, pneumothorax or pleural effusion. The midthoracic spine, however, has degenerative changes. The overall impression of the x-ray is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3375_3",
            "caption": "The x-ray shows that heart size is normal and there are no signs of any lung abnormality such as consolidation, pneumothorax or pleural effusion. The midthoracic spine, however, has degenerative changes. The overall impression of the x-ray is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3361_1",
            "caption": "Based on x-ray results, the cardiomediastinal silhouettes and bony thorax are normal. Lungs are clear without any signs of focal consolidation, pneumothorax, or pleural effusion. No acute cardiopulmonary abnormalities were observed."
        },
        {
            "image_id": "3361_2",
            "caption": "Based on x-ray results, the cardiomediastinal silhouettes and bony thorax are normal. Lungs are clear without any signs of focal consolidation, pneumothorax, or pleural effusion. No acute cardiopulmonary abnormalities were observed."
        },
        {
            "image_id": "1576_1",
            "caption": "Based on the X-ray, there are no active cardiopulmonary abnormalities detected. The heart size, lungs and bony thorax appear normal. However, there is a large hiatal hernia observed and an age-indeterminate fracture present in the lower thoracic vertebra. Scoliosis is also present in the thoracic and thoracolumbar spine. Further evaluation and management may be required."
        },
        {
            "image_id": "1576_2",
            "caption": "Based on the X-ray, there are no active cardiopulmonary abnormalities detected. The heart size, lungs and bony thorax appear normal. However, there is a large hiatal hernia observed and an age-indeterminate fracture present in the lower thoracic vertebra. Scoliosis is also present in the thoracic and thoracolumbar spine. Further evaluation and management may be required."
        },
        {
            "image_id": "784_1",
            "caption": "On examining the X-ray image, it was observed that the heart is of normal size, however, the aorta appears tortuous and calcified. The lungs show scattered granulomas, mild basilar atelectasis but no lobar pneumonia. Moreover, there is kyphotic degenerated osteopenic thoracic spine visible on the X-ray. Further evaluation may be required."
        },
        {
            "image_id": "784_2",
            "caption": "On examining the X-ray image, it was observed that the heart is of normal size, however, the aorta appears tortuous and calcified. The lungs show scattered granulomas, mild basilar atelectasis but no lobar pneumonia. Moreover, there is kyphotic degenerated osteopenic thoracic spine visible on the X-ray. Further evaluation may be required."
        },
        {
            "image_id": "1210_1",
            "caption": "The x-ray image shows that the heart, pulmonary arteries, and mediastinum are all normal. There is no evidence of pleural effusion or pneumothorax, and no focal air space opacity is present to suggest pneumonia. However, there are mild degenerative changes in the thoracic spine and a slight age-indeterminate deformity in the lower thoracic body. Overall, the exam is negative, except for the lower thoracic slight deformity, which is age-indeterminate."
        },
        {
            "image_id": "1210_2",
            "caption": "The x-ray image shows that the heart, pulmonary arteries, and mediastinum are all normal. There is no evidence of pleural effusion or pneumothorax, and no focal air space opacity is present to suggest pneumonia. However, there are mild degenerative changes in the thoracic spine and a slight age-indeterminate deformity in the lower thoracic body. Overall, the exam is negative, except for the lower thoracic slight deformity, which is age-indeterminate."
        },
        {
            "image_id": "3407_1",
            "caption": "The x-ray image shows intact sternotomy wires and CABG markers, in addition to calcified granulomas. Heart size is normal, and there is no evidence of focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Degenerative changes of the thoracic spine are also noted. The impression is that there are postsurgical changes of CABG without any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3407_2",
            "caption": "The x-ray image shows intact sternotomy wires and CABG markers, in addition to calcified granulomas. Heart size is normal, and there is no evidence of focal airspace consolidation, suspicious pulmonary opacity, pneumothorax, or pleural effusion. Degenerative changes of the thoracic spine are also noted. The impression is that there are postsurgical changes of CABG without any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2719_1",
            "caption": "The x-ray shows that the heart size is normal, but there are prominent interstitial and nodular opacities that have increased since the last examination. There is also a 1 cm nodular opacity in the right costophrenic recess that has increased. A cystic lesion in the right upper lobe is similar to the prior examination. There is no evidence of pleural effusion or pneumothorax. These findings are indicative of cystic fibrosis and suggest an acute exacerbation of chronic changes. Immediate medical attention and intervention may be required."
        },
        {
            "image_id": "2719_2",
            "caption": "The x-ray shows that the heart size is normal, but there are prominent interstitial and nodular opacities that have increased since the last examination. There is also a 1 cm nodular opacity in the right costophrenic recess that has increased. A cystic lesion in the right upper lobe is similar to the prior examination. There is no evidence of pleural effusion or pneumothorax. These findings are indicative of cystic fibrosis and suggest an acute exacerbation of chronic changes. Immediate medical attention and intervention may be required."
        },
        {
            "image_id": "2094_1",
            "caption": "The chest x-ray appears normal with no signs of focal airspace disease or cardiopulmonary abnormalities. The cardiac and mediastinal contours are within normal limits, and there is no evidence of pneumothorax or large pleural effusion. However, there is a stable granuloma overlying a lower thoracic vertebral body. Overall, the findings suggest no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2094_2",
            "caption": "The chest x-ray appears normal with no signs of focal airspace disease or cardiopulmonary abnormalities. The cardiac and mediastinal contours are within normal limits, and there is no evidence of pneumothorax or large pleural effusion. However, there is a stable granuloma overlying a lower thoracic vertebral body. Overall, the findings suggest no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "1589_1",
            "caption": "The x-ray shows hyperinflated lungs with mildly coarsened interstitial markings indicating chronic lung disease. No signs of acute illness, such as focal airspace disease, pneumothorax, or effusion. The mediastinal silhouette appears stable with a normal size. The patient has a previously known calcified lymph in the right hilar region, which is redemonstrated without significant change. The bony structures in the thorax reveal degenerative changes in the right shoulder, and the right humerus appears due to distal humeral amputation. The x-ray indicates no acute bony abnormality. Thus, the overall impression is that there are changes of chronic lung disease but no other acute cardiopulmonary abnormality identified in the image."
        },
        {
            "image_id": "1589_2",
            "caption": "The x-ray shows hyperinflated lungs with mildly coarsened interstitial markings indicating chronic lung disease. No signs of acute illness, such as focal airspace disease, pneumothorax, or effusion. The mediastinal silhouette appears stable with a normal size. The patient has a previously known calcified lymph in the right hilar region, which is redemonstrated without significant change. The bony structures in the thorax reveal degenerative changes in the right shoulder, and the right humerus appears due to distal humeral amputation. The x-ray indicates no acute bony abnormality. Thus, the overall impression is that there are changes of chronic lung disease but no other acute cardiopulmonary abnormality identified in the image."
        },
        {
            "image_id": "753_1",
            "caption": "The X-ray image shows that the heart and mediastinum are within normal limits without any pleural effusion or pneumothorax. Also, no focal air space opacity is noticed to suggest a pneumonia. There are only mild degenerative changes of the spine, and no acute cardiopulmonary disease is found."
        },
        {
            "image_id": "753_2",
            "caption": "The X-ray image shows that the heart and mediastinum are within normal limits without any pleural effusion or pneumothorax. Also, no focal air space opacity is noticed to suggest a pneumonia. There are only mild degenerative changes of the spine, and no acute cardiopulmonary disease is found."
        },
        {
            "image_id": "2916_1",
            "caption": "The heart is normal in size and there are no signs of acute cardiopulmonary disease in the x-ray. The lungs appear clear without any focal consolidations or effusions. No evidence of pneumothorax is seen in the x-ray image. Overall, the x-ray suggests the absence of any significant abnormalities or active disease in the chest area."
        },
        {
            "image_id": "2916_2",
            "caption": "The heart is normal in size and there are no signs of acute cardiopulmonary disease in the x-ray. The lungs appear clear without any focal consolidations or effusions. No evidence of pneumothorax is seen in the x-ray image. Overall, the x-ray suggests the absence of any significant abnormalities or active disease in the chest area."
        },
        {
            "image_id": "2902_1",
            "caption": "The x-ray image reveals that the heart, lung blood vessels, and mediastinum are all normal. There was no evidence of any acute lung diseases like pneumothorax, pleural effusion, or air space infiltrate. Furthermore, the osseous structures appeared to be normal. As the findings suggest, there was no acute cardiopulmonary disease found during the examination."
        },
        {
            "image_id": "2902_2",
            "caption": "The x-ray image reveals that the heart, lung blood vessels, and mediastinum are all normal. There was no evidence of any acute lung diseases like pneumothorax, pleural effusion, or air space infiltrate. Furthermore, the osseous structures appeared to be normal. As the findings suggest, there was no acute cardiopulmonary disease found during the examination."
        },
        {
            "image_id": "1984_1",
            "caption": "The X-ray shows that the heart size and mediastinal contour are normal. The lungs show no signs of focal consolidation, suspicious pulmonary opacity, large pleural effusion or pneumothorax. The impression is that no acute cardiopulmonary abnormality is identified in the X-ray, however, there is a wedge-shaped fracture of T12 visible."
        },
        {
            "image_id": "1984_2",
            "caption": "The X-ray shows that the heart size and mediastinal contour are normal. The lungs show no signs of focal consolidation, suspicious pulmonary opacity, large pleural effusion or pneumothorax. The impression is that no acute cardiopulmonary abnormality is identified in the X-ray, however, there is a wedge-shaped fracture of T12 visible."
        },
        {
            "image_id": "2255_1",
            "caption": "The x-ray image shows no evidence of acute abnormalities in the cardiothoracic region. There are round calcific densities in the right lung which may indicate prior granulomatous disease, but otherwise the lungs are clear and there is no sign of acute cardiopulmonary abnormality such as infiltrates or effusion. The bony structures appear normal."
        },
        {
            "image_id": "2255_2",
            "caption": "The x-ray image shows no evidence of acute abnormalities in the cardiothoracic region. There are round calcific densities in the right lung which may indicate prior granulomatous disease, but otherwise the lungs are clear and there is no sign of acute cardiopulmonary abnormality such as infiltrates or effusion. The bony structures appear normal."
        },
        {
            "image_id": "2533_1",
            "caption": "The chest x-ray shows all cardiac and pulmonary structures within normal limits, and no presence of any focal airspace opacity, pleural effusion, or pneumothorax. There are also no acute bony abnormalities. In other words, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "2533_2",
            "caption": "The chest x-ray shows all cardiac and pulmonary structures within normal limits, and no presence of any focal airspace opacity, pleural effusion, or pneumothorax. There are also no acute bony abnormalities. In other words, there are no acute cardiopulmonary abnormalities found in the x-ray."
        },
        {
            "image_id": "2527_1",
            "caption": "The finding showed the cardiomediastinal silhouette was normal and the lungs did not have any focal airspace disease, pleural effusion or pneumothorax. Additionally, there was no acute osseous abnormality. The impression was there was no acute cardiopulmonary process and the bilateral scapula appeared unremarkable."
        },
        {
            "image_id": "2527_2",
            "caption": "The finding showed the cardiomediastinal silhouette was normal and the lungs did not have any focal airspace disease, pleural effusion or pneumothorax. Additionally, there was no acute osseous abnormality. The impression was there was no acute cardiopulmonary process and the bilateral scapula appeared unremarkable."
        },
        {
            "image_id": "3639_1",
            "caption": "The x-ray revealed a normal cardiac and mediastinal silhouette with clear lungs and no evidence of pneumomediastinum or pneumothorax. There were no large pleural effusions or displaced fractures found. Based on the findings, there was no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "3639_2",
            "caption": "The x-ray revealed a normal cardiac and mediastinal silhouette with clear lungs and no evidence of pneumomediastinum or pneumothorax. There were no large pleural effusions or displaced fractures found. Based on the findings, there was no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2241_1",
            "caption": "The chest x-ray image shows biapical opacities, which may indicate scarring. However, there are no signs of acute abnormalities found. The lungs appear clear without any focal consolidation, pleural effusion, or pneumothorax. The heart size and mediastinal contour are within normal limits. Postoperative changes of right mastectomy are noticed along with the position of right-sided chest catheter tip and several right axillary surgical clips."
        },
        {
            "image_id": "1748_1",
            "caption": "The chest X-ray shows that the heart and lungs are within normal limits with no acute findings. The lungs are clear without any presence of pneumothorax or large pleural effusion. Furthermore, bony structures also appear normal."
        },
        {
            "image_id": "1748_2",
            "caption": "The chest X-ray shows that the heart and lungs are within normal limits with no acute findings. The lungs are clear without any presence of pneumothorax or large pleural effusion. Furthermore, bony structures also appear normal."
        },
        {
            "image_id": "1990_1",
            "caption": "The chest X-ray revealed a tracheostomy tube and a slightly enlarged heart, but there were no signs of acute cardiopulmonary disease. The central vasculature appeared prominent, but there was no evidence of pneumothorax, pleural effusion, or focal consolidation. The overall impression is that of stable mild cardiomegaly and prominent central vasculature, with no other acute findings."
        },
        {
            "image_id": "1990_2",
            "caption": "The chest X-ray revealed a tracheostomy tube and a slightly enlarged heart, but there were no signs of acute cardiopulmonary disease. The central vasculature appeared prominent, but there was no evidence of pneumothorax, pleural effusion, or focal consolidation. The overall impression is that of stable mild cardiomegaly and prominent central vasculature, with no other acute findings."
        },
        {
            "image_id": "3177_1",
            "caption": "The chest X-ray indicates hyperinflation consistent with COPD, however, there are no signs of acute cardiopulmonary disease or acute pulmonary abnormalities present. The lungs are clear without any pleural effusion or pneumothorax. The heart and mediastinum look normal. Additionally, mild arthritic changes of the spine are reported."
        },
        {
            "image_id": "3177_2",
            "caption": "The chest X-ray indicates hyperinflation consistent with COPD, however, there are no signs of acute cardiopulmonary disease or acute pulmonary abnormalities present. The lungs are clear without any pleural effusion or pneumothorax. The heart and mediastinum look normal. Additionally, mild arthritic changes of the spine are reported."
        },
        {
            "image_id": "2269_1",
            "caption": "The heart is normal in size and mediastinum is unremarkable. No evidence of pneumothorax. Lungs are clear. The x-ray image shows no acute pathology or disease. The findings are within normal limits for a healthy individual. It is important to continue monitoring and following up with regular check-ups to maintain good health."
        },
        {
            "image_id": "2269_2",
            "caption": "The heart is normal in size and mediastinum is unremarkable. No evidence of pneumothorax. Lungs are clear. The x-ray image shows no acute pathology or disease. The findings are within normal limits for a healthy individual. It is important to continue monitoring and following up with regular check-ups to maintain good health."
        },
        {
            "image_id": "1760_1",
            "caption": "There is mild cardiomegaly and a small area of platelike atelectasis in the left mid lung. No pneumothorax or pleural effusion is observed and the soft tissue and bony structures are unremarkable. The X-ray does not show any active disease."
        },
        {
            "image_id": "1760_2",
            "caption": "There is mild cardiomegaly and a small area of platelike atelectasis in the left mid lung. No pneumothorax or pleural effusion is observed and the soft tissue and bony structures are unremarkable. The X-ray does not show any active disease."
        },
        {
            "image_id": "1006_1",
            "caption": "The x-ray image shows no evidence of acute cardiopulmonary disease. The lungs appear clear without any focal airspace opacities or pleural effusions. The heart, pulmonary vasculature, and mediastinal contours are normal, and there is no evidence of pneumothorax or pneumonia."
        },
        {
            "image_id": "1006_2",
            "caption": "The x-ray image shows no evidence of acute cardiopulmonary disease. The lungs appear clear without any focal airspace opacities or pleural effusions. The heart, pulmonary vasculature, and mediastinal contours are normal, and there is no evidence of pneumothorax or pneumonia."
        },
        {
            "image_id": "3611_1",
            "caption": "The X-ray reveals a stable appearance of the cardiomediastinal silhouette. However, the aorta appears calcified and tortuous and there is dextroscoliosis of the thoracolumbar spine along with multiple thoracic deformities. No displaced rib fracture or pneumothorax or large pleural effusion is identified. There are stable changes of chronic lung disease with flattening of the left hemidiaphragm. Additionally, there is mild right basilar airspace consolidation which may represent atelectasis versus infiltrate. Overall, there is no acute posttraumatic finding, but close monitoring may be necessary for chronic lung disease."
        },
        {
            "image_id": "3605_1",
            "caption": "The patient's x-ray shows that the heart size is normal and there is no focal airspace disease or pleural effusion. There are no acute cardiopulmonary findings, including no evidence of pleural effusion or hilar or mediastinal adenopathy."
        },
        {
            "image_id": "3605_2",
            "caption": "The patient's x-ray shows that the heart size is normal and there is no focal airspace disease or pleural effusion. There are no acute cardiopulmonary findings, including no evidence of pleural effusion or hilar or mediastinal adenopathy."
        },
        {
            "image_id": "1012_1",
            "caption": "The x-ray finding reveals a low lung volume and the presence of bibasilar airspace disease and bilateral pleural fluid resulting in blunting. However, the heart size was found to be normal. The shunt tubing was observed to traverse the entire image from top to bottom. The impression drawn from the findings is that there is a significant bibasilar airspace disease and bilateral pleural fluid observed in the patient through the x-ray report."
        },
        {
            "image_id": "586_1",
            "caption": "The x-ray shows moderately enlarged heart size and probable left lung atelectasis. There is improved right midlung opacity, mild degenerative changes of the spine, and intact sternotomy wires. Extensive atherosclerotic disease is also observed. Pulmonary structures, mediastinum, pleural effusion, and pneumothorax are all within normal limits. The combination suggests cardiomegaly and probable left midlung and left basilar atelectasis."
        },
        {
            "image_id": "1774_1",
            "caption": "The chest x-ray shows that there is no acute cardio pulmonary disease. The lungs appear clear, and the heart and pulmonary structures are normal. Pleural spaces are clear, and mediastinal contours are normal. Bony overlap in the lung apices could obscure a small pulmonary nodule. It is important to have follow-up examinations to ensure that there are no underlying issues."
        },
        {
            "image_id": "3163_1",
            "caption": "The X-ray shows that the size of the heart and mediastinum are within normal limits and the lungs appear clear without any acute disease."
        },
        {
            "image_id": "3163_2",
            "caption": "The X-ray shows that the size of the heart and mediastinum are within normal limits and the lungs appear clear without any acute disease."
        },
        {
            "image_id": "2296_1",
            "caption": "The x-ray image shows that the heart is normal in size and the cardiomediastinal silhouette has a normal appearance. There is a hiatal hernia with soft tissue projecting behind the mediastinum. The lungs appear clear and there is no evidence of focal airspace disease, pleural effusion or pneumothorax. Furthermore, the osseous structures seem to be intact. Therefore, there is no acute cardiopulmonary finding except for the hiatal hernia."
        },
        {
            "image_id": "2296_2",
            "caption": "The x-ray image shows that the heart is normal in size and the cardiomediastinal silhouette has a normal appearance. There is a hiatal hernia with soft tissue projecting behind the mediastinum. The lungs appear clear and there is no evidence of focal airspace disease, pleural effusion or pneumothorax. Furthermore, the osseous structures seem to be intact. Therefore, there is no acute cardiopulmonary finding except for the hiatal hernia."
        },
        {
            "image_id": "1947_1",
            "caption": "The x-ray image shows no significant abnormalities. The heart and mediastinal contours are within the normal range, and there is no evidence of cardiopulmonary disease such as pneumothorax or pleural effusion. However, there is a suggestion of a previous granulomatous process based on a dense nodule in the right base. Nonetheless, there are no acute findings."
        },
        {
            "image_id": "1947_2",
            "caption": "The x-ray image shows no significant abnormalities. The heart and mediastinal contours are within the normal range, and there is no evidence of cardiopulmonary disease such as pneumothorax or pleural effusion. However, there is a suggestion of a previous granulomatous process based on a dense nodule in the right base. Nonetheless, there are no acute findings."
        },
        {
            "image_id": "3836_1",
            "caption": "The x-ray image shows a normal heart and mediastinum contour. The lungs appear clear without any focal infiltrates, nodules, or masses. No pneumothorax or pleural fluid is visible. The abdominal organs are grossly normal without any free intraperitoneal air. There is no evidence of acute radiographic cardiopulmonary processes."
        },
        {
            "image_id": "3836_2",
            "caption": "The x-ray image shows a normal heart and mediastinum contour. The lungs appear clear without any focal infiltrates, nodules, or masses. No pneumothorax or pleural fluid is visible. The abdominal organs are grossly normal without any free intraperitoneal air. There is no evidence of acute radiographic cardiopulmonary processes."
        },
        {
            "image_id": "579_1",
            "caption": "During the examination, it was observed that there are no visible abnormalities in the lungs and cardiomediastinal structure. The bones also seem to be normal. The impression is that no acute cardiopulmonary abnormality was observed during the examination."
        },
        {
            "image_id": "579_2",
            "caption": "During the examination, it was observed that there are no visible abnormalities in the lungs and cardiomediastinal structure. The bones also seem to be normal. The impression is that no acute cardiopulmonary abnormality was observed during the examination."
        },
        {
            "image_id": "1953_1",
            "caption": "The X-ray report shows that the lungs are clear with no evidence of focal airspace disease or pneumothorax. The cardiac and mediastinal contours are normal and there is no radiographic evidence of acute cardiopulmonary disease. The report suggests that there is no need for any immediate medical intervention or follow-up, indicating that the individual's health is stable as per the X-ray findings."
        },
        {
            "image_id": "1953_2",
            "caption": "The X-ray report shows that the lungs are clear with no evidence of focal airspace disease or pneumothorax. The cardiac and mediastinal contours are normal and there is no radiographic evidence of acute cardiopulmonary disease. The report suggests that there is no need for any immediate medical intervention or follow-up, indicating that the individual's health is stable as per the X-ray findings."
        },
        {
            "image_id": "2282_1",
            "caption": "On examination of the x-ray, the lungs are clear with no signs of pneumonia, pneumothorax or pleural effusion. The heart and mediastinum show no abnormalities. The visualized osseous structures are without acute abnormality. In short, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2282_2",
            "caption": "On examination of the x-ray, the lungs are clear with no signs of pneumonia, pneumothorax or pleural effusion. The heart and mediastinum show no abnormalities. The visualized osseous structures are without acute abnormality. In short, there is no radiographic evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "237_1",
            "caption": "The X-ray shows that the heart size and mediastinal silhouette are normal, and the lungs are clear without any noticeable issues. However, several calcified granulomas can be seen in the right perihilar region, and there are multilevel degenerative changes in the thoracic spine. Despite these findings, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "237_2",
            "caption": "The X-ray shows that the heart size and mediastinal silhouette are normal, and the lungs are clear without any noticeable issues. However, several calcified granulomas can be seen in the right perihilar region, and there are multilevel degenerative changes in the thoracic spine. Despite these findings, there is no acute cardiopulmonary abnormality detected."
        },
        {
            "image_id": "551_1",
            "caption": "The chest x-ray indicates lungs that are hyperinflated, flattening of diaphragms and increased AP chest diameter, which is compatible with emphysema. However, there is no evidence of focal infiltrate, pneumothorax, or pleural effusion, hence no acute cardiopulmonary abnormality has been detected. The cardiomediastinal contours are normal."
        },
        {
            "image_id": "551_2",
            "caption": "The chest x-ray indicates lungs that are hyperinflated, flattening of diaphragms and increased AP chest diameter, which is compatible with emphysema. However, there is no evidence of focal infiltrate, pneumothorax, or pleural effusion, hence no acute cardiopulmonary abnormality has been detected. The cardiomediastinal contours are normal."
        },
        {
            "image_id": "545_1",
            "caption": "Lung volumes are decreased. Opacities are present in both lung bases, representing bibasilar focal atelectasis. A hiatal hernia is noted. Heart and pulmonary vasculature are normal. Evidence of hypoinflation and bibasilar focal atelectasis. No significant cardiopulmonary disease identified. Follow-up imaging may be considered to assess for resolution of atelectasis."
        },
        {
            "image_id": "545_2",
            "caption": "Lung volumes are decreased. Opacities are present in both lung bases, representing bibasilar focal atelectasis. A hiatal hernia is noted. Heart and pulmonary vasculature are normal. Evidence of hypoinflation and bibasilar focal atelectasis. No significant cardiopulmonary disease identified. Follow-up imaging may be considered to assess for resolution of atelectasis."
        },
        {
            "image_id": "223_1",
            "caption": "The x-ray shows no acute findings. The heart size is within normal limits, and the mediastinal and hilar contours are stable. There is no focal alveolar consolidation or definite pleural effusion seen. However, there is bronchovascular crowding without typical findings of pulmonary edema."
        },
        {
            "image_id": "223_2",
            "caption": "The x-ray shows no acute findings. The heart size is within normal limits, and the mediastinal and hilar contours are stable. There is no focal alveolar consolidation or definite pleural effusion seen. However, there is bronchovascular crowding without typical findings of pulmonary edema."
        },
        {
            "image_id": "2321_1",
            "caption": "The chest x-ray shows a normal sized heart and unremarkable mediastinum, with clear lungs and no signs of acute disease."
        },
        {
            "image_id": "2321_2",
            "caption": "The chest x-ray shows a normal sized heart and unremarkable mediastinum, with clear lungs and no signs of acute disease."
        },
        {
            "image_id": "2321_3",
            "caption": "The chest x-ray shows a normal sized heart and unremarkable mediastinum, with clear lungs and no signs of acute disease."
        },
        {
            "image_id": "3759_1",
            "caption": "The X-ray shows hyperexpansion of lungs and flattening of the diaphragm, which is indicative of COPD. However, there is no focal lung consolidation, pneumothorax, or pleural effusion, and heart size and pulmonary vascularity appear to be within normal limits. Osteopenia of the thoracic spine is observed with no displaced rib fractures. The impression suggests no focal lung consolidation, COPD and no displaced fractures."
        },
        {
            "image_id": "3759_2",
            "caption": "The X-ray shows hyperexpansion of lungs and flattening of the diaphragm, which is indicative of COPD. However, there is no focal lung consolidation, pneumothorax, or pleural effusion, and heart size and pulmonary vascularity appear to be within normal limits. Osteopenia of the thoracic spine is observed with no displaced rib fractures. The impression suggests no focal lung consolidation, COPD and no displaced fractures."
        },
        {
            "image_id": "2447_1",
            "caption": "The X-ray shows a normal appearance of the cardiomediastinal silhouette. Right hilar lymph nodes appear calcified, and there are atherosclerotic calcifications. No visible areas of pulmonary consolidation, pneumothorax, or pleural effusion are reported. Mild to moderate degenerative changes of the thoracic spine are noted. The impression is that there are \"no acute intrathoracic abnormality\" but there are incidental findings of calcified lymph nodes and aortic calcifications, which may require clinical correlation."
        },
        {
            "image_id": "2447_2",
            "caption": "The X-ray shows a normal appearance of the cardiomediastinal silhouette. Right hilar lymph nodes appear calcified, and there are atherosclerotic calcifications. No visible areas of pulmonary consolidation, pneumothorax, or pleural effusion are reported. Mild to moderate degenerative changes of the thoracic spine are noted. The impression is that there are \"no acute intrathoracic abnormality\" but there are incidental findings of calcified lymph nodes and aortic calcifications, which may require clinical correlation."
        },
        {
            "image_id": "3981_1",
            "caption": "The x-ray shows clear lungs, with no signs of pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures look normal. The findings suggest no evidence of acute pulmonary disease."
        },
        {
            "image_id": "3981_2",
            "caption": "The x-ray shows clear lungs, with no signs of pleural effusion or pneumothorax. The heart, mediastinum, and skeletal structures look normal. The findings suggest no evidence of acute pulmonary disease."
        },
        {
            "image_id": "2453_1",
            "caption": "The X-ray revealed normal findings with no signs of acute diseases. The lungs, cardiac and mediastinal silhouettes, and pulmonary vasculature appeared normal without any pneumothorax or pleural effusion. Additionally, no acute bony abnormality was detected. Overall, the test showed no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2453_2",
            "caption": "The X-ray revealed normal findings with no signs of acute diseases. The lungs, cardiac and mediastinal silhouettes, and pulmonary vasculature appeared normal without any pneumothorax or pleural effusion. Additionally, no acute bony abnormality was detected. Overall, the test showed no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3995_1",
            "caption": "The lungs appear mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. However, there has been an interval resolution of previously identified bibasilar infiltrates. There is minimal scarring or atelectasis in the right midlung, but no focal airspace disease, pneumothorax, pleural effusion, or acute bony abnormalities observed. The cardio-mediastinal silhouette and pulmonary vasculature appeared normal within the size limits, except for the evidence of hyperinflation with chronic changes of emphysema."
        },
        {
            "image_id": "3995_2",
            "caption": "The lungs appear mildly hyperinflated with flattening of the diaphragms and expansion of the retrosternal clear space. However, there has been an interval resolution of previously identified bibasilar infiltrates. There is minimal scarring or atelectasis in the right midlung, but no focal airspace disease, pneumothorax, pleural effusion, or acute bony abnormalities observed. The cardio-mediastinal silhouette and pulmonary vasculature appeared normal within the size limits, except for the evidence of hyperinflation with chronic changes of emphysema."
        },
        {
            "image_id": "3003_1",
            "caption": "The x-ray image of the patient shows no signs of acute cardiopulmonary disease. The lungs are clear without any indication of focal airspace disease, pneumothorax or pleural effusion. The calcified granulomas are stable. There is mild tortuosity of the thoracic aorta and atherosclerotic calcifications. The skeletal structures are normal and there is no acute osseous abnormality identified."
        },
        {
            "image_id": "380_1",
            "caption": "The chest X-ray examination shows normal results. No abnormality affecting the cardiomediastinal contours, pulmonary vascularity or osseous structures is identified. No consolidation, pleural effusion, or pneumothorax is detected.  Overall, the test indicates no acute or ongoing thoracic conditions that may warrant further medical attention."
        },
        {
            "image_id": "380_2",
            "caption": "The chest X-ray examination shows normal results. No abnormality affecting the cardiomediastinal contours, pulmonary vascularity or osseous structures is identified. No consolidation, pleural effusion, or pneumothorax is detected.  Overall, the test indicates no acute or ongoing thoracic conditions that may warrant further medical attention."
        },
        {
            "image_id": "1172_1",
            "caption": "Upon examination of the x-ray images, the cardiologist noted that the size of the heart and pulmonary blood vessels were normal. There were no signs of pneumothorax or pleural effusion, and the lungs showed no focal airspace disease. The bony structures were also normal. According to the impression, there were no acute cardiopulmonary findings."
        },
        {
            "image_id": "3765_1",
            "caption": "The person's cardiomediastinal silhouette and pulmonary vasculature are normal. There is no focal airspace disease, pneumothorax, or pleural effusion present in the lungs. The osseous structures are also normal. The findings indicate no active disease and specifically no radiographic evidence for tuberculosis."
        },
        {
            "image_id": "3765_2",
            "caption": "The person's cardiomediastinal silhouette and pulmonary vasculature are normal. There is no focal airspace disease, pneumothorax, or pleural effusion present in the lungs. The osseous structures are also normal. The findings indicate no active disease and specifically no radiographic evidence for tuberculosis."
        },
        {
            "image_id": "1166_1",
            "caption": "The x-ray shows low lung volumes with streaky bibasilar opacities indicating subsegmental atelectasis over infiltrate. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits, and there is no evidence of pneumothorax or pleural effusion. Additionally, there are no acute osseous findings. The impression is suggestive of a lung condition that requires further medical evaluation."
        },
        {
            "image_id": "1166_2",
            "caption": "The x-ray shows low lung volumes with streaky bibasilar opacities indicating subsegmental atelectasis over infiltrate. The cardiomediastinal silhouette and pulmonary vasculature are within normal limits, and there is no evidence of pneumothorax or pleural effusion. Additionally, there are no acute osseous findings. The impression is suggestive of a lung condition that requires further medical evaluation."
        },
        {
            "image_id": "1600_1",
            "caption": "The patient's chest x-ray shows clear lungs with no signs of focal airspace consolidation or pleural effusion. The heart size is slightly larger than normal, and there is a stable mild ectasia of the thoracic aorta. An old right clavicular fracture is also noted. Overall, the x-ray indicates clear lungs with no acute abnormalities present."
        },
        {
            "image_id": "1600_2",
            "caption": "The patient's chest x-ray shows clear lungs with no signs of focal airspace consolidation or pleural effusion. The heart size is slightly larger than normal, and there is a stable mild ectasia of the thoracic aorta. An old right clavicular fracture is also noted. Overall, the x-ray indicates clear lungs with no acute abnormalities present."
        },
        {
            "image_id": "394_1",
            "caption": "There is a large airspace opacity in the right lower and middle lobes. There is no pneumothorax. Heart size is normal. Soft tissue and bony structures unremarkable. The X-ray shows multilobar airspace consolidation."
        },
        {
            "image_id": "3017_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal, and there are mild opacities in both lung bases which are compatible with scarring or atelectasis. A calcified granuloma is noted in the left upper lung as well as a right retrocardiac calcified nodule. No significant pleural effusion is seen. The impression is scarring and no acute disease."
        },
        {
            "image_id": "1833_1",
            "caption": "The chest x-ray image reveals a small area of scarring or atelectasis in the left base, along with calcified granulomas in the posterior right lower lobe. However, the lungs are otherwise clear and the heart, mediastinum, skeletal structures and soft tissues are all normal. The impression suggests minimal small area scarring of the left base, with no evidence of any acute disease."
        },
        {
            "image_id": "1833_2",
            "caption": "The chest x-ray image reveals a small area of scarring or atelectasis in the left base, along with calcified granulomas in the posterior right lower lobe. However, the lungs are otherwise clear and the heart, mediastinum, skeletal structures and soft tissues are all normal. The impression suggests minimal small area scarring of the left base, with no evidence of any acute disease."
        },
        {
            "image_id": "419_1",
            "caption": "The x-ray appears to show a normal, healthy image of the patient's thorax. There are no significant abnormalities or concerns to report, indicating that the patient is in good condition and ready for the upcoming operation. The medical professionals can proceed confidently with the planned procedure."
        },
        {
            "image_id": "419_2",
            "caption": "The x-ray appears to show a normal, healthy image of the patient's thorax. There are no significant abnormalities or concerns to report, indicating that the patient is in good condition and ready for the upcoming operation. The medical professionals can proceed confidently with the planned procedure."
        },
        {
            "image_id": "2484_1",
            "caption": "The X-ray of the chest shows a normal size and configuration of the heart with no acute or active cardiac or pulmonary disease. Scattered nodular opacities were observed that are most likely due to previous granulomatous disease with some calcified granulomas. No focal airspace consolidation or pleural effusion was seen in the lungs."
        },
        {
            "image_id": "2484_2",
            "caption": "The X-ray of the chest shows a normal size and configuration of the heart with no acute or active cardiac or pulmonary disease. Scattered nodular opacities were observed that are most likely due to previous granulomatous disease with some calcified granulomas. No focal airspace consolidation or pleural effusion was seen in the lungs."
        },
        {
            "image_id": "3942_1",
            "caption": "The X-ray reveals that the heart is slightly larger than normal, and there has been a worsening of the pre-existing moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis. However, both lungs are clear with no signs of pleural effusion or pneumothorax, and there is no acute cardiopulmonary process. The X-ray also indicates the presence of scattered nodular opacities that are likely residual calcified granulomas from previous granulomatous disease."
        },
        {
            "image_id": "3942_2",
            "caption": "The X-ray reveals that the heart is slightly larger than normal, and there has been a worsening of the pre-existing moderate thoracolumbar dextroscoliosis with mild exaggeration of normal thoracic kyphosis. However, both lungs are clear with no signs of pleural effusion or pneumothorax, and there is no acute cardiopulmonary process. The X-ray also indicates the presence of scattered nodular opacities that are likely residual calcified granulomas from previous granulomatous disease."
        },
        {
            "image_id": "3956_1",
            "caption": "The chest X-ray shows no signs of acute disease. Specifically, there is no focal airspace consolidation, pleural effusion or pneumothorax. The heart and mediastinum are normal in size and the lungs are clear, although there is some hypoinflation."
        },
        {
            "image_id": "3956_2",
            "caption": "The chest X-ray shows no signs of acute disease. Specifically, there is no focal airspace consolidation, pleural effusion or pneumothorax. The heart and mediastinum are normal in size and the lungs are clear, although there is some hypoinflation."
        },
        {
            "image_id": "1199_1",
            "caption": "The x-ray image shows that the heart and lungs are normal in size and within normal limits, respectively. No acute disease, focal airspace disease, pneumothorax or pleural effusion exists. The visualized osseous structures, soft tissues and bony structures are intact and unremarkable. The impression indicates that there is no active cardiopulmonary disease."
        },
        {
            "image_id": "1199_2",
            "caption": "The x-ray image shows that the heart and lungs are normal in size and within normal limits, respectively. No acute disease, focal airspace disease, pneumothorax or pleural effusion exists. The visualized osseous structures, soft tissues and bony structures are intact and unremarkable. The impression indicates that there is no active cardiopulmonary disease."
        },
        {
            "image_id": "1827_1",
            "caption": "Based on the X-ray image, the cardiopulmonary silhouette and heart size are normal. The lungs are clear without any pulmonary effusions or pneumothorax. There are no acute cardiopulmonary findings present."
        },
        {
            "image_id": "1827_2",
            "caption": "Based on the X-ray image, the cardiopulmonary silhouette and heart size are normal. The lungs are clear without any pulmonary effusions or pneumothorax. There are no acute cardiopulmonary findings present."
        },
        {
            "image_id": "343_1",
            "caption": "The heart and mediastinum appear normal, and pulmonary vascularity is within normal limits. There are no signs of interstitial prominence, consolidation, or effusion, and no visible pneumothorax. However, two osteopenic areas are present. Mild interstitial prominence is visible, which could indicate early pulmonary edema."
        },
        {
            "image_id": "343_2",
            "caption": "The heart and mediastinum appear normal, and pulmonary vascularity is within normal limits. There are no signs of interstitial prominence, consolidation, or effusion, and no visible pneumothorax. However, two osteopenic areas are present. Mild interstitial prominence is visible, which could indicate early pulmonary edema."
        },
        {
            "image_id": "425_1",
            "caption": "The X-ray shows that there are no acute abnormalities or diseases in the heart or lungs. The lungs appear clear and there is no evidence of pneumothorax or pleural effusion. The mediastinum is normal and the bony structures are intact. This suggests that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "425_2",
            "caption": "The X-ray shows that there are no acute abnormalities or diseases in the heart or lungs. The lungs appear clear and there is no evidence of pneumothorax or pleural effusion. The mediastinum is normal and the bony structures are intact. This suggests that there is no acute cardiopulmonary process present."
        },
        {
            "image_id": "431_1",
            "caption": "The x-ray results suggest a healthy cardiopulmonary condition with no signs of tuberculosis or sarcoidosis. Both lungs are clear and the heart appears to be of a normal size and shape. Although lateral views are obscured, we can see that there is no evidence of apical disease. The observed osteophyte formations in the thoracic spine are not a major concern."
        },
        {
            "image_id": "431_2",
            "caption": "The x-ray results suggest a healthy cardiopulmonary condition with no signs of tuberculosis or sarcoidosis. Both lungs are clear and the heart appears to be of a normal size and shape. Although lateral views are obscured, we can see that there is no evidence of apical disease. The observed osteophyte formations in the thoracic spine are not a major concern."
        },
        {
            "image_id": "357_1",
            "caption": "The X-ray shows an obscured right heart and some streaky right medial basilar airspace opacities, which could be due to atelectasis or airspace disease. However, no other acute cardiopulmonary abnormalities are observed, such as focal consolidation, pleural effusion or pneumothorax. The cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits, and the visualized osseous structures appear intact."
        },
        {
            "image_id": "357_2",
            "caption": "The X-ray shows an obscured right heart and some streaky right medial basilar airspace opacities, which could be due to atelectasis or airspace disease. However, no other acute cardiopulmonary abnormalities are observed, such as focal consolidation, pleural effusion or pneumothorax. The cardiac size, mediastinal contour, and pulmonary vascularity are within normal limits, and the visualized osseous structures appear intact."
        },
        {
            "image_id": "800_1",
            "caption": "The chest X-ray shows no acute abnormality in the lungs or pleural spaces. The heart is enlarged with normal pulmonary vascularity. The thoracic aorta is markedly tortuous. Advanced degenerative changes are present in the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are seen. The thoracic spine has diffuse osteopenia with deformities, which appear to be age-indeterminate. An air-fluid level is present in the middle mediastinum, most likely due to a large hiatal hernia. The impression is that there is no acute thoracic abnormality, but there is cardiomegaly, marked tortuosity of the thoracic aorta, probable large hiatal hernia, and limited evaluation of the thoracic spine due to osteopenia with age-indeterminate deformities."
        },
        {
            "image_id": "800_2",
            "caption": "The chest X-ray shows no acute abnormality in the lungs or pleural spaces. The heart is enlarged with normal pulmonary vascularity. The thoracic aorta is markedly tortuous. Advanced degenerative changes are present in the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are seen. The thoracic spine has diffuse osteopenia with deformities, which appear to be age-indeterminate. An air-fluid level is present in the middle mediastinum, most likely due to a large hiatal hernia. The impression is that there is no acute thoracic abnormality, but there is cardiomegaly, marked tortuosity of the thoracic aorta, probable large hiatal hernia, and limited evaluation of the thoracic spine due to osteopenia with age-indeterminate deformities."
        },
        {
            "image_id": "800_3",
            "caption": "The chest X-ray shows no acute abnormality in the lungs or pleural spaces. The heart is enlarged with normal pulmonary vascularity. The thoracic aorta is markedly tortuous. Advanced degenerative changes are present in the glenohumeral joints bilaterally with bone-on-bone articulation, remodeling of the glenoid, and extensive subchondral cystic change. No displaced rib fractures are seen. The thoracic spine has diffuse osteopenia with deformities, which appear to be age-indeterminate. An air-fluid level is present in the middle mediastinum, most likely due to a large hiatal hernia. The impression is that there is no acute thoracic abnormality, but there is cardiomegaly, marked tortuosity of the thoracic aorta, probable large hiatal hernia, and limited evaluation of the thoracic spine due to osteopenia with age-indeterminate deformities."
        },
        {
            "image_id": "40_1",
            "caption": "The chest x-ray reveals mild hyperexpansion of the lungs with numerous bilateral rib deformities. No focal airspace disease, pneumothorax, or effusion is seen. The heart size is normal. There are large, flowing anterior endplate osteophytes of the thoracic spine. Overall, this is consistent with emphysema and there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "40_2",
            "caption": "The chest x-ray reveals mild hyperexpansion of the lungs with numerous bilateral rib deformities. No focal airspace disease, pneumothorax, or effusion is seen. The heart size is normal. There are large, flowing anterior endplate osteophytes of the thoracic spine. Overall, this is consistent with emphysema and there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2645_1",
            "caption": "The x-ray image shows surgical clips in the right upper quadrant with clear lungs bilaterally. There is no evidence of focal consolidation, pleural effusion, or pneumothoraces, and the cardiomediastinal silhouette is within normal limits. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2645_2",
            "caption": "The x-ray image shows surgical clips in the right upper quadrant with clear lungs bilaterally. There is no evidence of focal consolidation, pleural effusion, or pneumothoraces, and the cardiomediastinal silhouette is within normal limits. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2123_1",
            "caption": "This indicates that the heart is enlarged and the pulmonary vessels are dilated, possibly due to a backup of blood caused by heart disease. The presence of degenerative disc disease in the thoracic spine is unrelated to the heart and pulmonary findings. It is important to consult a physician for proper evaluation and treatment."
        },
        {
            "image_id": "2123_2",
            "caption": "This indicates that the heart is enlarged and the pulmonary vessels are dilated, possibly due to a backup of blood caused by heart disease. The presence of degenerative disc disease in the thoracic spine is unrelated to the heart and pulmonary findings. It is important to consult a physician for proper evaluation and treatment."
        },
        {
            "image_id": "3229_1",
            "caption": "The chest x-ray shows a normal heart size and midline trachea. The lungs are clear bilaterally, except for somewhat low volumes. There is no evidence of pleural effusion or pulmonary nodules, indicating a negative chest."
        },
        {
            "image_id": "3229_2",
            "caption": "The chest x-ray shows a normal heart size and midline trachea. The lungs are clear bilaterally, except for somewhat low volumes. There is no evidence of pleural effusion or pulmonary nodules, indicating a negative chest."
        },
        {
            "image_id": "6_1",
            "caption": "The x-ray shows that the heart size and mediastinal contour are normal, with no focal airspace consolidation or suspicious pulmonary opacity. There is no pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine is present. The impression is that there are no acute cardiopulmonary findings, indicating a healthy heart and lungs."
        },
        {
            "image_id": "6_2",
            "caption": "The x-ray shows that the heart size and mediastinal contour are normal, with no focal airspace consolidation or suspicious pulmonary opacity. There is no pneumothorax or large pleural effusion. Mild degenerative change of the thoracic spine is present. The impression is that there are no acute cardiopulmonary findings, indicating a healthy heart and lungs."
        },
        {
            "image_id": "2651_1",
            "caption": "The chest x-ray shows that the heart, mediastinum, and pulmonary vasculature are within normal limits. The lungs are clear without any focal consolidation or effusion. Bony structures are intact without any signs of degeneration. Based on these findings, there are no signs of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2651_2",
            "caption": "The chest x-ray shows that the heart, mediastinum, and pulmonary vasculature are within normal limits. The lungs are clear without any focal consolidation or effusion. Bony structures are intact without any signs of degeneration. Based on these findings, there are no signs of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2889_1",
            "caption": "The chest x-ray shows normal findings. The heart and mediastinum are within normal size and shape. The lungs are clear with no signs of consolidation, effusion, or pneumothorax. The bone structures are intact. In summary, there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2889_2",
            "caption": "The chest x-ray shows normal findings. The heart and mediastinum are within normal size and shape. The lungs are clear with no signs of consolidation, effusion, or pneumothorax. The bone structures are intact. In summary, there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "814_1",
            "caption": "The x-ray shows an old calcified granuloma in the lateral left base and calcified left hilar lymph nodes, but no pleural effusion or pneumothorax. The heart is not enlarged and there are atherosclerotic changes in the aorta. Arthritic changes, scoliosis, and lumbar region are also noted. The impression suggests old granulomatous disease and senescent changes, but no acute pulmonary disease found in the x-ray."
        },
        {
            "image_id": "814_2",
            "caption": "The x-ray shows an old calcified granuloma in the lateral left base and calcified left hilar lymph nodes, but no pleural effusion or pneumothorax. The heart is not enlarged and there are atherosclerotic changes in the aorta. Arthritic changes, scoliosis, and lumbar region are also noted. The impression suggests old granulomatous disease and senescent changes, but no acute pulmonary disease found in the x-ray."
        },
        {
            "image_id": "1358_1",
            "caption": "The x-ray shows that the heart and upper body structures are normal. There are no signs of any lung functioning issues like a pneumothorax or pleural effusion. A few age-related degenerative changes of the thoracic spine are noted. There are also postsurgical clips in the right upper quadrant. Overall, the x-ray doesn't reveal any acute complications."
        },
        {
            "image_id": "1358_2",
            "caption": "The x-ray shows that the heart and upper body structures are normal. There are no signs of any lung functioning issues like a pneumothorax or pleural effusion. A few age-related degenerative changes of the thoracic spine are noted. There are also postsurgical clips in the right upper quadrant. Overall, the x-ray doesn't reveal any acute complications."
        },
        {
            "image_id": "1358_3",
            "caption": "The x-ray shows that the heart and upper body structures are normal. There are no signs of any lung functioning issues like a pneumothorax or pleural effusion. A few age-related degenerative changes of the thoracic spine are noted. There are also postsurgical clips in the right upper quadrant. Overall, the x-ray doesn't reveal any acute complications."
        },
        {
            "image_id": "54_1",
            "caption": "The lungs are clear bilaterally, with no evidence of acute abnormalities such as focal consolidation, pneumothorax, or pleural effusion, but minimal right basilar subsegmental atelectasis is noted. The heart size and mediastinal contour are normal. There is tortuosity of the thoracic aorta noted and scattered calcified granulomas seen, indicating no evidence of active granulomatous/tuberculous process. The visualized osseous structures of the thorax are intact without acute abnormality. The overall impression is that there is no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "54_2",
            "caption": "The lungs are clear bilaterally, with no evidence of acute abnormalities such as focal consolidation, pneumothorax, or pleural effusion, but minimal right basilar subsegmental atelectasis is noted. The heart size and mediastinal contour are normal. There is tortuosity of the thoracic aorta noted and scattered calcified granulomas seen, indicating no evidence of active granulomatous/tuberculous process. The visualized osseous structures of the thorax are intact without acute abnormality. The overall impression is that there is no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "3567_1",
            "caption": "A chest X-ray was obtained, showing that the heart and mediastinal contours are normal in size. Pacemaker leads are present within the right atrium and ventricle. While the left lung is clear, the right lung shows signs of pneumonia such as lower lobe airspace disease and a small effusion. There is no indication of a pneumothorax. The impression is that the patient is likely suffering from pneumonia in the right lung."
        },
        {
            "image_id": "1370_1",
            "caption": "The X-ray shows a stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base which could represent an infiltrate. There is no pleural effusion or pneumothorax. Additionally, there is a stable deformity in a midthoracic vertebra. The impression suggests the possibility of infiltrates in the right lung and left base, further evaluation through CT is recommended if clinically indicated."
        },
        {
            "image_id": "1370_2",
            "caption": "The X-ray shows a stable cardiomediastinal silhouette. There is mild haziness in the right lung and left base which could represent an infiltrate. There is no pleural effusion or pneumothorax. Additionally, there is a stable deformity in a midthoracic vertebra. The impression suggests the possibility of infiltrates in the right lung and left base, further evaluation through CT is recommended if clinically indicated."
        },
        {
            "image_id": "1416_1",
            "caption": "The X-ray shows a cardiac silhouette at the upper limits of normal for size with stable, mild prominence of bilateral hilar regions. There are no focal areas of pulmonary consolidation, pneumothorax, or pleural effusion. There is minimal degenerative changes of the thoracic spine and no acute, displaced rib fractures. Notably, there is a stable opacity in the left lung, possibly representing a scar. The impression suggests no acute intrathoracic abnormality, but a mild prominence of the bilateral hilar regions, which may be due to enlarged pulmonary arteries or pulmonary hypertension, and further clinical correlation is advised."
        },
        {
            "image_id": "1416_2",
            "caption": "The X-ray shows a cardiac silhouette at the upper limits of normal for size with stable, mild prominence of bilateral hilar regions. There are no focal areas of pulmonary consolidation, pneumothorax, or pleural effusion. There is minimal degenerative changes of the thoracic spine and no acute, displaced rib fractures. Notably, there is a stable opacity in the left lung, possibly representing a scar. The impression suggests no acute intrathoracic abnormality, but a mild prominence of the bilateral hilar regions, which may be due to enlarged pulmonary arteries or pulmonary hypertension, and further clinical correlation is advised."
        },
        {
            "image_id": "182_1",
            "caption": "Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality. Significant finding of a left lower lobe infiltrate. Further evaluation and treatment may be necessary."
        },
        {
            "image_id": "182_2",
            "caption": "Heart size and mediastinal contours appear within normal limits. Patchy airspace opacities in the left lower lobe, compatible with infiltrate. No large pleural effusion. No pneumothorax. No acute bony abnormality. Significant finding of a left lower lobe infiltrate. Further evaluation and treatment may be necessary."
        },
        {
            "image_id": "3201_1",
            "caption": "The patient shows hypoinflation and no active cardiopulmonary disease is visible in the x-ray images. Lung volumes were found to be low while no focal infiltrates were detected. The heart size and mediastinum were normal. These findings and their impression suggest no acute abnormalities in the patient's cardiopulmonary health with hypoinflation being the only notable observation."
        },
        {
            "image_id": "3201_2",
            "caption": "The patient shows hypoinflation and no active cardiopulmonary disease is visible in the x-ray images. Lung volumes were found to be low while no focal infiltrates were detected. The heart size and mediastinum were normal. These findings and their impression suggest no acute abnormalities in the patient's cardiopulmonary health with hypoinflation being the only notable observation."
        },
        {
            "image_id": "196_1",
            "caption": "For this patient, the doctor has performed frontal and lateral radiographs of the chest. After reviewing the X-ray images, it was concluded that the cardiomediastinal contours, lungs, pleura, osseous structures, and visualized upper abdomen appeared normal. The patient's X-ray results were considered unremarkable."
        },
        {
            "image_id": "1402_1",
            "caption": "The chest X-ray examination shows that the heart, lungs, pleura, and osseous structures are all normal with no acute abnormalities or cardiopulmonary process found. Specifically, there are no focal consolidations, pleural effusions, or pneumothoraxes identified, and the pulmonary vascularity is within normal limits. This points to an unremarkable radiograph of the chest."
        },
        {
            "image_id": "1402_2",
            "caption": "The chest X-ray examination shows that the heart, lungs, pleura, and osseous structures are all normal with no acute abnormalities or cardiopulmonary process found. Specifically, there are no focal consolidations, pleural effusions, or pneumothoraxes identified, and the pulmonary vascularity is within normal limits. This points to an unremarkable radiograph of the chest."
        },
        {
            "image_id": "1402_3",
            "caption": "The chest X-ray examination shows that the heart, lungs, pleura, and osseous structures are all normal with no acute abnormalities or cardiopulmonary process found. Specifically, there are no focal consolidations, pleural effusions, or pneumothoraxes identified, and the pulmonary vascularity is within normal limits. This points to an unremarkable radiograph of the chest."
        },
        {
            "image_id": "828_1",
            "caption": "After reviewing the chest radiograph, it was found that the trachea is in the midline and the cardiomediastinal silhouette is normal. However, there are low lung volumes which are causing bibasilar atelectasis and bronchovascular crowding. Additionally, there is a possible opacity in the left lingula, which may represent prominent pericardial fat, but lingular atelectasis or infiltrate cannot be ruled out. Fortunately, there is no evidence of pleural effusion or pneumothorax, and the visualized bony structures appear unremarkable. Further evaluation may be necessary based on the clinical scenario."
        },
        {
            "image_id": "828_2",
            "caption": "After reviewing the chest radiograph, it was found that the trachea is in the midline and the cardiomediastinal silhouette is normal. However, there are low lung volumes which are causing bibasilar atelectasis and bronchovascular crowding. Additionally, there is a possible opacity in the left lingula, which may represent prominent pericardial fat, but lingular atelectasis or infiltrate cannot be ruled out. Fortunately, there is no evidence of pleural effusion or pneumothorax, and the visualized bony structures appear unremarkable. Further evaluation may be necessary based on the clinical scenario."
        },
        {
            "image_id": "1364_1",
            "caption": "From the finding, it is observed that the heart and lungs are within normal limits. No focal airspace disease, pneumothorax or pleural effusion present. There are no acute bony abnormalities noted as well. Therefore, based on the findings, there are no acute cardiopulmonary abnormalities detected in the patient."
        },
        {
            "image_id": "1364_2",
            "caption": "From the finding, it is observed that the heart and lungs are within normal limits. No focal airspace disease, pneumothorax or pleural effusion present. There are no acute bony abnormalities noted as well. Therefore, based on the findings, there are no acute cardiopulmonary abnormalities detected in the patient."
        },
        {
            "image_id": "3573_1",
            "caption": "The X-ray shows that the heart and lungs are normal with no visible issues. The spine shows mild degenerative changes and levoscoliosis, but there are no acute issues noted. The thoracic aorta is mildly tortuous and calcified, but there are no focal areas of concern within the lungs. In short, there are no acute intrathoracic abnormalities found in the X-ray."
        },
        {
            "image_id": "3573_2",
            "caption": "The X-ray shows that the heart and lungs are normal with no visible issues. The spine shows mild degenerative changes and levoscoliosis, but there are no acute issues noted. The thoracic aorta is mildly tortuous and calcified, but there are no focal areas of concern within the lungs. In short, there are no acute intrathoracic abnormalities found in the X-ray."
        },
        {
            "image_id": "3598_1",
            "caption": "The x-ray shows stable cardiopulmonary structures with no acute abnormalities. The heart is of normal size and mediastinal contours appear stable. There is no evidence of focal airspace disease, pleural effusions, or pneumothorax. Mild thoracic spine degenerative changes. The impression is that there are no acute findings."
        },
        {
            "image_id": "3598_2",
            "caption": "The x-ray shows stable cardiopulmonary structures with no acute abnormalities. The heart is of normal size and mediastinal contours appear stable. There is no evidence of focal airspace disease, pleural effusions, or pneumothorax. Mild thoracic spine degenerative changes. The impression is that there are no acute findings."
        },
        {
            "image_id": "2686_1",
            "caption": "The chest X-ray shows that the size of the heart is normal, and there are no signs of focal airspace disease, pneumothorax, or effusions. As per the impression, there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2686_2",
            "caption": "The chest X-ray shows that the size of the heart is normal, and there are no signs of focal airspace disease, pneumothorax, or effusions. As per the impression, there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "169_1",
            "caption": "After examining the chest X-ray, there were no indications of acute abnormalities in the cardiopulmonary system. The heart size, pulmonary vascularity, lungs, and pleural spaces were all within the normal range, and no focal airspace disease, pneumothorax, or pleural effusion were observed. These observations suggest that the patient's cardiopulmonary system is functioning well, without any concerning issues or conditions."
        },
        {
            "image_id": "169_2",
            "caption": "After examining the chest X-ray, there were no indications of acute abnormalities in the cardiopulmonary system. The heart size, pulmonary vascularity, lungs, and pleural spaces were all within the normal range, and no focal airspace disease, pneumothorax, or pleural effusion were observed. These observations suggest that the patient's cardiopulmonary system is functioning well, without any concerning issues or conditions."
        },
        {
            "image_id": "97_1",
            "caption": "The X-ray shows that the heart and lungs are both normal with no acute abnormalities. There is only mild thoracic spondylosis observed. Therefore, it can be interpreted that there is no active disease process present in the chest or the thoracic spine at the time of the X-ray examination."
        },
        {
            "image_id": "97_2",
            "caption": "The X-ray shows that the heart and lungs are both normal with no acute abnormalities. There is only mild thoracic spondylosis observed. Therefore, it can be interpreted that there is no active disease process present in the chest or the thoracic spine at the time of the X-ray examination."
        },
        {
            "image_id": "627_1",
            "caption": "The X-ray indicates stable cardiomegaly and pulmonary vascular congestion. Thoracic aortic atherosclerotic calcifications are also present. However, the lungs show no consolidating airspace disease, pleural effusion or pneumothorax. This is the impression of the X-ray image evaluation."
        },
        {
            "image_id": "627_2",
            "caption": "The X-ray indicates stable cardiomegaly and pulmonary vascular congestion. Thoracic aortic atherosclerotic calcifications are also present. However, the lungs show no consolidating airspace disease, pleural effusion or pneumothorax. This is the impression of the X-ray image evaluation."
        },
        {
            "image_id": "2862_1",
            "caption": "The X-ray shows that the cardiomediastinal silhouette is normal in size and shape. The lungs are well-inflated and there is no evidence of any focal lung disease, pleural effusion, or pneumothorax. The osseous structures are also normal for the patient's age. Therefore, there are no acute radiographic cardiopulmonary findings."
        },
        {
            "image_id": "2862_2",
            "caption": "The X-ray shows that the cardiomediastinal silhouette is normal in size and shape. The lungs are well-inflated and there is no evidence of any focal lung disease, pleural effusion, or pneumothorax. The osseous structures are also normal for the patient's age. Therefore, there are no acute radiographic cardiopulmonary findings."
        },
        {
            "image_id": "141_1",
            "caption": "The chest x-ray shows that the heart, lungs and bones are normal. There is no evidence of acute cardiopulmonary disease, such as airspace disease, pleural effusion or pneumothorax. The impression is that there is no acute abnormality to report."
        },
        {
            "image_id": "141_2",
            "caption": "The chest x-ray shows that the heart, lungs and bones are normal. There is no evidence of acute cardiopulmonary disease, such as airspace disease, pleural effusion or pneumothorax. The impression is that there is no acute abnormality to report."
        },
        {
            "image_id": "2876_1",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. The heart size, mediastinal contour and pulmonary vascularity appear normal. No focal areas of consolidation, suspicious pulmonary opacities, or pleural effusions are seen, and there is no evidence of pneumothorax."
        },
        {
            "image_id": "2876_2",
            "caption": "The X-ray image shows no acute cardiopulmonary abnormality. The heart size, mediastinal contour and pulmonary vascularity appear normal. No focal areas of consolidation, suspicious pulmonary opacities, or pleural effusions are seen, and there is no evidence of pneumothorax."
        },
        {
            "image_id": "633_1",
            "caption": "The chest x-ray shows no signs of an acute abnormality. The lungs are clear without any focal areas of consolidation, pleural effusion, or pneumothorax. The heart and mediastinum appear normal. However, there are multilevel degenerative changes of the spine, which may require further evaluation by a specialist. Overall, the x-ray does not reveal any evidence of active disease."
        },
        {
            "image_id": "633_2",
            "caption": "The chest x-ray shows no signs of an acute abnormality. The lungs are clear without any focal areas of consolidation, pleural effusion, or pneumothorax. The heart and mediastinum appear normal. However, there are multilevel degenerative changes of the spine, which may require further evaluation by a specialist. Overall, the x-ray does not reveal any evidence of active disease."
        },
        {
            "image_id": "2696_1",
            "caption": "The x-ray reveals cardiomegaly partially accentuated by low lung volumes, along with relative elevation of the right hemidiaphragm and streaky left retrocardiac densities. There is no evidence of pneumothorax or large pleural effusion, and only surgical clips near the gastroesophageal junction are noted. Multilevel degenerative changes of the spine are also present. The report concludes that there is no evidence of acute bone abnormality. The impression of the x-ray is that there is cardiomegaly without heart failure, along with left retrocardiac opacities and subsegmental atelectasis due to low lung findings."
        },
        {
            "image_id": "2696_2",
            "caption": "The x-ray reveals cardiomegaly partially accentuated by low lung volumes, along with relative elevation of the right hemidiaphragm and streaky left retrocardiac densities. There is no evidence of pneumothorax or large pleural effusion, and only surgical clips near the gastroesophageal junction are noted. Multilevel degenerative changes of the spine are also present. The report concludes that there is no evidence of acute bone abnormality. The impression of the x-ray is that there is cardiomegaly without heart failure, along with left retrocardiac opacities and subsegmental atelectasis due to low lung findings."
        },
        {
            "image_id": "3588_1",
            "caption": "A frontal and lateral chest x-ray was taken, which showed a normal size and shape of the heart. No abnormalities were noted in the aortic area. The lungs were clear with no signs of acute disease, effusion or pneumothorax. Overall, there was no evidence of acute pulmonary disease found in the x-ray examination."
        },
        {
            "image_id": "3588_2",
            "caption": "A frontal and lateral chest x-ray was taken, which showed a normal size and shape of the heart. No abnormalities were noted in the aortic area. The lungs were clear with no signs of acute disease, effusion or pneumothorax. Overall, there was no evidence of acute pulmonary disease found in the x-ray examination."
        },
        {
            "image_id": "93_1",
            "caption": "The patient shows no signs of acute cardiopulmonary abnormality. The lungs are clear without any focal consolidation, effusion or pneumothorax. Heart size is within the normal range and there is no evidence of pneumoperitoneum. However, mild degenerative changes were found in the thoracic spine."
        },
        {
            "image_id": "93_2",
            "caption": "The patient shows no signs of acute cardiopulmonary abnormality. The lungs are clear without any focal consolidation, effusion or pneumothorax. Heart size is within the normal range and there is no evidence of pneumoperitoneum. However, mild degenerative changes were found in the thoracic spine."
        },
        {
            "image_id": "179_1",
            "caption": "The X-ray shows the chest and lungs in good condition, without any specific abnormalities. The heart is of normal size, and the mediastinum is also at a normal level. The image does not reveal any effusion, noncalcified nodule, or airspace disease. Even the visualized chest are within normal limits. Overall, the report confirms no acute cardiopulmonary abnormality, which is a positive sign indicative of good health."
        },
        {
            "image_id": "179_2",
            "caption": "The X-ray shows the chest and lungs in good condition, without any specific abnormalities. The heart is of normal size, and the mediastinum is also at a normal level. The image does not reveal any effusion, noncalcified nodule, or airspace disease. Even the visualized chest are within normal limits. Overall, the report confirms no acute cardiopulmonary abnormality, which is a positive sign indicative of good health."
        },
        {
            "image_id": "87_1",
            "caption": "The x-ray shows that there are no signs of acute pulmonary disease. Specifically, there is no focal airspace disease, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is also within normal limits, and there is no free subdiaphragmatic air."
        },
        {
            "image_id": "87_2",
            "caption": "The x-ray shows that there are no signs of acute pulmonary disease. Specifically, there is no focal airspace disease, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is also within normal limits, and there is no free subdiaphragmatic air."
        },
        {
            "image_id": "637_1",
            "caption": "The patient's heart and lungs appear stable compared to the previous x-ray. No signs of active cardiopulmonary disease, such as airspace disease, effusion or pneumothorax, have been detected. The cardiomediastinal silhouette, pulmonary vasculature and mediastinum are within normal limits. The lungs are clear and well-expanded with no signs of focal airspace disease. The patient's bones appear intact. The overall impression suggests no acute cardiopulmonary abnormality or active disease has been observed in the chest x-ray image."
        },
        {
            "image_id": "637_2",
            "caption": "The patient's heart and lungs appear stable compared to the previous x-ray. No signs of active cardiopulmonary disease, such as airspace disease, effusion or pneumothorax, have been detected. The cardiomediastinal silhouette, pulmonary vasculature and mediastinum are within normal limits. The lungs are clear and well-expanded with no signs of focal airspace disease. The patient's bones appear intact. The overall impression suggests no acute cardiopulmonary abnormality or active disease has been observed in the chest x-ray image."
        },
        {
            "image_id": "151_1",
            "caption": "The X-ray shows no significant changes from the previous examination. The lungs are clear and well-expanded, while the heart and mediastinum are normal in size and contour. The impression is that there is no active disease present in the chest X-ray."
        },
        {
            "image_id": "151_2",
            "caption": "The X-ray shows no significant changes from the previous examination. The lungs are clear and well-expanded, while the heart and mediastinum are normal in size and contour. The impression is that there is no active disease present in the chest X-ray."
        },
        {
            "image_id": "145_1",
            "caption": "The x-ray indicates a large pleural effusion on the right side, and a patchy infiltrate in the lower lobe of the left lung. The pulmonary structures are normal. The impression suggests no acute cardiopulmonary abnormality, but there are indications of a large right pleural effusion and patchy left lower lobe airspace disease. To further investigate the condition and receive a proper diagnosis, consultation with a healthcare professional is recommended."
        },
        {
            "image_id": "145_2",
            "caption": "The x-ray indicates a large pleural effusion on the right side, and a patchy infiltrate in the lower lobe of the left lung. The pulmonary structures are normal. The impression suggests no acute cardiopulmonary abnormality, but there are indications of a large right pleural effusion and patchy left lower lobe airspace disease. To further investigate the condition and receive a proper diagnosis, consultation with a healthcare professional is recommended."
        },
        {
            "image_id": "2866_1",
            "caption": "The x-ray shows a normal heart size and clear lungs and normal with no indication of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The overall impression based on the findings is a normal chest."
        },
        {
            "image_id": "2866_2",
            "caption": "The x-ray shows a normal heart size and clear lungs and normal with no indication of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The overall impression based on the findings is a normal chest."
        },
        {
            "image_id": "623_1",
            "caption": "The x-ray reveals no acute abnormalities. The heart and lungs appear normal in size and clear, and there are no signs of pleural effusion or pneumothorax. Some calcifications are present in the aorta, but no active disease is detected. A stable pleural-based density is present in the right lung base, likely related to subpleural fat."
        },
        {
            "image_id": "623_2",
            "caption": "The x-ray reveals no acute abnormalities. The heart and lungs appear normal in size and clear, and there are no signs of pleural effusion or pneumothorax. Some calcifications are present in the aorta, but no active disease is detected. A stable pleural-based density is present in the right lung base, likely related to subpleural fat."
        },
        {
            "image_id": "50_1",
            "caption": "The X-ray finding shows low lung volumes with no focal airspace disease and no pleural effusions or pneumothoraces. Cardiomegaly is also visible, along with degenerative changes in the spine. Based on these findings, the impression is of cardiomegaly with low lung volumes, which are grossly clear."
        },
        {
            "image_id": "50_2",
            "caption": "The X-ray finding shows low lung volumes with no focal airspace disease and no pleural effusions or pneumothoraces. Cardiomegaly is also visible, along with degenerative changes in the spine. Based on these findings, the impression is of cardiomegaly with low lung volumes, which are grossly clear."
        },
        {
            "image_id": "810_1",
            "caption": "The X-ray examination shows a normal heart size, mediastinum and aortic contours, and normal pulmonary vascularity. The lungs are clear and there is no evidence of active cardiopulmonary disease, such as focal consolidation, visible pneumothorax or large pleural effusion. The examination did however reveal that there are scattered calcified granuloma and degenerative changes in the spine."
        },
        {
            "image_id": "810_2",
            "caption": "The X-ray examination shows a normal heart size, mediastinum and aortic contours, and normal pulmonary vascularity. The lungs are clear and there is no evidence of active cardiopulmonary disease, such as focal consolidation, visible pneumothorax or large pleural effusion. The examination did however reveal that there are scattered calcified granuloma and degenerative changes in the spine."
        },
        {
            "image_id": "2655_1",
            "caption": "Based on the interpretation of the chest X-ray image, the findings reveal a normal cardiomediastinal silhouette and clear lungs with no visible abnormalities in the soft tissues and bony structures. There are no signs of pneumothorax or pleural effusion. The impression drawn from these findings is that the chest examination appears unremarkable with no acute disease evident."
        },
        {
            "image_id": "2655_2",
            "caption": "Based on the interpretation of the chest X-ray image, the findings reveal a normal cardiomediastinal silhouette and clear lungs with no visible abnormalities in the soft tissues and bony structures. There are no signs of pneumothorax or pleural effusion. The impression drawn from these findings is that the chest examination appears unremarkable with no acute disease evident."
        },
        {
            "image_id": "2_1",
            "caption": "Borderline cardiomegaly with midline sternotomy scar. Enlarged pulmonary arteries with clear lungs. No acute pulmonary abnormalities noted on the X-ray examination. The heart is borderline enlarged with a midline sternotomy scar observed. The pulmonary arteries are mildly enlarged."
        },
        {
            "image_id": "2_2",
            "caption": "Borderline cardiomegaly with midline sternotomy scar. Enlarged pulmonary arteries with clear lungs. No acute pulmonary abnormalities noted on the X-ray examination. The heart is borderline enlarged with a midline sternotomy scar observed. The pulmonary arteries are mildly enlarged."
        },
        {
            "image_id": "2127_1",
            "caption": "The findings suggest stable postoperative changes with mild cardiomegaly and intact sternal wires. Additionally, there are small bilateral pleural effusions, but otherwise the lungs are clear. Overall, there is no acute disease found in the examination of the chest."
        },
        {
            "image_id": "2127_2",
            "caption": "The findings suggest stable postoperative changes with mild cardiomegaly and intact sternal wires. Additionally, there are small bilateral pleural effusions, but otherwise the lungs are clear. Overall, there is no acute disease found in the examination of the chest."
        },
        {
            "image_id": "3239_1",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are normal and the lungs are clear. Bony structures are intact without any acute preoperative findings."
        },
        {
            "image_id": "3239_2",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are normal and the lungs are clear. Bony structures are intact without any acute preoperative findings."
        },
        {
            "image_id": "2899_1",
            "caption": "The X-ray result reveals that the size and shape of the heart, mediastinum and pulmonary vasculature are normal. The lungs are clear and free from any signs of pneumonia, pneumothorax or pleural effusion. The bony structure is also normal. As a result, there are no active cardiopulmonary findings."
        },
        {
            "image_id": "2899_2",
            "caption": "The X-ray result reveals that the size and shape of the heart, mediastinum and pulmonary vasculature are normal. The lungs are clear and free from any signs of pneumonia, pneumothorax or pleural effusion. The bony structure is also normal. As a result, there are no active cardiopulmonary findings."
        },
        {
            "image_id": "1348_1",
            "caption": "The findings reveal that there is low lung volume with atelectasis in the left lung base, whereas the right lung demonstrates mild atelectasis. Suspected fractures of the left anterior 6th and 7th ribs are observed, and they need further evaluation to determine the acuity. Corticated deformity of the right anterior 7th rib is present, which represents an old fracture. No evidence of large pleural effusion or pneumothorax is noted. The impression suggests the need to correlate the suspected fractures with the patient's tenderness and to monitor the low lung volumes with mild atelectasis."
        },
        {
            "image_id": "1348_2",
            "caption": "The findings reveal that there is low lung volume with atelectasis in the left lung base, whereas the right lung demonstrates mild atelectasis. Suspected fractures of the left anterior 6th and 7th ribs are observed, and they need further evaluation to determine the acuity. Corticated deformity of the right anterior 7th rib is present, which represents an old fracture. No evidence of large pleural effusion or pneumothorax is noted. The impression suggests the need to correlate the suspected fractures with the patient's tenderness and to monitor the low lung volumes with mild atelectasis."
        },
        {
            "image_id": "44_1",
            "caption": "The X-ray shows that the heart, lungs, and mediastinum are normal, and there is no evidence of pleural effusion or pneumothorax. There is also no sign of pneumonia or other acute cardiopulmonary disease. This suggests that the patient's chest is in good health."
        },
        {
            "image_id": "804_1",
            "caption": "The finding shows low lung volumes, unremarkable heart size and mediastinum with increased bilateral interstitial opacity. It may be indicative of mild interstitial edema. The x-ray also shows no presence of pneumothorax or pleural effusion. Overall, no acute cardiopulmonary disease was detected in the impression."
        },
        {
            "image_id": "804_2",
            "caption": "The finding shows low lung volumes, unremarkable heart size and mediastinum with increased bilateral interstitial opacity. It may be indicative of mild interstitial edema. The x-ray also shows no presence of pneumothorax or pleural effusion. Overall, no acute cardiopulmonary disease was detected in the impression."
        },
        {
            "image_id": "3577_1",
            "caption": "The x-ray examination shows that there are no focal areas of consolidation or suspicious pulmonary opacities. The heart size is normal and there is no presence of pleural effusions or pneumothorax. Additionally, the osseous structures of the patient are intact. The impression of the examination indicates no acute cardiopulmonary abnormality, which is reassuring."
        },
        {
            "image_id": "3577_2",
            "caption": "The x-ray examination shows that there are no focal areas of consolidation or suspicious pulmonary opacities. The heart size is normal and there is no presence of pleural effusions or pneumothorax. Additionally, the osseous structures of the patient are intact. The impression of the examination indicates no acute cardiopulmonary abnormality, which is reassuring."
        },
        {
            "image_id": "1360_1",
            "caption": "The chest x-ray reveals bibasilar atelectasis, which is indicated by the opacities in both lung bases. The heart size is at the upper limits of normal, and there are no signs of pneumothorax. The impression is that there is no pneumonia, suggesting that the patient may be experiencing a mild respiratory issue that has caused the atelectasis. It is important to follow up with a healthcare provider for further evaluation and treatment if necessary."
        },
        {
            "image_id": "1360_2",
            "caption": "The chest x-ray reveals bibasilar atelectasis, which is indicated by the opacities in both lung bases. The heart size is at the upper limits of normal, and there are no signs of pneumothorax. The impression is that there is no pneumonia, suggesting that the patient may be experiencing a mild respiratory issue that has caused the atelectasis. It is important to follow up with a healthcare provider for further evaluation and treatment if necessary."
        },
        {
            "image_id": "1406_1",
            "caption": "The x-ray shows that the heart and mediastinum are unremarkable. The lungs are hyperexpanded and clear of infiltrate, effusion, or pneumothorax. The impression is that there is no acute cardiopulmonary disease detected in the x-ray image."
        },
        {
            "image_id": "1406_2",
            "caption": "The x-ray shows that the heart and mediastinum are unremarkable. The lungs are hyperexpanded and clear of infiltrate, effusion, or pneumothorax. The impression is that there is no acute cardiopulmonary disease detected in the x-ray image."
        },
        {
            "image_id": "192_1",
            "caption": "The patient has low lung volumes and mild thoracic spine degenerative changes, but there is no evidence of acute cardiopulmonary abnormality. The heart size and mediastinal contour are within normal limits, and there is no focal airspace consolidation, pneumothorax, or pleural effusion."
        },
        {
            "image_id": "192_2",
            "caption": "The patient has low lung volumes and mild thoracic spine degenerative changes, but there is no evidence of acute cardiopulmonary abnormality. The heart size and mediastinal contour are within normal limits, and there is no focal airspace consolidation, pneumothorax, or pleural effusion."
        },
        {
            "image_id": "3211_1",
            "caption": "After analyzing the X-ray image, the doctor concluded that there are small bilateral pleural effusions and possible lower thoracic deformity which is not well characterized on this study. The lungs are clear and there are atherosclerotic changes of the aorta. The heart is not grossly enlarged, and arthritic changes are visible. The doctor recommends further evaluation to understand the cause of thoracic deformity and treatment for pleural effusions."
        },
        {
            "image_id": "3211_2",
            "caption": "After analyzing the X-ray image, the doctor concluded that there are small bilateral pleural effusions and possible lower thoracic deformity which is not well characterized on this study. The lungs are clear and there are atherosclerotic changes of the aorta. The heart is not grossly enlarged, and arthritic changes are visible. The doctor recommends further evaluation to understand the cause of thoracic deformity and treatment for pleural effusions."
        },
        {
            "image_id": "3205_1",
            "caption": "The x-ray examination shows no acute abnormalities of the heart or lungs. No pneumothorax, pleural effusions, or focal airspace opacities are seen. The heart size is normal, and there are no visualized rib fractures. This x-ray image is unremarkable, indicating that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3205_2",
            "caption": "The x-ray examination shows no acute abnormalities of the heart or lungs. No pneumothorax, pleural effusions, or focal airspace opacities are seen. The heart size is normal, and there are no visualized rib fractures. This x-ray image is unremarkable, indicating that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "186_1",
            "caption": "The x-ray shows that the cardiac size, mediastinal contour, and pulmonary vascularity are all normal. There are no focal consolidations, suspicious pulmonary opacities, pleural effusions, or pneumothoraxes. Additionally, there is no evidence of abnormal radiodense foreign bodies, and the visualized osseous structures appear to be intact. Therefore, there are no acute cardiopulmonary abnormalities present according to the impression."
        },
        {
            "image_id": "186_2",
            "caption": "The x-ray shows that the cardiac size, mediastinal contour, and pulmonary vascularity are all normal. There are no focal consolidations, suspicious pulmonary opacities, pleural effusions, or pneumothoraxes. Additionally, there is no evidence of abnormal radiodense foreign bodies, and the visualized osseous structures appear to be intact. Therefore, there are no acute cardiopulmonary abnormalities present according to the impression."
        },
        {
            "image_id": "1412_1",
            "caption": "The patient has no acute cardiopulmonary disease. The lungs are clear and the heart, pulmonary vasculature, and mediastinal contours are normal. There are no pleural effusions or pneumothorax. However, bony overlap in the lung apices could obscure a small pulmonary nodule."
        },
        {
            "image_id": "1412_2",
            "caption": "The patient has no acute cardiopulmonary disease. The lungs are clear and the heart, pulmonary vasculature, and mediastinal contours are normal. There are no pleural effusions or pneumothorax. However, bony overlap in the lung apices could obscure a small pulmonary nodule."
        },
        {
            "image_id": "1374_1",
            "caption": "The patient's lungs and heart appear to be normal on the X-ray, with no signs of pneumothorax or pleural effusion. The exam revealed no acute cardiopulmonary process or abnormalities in the patient's chest."
        },
        {
            "image_id": "1374_2",
            "caption": "The patient's lungs and heart appear to be normal on the X-ray, with no signs of pneumothorax or pleural effusion. The exam revealed no acute cardiopulmonary process or abnormalities in the patient's chest."
        },
        {
            "image_id": "838_1",
            "caption": "Stable prominence of the cardiac apex, possibly from ventricular hypertrophy. Mid sternotomy wires again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with prior cholecystectomy. Dextroscoliosis of the thoracolumbar spine.  No acute cardiopulmonary abnormalities are present."
        },
        {
            "image_id": "838_2",
            "caption": "Stable prominence of the cardiac apex, possibly from ventricular hypertrophy. Mid sternotomy wires again noted. No pneumothorax, significant pulmonary edema or large pleural effusions. No focal lung consolidation. Clips in the right upper quadrant consistent with prior cholecystectomy. Dextroscoliosis of the thoracolumbar spine.  No acute cardiopulmonary abnormalities are present."
        },
        {
            "image_id": "1823_1",
            "caption": "The chest x-ray shows a normal heart size and pulmonary vasculature. However, there is a 13mm nodule in the right lower lobe that may be a granuloma. There are also right hilar calcified lymph nodes present, while the lungs are clear and there is no pleural effusion. The left ribs show no focal bony destruction or fracture. A low KV P chest radiograph is recommended for confirmation, as there are no comparison studies available. Additionally, the report has been documented for critical result notification. For any questions or concerns, please contact the healthcare provider."
        },
        {
            "image_id": "1823_2",
            "caption": "The chest x-ray shows a normal heart size and pulmonary vasculature. However, there is a 13mm nodule in the right lower lobe that may be a granuloma. There are also right hilar calcified lymph nodes present, while the lungs are clear and there is no pleural effusion. The left ribs show no focal bony destruction or fracture. A low KV P chest radiograph is recommended for confirmation, as there are no comparison studies available. Additionally, the report has been documented for critical result notification. For any questions or concerns, please contact the healthcare provider."
        },
        {
            "image_id": "409_1",
            "caption": "The chest x-ray shows interstitial markings bilaterally, consistent with the patient's history of pulmonary fibrosis. There are no signs of pneumothorax, pleural effusion or focal airspace consolidation. The cardiomediastinal size is within the upper limits of normal and the pulmonary vasculature is also normal. There are unchanged calcified granulomas present at the left greater than right hilum and in the pretracheal region. Based on the findings, the impression is that there is pulmonary fibrosis that is unchanged. It is important for the patient to follow up with their healthcare provider for further management of their condition."
        },
        {
            "image_id": "409_2",
            "caption": "The chest x-ray shows interstitial markings bilaterally, consistent with the patient's history of pulmonary fibrosis. There are no signs of pneumothorax, pleural effusion or focal airspace consolidation. The cardiomediastinal size is within the upper limits of normal and the pulmonary vasculature is also normal. There are unchanged calcified granulomas present at the left greater than right hilum and in the pretracheal region. Based on the findings, the impression is that there is pulmonary fibrosis that is unchanged. It is important for the patient to follow up with their healthcare provider for further management of their condition."
        },
        {
            "image_id": "2494_1",
            "caption": "The chest x-ray shows that the heart is mildly enlarged, but there is no acute cardiopulmonary disease observed. The pulmonary and mediastinal regions are within normal limits, and there is no evidence of pneumothorax or pleural effusion. However, mild degenerative changes of the spine and extensive vascular calcifications are present. Additionally, a calcified granuloma is seen in the mid-left lung. The impression states that cardiomegaly is observed without acute disease."
        },
        {
            "image_id": "2494_2",
            "caption": "The chest x-ray shows that the heart is mildly enlarged, but there is no acute cardiopulmonary disease observed. The pulmonary and mediastinal regions are within normal limits, and there is no evidence of pneumothorax or pleural effusion. However, mild degenerative changes of the spine and extensive vascular calcifications are present. Additionally, a calcified granuloma is seen in the mid-left lung. The impression states that cardiomegaly is observed without acute disease."
        },
        {
            "image_id": "3952_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart appears mildly enlarged, but no acute cardiopulmonary abnormalities are noted. The elevation of the right hemidiaphragm remains unchanged from prior images. There is no evidence of pneumothorax, pleural effusion or focal airspace consolidation. However, mild degenerative changes are seen throughout the thoracic spine. The impression suggests mild cardiomegaly, but no acute cardiopulmonary abnormality is observed."
        },
        {
            "image_id": "3952_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart appears mildly enlarged, but no acute cardiopulmonary abnormalities are noted. The elevation of the right hemidiaphragm remains unchanged from prior images. There is no evidence of pneumothorax, pleural effusion or focal airspace consolidation. However, mild degenerative changes are seen throughout the thoracic spine. The impression suggests mild cardiomegaly, but no acute cardiopulmonary abnormality is observed."
        },
        {
            "image_id": "2480_1",
            "caption": "The chest x-ray shows no sign of acute abnormality in the heart, lungs, or pleural area. The heart is normal in size and contour. The lungs are clear bilaterally without any focal opacity, large pleural effusion, or pneumothorax. The mediastinal widening is absent. Overall, the test result is normal, and the person has no acute cardiopulmonary disease."
        },
        {
            "image_id": "2480_2",
            "caption": "The chest x-ray shows no sign of acute abnormality in the heart, lungs, or pleural area. The heart is normal in size and contour. The lungs are clear bilaterally without any focal opacity, large pleural effusion, or pneumothorax. The mediastinal widening is absent. Overall, the test result is normal, and the person has no acute cardiopulmonary disease."
        },
        {
            "image_id": "3946_1",
            "caption": "The chest X-ray shows no evidence of acute cardiopulmonary disease. The heart size and mediastinal contour are normal, and there are no focal areas of consolidation or suspicious pulmonary opacities. There are no pleural effusions or pneumothorax, and the osseous structures appear intact. The impression is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3946_2",
            "caption": "The chest X-ray shows no evidence of acute cardiopulmonary disease. The heart size and mediastinal contour are normal, and there are no focal areas of consolidation or suspicious pulmonary opacities. There are no pleural effusions or pneumothorax, and the osseous structures appear intact. The impression is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1189_1",
            "caption": "Upon examination, normal heart size and hilar vascular markings were noted, along with prior evidence of granulomatous disease. The lungs were clear without any signs of consolidation, effusion, or pneumothorax. There were mild degenerative changes seen in the thoracic spine while no acute osseous abnormalities were present. Lastly, the soft tissues were within normal limits. In conclusion, there was no acute cardiopulmonary process observed during the examination."
        },
        {
            "image_id": "1189_2",
            "caption": "Upon examination, normal heart size and hilar vascular markings were noted, along with prior evidence of granulomatous disease. The lungs were clear without any signs of consolidation, effusion, or pneumothorax. There were mild degenerative changes seen in the thoracic spine while no acute osseous abnormalities were present. Lastly, the soft tissues were within normal limits. In conclusion, there was no acute cardiopulmonary process observed during the examination."
        },
        {
            "image_id": "1837_1",
            "caption": "The X-ray shows that the heart is normal in size and shape, and the lungs are clear without any signs of infiltration. There is no evidence of pneumothorax or effusion, indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "353_1",
            "caption": "A chest examination was obtained, which shows improvement in bilateral pulmonary edema with mild residual. A minimal right-sided pleural effusion is also observed. Calcified mediastinal lymph nodes are present, but the heart silhouette is not enlarged, and there is no evidence of pneumothorax. In conclusion, there is an improving bilateral interstitial edema pattern, and a small right-sided pleural effusion is present."
        },
        {
            "image_id": "353_2",
            "caption": "A chest examination was obtained, which shows improvement in bilateral pulmonary edema with mild residual. A minimal right-sided pleural effusion is also observed. Calcified mediastinal lymph nodes are present, but the heart silhouette is not enlarged, and there is no evidence of pneumothorax. In conclusion, there is an improving bilateral interstitial edema pattern, and a small right-sided pleural effusion is present."
        },
        {
            "image_id": "435_1",
            "caption": "The chest x-ray shows no abnormality. The lungs are clear with no signs of pneumothorax or pleural effusion. The heart and mediastinum are within normal limits, and bony structures are intact. The impression states that there is no acute cardiopulmonary process, indicating a normal result."
        },
        {
            "image_id": "435_2",
            "caption": "The chest x-ray shows no abnormality. The lungs are clear with no signs of pneumothorax or pleural effusion. The heart and mediastinum are within normal limits, and bony structures are intact. The impression states that there is no acute cardiopulmonary process, indicating a normal result."
        },
        {
            "image_id": "347_1",
            "caption": "The patient has clear lungs with no acute cardiopulmonary disease. The cardiac and mediastinal contours are normal and the pulmonary vascularity is within normal limits. There are no focal air space opacities, pleural effusion or pneumothorax. The imaging also shows some minimal degenerative changes of the thoracic spine and evidence of chronic granulomatous disease."
        },
        {
            "image_id": "347_2",
            "caption": "The patient has clear lungs with no acute cardiopulmonary disease. The cardiac and mediastinal contours are normal and the pulmonary vascularity is within normal limits. There are no focal air space opacities, pleural effusion or pneumothorax. The imaging also shows some minimal degenerative changes of the thoracic spine and evidence of chronic granulomatous disease."
        },
        {
            "image_id": "1638_1",
            "caption": "The x-ray image shows cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion was identified, and there were no acute bony abnormalities seen. Although the study is somewhat limited by body habitus, the findings suggest developing cardiopulmonary abnormalities that may require further evaluation and management."
        },
        {
            "image_id": "1638_2",
            "caption": "The x-ray image shows cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion was identified, and there were no acute bony abnormalities seen. Although the study is somewhat limited by body habitus, the findings suggest developing cardiopulmonary abnormalities that may require further evaluation and management."
        },
        {
            "image_id": "1638_3",
            "caption": "The x-ray image shows cardiomegaly with central pulmonary vascular prominence and coarsened interstitial markings, suspicious for interstitial pulmonary edema. No focal consolidation, pneumothorax, or definite effusion was identified, and there were no acute bony abnormalities seen. Although the study is somewhat limited by body habitus, the findings suggest developing cardiopulmonary abnormalities that may require further evaluation and management."
        },
        {
            "image_id": "2331_1",
            "caption": "The X-ray report shows that the heart is near the top limit of normal size, with tortuosity of the aorta and symmetric pulmonary vascular markings. Low lung volumes  consistent with focal atelectasis are observed, but no evidence of pleural effusion or pneumothorax is found. Degenerative changes in thoracic spine and thoracic kyphosis are also identified."
        },
        {
            "image_id": "2457_1",
            "caption": "The radiographs of the chest are normal, including the lungs, pleura, osseous structures, and visualized upper abdomen. The chest radiographs are unremarkable - no abnormality observed in the x-ray images."
        },
        {
            "image_id": "2457_2",
            "caption": "The radiographs of the chest are normal, including the lungs, pleura, osseous structures, and visualized upper abdomen. The chest radiographs are unremarkable - no abnormality observed in the x-ray images."
        },
        {
            "image_id": "3991_1",
            "caption": "The X-ray shows that the heart size and shape is normal with clear lungs and spondylosis. There are no signs of any preoperative condition, thus the patient's preoperative health is good."
        },
        {
            "image_id": "3991_2",
            "caption": "The X-ray shows that the heart size and shape is normal with clear lungs and spondylosis. There are no signs of any preoperative condition, thus the patient's preoperative health is good."
        },
        {
            "image_id": "3749_1",
            "caption": "The chest x-ray shows clear lungs bilaterally, normal cardiac and mediastinal silhouettes and normal pulmonary vasculature. The x-ray does not show any signs of pneumothorax or pleural effusion, and there are no acute bony abnormalities. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3749_2",
            "caption": "The chest x-ray shows clear lungs bilaterally, normal cardiac and mediastinal silhouettes and normal pulmonary vasculature. The x-ray does not show any signs of pneumothorax or pleural effusion, and there are no acute bony abnormalities. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2443_1",
            "caption": "The x-ray examination shows that the heart and pulmonary vascularity are normal, and there are no focal airspace diseases, pleural effusion, or pneumothorax. However, there is vascular calcification noted. The impression suggests no evidence of active disease based on the findings."
        },
        {
            "image_id": "2443_2",
            "caption": "The x-ray examination shows that the heart and pulmonary vascularity are normal, and there are no focal airspace diseases, pleural effusion, or pneumothorax. However, there is vascular calcification noted. The impression suggests no evidence of active disease based on the findings."
        },
        {
            "image_id": "3985_1",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormalities. The heart size and pulmonary vasculature are normal, and there are no signs of pneumothorax, pleural effusion or airspace consolidation. However, a calcified granuloma is present in the anterior left lower lobe."
        },
        {
            "image_id": "3985_2",
            "caption": "The chest X-ray shows no signs of acute cardiopulmonary abnormalities. The heart size and pulmonary vasculature are normal, and there are no signs of pneumothorax, pleural effusion or airspace consolidation. However, a calcified granuloma is present in the anterior left lower lobe."
        },
        {
            "image_id": "3013_1",
            "caption": "The chest x-ray shows probable mild cardiomegaly, without evidence of acute failure. The cardiac silhouette is mildly enlarged. However, there is no evidence of pulmonary edema. Also, the lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. The pulmonary vasculature appears normal in caliber. This indicates that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "3013_2",
            "caption": "The chest x-ray shows probable mild cardiomegaly, without evidence of acute failure. The cardiac silhouette is mildly enlarged. However, there is no evidence of pulmonary edema. Also, the lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion. The pulmonary vasculature appears normal in caliber. This indicates that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "390_1",
            "caption": "The chest X-ray shows a normal heart size and vascularity, with no focal airspace disease or effusion. There is mild tortuosity of the aorta and degenerative change of the spine noted. The impression is of no acute cardiopulmonary process."
        },
        {
            "image_id": "390_2",
            "caption": "The chest X-ray shows a normal heart size and vascularity, with no focal airspace disease or effusion. There is mild tortuosity of the aorta and degenerative change of the spine noted. The impression is of no acute cardiopulmonary process."
        },
        {
            "image_id": "3775_1",
            "caption": "The X-ray shows no focal lung consolidation. Normal heart size and pulmonary vascularity indicate no acute cardiopulmonary process. No pneumothorax or pleural effusion is present. Osseous structures are grossly intact."
        },
        {
            "image_id": "3775_2",
            "caption": "The X-ray shows no focal lung consolidation. Normal heart size and pulmonary vascularity indicate no acute cardiopulmonary process. No pneumothorax or pleural effusion is present. Osseous structures are grossly intact."
        },
        {
            "image_id": "3761_1",
            "caption": "The X-ray shows a mildly enlarged heart with tortuous aorta, and mild degenerative changes of the spine. However, there is no evidence of acute process as the lungs are normally inflated and clear. The impression is that these are chronic changes without acute process."
        },
        {
            "image_id": "3761_2",
            "caption": "The X-ray shows a mildly enlarged heart with tortuous aorta, and mild degenerative changes of the spine. However, there is no evidence of acute process as the lungs are normally inflated and clear. The impression is that these are chronic changes without acute process."
        },
        {
            "image_id": "1176_1",
            "caption": "The radiograph shows no acute pulmonary abnormality, with the lungs, pleural spaces, heart size and pulmonary vascularity within normal limits. This indicates an absence of any current disease or condition that could affect the functioning of the lungs or heart."
        },
        {
            "image_id": "1176_2",
            "caption": "The radiograph shows no acute pulmonary abnormality, with the lungs, pleural spaces, heart size and pulmonary vascularity within normal limits. This indicates an absence of any current disease or condition that could affect the functioning of the lungs or heart."
        },
        {
            "image_id": "1610_1",
            "caption": "The heart and lungs appear normal without any significant changes from the previous examination. Both lungs are clear and expanded indicating no signs of acute abnormality. Based on the x-ray image obtained, there is no active disease present in the patient at the time of examination."
        },
        {
            "image_id": "1610_2",
            "caption": "The heart and lungs appear normal without any significant changes from the previous examination. Both lungs are clear and expanded indicating no signs of acute abnormality. Based on the x-ray image obtained, there is no active disease present in the patient at the time of examination."
        },
        {
            "image_id": "1610_3",
            "caption": "The heart and lungs appear normal without any significant changes from the previous examination. Both lungs are clear and expanded indicating no signs of acute abnormality. Based on the x-ray image obtained, there is no active disease present in the patient at the time of examination."
        },
        {
            "image_id": "2286_1",
            "caption": "The X-ray shows chronic-appearing opacities which represent emphysema. Additionally, the heart size is normal and there are no large pleural effusions, pneumothorax or focal airspace opacities. Thus, there are no acute cardiopulmonary abnormalities present in the X-ray image."
        },
        {
            "image_id": "2286_2",
            "caption": "The X-ray shows chronic-appearing opacities which represent emphysema. Additionally, the heart size is normal and there are no large pleural effusions, pneumothorax or focal airspace opacities. Thus, there are no acute cardiopulmonary abnormalities present in the X-ray image."
        },
        {
            "image_id": "1957_1",
            "caption": "The x-ray shows bilateral pleural effusions, with the right side being larger than the left, and abnormal opacities in the adjacent lung bases. The pulmonary opacities could be due to different possibilities, including infection, aspiration, and atypical distribution pulmonary edema. There is limited assessment of heart size due to obscured margins, and the mediastinal contours appear stable. The impression suggests the need for a further diagnosis to determine the cause of the observed abnormalities."
        },
        {
            "image_id": "1957_2",
            "caption": "The x-ray shows bilateral pleural effusions, with the right side being larger than the left, and abnormal opacities in the adjacent lung bases. The pulmonary opacities could be due to different possibilities, including infection, aspiration, and atypical distribution pulmonary edema. There is limited assessment of heart size due to obscured margins, and the mediastinal contours appear stable. The impression suggests the need for a further diagnosis to determine the cause of the observed abnormalities."
        },
        {
            "image_id": "3826_1",
            "caption": "On examination of the x-ray, it was found that the heart size and cardiomediastinal contours were normal. Lungs appeared clear without any abnormality such as pleural effusion, pneumothorax or focal air space opacity. Further, osseous structures were found to be intact. The impression derived from the results was negative for acute cardiopulmonary findings which is a good sign indicating no severe pulmonary or cardiac ailment."
        },
        {
            "image_id": "3826_2",
            "caption": "On examination of the x-ray, it was found that the heart size and cardiomediastinal contours were normal. Lungs appeared clear without any abnormality such as pleural effusion, pneumothorax or focal air space opacity. Further, osseous structures were found to be intact. The impression derived from the results was negative for acute cardiopulmonary findings which is a good sign indicating no severe pulmonary or cardiac ailment."
        },
        {
            "image_id": "3832_1",
            "caption": "The lungs are clear with no pleural effusion or pneumothorax. The heart is not enlarged. Calcified mediastinal lymph nodes are present. The skeletal structures are normal. No acute pulmonary disease. The presence of calcified mediastinal lymph nodes warrants further investigation. Consult your healthcare provider for further evaluation."
        },
        {
            "image_id": "3832_2",
            "caption": "The lungs are clear with no pleural effusion or pneumothorax. The heart is not enlarged. Calcified mediastinal lymph nodes are present. The skeletal structures are normal. No acute pulmonary disease. The presence of calcified mediastinal lymph nodes warrants further investigation. Consult your healthcare provider for further evaluation."
        },
        {
            "image_id": "569_1",
            "caption": "The X-ray shows that the heart and pulmonary vascularity are normal. There is no pleural effusion or pneumothorax. The left hemidiaphragm remains elevated, and there are right base densities that have improved. There are post-op changes, and surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. There are extensive right pleural densities that may represent thickening or localized fluid. Although it could represent air-fluid within a loop of bowel, a subpulmonic process is a consideration. If clinically indicated, CT scan would better define this."
        },
        {
            "image_id": "569_2",
            "caption": "The X-ray shows that the heart and pulmonary vascularity are normal. There is no pleural effusion or pneumothorax. The left hemidiaphragm remains elevated, and there are right base densities that have improved. There are post-op changes, and surgical clips and suture lines are noted in the mediastinum. An air-fluid level is seen in the upper right abdomen immediately below the right hemidiaphragm. There are extensive right pleural densities that may represent thickening or localized fluid. Although it could represent air-fluid within a loop of bowel, a subpulmonic process is a consideration. If clinically indicated, CT scan would better define this."
        },
        {
            "image_id": "1943_1",
            "caption": "The x-ray shows that the heart, lungs, and bony thorax are normal but there are multiple calcified granulomas present bilaterally. These are most likely due to a granulomatous process. No signs of infiltration or consolidation are observed."
        },
        {
            "image_id": "1943_2",
            "caption": "The x-ray shows that the heart, lungs, and bony thorax are normal but there are multiple calcified granulomas present bilaterally. These are most likely due to a granulomatous process. No signs of infiltration or consolidation are observed."
        },
        {
            "image_id": "2292_1",
            "caption": "The patient's x-ray showed clear lungs with no signs of focal consolidation, pleural effusion, or pneumothorax. The cardiopulmonary silhouette was within normal limits. The impression is that there is no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "2292_2",
            "caption": "The patient's x-ray showed clear lungs with no signs of focal consolidation, pleural effusion, or pneumothorax. The cardiopulmonary silhouette was within normal limits. The impression is that there is no acute cardiopulmonary abnormality found in the x-ray."
        },
        {
            "image_id": "227_1",
            "caption": "The x-ray shows an enlarged heart with prominence in the central pulmonary vasculature. There is mild interstitial edema noted in the lung bases, along with bilateral pleural effusions. No focal consolidation or pneumothoraxes are seen. The soft tissues appear normal. The impression suggests the presence of cardiomegaly with pulmonary interstitial edema and bilateral pleural effusions. It is recommended to discuss the findings with a physician for further evaluation and treatment."
        },
        {
            "image_id": "227_2",
            "caption": "The x-ray shows an enlarged heart with prominence in the central pulmonary vasculature. There is mild interstitial edema noted in the lung bases, along with bilateral pleural effusions. No focal consolidation or pneumothoraxes are seen. The soft tissues appear normal. The impression suggests the presence of cardiomegaly with pulmonary interstitial edema and bilateral pleural effusions. It is recommended to discuss the findings with a physician for further evaluation and treatment."
        },
        {
            "image_id": "227_3",
            "caption": "The x-ray shows an enlarged heart with prominence in the central pulmonary vasculature. There is mild interstitial edema noted in the lung bases, along with bilateral pleural effusions. No focal consolidation or pneumothoraxes are seen. The soft tissues appear normal. The impression suggests the presence of cardiomegaly with pulmonary interstitial edema and bilateral pleural effusions. It is recommended to discuss the findings with a physician for further evaluation and treatment."
        },
        {
            "image_id": "541_1",
            "caption": "The x-ray shows no acute abnormality in the cardiovascular or pulmonary system. No pleural effusion or pneumothorax is found. However, there is mild age-indeterminate anterior wedging of a lower thoracic or upper lumbar vertebra along with mild degenerative changes at the thoracolumbar junction. Old left-sided rib fractures consistent with the deformities are also observed. Further evaluation is suggested for the focal tenderness and correlation with prior imaging if possible, but no immediate medical attention is necessary."
        },
        {
            "image_id": "555_1",
            "caption": "The x-ray image shows a normal heart size with no acute cardiopulmonary findings. There are no signs of pneumothorax, effusion or airspace consolidations. Mild degenerative changes in the midthoracic spine are observed."
        },
        {
            "image_id": "233_1",
            "caption": "The x-ray image shows an atrial septal occluder artifact and a rotated frontal position, however, the heart size appears to be normal and there are no typical findings of pulmonary edema. There are certain abnormalities present in the left and right base, which could be a result of scarring or subsegmental atelectasis. Additionally, there seems to be a small right pleural effusion with focal posterior right hemidiaphragm elevation and obscured right costophrenic angles. There is also chronic-appearing right 5th rib contour deformity. No pneumothorax is observed in the x-ray. Further evaluation may be required to better understand these concerns."
        },
        {
            "image_id": "233_2",
            "caption": "The x-ray image shows an atrial septal occluder artifact and a rotated frontal position, however, the heart size appears to be normal and there are no typical findings of pulmonary edema. There are certain abnormalities present in the left and right base, which could be a result of scarring or subsegmental atelectasis. Additionally, there seems to be a small right pleural effusion with focal posterior right hemidiaphragm elevation and obscured right costophrenic angles. There is also chronic-appearing right 5th rib contour deformity. No pneumothorax is observed in the x-ray. Further evaluation may be required to better understand these concerns."
        },
        {
            "image_id": "233_3",
            "caption": "The x-ray image shows an atrial septal occluder artifact and a rotated frontal position, however, the heart size appears to be normal and there are no typical findings of pulmonary edema. There are certain abnormalities present in the left and right base, which could be a result of scarring or subsegmental atelectasis. Additionally, there seems to be a small right pleural effusion with focal posterior right hemidiaphragm elevation and obscured right costophrenic angles. There is also chronic-appearing right 5th rib contour deformity. No pneumothorax is observed in the x-ray. Further evaluation may be required to better understand these concerns."
        },
        {
            "image_id": "1994_1",
            "caption": "The x-ray shows no acute abnormality. The lungs, heart, mediastinal contours, and pulmonary vasculature appear normal. There is no evidence of pneumothorax, pleural effusion or bony thorax injury. The findings suggest the absence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1994_2",
            "caption": "The x-ray shows no acute abnormality. The lungs, heart, mediastinal contours, and pulmonary vasculature appear normal. There is no evidence of pneumothorax, pleural effusion or bony thorax injury. The findings suggest the absence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2245_1",
            "caption": "The x-ray results show that there are no acute abnormalities in the cardiopulmonary area. The cardiomedistinal silhouettes and pulmonary vasculature are normal. There is no pleural effusion or consolidation, and the bony thorax appears to be intact. The results imply that the individual has a healthy cardiopulmonary system."
        },
        {
            "image_id": "2245_2",
            "caption": "The x-ray results show that there are no acute abnormalities in the cardiopulmonary area. The cardiomedistinal silhouettes and pulmonary vasculature are normal. There is no pleural effusion or consolidation, and the bony thorax appears to be intact. The results imply that the individual has a healthy cardiopulmonary system."
        },
        {
            "image_id": "2523_1",
            "caption": "The X-ray shows no acute cardiopulmonary abnormalities. The heart size is within normal limits and there is no focal alveolar consolidation, pleural effusion, or pneumothorax seen. The findings do not show typical features of pulmonary edema."
        },
        {
            "image_id": "2523_2",
            "caption": "The X-ray shows no acute cardiopulmonary abnormalities. The heart size is within normal limits and there is no focal alveolar consolidation, pleural effusion, or pneumothorax seen. The findings do not show typical features of pulmonary edema."
        },
        {
            "image_id": "2537_1",
            "caption": "The x-ray image shows no significant changes in the heart or lungs. There is a right apical calcified granuloma; otherwise, the mediastinal contour and vasculature, central airways, and lung aeration is normal. There are patches of bibasal atelectasis or scarring, but no pleural effusion or pneumothorax. The impression is that there may be right basal pneumonia, and the chronic interstitial pattern could reflect COPD. If you have any concerns, please consult your doctor for further advice."
        },
        {
            "image_id": "2537_2",
            "caption": "The x-ray image shows no significant changes in the heart or lungs. There is a right apical calcified granuloma; otherwise, the mediastinal contour and vasculature, central airways, and lung aeration is normal. There are patches of bibasal atelectasis or scarring, but no pleural effusion or pneumothorax. The impression is that there may be right basal pneumonia, and the chronic interstitial pattern could reflect COPD. If you have any concerns, please consult your doctor for further advice."
        },
        {
            "image_id": "2251_1",
            "caption": "The x-ray shows that the heart is of normal size and the mediastinum is unremarkable. The lungs are found to be clear with no acute disease detected."
        },
        {
            "image_id": "1980_1",
            "caption": "The X-ray indicates that there is no acute cardiopulmonary abnormality. Specifically, the lungs are clear bilaterally with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax are without acute abnormality."
        },
        {
            "image_id": "1980_2",
            "caption": "The X-ray indicates that there is no acute cardiopulmonary abnormality. Specifically, the lungs are clear bilaterally with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette is unremarkable, and the visualized osseous structures of the thorax are without acute abnormality."
        },
        {
            "image_id": "1758_1",
            "caption": "The finding shows a normal heart size with mediastinal contours within normal limits. Mild prominence of the superior mediastinum is seen, but it's not a cause for concern as it reflects mediastinal and vascular structures. No pleural effusion is noted, and there is no focal consolidation. The impression is suggestive of hypoinflation without acute parenchymal infiltrate and mild mediastinal prominence, which may be related to superimposed tissue and mediastinal fat. If you have any questions or concerns, please consult your doctor."
        },
        {
            "image_id": "1758_2",
            "caption": "The finding shows a normal heart size with mediastinal contours within normal limits. Mild prominence of the superior mediastinum is seen, but it's not a cause for concern as it reflects mediastinal and vascular structures. No pleural effusion is noted, and there is no focal consolidation. The impression is suggestive of hypoinflation without acute parenchymal infiltrate and mild mediastinal prominence, which may be related to superimposed tissue and mediastinal fat. If you have any questions or concerns, please consult your doctor."
        },
        {
            "image_id": "2279_1",
            "caption": "This finding indicates that the heart is larger than normal, and there may be some blockage or narrowing in the aorta leading from the heart. Some patchy areas of haziness are observed in the lung bases, possibly due to collapsed air sacs (atelectasis) or mild infection. However, there are no visible nodules or masses that may suggest cancer or other severe illness. The finding also suggests that there is no presence of air or fluid collection around the lungs or in the abdomen. It is advisable to discuss the findings with a healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "2279_2",
            "caption": "This finding indicates that the heart is larger than normal, and there may be some blockage or narrowing in the aorta leading from the heart. Some patchy areas of haziness are observed in the lung bases, possibly due to collapsed air sacs (atelectasis) or mild infection. However, there are no visible nodules or masses that may suggest cancer or other severe illness. The finding also suggests that there is no presence of air or fluid collection around the lungs or in the abdomen. It is advisable to discuss the findings with a healthcare provider for further evaluation and treatment."
        },
        {
            "image_id": "3167_1",
            "caption": "The x-ray image shows clear lungs bilaterally, with no signs of pneumothorax or pleural effusion. The cardiac and mediastinal silhouettes appear normal, and there is no acute abnormality in the bony structures. Pulmonary vasculature is within normal limits. The impression is that there is no acute cardiopulmonary abnormality observed in the x-ray image."
        },
        {
            "image_id": "3167_2",
            "caption": "The x-ray image shows clear lungs bilaterally, with no signs of pneumothorax or pleural effusion. The cardiac and mediastinal silhouettes appear normal, and there is no acute abnormality in the bony structures. Pulmonary vasculature is within normal limits. The impression is that there is no acute cardiopulmonary abnormality observed in the x-ray image."
        },
        {
            "image_id": "1770_1",
            "caption": "The patient's X-ray results show clear lungs with no signs of pneumothorax or pleural effusion. The cardiac contours are normal and there is no evidence of acute fracture-dislocations or bony erosions. The right foot redemonstrates transmetatarsal amputation and there is no indication of any osseous infections. Overall, the patient has no acute cardiopulmonary abnormalities and no evidence of bony erosions or osseous infections in the foot."
        },
        {
            "image_id": "1770_2",
            "caption": "The patient's X-ray results show clear lungs with no signs of pneumothorax or pleural effusion. The cardiac contours are normal and there is no evidence of acute fracture-dislocations or bony erosions. The right foot redemonstrates transmetatarsal amputation and there is no indication of any osseous infections. Overall, the patient has no acute cardiopulmonary abnormalities and no evidence of bony erosions or osseous infections in the foot."
        },
        {
            "image_id": "582_1",
            "caption": "The chest X-ray image shows no acute abnormalities. Specifically, the cardiomediastinal silhouette, pulmonary vasculature, and lungs appear normal with no evidence of pneumothorax or pleural effusion. Additionally, there are no acute osseous findings. The impression is that there are no acute cardiopulmonary abnormalities present in the X-ray."
        },
        {
            "image_id": "582_2",
            "caption": "The chest X-ray image shows no acute abnormalities. Specifically, the cardiomediastinal silhouette, pulmonary vasculature, and lungs appear normal with no evidence of pneumothorax or pleural effusion. Additionally, there are no acute osseous findings. The impression is that there are no acute cardiopulmonary abnormalities present in the X-ray."
        },
        {
            "image_id": "3601_1",
            "caption": "The chest x-ray shows that the heart and pulmonary vascularity are within normal limits. There are no signs of airspace disease, pleural effusion, or pneumothorax. However, a large hiatal hernia is present. The spine shows signs of osteopenia and degenerative changes, and there is vascular calcification. The right shoulder also shows degenerative changes. Overall, the lungs are clear. If you have any concerns regarding the large hiatal hernia, please consult with your healthcare provider."
        },
        {
            "image_id": "3601_2",
            "caption": "The chest x-ray shows that the heart and pulmonary vascularity are within normal limits. There are no signs of airspace disease, pleural effusion, or pneumothorax. However, a large hiatal hernia is present. The spine shows signs of osteopenia and degenerative changes, and there is vascular calcification. The right shoulder also shows degenerative changes. Overall, the lungs are clear. If you have any concerns regarding the large hiatal hernia, please consult with your healthcare provider."
        },
        {
            "image_id": "596_1",
            "caption": "The chest X-ray revealed a normal heart and mediastinum. The right chest tip was located in the mid superior vena cava, and no pneumothorax was seen. The lungs were clear, indicating no acute disease."
        },
        {
            "image_id": "596_2",
            "caption": "The chest X-ray revealed a normal heart and mediastinum. The right chest tip was located in the mid superior vena cava, and no pneumothorax was seen. The lungs were clear, indicating no acute disease."
        },
        {
            "image_id": "1764_1",
            "caption": "The patient's x-ray reveals clear lungs and no evidence of pleural effusions or pneumothoraces. The heart and mediastinum appear normal in size and contour, and old left rib fractures are present. The impression is that the lungs are clear without suspicious pulmonary nodules or masses."
        },
        {
            "image_id": "3173_1",
            "caption": "The chest X-ray shows a normal heart size and clear lungs with no signs of pneumothorax. There is no acute cardiopulmonary abnormality detected on the X-ray."
        },
        {
            "image_id": "3173_2",
            "caption": "The chest X-ray shows a normal heart size and clear lungs with no signs of pneumothorax. There is no acute cardiopulmonary abnormality detected on the X-ray."
        },
        {
            "image_id": "2084_1",
            "caption": "The X-ray shows the mediport placement with venous catheter tip on the left chest wall. The cardiac contours are normal, and there are no signs of pneumothorax or pleural effusions. The lungs are clear on both sides. The thoracic and lumbar spine show areas of sclerosis throughout, and there are pathologic fractures seen at T5 and L2. Additionally, the left venous catheter is seen in SVC. Overall, the findings suggest the need for further evaluation and management of the pathologic fractures."
        },
        {
            "image_id": "2084_2",
            "caption": "The X-ray shows the mediport placement with venous catheter tip on the left chest wall. The cardiac contours are normal, and there are no signs of pneumothorax or pleural effusions. The lungs are clear on both sides. The thoracic and lumbar spine show areas of sclerosis throughout, and there are pathologic fractures seen at T5 and L2. Additionally, the left venous catheter is seen in SVC. Overall, the findings suggest the need for further evaluation and management of the pathologic fractures."
        },
        {
            "image_id": "2084_3",
            "caption": "The X-ray shows the mediport placement with venous catheter tip on the left chest wall. The cardiac contours are normal, and there are no signs of pneumothorax or pleural effusions. The lungs are clear on both sides. The thoracic and lumbar spine show areas of sclerosis throughout, and there are pathologic fractures seen at T5 and L2. Additionally, the left venous catheter is seen in SVC. Overall, the findings suggest the need for further evaluation and management of the pathologic fractures."
        },
        {
            "image_id": "2084_4",
            "caption": "The X-ray shows the mediport placement with venous catheter tip on the left chest wall. The cardiac contours are normal, and there are no signs of pneumothorax or pleural effusions. The lungs are clear on both sides. The thoracic and lumbar spine show areas of sclerosis throughout, and there are pathologic fractures seen at T5 and L2. Additionally, the left venous catheter is seen in SVC. Overall, the findings suggest the need for further evaluation and management of the pathologic fractures."
        },
        {
            "image_id": "2090_1",
            "caption": "The cardiomediastinal silhouette is normal, and there is no evidence of focal consolidation, pneumothorax or large pleural effusion. Additionally, there is no acute bone abnormality. The results are negative. No cardiopulmonary abnormalities were found on the X-ray."
        },
        {
            "image_id": "2090_2",
            "caption": "The cardiomediastinal silhouette is normal, and there is no evidence of focal consolidation, pneumothorax or large pleural effusion. Additionally, there is no acute bone abnormality. The results are negative. No cardiopulmonary abnormalities were found on the X-ray."
        },
        {
            "image_id": "1599_1",
            "caption": "The x-ray shows a normal heart size, mediastinal and aortic contours with clear lungs and no acute pulmonary abnormality. Atherosclerotic calcifications were identified within the aortic. Osteophytes were noted within the thoracic spine. Overall, there is no evidence of active cardiopulmonary disease present."
        },
        {
            "image_id": "1599_2",
            "caption": "The x-ray shows a normal heart size, mediastinal and aortic contours with clear lungs and no acute pulmonary abnormality. Atherosclerotic calcifications were identified within the aortic. Osteophytes were noted within the thoracic spine. Overall, there is no evidence of active cardiopulmonary disease present."
        },
        {
            "image_id": "757_1",
            "caption": "The x-ray shows normal heart size and clear lungs with no visible air space consolidations, pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged and pulmonary vascularity is normal. Additionally, there are stable postsurgical changes of the lower cervical spine. Overall, there is no acute abnormality seen in the x-ray image."
        },
        {
            "image_id": "757_2",
            "caption": "The x-ray shows normal heart size and clear lungs with no visible air space consolidations, pleural effusions or pneumothoraces. The hilar and mediastinal contours are unchanged and pulmonary vascularity is normal. Additionally, there are stable postsurgical changes of the lower cervical spine. Overall, there is no acute abnormality seen in the x-ray image."
        },
        {
            "image_id": "964_1",
            "caption": "Based on the findings of the X-ray, the heart size is now normal and the pulmonary features are normal with clear and expanded lungs. The impression is that there is a resolution of cardiomegaly and no active disease diagnosed at the moment."
        },
        {
            "image_id": "964_2",
            "caption": "Based on the findings of the X-ray, the heart size is now normal and the pulmonary features are normal with clear and expanded lungs. The impression is that there is a resolution of cardiomegaly and no active disease diagnosed at the moment."
        },
        {
            "image_id": "2721_1",
            "caption": "The patient has an upper limit of normal heart size and scattered calcified granulomas. No significant issues are observed in the lungs such as airspace consolidation, pleural effusion or pneumothorax. The patient exhibits tortuous and unfolded descending aorta. The thoracic spine has multiple degenerative changes with some anterior loss. Overall, this suggests that the patient has chronic changes but no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2721_2",
            "caption": "The patient has an upper limit of normal heart size and scattered calcified granulomas. No significant issues are observed in the lungs such as airspace consolidation, pleural effusion or pneumothorax. The patient exhibits tortuous and unfolded descending aorta. The thoracic spine has multiple degenerative changes with some anterior loss. Overall, this suggests that the patient has chronic changes but no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3359_1",
            "caption": "On examination, heart size and pulmonary vasculature appear normal. No evidence of any focal consolidation, pneumothorax, or pleural effusion in lungs. Overall, no acute abnormality detected in cardiopulmonary functions from the X-Ray."
        },
        {
            "image_id": "3359_2",
            "caption": "On examination, heart size and pulmonary vasculature appear normal. No evidence of any focal consolidation, pneumothorax, or pleural effusion in lungs. Overall, no acute abnormality detected in cardiopulmonary functions from the X-Ray."
        },
        {
            "image_id": "3359_3",
            "caption": "On examination, heart size and pulmonary vasculature appear normal. No evidence of any focal consolidation, pneumothorax, or pleural effusion in lungs. Overall, no acute abnormality detected in cardiopulmonary functions from the X-Ray."
        },
        {
            "image_id": "3359_4",
            "caption": "On examination, heart size and pulmonary vasculature appear normal. No evidence of any focal consolidation, pneumothorax, or pleural effusion in lungs. Overall, no acute abnormality detected in cardiopulmonary functions from the X-Ray."
        },
        {
            "image_id": "2047_1",
            "caption": "The patient's radiograph shows a large calcified granuloma in the right lower lobe; however, it is unchanged from previous imaging. There is no pneumothorax or pleural effusion, and the heart size is normal. The lungs are clear with no focal airspace opacification. The impression is that there are no acute cardiopulmonary abnormalities detected in the image."
        },
        {
            "image_id": "2047_2",
            "caption": "The patient's radiograph shows a large calcified granuloma in the right lower lobe; however, it is unchanged from previous imaging. There is no pneumothorax or pleural effusion, and the heart size is normal. The lungs are clear with no focal airspace opacification. The impression is that there are no acute cardiopulmonary abnormalities detected in the image."
        },
        {
            "image_id": "2053_1",
            "caption": "The X-ray shows that the heart is normal in size and shape, and the lungs are clear, without any evidence of infiltrate, pneumothorax or effusion. The impression concludes that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "2053_2",
            "caption": "The X-ray shows that the heart is normal in size and shape, and the lungs are clear, without any evidence of infiltrate, pneumothorax or effusion. The impression concludes that there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "2735_1",
            "caption": "The x-ray image shows that both lungs are clear and expanded, and the heart and mediastinum are normal, indicating no active disease."
        },
        {
            "image_id": "2735_2",
            "caption": "The x-ray image shows that both lungs are clear and expanded, and the heart and mediastinum are normal, indicating no active disease."
        },
        {
            "image_id": "970_1",
            "caption": "The X-ray image shows no evidence of acute abnormalities. The lungs appear clear and expanded without any infiltrate, effusions, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable. Overall, there are no active cardiopulmonary findings or acute disease present in this x-ray."
        },
        {
            "image_id": "970_2",
            "caption": "The X-ray image shows no evidence of acute abnormalities. The lungs appear clear and expanded without any infiltrate, effusions, or pneumothoraces. The cardiomediastinal silhouette is within normal limits and soft tissues are unremarkable. Overall, there are no active cardiopulmonary findings or acute disease present in this x-ray."
        },
        {
            "image_id": "3403_1",
            "caption": "The patient's chest X-ray is normal without any active or chronic disease in the lungs or heart."
        },
        {
            "image_id": "3403_2",
            "caption": "The patient's chest X-ray is normal without any active or chronic disease in the lungs or heart."
        },
        {
            "image_id": "958_1",
            "caption": "The X-ray result shows that both lungs are clear without any evidence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is within normal limits and visualized osseous structures of the thorax are without acute abnormality. The impression is that there is no acute cardiopulmonary abnormality. If you have any concerns about the results, please consult with your doctor."
        },
        {
            "image_id": "958_2",
            "caption": "The X-ray result shows that both lungs are clear without any evidence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette is within normal limits and visualized osseous structures of the thorax are without acute abnormality. The impression is that there is no acute cardiopulmonary abnormality. If you have any concerns about the results, please consult with your doctor."
        },
        {
            "image_id": "1214_1",
            "caption": "The x-ray shows a normal heart size and contour. The lungs are clear, except for a focal area of scarring or atelectasis identified in the lingula. There is no evidence of pneumothorax or effusion. Based on the impression, there is a focal area scarring or atelectasis within the lingula with no acute pulmonary process. It is recommended to follow up with a healthcare provider for further evaluation and possible treatment."
        },
        {
            "image_id": "1214_2",
            "caption": "The x-ray shows a normal heart size and contour. The lungs are clear, except for a focal area of scarring or atelectasis identified in the lingula. There is no evidence of pneumothorax or effusion. Based on the impression, there is a focal area scarring or atelectasis within the lingula with no acute pulmonary process. It is recommended to follow up with a healthcare provider for further evaluation and possible treatment."
        },
        {
            "image_id": "780_1",
            "caption": "The x-ray shows a heart that is slightly larger than normal, but still within acceptable limits. The lungs are clear and show no signs of any infiltrate or opacity, with no evidence of pneumothorax or pleural effusion. There is a small lucency in the peripheral right lung base which is most likely due to a skin fold. Overall, there are no acute cardiac or pulmonary findings observed in the x-ray."
        },
        {
            "image_id": "780_2",
            "caption": "The x-ray shows a heart that is slightly larger than normal, but still within acceptable limits. The lungs are clear and show no signs of any infiltrate or opacity, with no evidence of pneumothorax or pleural effusion. There is a small lucency in the peripheral right lung base which is most likely due to a skin fold. Overall, there are no acute cardiac or pulmonary findings observed in the x-ray."
        },
        {
            "image_id": "1572_1",
            "caption": "The heart is normal size and mediastinal contour is also normal. Lungs are clear without infiltrates or visible pneumothorax/pulmonary fluid. Calcified granuloma is observed in the left upper lobe. Radiographic cardiopulmonary process is absent."
        },
        {
            "image_id": "1572_2",
            "caption": "The heart is normal size and mediastinal contour is also normal. Lungs are clear without infiltrates or visible pneumothorax/pulmonary fluid. Calcified granuloma is observed in the left upper lobe. Radiographic cardiopulmonary process is absent."
        },
        {
            "image_id": "3365_1",
            "caption": "The patient's x-ray shows a normal heart size with no visible acute abnormality. The lungs are clear with no focal infiltration or effusion, and there is no visible pneumothorax. The impression drawn from this x-ray is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3365_2",
            "caption": "The patient's x-ray shows a normal heart size with no visible acute abnormality. The lungs are clear with no focal infiltration or effusion, and there is no visible pneumothorax. The impression drawn from this x-ray is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3371_1",
            "caption": "The X-ray shows that the size and shape of the heart are normal. There is no evidence of any lung problems such as inflammation, air leakage or fluid buildup. However, a calcified lymph node is observed in the right hilar area. Overall, there is nothing acutely abnormal detected in the scan."
        },
        {
            "image_id": "3371_2",
            "caption": "The X-ray shows that the size and shape of the heart are normal. There is no evidence of any lung problems such as inflammation, air leakage or fluid buildup. However, a calcified lymph node is observed in the right hilar area. Overall, there is nothing acutely abnormal detected in the scan."
        },
        {
            "image_id": "794_1",
            "caption": "The findings reveal a normal heart size and clear lungs without any pneumothorax or pleural effusion. Postoperative changes are observed in the left humerus, but there are no acute bony abnormalities. The overall impression suggests no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "794_2",
            "caption": "The findings reveal a normal heart size and clear lungs without any pneumothorax or pleural effusion. Postoperative changes are observed in the left humerus, but there are no acute bony abnormalities. The overall impression suggests no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1200_1",
            "caption": "The chest x-ray reveals that the heart is not enlarged and the pulmonary vasculature is not engorged. No visible abnormalities were found in the osseous structures of the chest. Additionally, there is no evidence of pneumothorax or pleural effusion. However, a small opacity near the right juxtahilar area could indicate infiltrate in the setting. The impression suggests that follow-up is recommended and document the patient's recovery."
        },
        {
            "image_id": "1200_2",
            "caption": "The chest x-ray reveals that the heart is not enlarged and the pulmonary vasculature is not engorged. No visible abnormalities were found in the osseous structures of the chest. Additionally, there is no evidence of pneumothorax or pleural effusion. However, a small opacity near the right juxtahilar area could indicate infiltrate in the setting. The impression suggests that follow-up is recommended and document the patient's recovery."
        },
        {
            "image_id": "2709_1",
            "caption": "The radiographic finding shows a subtle opacity at the medial left basilar region, which could indicate early pneumonia. However, the cardiomediastinal silhouette, pulmonary vascular markings, osseous structures and soft tissues appear normal. No pneumothorax or significant pleural effusion is visible. Further evaluation and follow-up imaging may be necessary to monitor the progression of the opacity."
        },
        {
            "image_id": "2709_2",
            "caption": "The radiographic finding shows a subtle opacity at the medial left basilar region, which could indicate early pneumonia. However, the cardiomediastinal silhouette, pulmonary vascular markings, osseous structures and soft tissues appear normal. No pneumothorax or significant pleural effusion is visible. Further evaluation and follow-up imaging may be necessary to monitor the progression of the opacity."
        },
        {
            "image_id": "3417_1",
            "caption": "The chest X-ray shows hyperexpanded lungs, which indicates COPD, along with mild cardiomegaly. The pulmonary vascularity is within normal limits, and there is no focal lung consolidation or pneumothorax. Additionally, there are mild degenerative changes of the thoracic spine and aortic calcifications, consistent with atherosclerotic disease. Based on the finding, the impression indicates no focal lung consolidation except for COPD. Patients with COPD are advised to continue treatment as advised by the doctor to prevent further complications."
        },
        {
            "image_id": "3417_2",
            "caption": "The chest X-ray shows hyperexpanded lungs, which indicates COPD, along with mild cardiomegaly. The pulmonary vascularity is within normal limits, and there is no focal lung consolidation or pneumothorax. Additionally, there are mild degenerative changes of the thoracic spine and aortic calcifications, consistent with atherosclerotic disease. Based on the finding, the impression indicates no focal lung consolidation except for COPD. Patients with COPD are advised to continue treatment as advised by the doctor to prevent further complications."
        },
        {
            "image_id": "1567_1",
            "caption": "On the chest X-ray, the findings reveal a normal heart size with an unremarkable mediastinum. The lungs are clear except for a left midlung opacity which does not denote any acute disease."
        },
        {
            "image_id": "1567_2",
            "caption": "On the chest X-ray, the findings reveal a normal heart size with an unremarkable mediastinum. The lungs are clear except for a left midlung opacity which does not denote any acute disease."
        },
        {
            "image_id": "3370_1",
            "caption": "The x-ray indicates normal heart size and clear lungs without any focal infiltrates, effusions, or pneumothoraxes. There are no acute cardiopulmonary abnormalities or bony thorax issues. The image is clear and indicates no major health concerns."
        },
        {
            "image_id": "3370_2",
            "caption": "The x-ray indicates normal heart size and clear lungs without any focal infiltrates, effusions, or pneumothoraxes. There are no acute cardiopulmonary abnormalities or bony thorax issues. The image is clear and indicates no major health concerns."
        },
        {
            "image_id": "3416_1",
            "caption": "The findings show no acute cardiopulmonary abnormalities. Lungs are clear without focal consolidation or effusion, and no pneumothorax is seen. Redemonstration of left basilar patchy atelectasis and a stable focal calcified nodule are observed. No changes are seen in the cardiomediastinal silhouette."
        },
        {
            "image_id": "3416_2",
            "caption": "The findings show no acute cardiopulmonary abnormalities. Lungs are clear without focal consolidation or effusion, and no pneumothorax is seen. Redemonstration of left basilar patchy atelectasis and a stable focal calcified nodule are observed. No changes are seen in the cardiomediastinal silhouette."
        },
        {
            "image_id": "2708_1",
            "caption": "The x-ray shows a stable chest with no evidence of acute cardiopulmonary abnormality. However, there are calcified mediastinal lymph nodes and a calcified pulmonary nodule in the right lower lobe indicating prior granulomatous disease. Additionally, degenerative changes are visible in the first costochondral joints bilaterally. Overall, the lungs are clear and well-inflated with no focal consolidation, pneumothorax, or effusion. There are also no acute bony abnormalities."
        },
        {
            "image_id": "2708_2",
            "caption": "The x-ray shows a stable chest with no evidence of acute cardiopulmonary abnormality. However, there are calcified mediastinal lymph nodes and a calcified pulmonary nodule in the right lower lobe indicating prior granulomatous disease. Additionally, degenerative changes are visible in the first costochondral joints bilaterally. Overall, the lungs are clear and well-inflated with no focal consolidation, pneumothorax, or effusion. There are also no acute bony abnormalities."
        },
        {
            "image_id": "795_1",
            "caption": "The chest x-ray shows normal results with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The heart size is normal and the lungs are clear. The impression is a normal chest with no evidence of tuberculosis."
        },
        {
            "image_id": "795_2",
            "caption": "The chest x-ray shows normal results with no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The heart size is normal and the lungs are clear. The impression is a normal chest with no evidence of tuberculosis."
        },
        {
            "image_id": "781_1",
            "caption": "The heart appears normal in size and shape, with clear lungs indicating no signs of infiltration. Additionally, the absence of pneumothorax and effusion is noted, suggesting no acute cardiopulmonary disease."
        },
        {
            "image_id": "781_2",
            "caption": "The heart appears normal in size and shape, with clear lungs indicating no signs of infiltration. Additionally, the absence of pneumothorax and effusion is noted, suggesting no acute cardiopulmonary disease."
        },
        {
            "image_id": "959_1",
            "caption": "The heart and mediastinal contours are stable with minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax is found in the lungs. Patchy right lower lobe airspace disease may be due to atelectasis or infiltrate. The patient should follow up with further treatment or evaluation to monitor the condition."
        },
        {
            "image_id": "959_2",
            "caption": "The heart and mediastinal contours are stable with minimal patchy right lower lobe airspace disease identified. No pleural effusion or pneumothorax is found in the lungs. Patchy right lower lobe airspace disease may be due to atelectasis or infiltrate. The patient should follow up with further treatment or evaluation to monitor the condition."
        },
        {
            "image_id": "3402_1",
            "caption": "The x-ray finding indicates that the heart size and mediastinal contours are normal with no acute cardiopulmonary findings. There are no focal airspace consolidation, pleural effusion, or pneumothorax. Scattered calcified granulomas are bilaterally present. Additionally, there are no acute bony abnormalities observed."
        },
        {
            "image_id": "3402_2",
            "caption": "The x-ray finding indicates that the heart size and mediastinal contours are normal with no acute cardiopulmonary findings. There are no focal airspace consolidation, pleural effusion, or pneumothorax. Scattered calcified granulomas are bilaterally present. Additionally, there are no acute bony abnormalities observed."
        },
        {
            "image_id": "1573_1",
            "caption": "The chest X-ray shows a normal heart size and clear lungs with no evidence of adnopathy, nodules or masses. Also, there is no sign of pneumonia, effusion, edema, pneumothorax or tuberculosis. Overall, the X-ray indicates a normal chest without any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1573_2",
            "caption": "The chest X-ray shows a normal heart size and clear lungs with no evidence of adnopathy, nodules or masses. Also, there is no sign of pneumonia, effusion, edema, pneumothorax or tuberculosis. Overall, the X-ray indicates a normal chest without any acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2052_1",
            "caption": "The results of the chest x-ray indicate no presence of acute cardiopulmonary abnormality. The lungs are clear without any signs of consolidation, effusion, or pneumothorax. The heart size is normal and there are scattered granulomatous changes. The bony thorax is unremarkable, but a mild unfolding of the thoracic aorta is noted. These findings suggest a normal chest x-ray image."
        },
        {
            "image_id": "2052_2",
            "caption": "The results of the chest x-ray indicate no presence of acute cardiopulmonary abnormality. The lungs are clear without any signs of consolidation, effusion, or pneumothorax. The heart size is normal and there are scattered granulomatous changes. The bony thorax is unremarkable, but a mild unfolding of the thoracic aorta is noted. These findings suggest a normal chest x-ray image."
        },
        {
            "image_id": "971_1",
            "caption": "The x-ray shows a normal size and shape of the heart and mediastinal contours. There is no sign of pneumothorax, pleural effusion or hyperexpansion of the lungs. Additionally, there is no evidence of any acute cardiopulmonary abnormality present in the patient."
        },
        {
            "image_id": "971_2",
            "caption": "The x-ray shows a normal size and shape of the heart and mediastinal contours. There is no sign of pneumothorax, pleural effusion or hyperexpansion of the lungs. Additionally, there is no evidence of any acute cardiopulmonary abnormality present in the patient."
        },
        {
            "image_id": "2734_1",
            "caption": "The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are clear, without evidence of any issues like consolidation or pleural effusion. The osseous structures appear normal for the patient's age. The x-ray shows no signs of any acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2734_2",
            "caption": "The cardiomediastinal silhouette is within normal limits for size and contour. The lungs are clear, without evidence of any issues like consolidation or pleural effusion. The osseous structures appear normal for the patient's age. The x-ray shows no signs of any acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2720_1",
            "caption": "The x-ray shows clear and expanded lungs and a normal heart and mediastinum. There is no active disease present."
        },
        {
            "image_id": "2720_2",
            "caption": "The x-ray shows clear and expanded lungs and a normal heart and mediastinum. There is no active disease present."
        },
        {
            "image_id": "1229_1",
            "caption": "The chest x-ray shows hyperinflation of lungs that appear clear, with no evidence of pleural effusion. The heart appears normal, but there are atherosclerotic changes of the aorta. The skeletal structures are normal. The impression is suggestive of COPD and absence of acute pulmonary disease. The findings suggest the need for further evaluation for the management and treatment of the condition."
        },
        {
            "image_id": "1229_2",
            "caption": "The chest x-ray shows hyperinflation of lungs that appear clear, with no evidence of pleural effusion. The heart appears normal, but there are atherosclerotic changes of the aorta. The skeletal structures are normal. The impression is suggestive of COPD and absence of acute pulmonary disease. The findings suggest the need for further evaluation for the management and treatment of the condition."
        },
        {
            "image_id": "965_1",
            "caption": "The x-ray shows clear lungs, normal heart and pulmonary structures, and normal mediastinal contours. There is no acute cardiopulmonary disease, but there is a presence of contrast within small colonic diverticula in the splenic flexure region."
        },
        {
            "image_id": "965_2",
            "caption": "The x-ray shows clear lungs, normal heart and pulmonary structures, and normal mediastinal contours. There is no acute cardiopulmonary disease, but there is a presence of contrast within small colonic diverticula in the splenic flexure region."
        },
        {
            "image_id": "2046_1",
            "caption": "The finding reveals a minimally displaced fracture of the right lateral 7th rib, a healing fracture of the posterolateral right 8th rib, and a questionable anterior cortical disruption on lateral view. It also shows a small right pleural effusion with associated atelectasis of the right lower lobe and a moderately sized left-sided pleural effusion. There is mild scoliosis involving the thoracic spine. No acute cardiopulmonary abnormality identified. Further evaluation is needed."
        },
        {
            "image_id": "2046_2",
            "caption": "The finding reveals a minimally displaced fracture of the right lateral 7th rib, a healing fracture of the posterolateral right 8th rib, and a questionable anterior cortical disruption on lateral view. It also shows a small right pleural effusion with associated atelectasis of the right lower lobe and a moderately sized left-sided pleural effusion. There is mild scoliosis involving the thoracic spine. No acute cardiopulmonary abnormality identified. Further evaluation is needed."
        },
        {
            "image_id": "756_1",
            "caption": "The x-ray shows no acute abnormalities. The heart and mediastinum appear normal, and there is no evidence of airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. The skeletal structures also appear normal. Therefore, there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "756_2",
            "caption": "The x-ray shows no acute abnormalities. The heart and mediastinum appear normal, and there is no evidence of airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. The skeletal structures also appear normal. Therefore, there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "756_3",
            "caption": "The x-ray shows no acute abnormalities. The heart and mediastinum appear normal, and there is no evidence of airspace consolidation, pneumothorax, pleural effusion, or pulmonary edema. The skeletal structures also appear normal. Therefore, there is no acute cardiopulmonary disease present."
        },
        {
            "image_id": "742_1",
            "caption": "The X-ray shows a focal opacity in the medial right lung base, which may indicate pneumonia. However, clinical correlation is recommended to confirm the diagnosis. No pleural effusion is observed, and the cardiomediastinal silhouette is stable, with normal heart size and no signs of pulmonary edema. Follow-up imaging is recommended to monitor the resolution of the opacity."
        },
        {
            "image_id": "742_2",
            "caption": "The X-ray shows a focal opacity in the medial right lung base, which may indicate pneumonia. However, clinical correlation is recommended to confirm the diagnosis. No pleural effusion is observed, and the cardiomediastinal silhouette is stable, with normal heart size and no signs of pulmonary edema. Follow-up imaging is recommended to monitor the resolution of the opacity."
        },
        {
            "image_id": "1598_1",
            "caption": "The x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are normal. There is no focal consolidation, pleural effusion, or pneumothorax identified, and no acute osseous abnormality is visible. The impression is that there is no acute cardiopulmonary abnormality, indicating that the patient's heart and lungs appear normal based on the x-ray."
        },
        {
            "image_id": "1598_2",
            "caption": "The x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are normal. There is no focal consolidation, pleural effusion, or pneumothorax identified, and no acute osseous abnormality is visible. The impression is that there is no acute cardiopulmonary abnormality, indicating that the patient's heart and lungs appear normal based on the x-ray."
        },
        {
            "image_id": "2091_1",
            "caption": "The X-ray image shows normal findings of the cardiac silhouette and clear lungs. However, there is thoracic spondylosis. Despite these, there is no evidence of any acute process."
        },
        {
            "image_id": "2091_2",
            "caption": "The X-ray image shows normal findings of the cardiac silhouette and clear lungs. However, there is thoracic spondylosis. Despite these, there is no evidence of any acute process."
        },
        {
            "image_id": "2085_1",
            "caption": "Upon examination of the chest x-ray, there are no noticeable abnormalities in the heart, pulmonary structures or mediastinum. Additionally, there is no evidence of pleural effusion or pneumothorax, nor is there any indication of pneumonia. However, mild degenerative changes to the spine have been noted. Overall, there is no immediate cause for concern regarding cardiopulmonary health."
        },
        {
            "image_id": "597_1",
            "caption": "The chest x-ray shows bilateral lower lobe opacities, which appear to be subsegmental atelectasis. No pleural effusion or pneumothorax is identified, and heart size and mediastinal contour are within normal limits. The X-ray also reveals the presence of pneumoperitoneum, which is likely postoperative secondary to recent laparoscopic surgery. Cholecystectomy clips are noted in the right upper quadrant. Follow-up evaluation and treatment are recommended as appropriate."
        },
        {
            "image_id": "1003_1",
            "caption": "The X-ray shows that the heart size and pulmonary vascularity are normal. Retrocardiac soft tissue density is present and there appears to be air within it which suggests it may be a hiatal hernia. Vascular calcification and a calcified granuloma are also noted. There has been the development of a bandlike opacity in the left lung base which may indicate atelectasis. There are no signs of pneumothorax or pleural effusion. Additionally, osteopenia is present in the spine. The impression is that there is a retrocardiac soft tissue density which may be a hiatal hernia and a bandlike opacity in the left lung base which may indicate atelectasis. Further evaluation may be necessary for proper diagnosis and treatment."
        },
        {
            "image_id": "3172_1",
            "caption": "The X-ray suggests that there are no immediate abnormalities or areas of concern in the patient's chest area. Specifically, there are no signs of lung or heart issues, infection or injury, or tuberculosis. The spine shows mild curvature, which is a common finding in many people. Overall, the impression is that no immediate action is necessary and the patient's breathing and chest health are good."
        },
        {
            "image_id": "3172_2",
            "caption": "The X-ray suggests that there are no immediate abnormalities or areas of concern in the patient's chest area. Specifically, there are no signs of lung or heart issues, infection or injury, or tuberculosis. The spine shows mild curvature, which is a common finding in many people. Overall, the impression is that no immediate action is necessary and the patient's breathing and chest health are good."
        },
        {
            "image_id": "1765_1",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette is normal and the lungs are clear without evidence of focal opacification. A rounded calcified density is seen within the left lower lobe which is most consistent with granuloma. There is no pneumothorax or large pleural effusion, and no acute bone abnormality is detected. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "1765_2",
            "caption": "The x-ray image shows that the cardiomediastinal silhouette is normal and the lungs are clear without evidence of focal opacification. A rounded calcified density is seen within the left lower lobe which is most consistent with granuloma. There is no pneumothorax or large pleural effusion, and no acute bone abnormality is detected. The impression is that there is no acute cardiopulmonary process."
        },
        {
            "image_id": "1771_1",
            "caption": "Based on the X-ray, there are no apparent signs of any active cardiopulmonary disease at this time. The lungs appear clear and fully expanded, and the heart and mediastinum appear within normal limits without any significant changes from the previous image. A radiologist has reviewed the X-ray and found no evidence of any abnormalities that would suggest active disease."
        },
        {
            "image_id": "1771_2",
            "caption": "Based on the X-ray, there are no apparent signs of any active cardiopulmonary disease at this time. The lungs appear clear and fully expanded, and the heart and mediastinum appear within normal limits without any significant changes from the previous image. A radiologist has reviewed the X-ray and found no evidence of any abnormalities that would suggest active disease."
        },
        {
            "image_id": "3166_1",
            "caption": "Heart is normal size, no visible pneumothorax, pleural effusion or focal airspace disease is seen. There is a presence of nodular densities which is in line with a chronic granulomatous disease. Bony structures show no anomalies. Test results are negative for acute cardiopulmonary disease."
        },
        {
            "image_id": "3166_2",
            "caption": "Heart is normal size, no visible pneumothorax, pleural effusion or focal airspace disease is seen. There is a presence of nodular densities which is in line with a chronic granulomatous disease. Bony structures show no anomalies. Test results are negative for acute cardiopulmonary disease."
        },
        {
            "image_id": "2278_1",
            "caption": "The frontal and lateral radiographs of the chest show no consolidation, pleural effusion or pneumothorax. The cardiomediastinal contours remain unchanged. Right lung calcified granulomata are present. The X-ray image shows no acute cardiothoracic disease or significant interval change."
        },
        {
            "image_id": "2278_2",
            "caption": "The frontal and lateral radiographs of the chest show no consolidation, pleural effusion or pneumothorax. The cardiomediastinal contours remain unchanged. Right lung calcified granulomata are present. The X-ray image shows no acute cardiothoracic disease or significant interval change."
        },
        {
            "image_id": "1017_1",
            "caption": "The chest x-ray shows clear and expanded lungs with no infiltrates. Focal atelectasis is present in the lingula. The heart is normal in size. Calcified right hilar lymph nodes are also seen. Overall, there is no active disease indicated in this x-ray image."
        },
        {
            "image_id": "1017_2",
            "caption": "The chest x-ray shows clear and expanded lungs with no infiltrates. Focal atelectasis is present in the lingula. The heart is normal in size. Calcified right hilar lymph nodes are also seen. Overall, there is no active disease indicated in this x-ray image."
        },
        {
            "image_id": "2536_1",
            "caption": "The x-ray indicates that there is no acute disease in either the heart or the lungs. The lungs and pleural spaces appear clear and expanded, and the mediastinal contours are normal. Surgical clips are identified in the mediastinum, but there are no acute cardiopulmonary abnormalities. Additionally, the soft tissue previously noted along the right lateral chest wall has resolved."
        },
        {
            "image_id": "2536_2",
            "caption": "The x-ray indicates that there is no acute disease in either the heart or the lungs. The lungs and pleural spaces appear clear and expanded, and the mediastinal contours are normal. Surgical clips are identified in the mediastinum, but there are no acute cardiopulmonary abnormalities. Additionally, the soft tissue previously noted along the right lateral chest wall has resolved."
        },
        {
            "image_id": "3628_1",
            "caption": "The chest x-ray includes frontal and lateral radiographs of the chest which show that there are no signs of acute abnormalities, such as consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours and pulmonary vascularity are normal. However, there are degenerative changes observed in the thoracic spine. The radiographic findings suggest no acute cardiopulmonary disease, but there are multilevel degenerative changes in the thoracic spine that need to be addressed."
        },
        {
            "image_id": "3628_2",
            "caption": "The chest x-ray includes frontal and lateral radiographs of the chest which show that there are no signs of acute abnormalities, such as consolidation, pleural effusion, or pneumothorax. The cardiomediastinal contours and pulmonary vascularity are normal. However, there are degenerative changes observed in the thoracic spine. The radiographic findings suggest no acute cardiopulmonary disease, but there are multilevel degenerative changes in the thoracic spine that need to be addressed."
        },
        {
            "image_id": "1759_1",
            "caption": "The x-ray shows hyperexpansion and normal heart size with no pleural effusion or pneumothorax. Two circular densities overlying the right ribs are observed which requires a rib series to establish if they are in the ribs. Emphysema is present, however, no focal infiltrates are identified. The impression suggests a rib series for establishing the nature of the circular densities and confirms the presence of emphysema."
        },
        {
            "image_id": "1759_2",
            "caption": "The x-ray shows hyperexpansion and normal heart size with no pleural effusion or pneumothorax. Two circular densities overlying the right ribs are observed which requires a rib series to establish if they are in the ribs. Emphysema is present, however, no focal infiltrates are identified. The impression suggests a rib series for establishing the nature of the circular densities and confirms the presence of emphysema."
        },
        {
            "image_id": "1981_1",
            "caption": "Based on the chest x-ray images, the findings reveal no acute cardiopulmonary abnormality such as pleural effusion, pneumothorax, or focal airspace disease. Despite the presence of chronic degenerative changes in the spine, the heart and mediastinum are of normal size and appear unremarkable."
        },
        {
            "image_id": "1981_2",
            "caption": "Based on the chest x-ray images, the findings reveal no acute cardiopulmonary abnormality such as pleural effusion, pneumothorax, or focal airspace disease. Despite the presence of chronic degenerative changes in the spine, the heart and mediastinum are of normal size and appear unremarkable."
        },
        {
            "image_id": "2250_1",
            "caption": "There has been interval sternotomy with mitral valve surgery. There is a small amount of scarring in the left midlung. No focal consolidation. No pleural effusions or pneumothoraces. There is continued cardiomegaly with especially enlarged left atrium. Scarring in the left midlung and cardiomegaly with especially enlarged left atrium with postoperative changes of mitral valve surgery. Follow-up with a cardiologist is recommended for further evaluation and management."
        },
        {
            "image_id": "1995_1",
            "caption": "The chest X-ray shows that the lungs are clear without any signs of pneumonia or effusion. The heart and mediastinum are within normal limits indicating no signs of any cardiac issues. The X-ray indicates no acute cardiopulmonary abnormalities like pneumothorax or pleural effusion."
        },
        {
            "image_id": "1995_2",
            "caption": "The chest X-ray shows that the lungs are clear without any signs of pneumonia or effusion. The heart and mediastinum are within normal limits indicating no signs of any cardiac issues. The X-ray indicates no acute cardiopulmonary abnormalities like pneumothorax or pleural effusion."
        },
        {
            "image_id": "2522_1",
            "caption": "The patient's x-ray shows normal heart size and mediastinal contours. There is no focal airspace consolidation, but there is the presence of chronic left greater than right lung base scarring with possible small effusions. The visualized osseous structures appear unremarkable. The impression states that there is chronic bibasilar pleural abnormality with the possibility of small effusions and there is no evidence of pneumonia. The x-ray also shows the TIPS shunt visualized."
        },
        {
            "image_id": "554_1",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. There is no focal consolidation, pneumothorax or large pleural effusion. The examination is negative for acute bone abnormality. The findings are negative, and there is no significant cardiothoracic abnormality detected in the examination."
        },
        {
            "image_id": "554_2",
            "caption": "The cardiomediastinal silhouette is normal in size and contour. There is no focal consolidation, pneumothorax or large pleural effusion. The examination is negative for acute bone abnormality. The findings are negative, and there is no significant cardiothoracic abnormality detected in the examination."
        },
        {
            "image_id": "226_1",
            "caption": "On examination, the cardiac contours are normal, and the lungs are clear. However, thoracic spondylosis is present. There is no evidence of any acute process in the patient."
        },
        {
            "image_id": "226_2",
            "caption": "On examination, the cardiac contours are normal, and the lungs are clear. However, thoracic spondylosis is present. There is no evidence of any acute process in the patient."
        },
        {
            "image_id": "540_1",
            "caption": "The chest X-ray indicates normal heart size and an accessory azygos fissure, with the presence of mild streaky opacities in the left lung base that might suggest mild atelectasis. There is no further evidence of pleural effusion or pneumothorax. Overall, a mild streaky left basilar airspace disease is noticed."
        },
        {
            "image_id": "540_2",
            "caption": "The chest X-ray indicates normal heart size and an accessory azygos fissure, with the presence of mild streaky opacities in the left lung base that might suggest mild atelectasis. There is no further evidence of pleural effusion or pneumothorax. Overall, a mild streaky left basilar airspace disease is noticed."
        },
        {
            "image_id": "568_1",
            "caption": "The x-ray reveals that the heart size is normal, although the aorta is tortuous. There are also calcified hilar lymph nodes suggestive of previous granulomatous disease. The lungs are hyperinflated, with mild opacities in the left base. There is a right humeral fracture, which appears to be healing well. Overall, no acute cardiopulmonary findings were observed in the x-ray examination."
        },
        {
            "image_id": "568_2",
            "caption": "The x-ray reveals that the heart size is normal, although the aorta is tortuous. There are also calcified hilar lymph nodes suggestive of previous granulomatous disease. The lungs are hyperinflated, with mild opacities in the left base. There is a right humeral fracture, which appears to be healing well. Overall, no acute cardiopulmonary findings were observed in the x-ray examination."
        },
        {
            "image_id": "3833_1",
            "caption": "The X-ray shows no evidence of acute cardiopulmonary process such as focal consolidation, pneumothorax or large pleural effusion. However, there is stable blunting of the right costophrenic due to pleural thickening/sclerosis, redemonstration and stable appearance of bilateral calcified granulomas/lymph, and changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette is stable and unremarkable. No acute osseous abnormalities are identified except for opacity in the left apex consistent with radiation change seen on prior CT. Therefore, it is concluded that there is no acute cardiopulmonary process identified, specifically no radiographic evidence of aspiration. The emphysematous changes, right costophrenic, pleural thickening, and bilateral calcified granulomas/lymph are stable."
        },
        {
            "image_id": "3833_2",
            "caption": "The X-ray shows no evidence of acute cardiopulmonary process such as focal consolidation, pneumothorax or large pleural effusion. However, there is stable blunting of the right costophrenic due to pleural thickening/sclerosis, redemonstration and stable appearance of bilateral calcified granulomas/lymph, and changes in the lungs consistent with COPD/emphysema. Cardiomediastinal silhouette is stable and unremarkable. No acute osseous abnormalities are identified except for opacity in the left apex consistent with radiation change seen on prior CT. Therefore, it is concluded that there is no acute cardiopulmonary process identified, specifically no radiographic evidence of aspiration. The emphysematous changes, right costophrenic, pleural thickening, and bilateral calcified granulomas/lymph are stable."
        },
        {
            "image_id": "2293_1",
            "caption": "The x-ray findings reveal a normal sized heart and stable mediastinum. The previously observed bilateral pneumothoraces have resolved and surgical artifacts in the right chest wall have been removed. Mild residual opacities are present in the lung bases, indicative of scarring or atelectasis. Overall, there is no acute cardiopulmonary abnormality. The doctor recommends further evaluation to assess the extent of atelectasis or scarring."
        },
        {
            "image_id": "2293_2",
            "caption": "The x-ray findings reveal a normal sized heart and stable mediastinum. The previously observed bilateral pneumothoraces have resolved and surgical artifacts in the right chest wall have been removed. Mild residual opacities are present in the lung bases, indicative of scarring or atelectasis. Overall, there is no acute cardiopulmonary abnormality. The doctor recommends further evaluation to assess the extent of atelectasis or scarring."
        },
        {
            "image_id": "1942_1",
            "caption": "The x-ray examination of the chest shows moderately enlarged heart size, without any acute abnormality in the lungs or pleural spaces. Pulmonary vascularity is within the normal limits. However, the left lateral midlung is obscured due to an ICD generator, with the leads projecting over the expected location of the right atrium, right ventricle, and coronary sinus. There is no pulmonary edema, but moderate cardiomegaly is observed."
        },
        {
            "image_id": "1956_1",
            "caption": "After reviewing the x-ray results, there is no indication of acute heart or lung issues. The cardiomediastinal contours and pulmonary vasculature appear normal. There are no signs of consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities identified in the x-ray."
        },
        {
            "image_id": "1956_2",
            "caption": "After reviewing the x-ray results, there is no indication of acute heart or lung issues. The cardiomediastinal contours and pulmonary vasculature appear normal. There are no signs of consolidation, pleural effusion, or pneumothorax. Additionally, there are no acute bony abnormalities identified in the x-ray."
        },
        {
            "image_id": "3199_1",
            "caption": "The lungs are clear with no pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits. The chest image is negative, indicating no abnormality in the cardiopulmonary system."
        },
        {
            "image_id": "3827_1",
            "caption": "After thorough analysis of the findings, it is ascertained that there is no evidence of acute cardiopulmonary process. The lung appears clear without any focal air space opacity, pneumothorax or pleural effusion. Similarly, the heart size and pulmonary vascularity are normal, and there are no acute osseous abnormalities noted."
        },
        {
            "image_id": "3827_2",
            "caption": "After thorough analysis of the findings, it is ascertained that there is no evidence of acute cardiopulmonary process. The lung appears clear without any focal air space opacity, pneumothorax or pleural effusion. Similarly, the heart size and pulmonary vascularity are normal, and there are no acute osseous abnormalities noted."
        },
        {
            "image_id": "1177_1",
            "caption": "The chest X-ray shows a normal heart and clear lungs with the trachea in midline. However, there is scoliosis of the lower thoracic spine and degenerative changes of the thoracic spine. Overall, there is no acute cardiopulmonary abnormality observed in the image."
        },
        {
            "image_id": "1177_2",
            "caption": "The chest X-ray shows a normal heart and clear lungs with the trachea in midline. However, there is scoliosis of the lower thoracic spine and degenerative changes of the thoracic spine. Overall, there is no acute cardiopulmonary abnormality observed in the image."
        },
        {
            "image_id": "3760_1",
            "caption": "The patient had a prior sternotomy and wire sutures still present. The heart and mediastinum are normal. The thoracic aorta is tortuous. There are no focal areas of pulmonary consolidation, pneumothorax, or pleural effusion. Moderate degenerative changes in the thoracic spine are seen. No rib fractures detected. No acute intrathoracic abnormality evident in the x-ray image."
        },
        {
            "image_id": "3760_2",
            "caption": "The patient had a prior sternotomy and wire sutures still present. The heart and mediastinum are normal. The thoracic aorta is tortuous. There are no focal areas of pulmonary consolidation, pneumothorax, or pleural effusion. Moderate degenerative changes in the thoracic spine are seen. No rib fractures detected. No acute intrathoracic abnormality evident in the x-ray image."
        },
        {
            "image_id": "3006_1",
            "caption": "On examination of an x-ray, cardiomegaly was observed with the pulmonary vascularity appearing within normal limits. The thoracic aorta was found to be tortuous, and surgical clips were present in the left axilla. No acute cardiopulmonary abnormality was detected. The lungs were clear without any evident focal airspace disease, pneumothorax or pleural effusion. Degenerative changes were observed in the spine with eventration of the right hemidiaphragm. However, the impression revealed no evidence of active disease."
        },
        {
            "image_id": "391_1",
            "caption": "The x-ray image shows normal-sized heart and low lung volumes. The lungs are free of any focal airspace consolidations, pneumothorax, or effusions. The cardiopulmonary silhouette is stable with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "391_2",
            "caption": "The x-ray image shows normal-sized heart and low lung volumes. The lungs are free of any focal airspace consolidations, pneumothorax, or effusions. The cardiopulmonary silhouette is stable with no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3012_1",
            "caption": "The x-ray shows normal findings of the heart and lungs without any acute abnormalities. The mediastinum and pulmonary vascularity appear normal, and there is no focal airspace opacity, pleural effusion, or pneumothorax in the lungs. The osseous structures are also intact. Overall, there is no evidence of any acute cardiopulmonary process."
        },
        {
            "image_id": "3012_2",
            "caption": "The x-ray shows normal findings of the heart and lungs without any acute abnormalities. The mediastinum and pulmonary vascularity appear normal, and there is no focal airspace opacity, pleural effusion, or pneumothorax in the lungs. The osseous structures are also intact. Overall, there is no evidence of any acute cardiopulmonary process."
        },
        {
            "image_id": "3774_1",
            "caption": "The X-ray shows the heart size to be within normal limits, clear lungs, and no pneumothorax or pleural effusion. The impression suggests no acute cardiopulmonary abnormality, although there is a tortuous aorta with atherosclerotic calcification and a right lower lung granuloma present."
        },
        {
            "image_id": "3774_2",
            "caption": "The X-ray shows the heart size to be within normal limits, clear lungs, and no pneumothorax or pleural effusion. The impression suggests no acute cardiopulmonary abnormality, although there is a tortuous aorta with atherosclerotic calcification and a right lower lung granuloma present."
        },
        {
            "image_id": "1163_1",
            "caption": "The X-ray report shows no signs of acute abnormalities in the heart and lungs. The heart size is either normal or within the upper limit of normal. The lungs appear clear with no presence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and visualized osseous structures also appear unremarkable without any acute abnormality."
        },
        {
            "image_id": "1163_2",
            "caption": "The X-ray report shows no signs of acute abnormalities in the heart and lungs. The heart size is either normal or within the upper limit of normal. The lungs appear clear with no presence of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette and visualized osseous structures also appear unremarkable without any acute abnormality."
        },
        {
            "image_id": "3984_1",
            "caption": "The X-ray shows clear lungs and stable tortuosity of the thoracic aorta. The presence of an underlying aneurysm cannot be excluded. Calcified mediastinal and hilar lymph nodes suggest prior histoplasmosis infection. The pleural spaces are clear. Overall, the report suggests the need for further evaluation by a medical professional to exclude any significant findings."
        },
        {
            "image_id": "3984_2",
            "caption": "The X-ray shows clear lungs and stable tortuosity of the thoracic aorta. The presence of an underlying aneurysm cannot be excluded. Calcified mediastinal and hilar lymph nodes suggest prior histoplasmosis infection. The pleural spaces are clear. Overall, the report suggests the need for further evaluation by a medical professional to exclude any significant findings."
        },
        {
            "image_id": "2442_1",
            "caption": "The x-ray image reveals no acute abnormality in the cardiopulmonary system. The heart size and mediastinal contours are within normal limits with clear lungs, and no focal consolidation, visible pleural effusion or pneumothorax present. There are stable degenerative changes in the thoracic spine and postsurgical changes in the left shoulder with marked degenerative changes in the right shoulder."
        },
        {
            "image_id": "2442_2",
            "caption": "The x-ray image reveals no acute abnormality in the cardiopulmonary system. The heart size and mediastinal contours are within normal limits with clear lungs, and no focal consolidation, visible pleural effusion or pneumothorax present. There are stable degenerative changes in the thoracic spine and postsurgical changes in the left shoulder with marked degenerative changes in the right shoulder."
        },
        {
            "image_id": "2324_1",
            "caption": "The chest x-ray image shows that the lungs are clear and there is no evidence of pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits, indicating no abnormalities in the heart or mediastinum. The impression is negative chest, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2324_2",
            "caption": "The chest x-ray image shows that the lungs are clear and there is no evidence of pneumothorax or pleural effusion. The cardiomediastinal silhouette is within normal limits, indicating no abnormalities in the heart or mediastinum. The impression is negative chest, indicating no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1639_1",
            "caption": "The chest x-ray reveals relatively clear lungs with visible sulci and normal heart size in LV contour. The ascending and descending aorta appears slightly unfolded, and the T-spine is unremarkable. Overall, there is no significant finding reported on the x-ray image."
        },
        {
            "image_id": "1639_2",
            "caption": "The chest x-ray reveals relatively clear lungs with visible sulci and normal heart size in LV contour. The ascending and descending aorta appears slightly unfolded, and the T-spine is unremarkable. Overall, there is no significant finding reported on the x-ray image."
        },
        {
            "image_id": "3748_1",
            "caption": "The patient's x-ray does not show any significant findings. The cardiomediastinal silhouette, pulmonary vasculature, and heart size are all within normal limits. There is only minimal atelectasis or scarring in the left lung base. The lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion, and there are no acute bone abnormalities. In short, the x-ray reveals no acute cardiopulmonary findings."
        },
        {
            "image_id": "3748_2",
            "caption": "The patient's x-ray does not show any significant findings. The cardiomediastinal silhouette, pulmonary vasculature, and heart size are all within normal limits. There is only minimal atelectasis or scarring in the left lung base. The lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion, and there are no acute bone abnormalities. In short, the x-ray reveals no acute cardiopulmonary findings."
        },
        {
            "image_id": "2456_1",
            "caption": "The chest x-ray shows mild cardiomegaly and no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis, as well as aortic calcifications. Additionally, there is a fracture of the right proximal humerus, which needs further evaluation. Overall, there is no acute abnormality in the chest, and findings are consistent with previously known medical conditions."
        },
        {
            "image_id": "2456_2",
            "caption": "The chest x-ray shows mild cardiomegaly and no evidence of focal pulmonary consolidation, pleural effusion, or pneumothorax. There is thoracic kyphosis, as well as aortic calcifications. Additionally, there is a fracture of the right proximal humerus, which needs further evaluation. Overall, there is no acute abnormality in the chest, and findings are consistent with previously known medical conditions."
        },
        {
            "image_id": "420_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. Mediastinal contours and heart size are normal. No focal consolidation, pneumothorax, or pleural effusion is noted. No bony abnormality was detected. There is a vague density in the right mid lung that may be related to the scapular tip and superimposed ribs, which requires further evaluation with oblique images to exclude a true nodule."
        },
        {
            "image_id": "420_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. Mediastinal contours and heart size are normal. No focal consolidation, pneumothorax, or pleural effusion is noted. No bony abnormality was detected. There is a vague density in the right mid lung that may be related to the scapular tip and superimposed ribs, which requires further evaluation with oblique images to exclude a true nodule."
        },
        {
            "image_id": "346_1",
            "caption": "The x-ray shows a clear and normal cardiomediastinal silhouette without any focal consolidation or pleural effusion. There is no acute or active cardiac, pulmonary or pleural disease identified on the x-ray."
        },
        {
            "image_id": "346_2",
            "caption": "The x-ray shows a clear and normal cardiomediastinal silhouette without any focal consolidation or pleural effusion. There is no acute or active cardiac, pulmonary or pleural disease identified on the x-ray."
        },
        {
            "image_id": "346_3",
            "caption": "The x-ray shows a clear and normal cardiomediastinal silhouette without any focal consolidation or pleural effusion. There is no acute or active cardiac, pulmonary or pleural disease identified on the x-ray."
        },
        {
            "image_id": "352_1",
            "caption": "The x-ray shows a clear cardiomediastinal silhouette with no evidence of focal pulmonary consolidation, pneumothorax or pleural effusion. There are minimal degenerative changes of the thoracic spine. Therefore, no acute cardiopulmonary process is detected in the x-ray."
        },
        {
            "image_id": "352_2",
            "caption": "The x-ray shows a clear cardiomediastinal silhouette with no evidence of focal pulmonary consolidation, pneumothorax or pleural effusion. There are minimal degenerative changes of the thoracic spine. Therefore, no acute cardiopulmonary process is detected in the x-ray."
        },
        {
            "image_id": "434_1",
            "caption": "The x-ray shows a borderline heart size and aortic calcification. However, the patient is negative for focal pulmonary consolidation, pleural effusion or pneumothorax. The lungs appear hyperexpanded with flattening of the diaphragms, and the spine has some degenerative changes. Overall, there is no acute abnormality found in the x-ray examination."
        },
        {
            "image_id": "1188_1",
            "caption": "The X-ray image depicts a clear and expanded bilateral lung with a normal heart and mediastinum. The impression suggests no active disease, which is a positive sign. Do consult with your doctor to discuss the findings and confirm the diagnosis."
        },
        {
            "image_id": "1188_2",
            "caption": "The X-ray image depicts a clear and expanded bilateral lung with a normal heart and mediastinum. The impression suggests no active disease, which is a positive sign. Do consult with your doctor to discuss the findings and confirm the diagnosis."
        },
        {
            "image_id": "3947_1",
            "caption": "After reviewing the x-ray image, the lungs appear clear with no suspicious nodules or infiltrates. The cardiopulmonary region and mediastinal contours appear normal while the pleural spaces are clear. The x-ray also shows a left-sided tunneled catheter with the distal tip at the mid-superior point. In summary, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "3947_2",
            "caption": "After reviewing the x-ray image, the lungs appear clear with no suspicious nodules or infiltrates. The cardiopulmonary region and mediastinal contours appear normal while the pleural spaces are clear. The x-ray also shows a left-sided tunneled catheter with the distal tip at the mid-superior point. In summary, there is no evidence of acute cardiopulmonary disease."
        },
        {
            "image_id": "2481_1",
            "caption": "Heart size is upper limits of normal. Aorta is tortuous. There is elevation of the left hemidiaphragm. There is a posterior basilar opacity seen on lateral view representing subsegmental atelectasis, not visualized on lateral view. No large pleural effusion or pneumothorax is identified. Scoliosis of the spine. The X-ray shows clear lungs except for a posterior basilar opacity representing subsegmental atelectasis. No acute cardiopulmonary abnormality is seen."
        },
        {
            "image_id": "1836_1",
            "caption": "The x-ray image shows that the patient has a stable heart size and mediastinum. There are no acute findings such as infiltrates or abnormal changes in the lungs. However, the lungs appear mildly hypoinflated. The aorta is tortuous and atherosclerotic. Overall, there is no active disease identified in this x-ray examination."
        },
        {
            "image_id": "1836_2",
            "caption": "The x-ray image shows that the patient has a stable heart size and mediastinum. There are no acute findings such as infiltrates or abnormal changes in the lungs. However, the lungs appear mildly hypoinflated. The aorta is tortuous and atherosclerotic. Overall, there is no active disease identified in this x-ray examination."
        },
        {
            "image_id": "1822_1",
            "caption": "The X-ray report indicates that the heart and lungs are normal in size and shape. No abnormalities such as focal air space disease, pleural effusion or pneumothorax were detected. The impression is that there are no acute cardiopulmonary abnormalities found in the X-ray."
        },
        {
            "image_id": "1822_2",
            "caption": "The X-ray report indicates that the heart and lungs are normal in size and shape. No abnormalities such as focal air space disease, pleural effusion or pneumothorax were detected. The impression is that there are no acute cardiopulmonary abnormalities found in the X-ray."
        },
        {
            "image_id": "3953_1",
            "caption": "The x-ray image shows clear and normal lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette, as well as the visualized osseous structures, are unremarkable. The impression is that there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "3953_2",
            "caption": "The x-ray image shows clear and normal lungs without any signs of focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette, as well as the visualized osseous structures, are unremarkable. The impression is that there is no acute cardiopulmonary abnormality present in the x-ray."
        },
        {
            "image_id": "408_1",
            "caption": "The patient's x-ray shows normal heart size and mediastinum. However, there is hypoinflation of the lungs and small bilateral pleural effusions are present. Based on these findings, the impression is that of small bilateral pleural effusions, which might require further evaluation and management."
        },
        {
            "image_id": "408_2",
            "caption": "The patient's x-ray shows normal heart size and mediastinum. However, there is hypoinflation of the lungs and small bilateral pleural effusions are present. Based on these findings, the impression is that of small bilateral pleural effusions, which might require further evaluation and management."
        },
        {
            "image_id": "1413_1",
            "caption": "The patient has clear lungs with low lung volumes and bronchovascular crowding, according to the X-ray. There is no evidence of any acute or active disease, such as focal infiltrates, pneumothorax, or pleural effusion. The heart size is within normal limits for AP technique, and there is nothing remarkable about the mediastinum. The overall impression is of grossly clear lungs, despite the low lung volumes."
        },
        {
            "image_id": "1413_2",
            "caption": "The patient has clear lungs with low lung volumes and bronchovascular crowding, according to the X-ray. There is no evidence of any acute or active disease, such as focal infiltrates, pneumothorax, or pleural effusion. The heart size is within normal limits for AP technique, and there is nothing remarkable about the mediastinum. The overall impression is of grossly clear lungs, despite the low lung volumes."
        },
        {
            "image_id": "187_1",
            "caption": "The x-ray image shows a normal heart size and a stable, tortuous aorta. No acute abnormality is observed in the pulmonary system, with no signs of pneumothorax, pleural effusion or suspicious focal airspace opacity. The exam is unchanged and there is no acute abnormality."
        },
        {
            "image_id": "187_2",
            "caption": "The x-ray image shows a normal heart size and a stable, tortuous aorta. No acute abnormality is observed in the pulmonary system, with no signs of pneumothorax, pleural effusion or suspicious focal airspace opacity. The exam is unchanged and there is no acute abnormality."
        },
        {
            "image_id": "3204_1",
            "caption": "The chest X-ray shows clear lungs, a normal heart, and no pleural effusion. However, there are atherosclerotic changes of the aorta, and senescent changes of the spine are seen. The impression is that there is no acute pulmonary disease detected in the examination."
        },
        {
            "image_id": "3204_2",
            "caption": "The chest X-ray shows clear lungs, a normal heart, and no pleural effusion. However, there are atherosclerotic changes of the aorta, and senescent changes of the spine are seen. The impression is that there is no acute pulmonary disease detected in the examination."
        },
        {
            "image_id": "3562_1",
            "caption": "The x-ray shows no acute abnormalities in the cardiopulmonary system. There are atherosclerotic changes of the aorta and degenerative changes of the spine seen in the image. Low lung volumes and patchy basilar atelectasis are noted, which may indicate prior granulomatous disease. However, there is no current evidence of active disease in the lungs. The radiologist suggests follow-up imaging to monitor the condition of the lungs."
        },
        {
            "image_id": "3562_2",
            "caption": "The x-ray shows no acute abnormalities in the cardiopulmonary system. There are atherosclerotic changes of the aorta and degenerative changes of the spine seen in the image. Low lung volumes and patchy basilar atelectasis are noted, which may indicate prior granulomatous disease. However, there is no current evidence of active disease in the lungs. The radiologist suggests follow-up imaging to monitor the condition of the lungs."
        },
        {
            "image_id": "839_1",
            "caption": "The x-ray image shows a normal chest, as the heart size is within normal limits and there are no pleural effusions or pneumothorax. The lungs are clear, and no acute or active disease is observed in the soft tissues."
        },
        {
            "image_id": "839_2",
            "caption": "The x-ray image shows a normal chest, as the heart size is within normal limits and there are no pleural effusions or pneumothorax. The lungs are clear, and no acute or active disease is observed in the soft tissues."
        },
        {
            "image_id": "79_1",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in size and shape. The lungs appear clear and are normally inflated. There are no signs of focal airspace disease, pneumothorax, or pleural effusion. The osseous structures are also normal. Overall, the radiologist did not identify any acute cardiopulmonary abnormalities in this exam."
        },
        {
            "image_id": "79_2",
            "caption": "The x-ray image shows that the heart and mediastinum are normal in size and shape. The lungs appear clear and are normally inflated. There are no signs of focal airspace disease, pneumothorax, or pleural effusion. The osseous structures are also normal. Overall, the radiologist did not identify any acute cardiopulmonary abnormalities in this exam."
        },
        {
            "image_id": "2668_1",
            "caption": "The chest X-ray shows a healthy heart and mediastinum, and clear lungs without any noticeable abnormality. The impression reads that there is no acute disease present, indicating a normal radiographic result."
        },
        {
            "image_id": "2668_2",
            "caption": "The chest X-ray shows a healthy heart and mediastinum, and clear lungs without any noticeable abnormality. The impression reads that there is no acute disease present, indicating a normal radiographic result."
        },
        {
            "image_id": "3576_1",
            "caption": "Upon review of the X-ray images, it was found that the heart and the mediastinum are normal in size and appearance. The lungs are clear with no visible areas of focal consolidation or large pleural effusion. There is no visible bone abnormality. The findings indicate the absence of an acute cardiopulmonary process."
        },
        {
            "image_id": "3576_2",
            "caption": "Upon review of the X-ray images, it was found that the heart and the mediastinum are normal in size and appearance. The lungs are clear with no visible areas of focal consolidation or large pleural effusion. There is no visible bone abnormality. The findings indicate the absence of an acute cardiopulmonary process."
        },
        {
            "image_id": "3210_1",
            "caption": "The x-ray shows that both the heart and pulmonary vasculature are within normal limits. The mediastinal contour is unremarkable and the lungs are clear without any sign of focal consolidation or pleural effusion. No acute bony findings were identified. In conclusion, no acute cardiopulmonary abnormality was detected in the radiograph."
        },
        {
            "image_id": "193_1",
            "caption": "Upon examination of the chest x-ray, it was observed that the heart size and mediastinal contour are normal. The lungs are clear and there are no signs of pleural effusions or pneumothoraces. The pulmonary vascularity is also within normal range. However, degenerative changes were observed in the thoracic spine. Based on the findings, there is no indication of acute cardiopulmonary disease."
        },
        {
            "image_id": "193_2",
            "caption": "Upon examination of the chest x-ray, it was observed that the heart size and mediastinal contour are normal. The lungs are clear and there are no signs of pleural effusions or pneumothoraces. The pulmonary vascularity is also within normal range. However, degenerative changes were observed in the thoracic spine. Based on the findings, there is no indication of acute cardiopulmonary disease."
        },
        {
            "image_id": "1407_1",
            "caption": "The x-ray shows normal cardiac and mediastinal contours. A granuloma is observed at the base of the right lung and thoracic spondylosis is also present. However, there are no acute pulmonary findings that are visible in the x-ray."
        },
        {
            "image_id": "1407_2",
            "caption": "The x-ray shows normal cardiac and mediastinal contours. A granuloma is observed at the base of the right lung and thoracic spondylosis is also present. However, there are no acute pulmonary findings that are visible in the x-ray."
        },
        {
            "image_id": "3238_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The heart and mediastinal contours are normal, but the aorta is mildly tortuous with atherosclerotic calcifications. There is mild hypoinflation and increased peripheral lung markings in the lungs, predominantly in the right upper and lower lung. Mild eventration of the left hemidiaphragm is also present. Scattered opacities may indicate scarring or underlying interstitial lung disease. However, no acute infiltrate is observed."
        },
        {
            "image_id": "3238_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormality. The heart and mediastinal contours are normal, but the aorta is mildly tortuous with atherosclerotic calcifications. There is mild hypoinflation and increased peripheral lung markings in the lungs, predominantly in the right upper and lower lung. Mild eventration of the left hemidiaphragm is also present. Scattered opacities may indicate scarring or underlying interstitial lung disease. However, no acute infiltrate is observed."
        },
        {
            "image_id": "805_1",
            "caption": "The findings are suggestive of a healthy chest X-ray. The lungs are clear without any visible signs of consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Additionally, mild degenerative changes in the spine are noted. The impression of the X-ray indicates no evidence of active disease, which could be reassuring to someone concerned about their pulmonary health."
        },
        {
            "image_id": "805_2",
            "caption": "The findings are suggestive of a healthy chest X-ray. The lungs are clear without any visible signs of consolidation, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is normal. Additionally, mild degenerative changes in the spine are noted. The impression of the X-ray indicates no evidence of active disease, which could be reassuring to someone concerned about their pulmonary health."
        },
        {
            "image_id": "45_1",
            "caption": "There is stable cardiomegaly with vascular prominence without overt edema, no focal airspace disease, and no large pleural effusion or pneumothorax. The x-ray image shows stable cardiomegaly without overt pulmonary edema, indicating that the heart is enlarged but functioning normally without any indications of acute disease present."
        },
        {
            "image_id": "1349_1",
            "caption": "Based on the X-ray image, the heart size and pulmonary vascularity appear normal. There is no evidence of acute cardiopulmonary disease such as focal airspace disease, pleural effusion, or pneumothorax. However, a calcified granuloma is identified. The finding suggests there is no evidence of active disease."
        },
        {
            "image_id": "1349_2",
            "caption": "Based on the X-ray image, the heart size and pulmonary vascularity appear normal. There is no evidence of acute cardiopulmonary disease such as focal airspace disease, pleural effusion, or pneumothorax. However, a calcified granuloma is identified. The finding suggests there is no evidence of active disease."
        },
        {
            "image_id": "2640_1",
            "caption": "The findings from the X-ray suggest that the lungs are clear with no evidence of focal consolidation, pneumothorax, or pleural effusion. The cardio mediastinal silhouette and visualized osseous structures of the thorax are normal. There is no acute cardiopulmonary abnormality present, according to the impression. Based on this, there is no need for further investigation and the patient's health status can be monitored as needed."
        },
        {
            "image_id": "2898_1",
            "caption": "Based on the x-ray image, the heart size is normal and there is no focal alveolar consolidation or pleural effusion present. Additionally, there are no typical findings of pulmonary edema. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2898_2",
            "caption": "Based on the x-ray image, the heart size is normal and there is no focal alveolar consolidation or pleural effusion present. Additionally, there are no typical findings of pulmonary edema. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2898_3",
            "caption": "Based on the x-ray image, the heart size is normal and there is no focal alveolar consolidation or pleural effusion present. Additionally, there are no typical findings of pulmonary edema. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "2654_1",
            "caption": "The findings of the x-ray state that the heart, lungs, and mediastinum are within normal limits, without any visible abnormalities or presence of disease. The impression concludes that there is no active disease. This x-ray image shows a healthy chest without any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2654_2",
            "caption": "The findings of the x-ray state that the heart, lungs, and mediastinum are within normal limits, without any visible abnormalities or presence of disease. The impression concludes that there is no active disease. This x-ray image shows a healthy chest without any acute cardiopulmonary abnormality."
        },
        {
            "image_id": "811_1",
            "caption": "Upon examination of the x-ray, the heart was observed to be of normal size, while the mediastinum appeared unremarkable. Additionally, there were no indications of pleural effusion, pneumothorax, or focal airspace disease observed. Further, slight irregularity of the posterior left 6th rib was seen which may possibly represent an old fracture. Overall, there was no evidence of acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "811_2",
            "caption": "Upon examination of the x-ray, the heart was observed to be of normal size, while the mediastinum appeared unremarkable. Additionally, there were no indications of pleural effusion, pneumothorax, or focal airspace disease observed. Further, slight irregularity of the posterior left 6th rib was seen which may possibly represent an old fracture. Overall, there was no evidence of acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "51_1",
            "caption": "From the x-ray image, the heart size and cardiomediastinal silhouette are observed to be normal. Additionally, the lungs appear to be clear except for scattered calcified granulomas throughout both lung fields. However, no acute cardiopulmonary abnormality is detected and there are no abnormalities in the bony or soft tissue structures. Overall, the x-ray suggests that the patient does not have any current issues with their heart or lungs."
        },
        {
            "image_id": "51_2",
            "caption": "From the x-ray image, the heart size and cardiomediastinal silhouette are observed to be normal. Additionally, the lungs appear to be clear except for scattered calcified granulomas throughout both lung fields. However, no acute cardiopulmonary abnormality is detected and there are no abnormalities in the bony or soft tissue structures. Overall, the x-ray suggests that the patient does not have any current issues with their heart or lungs."
        },
        {
            "image_id": "2132_1",
            "caption": "The chest x-ray shows normal cardiac contours and clear lungs. There is a stable granuloma in the left lower lung zone and thoracic spondylosis. Overall, there are no acute findings."
        },
        {
            "image_id": "2132_2",
            "caption": "The chest x-ray shows normal cardiac contours and clear lungs. There is a stable granuloma in the left lower lung zone and thoracic spondylosis. Overall, there are no acute findings."
        },
        {
            "image_id": "144_1",
            "caption": "The patient's X-ray shows overall low lung volumes with mild patchy bibasilar airspace disease. The heart and mediastinum are of normal size and contour. No pleural effusions or pneumothoraces were observed. The impression is that there is mild patchy bibasilar airspace disease, which most likely represents atelectasis given the low lung volumes."
        },
        {
            "image_id": "622_1",
            "caption": "The finding reveals that both lungs are clear and expanded; and the heart and mediastinum are normal. The impression suggests that there is \"no active disease\", indicating the absence of any abnormality in the chest area. This X-ray image appears to show a healthy chest with no significant pulmonary or cardiac issues that warrant further investigation."
        },
        {
            "image_id": "622_2",
            "caption": "The finding reveals that both lungs are clear and expanded; and the heart and mediastinum are normal. The impression suggests that there is \"no active disease\", indicating the absence of any abnormality in the chest area. This X-ray image appears to show a healthy chest with no significant pulmonary or cardiac issues that warrant further investigation."
        },
        {
            "image_id": "2867_1",
            "caption": "The x-ray shows no active disease with a normal cardiomediastinal silhouette and midline trachea. Emphysema and chronic bony abnormalities are unchanged from prior exams. There is no evidence of pneumothorax or pleural effusion. While there is a vague density in the medial right lung apex, it is most likely representing overlying shadows of bony structures and is stable. Overall, the x-ray suggests no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2867_2",
            "caption": "The x-ray shows no active disease with a normal cardiomediastinal silhouette and midline trachea. Emphysema and chronic bony abnormalities are unchanged from prior exams. There is no evidence of pneumothorax or pleural effusion. While there is a vague density in the medial right lung apex, it is most likely representing overlying shadows of bony structures and is stable. Overall, the x-ray suggests no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2873_1",
            "caption": "The x-ray shows the normal heart size and vascularity. Lungs are clear with no pleural effusions or pneumothoraces detected. The overall external contour of the x-ray is normal. The impression indicates no acute cardiopulmonary process present."
        },
        {
            "image_id": "2873_2",
            "caption": "The x-ray shows the normal heart size and vascularity. Lungs are clear with no pleural effusions or pneumothoraces detected. The overall external contour of the x-ray is normal. The impression indicates no acute cardiopulmonary process present."
        },
        {
            "image_id": "636_1",
            "caption": "The finding of the X-ray shows normal heart size and clear right lung, but presence of granulomatous disease in both lungs and subsegmental atelectasis in the left lower lung. No pneumothorax or pleural effusion seen. The impression is mild subsegmental atelectasis in the left lower lobe. Can you please let me know if you have any questions or concerns about this report?"
        },
        {
            "image_id": "636_2",
            "caption": "The finding of the X-ray shows normal heart size and clear right lung, but presence of granulomatous disease in both lungs and subsegmental atelectasis in the left lower lung. No pneumothorax or pleural effusion seen. The impression is mild subsegmental atelectasis in the left lower lobe. Can you please let me know if you have any questions or concerns about this report?"
        },
        {
            "image_id": "150_1",
            "caption": "The X-ray image shows that the heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax identified. Visualized osseous structures appear intact. The impression is that there is no acute cardiopulmonary abnormality and no evidence of active or changes from chronic tuberculosis infection."
        },
        {
            "image_id": "150_2",
            "caption": "The X-ray image shows that the heart size, mediastinal contour, and pulmonary vascularity are within normal limits. There is no focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax identified. Visualized osseous structures appear intact. The impression is that there is no acute cardiopulmonary abnormality and no evidence of active or changes from chronic tuberculosis infection."
        },
        {
            "image_id": "178_1",
            "caption": "The x-ray shows stable cardiomediastinal silhouette with atherosclerosis of the thoracic aorta. Diffusely coarsened interstitial markings suggest chronic lung disease with worsening patchy opacities in the left apex and right base. However, no pneumothorax, pleural effusion, or acute bony abnormality is seen. The impression is that there are changes of chronic interstitial lung disease with ill-defined patchy left apical and right basilar airspace disease. It is recommended to consider PA and lateral chest radiograph if clinically feasible."
        },
        {
            "image_id": "2683_1",
            "caption": "The X-ray shows a normal heart size, clear lungs. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression is a normal chest."
        },
        {
            "image_id": "2683_2",
            "caption": "The X-ray shows a normal heart size, clear lungs. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The impression is a normal chest."
        },
        {
            "image_id": "86_1",
            "caption": "Based on the chest x-ray findings, there are no clear abnormalities seen in the heart or lungs. The heart size appears normal and there are no focal airspace consolidations, pleural effusions, or pneumothoraxes noted in the lungs. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "86_2",
            "caption": "Based on the chest x-ray findings, there are no clear abnormalities seen in the heart or lungs. The heart size appears normal and there are no focal airspace consolidations, pleural effusions, or pneumothoraxes noted in the lungs. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "86_3",
            "caption": "Based on the chest x-ray findings, there are no clear abnormalities seen in the heart or lungs. The heart size appears normal and there are no focal airspace consolidations, pleural effusions, or pneumothoraxes noted in the lungs. The impression is that there are no acute cardiopulmonary findings."
        },
        {
            "image_id": "3589_1",
            "caption": "The finding shows that the pulmonary vascularity and cardiomediastinal contour are normal. However, there are slight low lung volumes with left basal opacities but no pleural effusion, pneumothorax or acute osseous findings. The impression suggests that the left basilar airspace opacities may reflect atelectasis or infection. It is advisable to consult a doctor to further evaluate the condition."
        },
        {
            "image_id": "3589_2",
            "caption": "The finding shows that the pulmonary vascularity and cardiomediastinal contour are normal. However, there are slight low lung volumes with left basal opacities but no pleural effusion, pneumothorax or acute osseous findings. The impression suggests that the left basilar airspace opacities may reflect atelectasis or infection. It is advisable to consult a doctor to further evaluate the condition."
        },
        {
            "image_id": "1388_1",
            "caption": "The x-ray shows normal heart and lungs with no acute disease or abnormality. The lungs are clear with no focal airspace disease, pneumothorax or pleural effusion. The impression indicates no active disease or acute cardiopulmonary findings. The combination of the finding and impression shows a clear chest with no evidence of any chronic respiratory illness."
        },
        {
            "image_id": "1388_2",
            "caption": "The x-ray shows normal heart and lungs with no acute disease or abnormality. The lungs are clear with no focal airspace disease, pneumothorax or pleural effusion. The impression indicates no active disease or acute cardiopulmonary findings. The combination of the finding and impression shows a clear chest with no evidence of any chronic respiratory illness."
        },
        {
            "image_id": "84_1",
            "caption": "The chest X-ray reveals low lung volumes with bronchovascular crowding, but without any signs of acute pulmonary disease. The cardiomediastinal silhouette is within normal limits, and there are no pleural effusions, pneumothorax, or focal airspace disease. Furthermore, there is no free subdiaphragmatic air. This indicates a stable chest X-ray with no concerning abnormalities."
        },
        {
            "image_id": "84_2",
            "caption": "The chest X-ray reveals low lung volumes with bronchovascular crowding, but without any signs of acute pulmonary disease. The cardiomediastinal silhouette is within normal limits, and there are no pleural effusions, pneumothorax, or focal airspace disease. Furthermore, there is no free subdiaphragmatic air. This indicates a stable chest X-ray with no concerning abnormalities."
        },
        {
            "image_id": "2681_1",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary disease. The heart, lungs, and mediastinum are normal, with no signs of pleural effusion or pneumothorax. Although there is a small stable foreign body over the left chest, there is no focal airspace opacity to suggest pneumonia. The x-ray also shows mild degenerative changes of the spine. It is important to consult with a doctor regarding these findings."
        },
        {
            "image_id": "2681_2",
            "caption": "The x-ray shows normal findings with no acute cardiopulmonary disease. The heart, lungs, and mediastinum are normal, with no signs of pleural effusion or pneumothorax. Although there is a small stable foreign body over the left chest, there is no focal airspace opacity to suggest pneumonia. The x-ray also shows mild degenerative changes of the spine. It is important to consult with a doctor regarding these findings."
        },
        {
            "image_id": "2859_1",
            "caption": "There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal. The opacity is likely representing left upper lobe pneumonia. We recommend follow-up radiography to ensure that there is no underlying mass until the condition clears. If you experience any symptoms such as cough or chest pain, please consult with your healthcare provider."
        },
        {
            "image_id": "2859_2",
            "caption": "There is a rounded dense opacity in the lateral left midlung zone probably the left upper lobe most suggestive of a rounded pneumonia. There is no pleural effusion. The heart and mediastinum are normal. The skeletal structures are normal. The opacity is likely representing left upper lobe pneumonia. We recommend follow-up radiography to ensure that there is no underlying mass until the condition clears. If you experience any symptoms such as cough or chest pain, please consult with your healthcare provider."
        },
        {
            "image_id": "2695_1",
            "caption": "The cardiac contours appear normal. The lungs appear hyperinflated with flattened diaphragms. However, there are no acute pulmonary findings. Additionally, thoracic spondylosis is observed. Overall, there is no acute process identified by the X-ray image. However, the hyperinflation of the lungs and thoracic spondylosis suggest the possibility of underlying chronic conditions that require further evaluation from a healthcare professional."
        },
        {
            "image_id": "2695_2",
            "caption": "The cardiac contours appear normal. The lungs appear hyperinflated with flattened diaphragms. However, there are no acute pulmonary findings. Additionally, thoracic spondylosis is observed. Overall, there is no acute process identified by the X-ray image. However, the hyperinflation of the lungs and thoracic spondylosis suggest the possibility of underlying chronic conditions that require further evaluation from a healthcare professional."
        },
        {
            "image_id": "608_1",
            "caption": "The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is an old healed fracture through the right 8th rib. No acute cardiopulmonary disease. The presence of an old healed fracture through the right 8th rib should be considered. It is recommended to provide additional medical evaluation to verify that there are no underlying issues related to that."
        },
        {
            "image_id": "608_2",
            "caption": "The heart and mediastinum are unremarkable. The lungs are clear without infiltrate. There is no effusion or pneumothorax. There is an old healed fracture through the right 8th rib. No acute cardiopulmonary disease. The presence of an old healed fracture through the right 8th rib should be considered. It is recommended to provide additional medical evaluation to verify that there are no underlying issues related to that."
        },
        {
            "image_id": "90_1",
            "caption": "The lungs are clear without any airspace consolidation or pleural effusion, and there is no evidence of active disease. The heart size and mediastinal contour are within normal limits. Additionally, degenerative changes of the spine are noted in the X-ray images."
        },
        {
            "image_id": "90_2",
            "caption": "The lungs are clear without any airspace consolidation or pleural effusion, and there is no evidence of active disease. The heart size and mediastinal contour are within normal limits. Additionally, degenerative changes of the spine are noted in the X-ray images."
        },
        {
            "image_id": "2865_1",
            "caption": "The X-ray shows that the heart and pulmonary vasculature are normal in size. Moreover, there are no signs of focal airspace disease, pneumothorax or pleural effusion. No acute bone findings were detected. In conclusion, there are no signs of acute cardiopulmonary findings."
        },
        {
            "image_id": "2865_2",
            "caption": "The X-ray shows that the heart and pulmonary vasculature are normal in size. Moreover, there are no signs of focal airspace disease, pneumothorax or pleural effusion. No acute bone findings were detected. In conclusion, there are no signs of acute cardiopulmonary findings."
        },
        {
            "image_id": "620_1",
            "caption": "The patient's X-ray image shows no acute or active disease. The heart and lungs appear normal, without any indication of pleural effusion, consolidation or pneumothorax. Mild degenerative changes are present in the spine. The report suggests following up on a previously noted stable scarring in the lower left lung. Overall, there is no serious or concerning issue found in the X-ray examination."
        },
        {
            "image_id": "620_2",
            "caption": "The patient's X-ray image shows no acute or active disease. The heart and lungs appear normal, without any indication of pleural effusion, consolidation or pneumothorax. Mild degenerative changes are present in the spine. The report suggests following up on a previously noted stable scarring in the lower left lung. Overall, there is no serious or concerning issue found in the X-ray examination."
        },
        {
            "image_id": "152_1",
            "caption": "The cardiomediastinal silhouette is stable with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation or pleural effusion is noted. There are chronic appearing bilateral rib contour deformities compatible with old fractures but no pneumothorax is identified. Overall, no acute abnormalities are present on the x-ray."
        },
        {
            "image_id": "152_2",
            "caption": "The cardiomediastinal silhouette is stable with mild cardiomegaly and aortic ectasia and tortuosity. No alveolar consolidation or pleural effusion is noted. There are chronic appearing bilateral rib contour deformities compatible with old fractures but no pneumothorax is identified. Overall, no acute abnormalities are present on the x-ray."
        },
        {
            "image_id": "2871_1",
            "caption": "The X-ray image shows no acute findings of cardiopulmonary disease. The heart size is upper limits of normal, while the mediastinum appear to be within normal limits. There is no pleural effusion, pneumothorax or focal airspace opacity to suggest a pneumonia."
        },
        {
            "image_id": "2871_2",
            "caption": "The X-ray image shows no acute findings of cardiopulmonary disease. The heart size is upper limits of normal, while the mediastinum appear to be within normal limits. There is no pleural effusion, pneumothorax or focal airspace opacity to suggest a pneumonia."
        },
        {
            "image_id": "2124_1",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. There is no focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The heart size and pulmonary vasculature appear normal, and there are degenerative changes in the thoracic spine. The overall impression is that there is no evidence of active disease."
        },
        {
            "image_id": "2124_2",
            "caption": "The chest x-ray shows no signs of acute cardiopulmonary abnormality. There is no focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The heart size and pulmonary vasculature appear normal, and there are degenerative changes in the thoracic spine. The overall impression is that there is no evidence of active disease."
        },
        {
            "image_id": "2130_1",
            "caption": "Cardiomegaly with interstitial pulmonary edema and B-lines. Oval 17 mm nodular opacity in the posterior left 5th and 6th ribs, and a 10 mm nodular density in the posterior right 4th rib. There is a posterior pleural effusion but no pneumothorax. Normal mediastinal silhouette. T-spine osteophytes. Presence of nodular opacities in the lungs with mild interstitial edema and a posterior pleural effusion. Recommend follow-up after clearing edema or further characterization with CT."
        },
        {
            "image_id": "2130_2",
            "caption": "Cardiomegaly with interstitial pulmonary edema and B-lines. Oval 17 mm nodular opacity in the posterior left 5th and 6th ribs, and a 10 mm nodular density in the posterior right 4th rib. There is a posterior pleural effusion but no pneumothorax. Normal mediastinal silhouette. T-spine osteophytes. Presence of nodular opacities in the lungs with mild interstitial edema and a posterior pleural effusion. Recommend follow-up after clearing edema or further characterization with CT."
        },
        {
            "image_id": "1439_1",
            "caption": "The lungs are clear except for left base focal atelectasis. The heart and mediastinum are within normal limits. Overall, there are findings of COPD, which can be further evaluated and managed accordingly. It is important to follow up on the left base focal atelectasis to ensure resolution and rule out any underlying pathology."
        },
        {
            "image_id": "1439_2",
            "caption": "The lungs are clear except for left base focal atelectasis. The heart and mediastinum are within normal limits. Overall, there are findings of COPD, which can be further evaluated and managed accordingly. It is important to follow up on the left base focal atelectasis to ensure resolution and rule out any underlying pathology."
        },
        {
            "image_id": "53_1",
            "caption": "The X-ray image shows extremely low lung volumes and right basilar opacity. However, there is no evidence of pneumothorax or large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits. Based on the X-ray, the impression is that there are low lung volumes with right basilar atelectasis. Otherwise, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "53_2",
            "caption": "The X-ray image shows extremely low lung volumes and right basilar opacity. However, there is no evidence of pneumothorax or large pleural effusion. Cardiac silhouette and mediastinal contours are within normal limits. Based on the X-ray, the impression is that there are low lung volumes with right basilar atelectasis. Otherwise, there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "813_1",
            "caption": "The patient underwent a chest x-ray that included frontal and lateral views. The cardiomediastinal contours were normal and there were no signs of focal consolidation, pleural effusion or pneumothorax. However, there were diminished lung volumes with central bronchovascular crowding and minimal atelectasis or scarring in the left lung base. The right lung was clear. Additionally, there were degenerative changes in the thoracic spine. The impression suggests low lung volumes with minimal left basilar atelectasis versus scarring."
        },
        {
            "image_id": "813_2",
            "caption": "The patient underwent a chest x-ray that included frontal and lateral views. The cardiomediastinal contours were normal and there were no signs of focal consolidation, pleural effusion or pneumothorax. However, there were diminished lung volumes with central bronchovascular crowding and minimal atelectasis or scarring in the left lung base. The right lung was clear. Additionally, there were degenerative changes in the thoracic spine. The impression suggests low lung volumes with minimal left basilar atelectasis versus scarring."
        },
        {
            "image_id": "3548_1",
            "caption": "The heart and pulmonary vascularity are normal. No acute cardiopulmonary abnormalities are identified in the x-ray, as there are no focal airspace opacities, pleural effusions or pneumothorax. Furthermore, no acute bony abnormalities are observed."
        },
        {
            "image_id": "3548_2",
            "caption": "The heart and pulmonary vascularity are normal. No acute cardiopulmonary abnormalities are identified in the x-ray, as there are no focal airspace opacities, pleural effusions or pneumothorax. Furthermore, no acute bony abnormalities are observed."
        },
        {
            "image_id": "2656_1",
            "caption": "Upon reviewing the chest x-ray examination, it was found that there are no acute cardiopulmonary problems. The heart size, mediastinal contour, and pulmonary vascularity are all normal. Although there are residuals of prior granulomatous infection, the lungs are otherwise clear. Additionally, there are no pleural effusions or pneumothoraces observed on the radiograph. However, degenerative changes were noted in the thoracic spine."
        },
        {
            "image_id": "1377_1",
            "caption": "The chest X-ray shows no evidence of any acute cardiopulmonary abnormality. The heart and mediastinum appear normal in size and the pulmonary vasculature is normal. The lungs are clear without any focal consolidation, nodules, or masses. No visible pneumothorax or pleural effusions were observed. Additionally, there is no visible intraperitoneal air under the diaphragm. The findings suggest a normal chest X-ray."
        },
        {
            "image_id": "1377_2",
            "caption": "The chest X-ray shows no evidence of any acute cardiopulmonary abnormality. The heart and mediastinum appear normal in size and the pulmonary vasculature is normal. The lungs are clear without any focal consolidation, nodules, or masses. No visible pneumothorax or pleural effusions were observed. Additionally, there is no visible intraperitoneal air under the diaphragm. The findings suggest a normal chest X-ray."
        },
        {
            "image_id": "3560_1",
            "caption": "The chest x-ray shows both lungs to be clear and fully expanded, with a normal heart and mediastinum. There are no signs of active disease or abnormalities. This suggests a healthy radiographic cardiopulmonary scan."
        },
        {
            "image_id": "3560_2",
            "caption": "The chest x-ray shows both lungs to be clear and fully expanded, with a normal heart and mediastinum. There are no signs of active disease or abnormalities. This suggests a healthy radiographic cardiopulmonary scan."
        },
        {
            "image_id": "2118_1",
            "caption": "Based on the chest x-ray findings, a stable AICD with intact replacement is present in the left chest wall, while the surgical cervical fusion is redemonstrated. The cardiac and mediastinal structures appear normal, with no visible pneumothorax or pleural effusion. A faint opacity in the left upper lobe may suggest atelectasis or scarring. The osseous structures are intact without any significant bony abnormalities. Overall, there is no acute radiographic cardiopulmonary process identified."
        },
        {
            "image_id": "2118_2",
            "caption": "Based on the chest x-ray findings, a stable AICD with intact replacement is present in the left chest wall, while the surgical cervical fusion is redemonstrated. The cardiac and mediastinal structures appear normal, with no visible pneumothorax or pleural effusion. A faint opacity in the left upper lobe may suggest atelectasis or scarring. The osseous structures are intact without any significant bony abnormalities. Overall, there is no acute radiographic cardiopulmonary process identified."
        },
        {
            "image_id": "3206_1",
            "caption": "The chest x-ray shows that the heart size is normal, with no large effusions, focal airspace opacities, or pneumothorax. Therefore, there are no indications of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3206_2",
            "caption": "The chest x-ray shows that the heart size is normal, with no large effusions, focal airspace opacities, or pneumothorax. Therefore, there are no indications of acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "185_1",
            "caption": "Based on the chest x-ray, the patient shows no signs of acute cardiopulmonary disease. Although the heart is present normal in size, the lungs appear mildly hypoinflated and there are increased opacities on the lateral projection, which reflect bronchovascular crowding. The mediastinum is stable and there is no evidence of acute infiltrate or pleural effusion."
        },
        {
            "image_id": "185_2",
            "caption": "Based on the chest x-ray, the patient shows no signs of acute cardiopulmonary disease. Although the heart is present normal in size, the lungs appear mildly hypoinflated and there are increased opacities on the lateral projection, which reflect bronchovascular crowding. The mediastinum is stable and there is no evidence of acute infiltrate or pleural effusion."
        },
        {
            "image_id": "1411_1",
            "caption": "The heart and mediastinum are normal. Lungs are clear of focal consolidation, pneumothorax, or pleural effusion. Some degenerative changes can be seen in the thoracic spine. No acute cardiopulmonary abnormality is detected in the X-ray image."
        },
        {
            "image_id": "1411_2",
            "caption": "The heart and mediastinum are normal. Lungs are clear of focal consolidation, pneumothorax, or pleural effusion. Some degenerative changes can be seen in the thoracic spine. No acute cardiopulmonary abnormality is detected in the X-ray image."
        },
        {
            "image_id": "1405_1",
            "caption": "There is scarring in the right mid and upper lung zone with surgical clips identified as well. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted. Based on the X-ray, there is no current evidence of acute pulmonary disease. However, scarring is present in the right mid and upper lung zone along with surgical clips. The heart appears normal in size but there are atherosclerotic changes in the aorta. The X-ray also shows arthritic changes in the skeletal structures. It is essential to consult a doctor for further advice regarding these findings."
        },
        {
            "image_id": "1405_2",
            "caption": "There is scarring in the right mid and upper lung zone with surgical clips identified as well. There is no pleural effusion or pneumothorax. The heart is not significantly enlarged. There are atherosclerotic changes of the aorta. Arthritic changes of the skeletal structures are noted. Based on the X-ray, there is no current evidence of acute pulmonary disease. However, scarring is present in the right mid and upper lung zone along with surgical clips. The heart appears normal in size but there are atherosclerotic changes in the aorta. The X-ray also shows arthritic changes in the skeletal structures. It is essential to consult a doctor for further advice regarding these findings."
        },
        {
            "image_id": "191_1",
            "caption": "The patient's chest x-ray shows that their heart is of normal size and the pulmonary vascularity is normal in appearance. There are no visible focal air space opacities, pleural effusions or pneumothorax. No acute bony abnormalities were detected. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "191_2",
            "caption": "The patient's chest x-ray shows that their heart is of normal size and the pulmonary vascularity is normal in appearance. There are no visible focal air space opacities, pleural effusions or pneumothorax. No acute bony abnormalities were detected. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3212_1",
            "caption": "The X-ray image shows the lungs are clear without any focal consolidation, effusion or pneumothorax. Normal heart size and the bony thorax is grossly unremarkable. The impression indicates a negative diagnosis for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3212_2",
            "caption": "The X-ray image shows the lungs are clear without any focal consolidation, effusion or pneumothorax. Normal heart size and the bony thorax is grossly unremarkable. The impression indicates a negative diagnosis for acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3574_1",
            "caption": "The x-ray shows normal cardiomediastinal silhouette without any focal consolidation, pneumothorax, or large pleural effusion. Suspected artifact over bilateral neck soft tissues and supraclavicular fossae, however, no visible abnormality. Overall, the x-ray is negative for any acute abnormality."
        },
        {
            "image_id": "3574_2",
            "caption": "The x-ray shows normal cardiomediastinal silhouette without any focal consolidation, pneumothorax, or large pleural effusion. Suspected artifact over bilateral neck soft tissues and supraclavicular fossae, however, no visible abnormality. Overall, the x-ray is negative for any acute abnormality."
        },
        {
            "image_id": "1363_1",
            "caption": "The X-ray shows that the size and contour of the cardiomediastinal silhouette is normal. No signs of effusion, pneumothorax, or focal airspace consolidation were found. It indicates that the lungs are normally aerated. Therefore, the impression is that the lungs are clear with no focal airspace consolidation."
        },
        {
            "image_id": "1363_2",
            "caption": "The X-ray shows that the size and contour of the cardiomediastinal silhouette is normal. No signs of effusion, pneumothorax, or focal airspace consolidation were found. It indicates that the lungs are normally aerated. Therefore, the impression is that the lungs are clear with no focal airspace consolidation."
        },
        {
            "image_id": "1834_1",
            "caption": "The X-ray shows a normal heart size with clear lungs and normal structures. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The overall impression is of a normal chest X-ray with no evidence of tuberculosis."
        },
        {
            "image_id": "1834_2",
            "caption": "The X-ray shows a normal heart size with clear lungs and normal structures. There is no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules or masses. The overall impression is of a normal chest X-ray with no evidence of tuberculosis."
        },
        {
            "image_id": "2483_1",
            "caption": "The x-ray image shows that the heart size is slightly towards the upper limits of normal and there may be mild pulmonary vascular congestion. The patient had a previous aortic valve replacement. The skeletal structures and soft tissues are normal. Based on the findings, there is a question of mild pulmonary vascular congestion in a patient with prosthetic aortic valve. Further consultation with a healthcare professional is recommended."
        },
        {
            "image_id": "2483_2",
            "caption": "The x-ray image shows that the heart size is slightly towards the upper limits of normal and there may be mild pulmonary vascular congestion. The patient had a previous aortic valve replacement. The skeletal structures and soft tissues are normal. Based on the findings, there is a question of mild pulmonary vascular congestion in a patient with prosthetic aortic valve. Further consultation with a healthcare professional is recommended."
        },
        {
            "image_id": "3945_1",
            "caption": "The chest x-ray shows an increased size of left pneumothorax, which is causing partial collapse of the left upper and lower lobes, measuring up to 3.5 cm in maximum width at the apex. There is a small left pleural effusion/hemothorax, but no significant mediastinal shift. The right lung appears normal, and there are no visible focal airspace opacities or free subdiaphragmatic air. The cardiomediastinal silhouette is within normal limits. The impression is that the patient has an increased size of left pneumothorax with a small left pleural effusion/hemothorax."
        },
        {
            "image_id": "3945_2",
            "caption": "The chest x-ray shows an increased size of left pneumothorax, which is causing partial collapse of the left upper and lower lobes, measuring up to 3.5 cm in maximum width at the apex. There is a small left pleural effusion/hemothorax, but no significant mediastinal shift. The right lung appears normal, and there are no visible focal airspace opacities or free subdiaphragmatic air. The cardiomediastinal silhouette is within normal limits. The impression is that the patient has an increased size of left pneumothorax with a small left pleural effusion/hemothorax."
        },
        {
            "image_id": "3789_1",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormalities. The heart size is within normal limits, with mild cardiomegaly that is unchanged. The superior mediastinal contour is stable and the pulmonary vascularity is normal. No focal airspace opacity, pleural effusion, or pneumothorax is observed. Additionally, there are no acute bony abnormalities, except for the presence of surgical clips in the right upper quadrant. In summary, the chest appears stable with no acute cardiopulmonary findings."
        },
        {
            "image_id": "3789_2",
            "caption": "The chest x-ray reveals no acute cardiopulmonary abnormalities. The heart size is within normal limits, with mild cardiomegaly that is unchanged. The superior mediastinal contour is stable and the pulmonary vascularity is normal. No focal airspace opacity, pleural effusion, or pneumothorax is observed. Additionally, there are no acute bony abnormalities, except for the presence of surgical clips in the right upper quadrant. In summary, the chest appears stable with no acute cardiopulmonary findings."
        },
        {
            "image_id": "3951_1",
            "caption": "The x-ray shows a normal-sized and contoured cardiomediastinal silhouette. There is no pneumothorax or large pleural effusion. However, there is a masslike opacification of the right apex, which suggests worsening malignancy or malignancy with postobstructive pneumonia. Further evaluation and testing may be required to confirm the diagnosis and decide on appropriate treatment options."
        },
        {
            "image_id": "3951_2",
            "caption": "The x-ray shows a normal-sized and contoured cardiomediastinal silhouette. There is no pneumothorax or large pleural effusion. However, there is a masslike opacification of the right apex, which suggests worsening malignancy or malignancy with postobstructive pneumonia. Further evaluation and testing may be required to confirm the diagnosis and decide on appropriate treatment options."
        },
        {
            "image_id": "1820_1",
            "caption": "The x-ray shows the heart size and mediastinal contours within normal limits with no acute cardiopulmonary abnormality. There is eventration of the right hemidiaphragm and no focal lung consolidation, pleural effusion, or pneumothorax detected. Additionally, no acute bony abnormality is observed."
        },
        {
            "image_id": "1820_2",
            "caption": "The x-ray shows the heart size and mediastinal contours within normal limits with no acute cardiopulmonary abnormality. There is eventration of the right hemidiaphragm and no focal lung consolidation, pleural effusion, or pneumothorax detected. Additionally, no acute bony abnormality is observed."
        },
        {
            "image_id": "1808_1",
            "caption": "Upon examination, the cardiac silhouette and mediastinum appear to be within normal limits, with no evidence of pulmonary edema or pleural effusion. The absence of focal consolidation and pneumothorax indicate no acute abnormalities. However, there are multilevel flowing anterior thoracic spine osteophytes which may be related to changes of diffuse idiopathic skeletal hyperostosis (DISH). In summary, there is no evidence of acute cardiopulmonary disease, but further investigation may be necessary for the osteophytes."
        },
        {
            "image_id": "1808_2",
            "caption": "Upon examination, the cardiac silhouette and mediastinum appear to be within normal limits, with no evidence of pulmonary edema or pleural effusion. The absence of focal consolidation and pneumothorax indicate no acute abnormalities. However, there are multilevel flowing anterior thoracic spine osteophytes which may be related to changes of diffuse idiopathic skeletal hyperostosis (DISH). In summary, there is no evidence of acute cardiopulmonary disease, but further investigation may be necessary for the osteophytes."
        },
        {
            "image_id": "344_1",
            "caption": "The X-ray shows that the lungs are clear and there is no evidence of any acute cardiopulmonary abnormality like pleural effusion, pneumothorax or focal consolidation. The cardio mediastinal silhouette is unremarkable and there is no acute abnormality in the visualized osseous structures of the thorax. This indicates that the patient's chest is healthy enough to not be concerned about any major illnesses."
        },
        {
            "image_id": "344_2",
            "caption": "The X-ray shows that the lungs are clear and there is no evidence of any acute cardiopulmonary abnormality like pleural effusion, pneumothorax or focal consolidation. The cardio mediastinal silhouette is unremarkable and there is no acute abnormality in the visualized osseous structures of the thorax. This indicates that the patient's chest is healthy enough to not be concerned about any major illnesses."
        },
        {
            "image_id": "3979_1",
            "caption": "On this chest X-ray, the heart appears normal in size with only mild unfolding and atherosclerotic calcification of the aorta. There is no evidence of focal air space consolidation, pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance. As a result, there are no acute cardiopulmonary abnormalities observed in this image."
        },
        {
            "image_id": "3979_2",
            "caption": "On this chest X-ray, the heart appears normal in size with only mild unfolding and atherosclerotic calcification of the aorta. There is no evidence of focal air space consolidation, pneumothorax or pleural effusion. Visualized bony structures are unremarkable in appearance. As a result, there are no acute cardiopulmonary abnormalities observed in this image."
        },
        {
            "image_id": "350_1",
            "caption": "The x-ray shows normal cardiomediastinal contours with no pneumothorax or large pleural effusions present. However, there are left basilar patchy opacities that could be an indication of atelectasis or infection. Additionally, the x-ray shows a small hiatal hernia. Overall, there is no acute cardiopulmonary abnormality, but the presence of patchy opacities warrants further evaluation."
        },
        {
            "image_id": "350_2",
            "caption": "The x-ray shows normal cardiomediastinal contours with no pneumothorax or large pleural effusions present. However, there are left basilar patchy opacities that could be an indication of atelectasis or infection. Additionally, the x-ray shows a small hiatal hernia. Overall, there is no acute cardiopulmonary abnormality, but the presence of patchy opacities warrants further evaluation."
        },
        {
            "image_id": "3038_1",
            "caption": "The x-ray shows no acute cardiopulmonary abnormalities. However, there is a calcified granuloma within the left upper lobe and acute mild anterior deformities at L1-L2 with retropulsion of the posterior vertebral body of L1. A CT scan of the lumbar spine was ordered for further evaluation of the deformities."
        },
        {
            "image_id": "3038_2",
            "caption": "The x-ray shows no acute cardiopulmonary abnormalities. However, there is a calcified granuloma within the left upper lobe and acute mild anterior deformities at L1-L2 with retropulsion of the posterior vertebral body of L1. A CT scan of the lumbar spine was ordered for further evaluation of the deformities."
        },
        {
            "image_id": "2326_1",
            "caption": "Upon examination of the X-ray image, there is evidence of cardiomegaly with stable mediastinal and hilar contours, and eventration of the right hemidiaphragm. No focal alveolar consolidation or pleural effusion is observed, and typical findings of pulmonary edema are absent. The impression suggests no acute pulmonary findings."
        },
        {
            "image_id": "2326_2",
            "caption": "Upon examination of the X-ray image, there is evidence of cardiomegaly with stable mediastinal and hilar contours, and eventration of the right hemidiaphragm. No focal alveolar consolidation or pleural effusion is observed, and typical findings of pulmonary edema are absent. The impression suggests no acute pulmonary findings."
        },
        {
            "image_id": "1149_1",
            "caption": "After examining the x-ray image, the radiologist found several calcified granulomas in bilateral hilar regions and confirmed that the trachea is midline. There is no pneumothorax, pleural effusion, or focal airspace consolidation, and the heart size is normal. Therefore, no acute cardiopulmonary abnormality was detected."
        },
        {
            "image_id": "1149_2",
            "caption": "After examining the x-ray image, the radiologist found several calcified granulomas in bilateral hilar regions and confirmed that the trachea is midline. There is no pneumothorax, pleural effusion, or focal airspace consolidation, and the heart size is normal. Therefore, no acute cardiopulmonary abnormality was detected."
        },
        {
            "image_id": "2440_1",
            "caption": "The x-ray shows no acute abnormalities of the heart or lungs. However, emphysematous changes are identified indicating emphysema without acute disease. The aorta is atherosclerotic. Overall, the x-ray suggests the presence of chronic conditions warranting further evaluation and management."
        },
        {
            "image_id": "2440_2",
            "caption": "The x-ray shows no acute abnormalities of the heart or lungs. However, emphysematous changes are identified indicating emphysema without acute disease. The aorta is atherosclerotic. Overall, the x-ray suggests the presence of chronic conditions warranting further evaluation and management."
        },
        {
            "image_id": "3986_1",
            "caption": "Based on the X-ray image, the heart and mediastinum are normal in size and shape. The lungs are clear without any signs of pneumothorax or effusion. The osseous structures appear normal based on patient's age. In summary, there is no acute radiographic cardiopulmonary process or any other acute abnormality observed."
        },
        {
            "image_id": "3986_2",
            "caption": "Based on the X-ray image, the heart and mediastinum are normal in size and shape. The lungs are clear without any signs of pneumothorax or effusion. The osseous structures appear normal based on patient's age. In summary, there is no acute radiographic cardiopulmonary process or any other acute abnormality observed."
        },
        {
            "image_id": "3986_3",
            "caption": "Based on the X-ray image, the heart and mediastinum are normal in size and shape. The lungs are clear without any signs of pneumothorax or effusion. The osseous structures appear normal based on patient's age. In summary, there is no acute radiographic cardiopulmonary process or any other acute abnormality observed."
        },
        {
            "image_id": "2454_1",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and shape. The right lung is clear, and there is a stable blunting of the left costophrenic angle, which may indicate a persistent pleural effusion or pleural scarring. No pneumothorax or focal consolidation is seen. The finding suggests a need for further investigation to determine the cause of left costophrenic angle blunting."
        },
        {
            "image_id": "2454_2",
            "caption": "The x-ray shows that the heart and mediastinum are normal in size and shape. The right lung is clear, and there is a stable blunting of the left costophrenic angle, which may indicate a persistent pleural effusion or pleural scarring. No pneumothorax or focal consolidation is seen. The finding suggests a need for further investigation to determine the cause of left costophrenic angle blunting."
        },
        {
            "image_id": "2332_1",
            "caption": "The finding reveals normal heart size and clear lungs without any focal airspace opacity, pleural effusion, pneumothorax, or acute bony abnormality. The impression states that there is no acute cardiopulmonary abnormality present in the x-ray report. Please note that the above report does not contain any sensitive or confidential information and is for educational purposes only."
        },
        {
            "image_id": "2332_2",
            "caption": "The finding reveals normal heart size and clear lungs without any focal airspace opacity, pleural effusion, pneumothorax, or acute bony abnormality. The impression states that there is no acute cardiopulmonary abnormality present in the x-ray report. Please note that the above report does not contain any sensitive or confidential information and is for educational purposes only."
        },
        {
            "image_id": "387_1",
            "caption": "On examination, the heart appears normal in size. However, there is left hilar enlargement seen with partial opacification of the left upper lobe indicative of a possible hilar mass with obstructive atelectasis. Additionally, a small right midlung nodule is also being questioned. No pneumothorax or pleural effusion is detected, and the bony thorax appears unremarkable. Further investigation through imaging is recommended to characterise the left hilar mass and provide an accurate diagnosis."
        },
        {
            "image_id": "387_2",
            "caption": "On examination, the heart appears normal in size. However, there is left hilar enlargement seen with partial opacification of the left upper lobe indicative of a possible hilar mass with obstructive atelectasis. Additionally, a small right midlung nodule is also being questioned. No pneumothorax or pleural effusion is detected, and the bony thorax appears unremarkable. Further investigation through imaging is recommended to characterise the left hilar mass and provide an accurate diagnosis."
        },
        {
            "image_id": "3004_1",
            "caption": "The x-ray shows normal size and configuration of the cardiac silhouette. Scattered calcified granulomas are present with left greater than right basilar opacity, probable atelectasis and/or scarring. However, there is no pleural effusion or acute cardiac or pulmonary disease process. The impression is basilar atelectasis."
        },
        {
            "image_id": "3004_2",
            "caption": "The x-ray shows normal size and configuration of the cardiac silhouette. Scattered calcified granulomas are present with left greater than right basilar opacity, probable atelectasis and/or scarring. However, there is no pleural effusion or acute cardiac or pulmonary disease process. The impression is basilar atelectasis."
        },
        {
            "image_id": "3762_1",
            "caption": "The chest x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are normal. There are no signs of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax. The visualized osseous structures appear to be intact. The impression is that there is no acute cardiopulmonary abnormality but calcified left coronary arteries were noted."
        },
        {
            "image_id": "3762_2",
            "caption": "The chest x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are normal. There are no signs of focal consolidation, suspicious pulmonary opacity, large pleural effusion, or pneumothorax. The visualized osseous structures appear to be intact. The impression is that there is no acute cardiopulmonary abnormality but calcified left coronary arteries were noted."
        },
        {
            "image_id": "1175_1",
            "caption": "The chest X-ray shows that both lungs are clear and well-expanded, and the heart and mediastinum appear normal. The impression is that there is no active disease evident in the X-ray."
        },
        {
            "image_id": "1175_2",
            "caption": "The chest X-ray shows that both lungs are clear and well-expanded, and the heart and mediastinum appear normal. The impression is that there is no active disease evident in the X-ray."
        },
        {
            "image_id": "1161_1",
            "caption": "Upon reviewing the X-ray images, it was found that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion, and no acute bony findings were observed. As per the impression, there are no acute cardiopulmonary findings that suggest any active disease."
        },
        {
            "image_id": "1161_2",
            "caption": "Upon reviewing the X-ray images, it was found that the cardiomediastinal silhouette and pulmonary vasculature are within normal limits in size. The lungs are clear of any focal airspace disease, pneumothorax, or pleural effusion, and no acute bony findings were observed. As per the impression, there are no acute cardiopulmonary findings that suggest any active disease."
        },
        {
            "image_id": "3010_1",
            "caption": "The X-ray reveals that there are no acute abnormalities found in both the heart and lungs. There are no evident fractures or deformities in the bones. In summary, there are no acute cardiopulmonary related ailments seen in the X-ray report."
        },
        {
            "image_id": "3010_2",
            "caption": "The X-ray reveals that there are no acute abnormalities found in both the heart and lungs. There are no evident fractures or deformities in the bones. In summary, there are no acute cardiopulmonary related ailments seen in the X-ray report."
        },
        {
            "image_id": "393_1",
            "caption": "The x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are all within normal limits. Additionally, no presence of focal consolidation, pleural effusion, or pneumothorax is identified. There are no acute osseous abnormalities observed as well. Therefore, the impression is that there are no acute cardiopulmonary abnormalities detected in the x-ray."
        },
        {
            "image_id": "393_2",
            "caption": "The x-ray shows that the heart size, mediastinal contour, and pulmonary vascularity are all within normal limits. Additionally, no presence of focal consolidation, pleural effusion, or pneumothorax is identified. There are no acute osseous abnormalities observed as well. Therefore, the impression is that there are no acute cardiopulmonary abnormalities detected in the x-ray."
        },
        {
            "image_id": "1607_1",
            "caption": "The X-ray imaging shows that the lungs are clear and the heart size is normal. There are multiple foreign bodies on the left clavicle and posterior soft tissues which are unchanged. However, there is no acute cardiopulmonary abnormality found and the bony thorax appears to be intact."
        },
        {
            "image_id": "1940_1",
            "caption": "The x-ray image shows no acute abnormalities. The heart is normal in size and there are no signs of cardiopulmonary disease like pneumothorax, pleural effusion, or consolidation. The bony thorax is intact. However, there are some postsurgical changes in the left axilla. Overall, the impression of the x-ray is that there is no active disease or acute abnormality."
        },
        {
            "image_id": "1940_2",
            "caption": "The x-ray image shows no acute abnormalities. The heart is normal in size and there are no signs of cardiopulmonary disease like pneumothorax, pleural effusion, or consolidation. The bony thorax is intact. However, there are some postsurgical changes in the left axilla. Overall, the impression of the x-ray is that there is no active disease or acute abnormality."
        },
        {
            "image_id": "2291_1",
            "caption": "The x-ray image shows a normal heart size and clear lungs with no focal airspace consolidations, pleural effusions, or pneumothoraces. The hilar and mediastinal contours are also normal with normal pulmonary vascularity. Additionally, it is noted that the patient has an umbilical piercing. Overall, there is no acute abnormality observed in the x-ray."
        },
        {
            "image_id": "2291_2",
            "caption": "The x-ray image shows a normal heart size and clear lungs with no focal airspace consolidations, pleural effusions, or pneumothoraces. The hilar and mediastinal contours are also normal with normal pulmonary vascularity. Additionally, it is noted that the patient has an umbilical piercing. Overall, there is no acute abnormality observed in the x-ray."
        },
        {
            "image_id": "3831_1",
            "caption": "The x-ray image shows that the lungs are clear and there are no infiltrates or suspicious pulmonary opacities. There is also no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within the normal range. The impression is that there is no acute cardiopulmonary abnormality present, indicating healthy lungs and heart."
        },
        {
            "image_id": "3831_2",
            "caption": "The x-ray image shows that the lungs are clear and there are no infiltrates or suspicious pulmonary opacities. There is also no evidence of pleural effusion or pneumothorax. The cardiomediastinal silhouette is within the normal range. The impression is that there is no acute cardiopulmonary abnormality present, indicating healthy lungs and heart."
        },
        {
            "image_id": "2285_1",
            "caption": "Patient has undergone sternotomy and there are postsurgical changes in the mediastinum. There is stable cardiomegaly. The bronchovascular and interstitial markings appear crowded, likely related to low lung volumes and technique. Lungs show a stable appearance compared to prior exam without edema or gross airspace consolidation. The patient has undergone sternotomy and there are mediastinal postsurgical changes. There is no acute cardiopulmonary abnormality, but there are crowded bronchovascular and interstitial markings likely due to low lung volumes and technique. The lungs appear stable with no edema or gross airspace consolidation. Further evaluation may be required to assess the sternotomy."
        },
        {
            "image_id": "2285_2",
            "caption": "Patient has undergone sternotomy and there are postsurgical changes in the mediastinum. There is stable cardiomegaly. The bronchovascular and interstitial markings appear crowded, likely related to low lung volumes and technique. Lungs show a stable appearance compared to prior exam without edema or gross airspace consolidation. The patient has undergone sternotomy and there are mediastinal postsurgical changes. There is no acute cardiopulmonary abnormality, but there are crowded bronchovascular and interstitial markings likely due to low lung volumes and technique. The lungs appear stable with no edema or gross airspace consolidation. Further evaluation may be required to assess the sternotomy."
        },
        {
            "image_id": "218_1",
            "caption": "The findings suggest no acute abnormalities in the heart and lungs. Although the heart size is normal, aortic calcification is noted. No pneumothorax or large pleural effusions were observed. Unchanged scattered opacities throughout the lungs may represent scarring, indicating chronic lung disease, which are noted to be hyperexpanded. Overall, the impression is stable chronic lung disease with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "218_2",
            "caption": "The findings suggest no acute abnormalities in the heart and lungs. Although the heart size is normal, aortic calcification is noted. No pneumothorax or large pleural effusions were observed. Unchanged scattered opacities throughout the lungs may represent scarring, indicating chronic lung disease, which are noted to be hyperexpanded. Overall, the impression is stable chronic lung disease with no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1954_1",
            "caption": "On examination of the x-ray image, the size and shape of the heart and mediastinum are found to be normal, while the lungs show no signs of disease, congestion or fluid buildup. The impression drawn from this finding is that there is no acute illness, and the patient's cardiopulmonary health appears to be stable."
        },
        {
            "image_id": "1954_2",
            "caption": "On examination of the x-ray image, the size and shape of the heart and mediastinum are found to be normal, while the lungs show no signs of disease, congestion or fluid buildup. The impression drawn from this finding is that there is no acute illness, and the patient's cardiopulmonary health appears to be stable."
        },
        {
            "image_id": "556_1",
            "caption": "The patient's X-ray shows that their heart, lungs, and mediastinal contours are within normal limits. There are no signs of pleural effusion, pneumothorax, or focal consolidation. The impression is that the patient has no acute cardiopulmonary disease."
        },
        {
            "image_id": "556_2",
            "caption": "The patient's X-ray shows that their heart, lungs, and mediastinal contours are within normal limits. There are no signs of pleural effusion, pneumothorax, or focal consolidation. The impression is that the patient has no acute cardiopulmonary disease."
        },
        {
            "image_id": "3819_1",
            "caption": "The cardiac silhouette remains markedly enlarged. There is aortic vascular calcification. No focal airspace consolidation or pleural effusion. The findings suggest continued severe cardiomegaly and/or pericardial effusion. However, there is no acute pulmonary disease process identified."
        },
        {
            "image_id": "3819_2",
            "caption": "The cardiac silhouette remains markedly enlarged. There is aortic vascular calcification. No focal airspace consolidation or pleural effusion. The findings suggest continued severe cardiomegaly and/or pericardial effusion. However, there is no acute pulmonary disease process identified."
        },
        {
            "image_id": "3819_3",
            "caption": "The cardiac silhouette remains markedly enlarged. There is aortic vascular calcification. No focal airspace consolidation or pleural effusion. The findings suggest continued severe cardiomegaly and/or pericardial effusion. However, there is no acute pulmonary disease process identified."
        },
        {
            "image_id": "542_1",
            "caption": "Based on the X-ray image, the trachea is in the middle and the cardiomediastinal silhouette is normal. There are no acute infiltrates or effusions in the lungs and no signs of a pneumothorax. The visualized bony structures show no acute abnormality. In other words, there is currently no acute cardiopulmonary abnormality identified in the X-ray images."
        },
        {
            "image_id": "224_1",
            "caption": "The patient's chest x-ray showed normal findings with clear lungs, a normal heart, and no signs of acute pulmonary abnormality such as pneumothorax or pleural effusion. The impression indicated no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "224_2",
            "caption": "The patient's chest x-ray showed normal findings with clear lungs, a normal heart, and no signs of acute pulmonary abnormality such as pneumothorax or pleural effusion. The impression indicated no acute cardiopulmonary abnormality present."
        },
        {
            "image_id": "1968_1",
            "caption": "The patient's x-ray image reveals a technically limited lateral view due to positioning, but normal heart size and mediastinal contours were observed on frontal view. Additionally, there was no presence of focal airspace consolidation, pneumothorax or large pleural effusion. The visualized osseous structures were found to be unremarkable. Although a limited exam, there were no acute cardiopulmonary abnormalities identified."
        },
        {
            "image_id": "1968_2",
            "caption": "The patient's x-ray image reveals a technically limited lateral view due to positioning, but normal heart size and mediastinal contours were observed on frontal view. Additionally, there was no presence of focal airspace consolidation, pneumothorax or large pleural effusion. The visualized osseous structures were found to be unremarkable. Although a limited exam, there were no acute cardiopulmonary abnormalities identified."
        },
        {
            "image_id": "2252_1",
            "caption": "The x-ray shows a normal chest with clear lungs, normal heart size, and no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression states that the chest is normal, indicating that there are no concerning findings on the x-ray."
        },
        {
            "image_id": "2252_2",
            "caption": "The x-ray shows a normal chest with clear lungs, normal heart size, and no evidence of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. The impression states that the chest is normal, indicating that there are no concerning findings on the x-ray."
        },
        {
            "image_id": "2520_1",
            "caption": "The X-ray shows that the heart and pulmonary vascularity are within normal limits and the lungs are free of focal airspace disease. There is no sign of pleural effusion or pneumothorax. There are a few bandlike opacities which are expected to be small areas of scarring or atelectasis. Eventration of the right hemidiaphragm and calcified granuloma in the left lung are present. Overall, there is no evidence of active disease."
        },
        {
            "image_id": "2520_2",
            "caption": "The X-ray shows that the heart and pulmonary vascularity are within normal limits and the lungs are free of focal airspace disease. There is no sign of pleural effusion or pneumothorax. There are a few bandlike opacities which are expected to be small areas of scarring or atelectasis. Eventration of the right hemidiaphragm and calcified granuloma in the left lung are present. Overall, there is no evidence of active disease."
        },
        {
            "image_id": "1997_1",
            "caption": "During the examination, the heart size appeared to be normal and the lungs were found to be clear without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. Additionally, it shows a normal chest x-ray. The impression of the x-ray examination is a \"normal chest\""
        },
        {
            "image_id": "1997_2",
            "caption": "During the examination, the heart size appeared to be normal and the lungs were found to be clear without any signs of pneumonia, effusions, edema, pneumothorax, adenopathy, nodules, or masses. Additionally, it shows a normal chest x-ray. The impression of the x-ray examination is a \"normal chest\""
        },
        {
            "image_id": "2246_1",
            "caption": "The x-ray shows normal heart size and mediastinal contour. However, there is right lung base airspace disease on frontal view and atelectasis with band-like opacities in the left lung base. There is also a mild wedge-shaped deformity of T12. No pneumothorax or pleural effusion is seen. The impression is right lung base airspace disease and left base atelectasis."
        },
        {
            "image_id": "2246_2",
            "caption": "The x-ray shows normal heart size and mediastinal contour. However, there is right lung base airspace disease on frontal view and atelectasis with band-like opacities in the left lung base. There is also a mild wedge-shaped deformity of T12. No pneumothorax or pleural effusion is seen. The impression is right lung base airspace disease and left base atelectasis."
        },
        {
            "image_id": "3158_1",
            "caption": "The chest X-ray reveals that the patient has cardiomegaly but no overt heart failure. The pulmonary vascularity appears to be normal and there is no focal airspace disease. However, scattered opacities are present which could be either scarring or atelectasis. The left hemidiaphragm is elevated and there is scoliosis involving the lumbar spine. The impression is that there is a continued elevation of the left hemidiaphragm and scattered scarring/atelectasis in the left base."
        },
        {
            "image_id": "3158_2",
            "caption": "The chest X-ray reveals that the patient has cardiomegaly but no overt heart failure. The pulmonary vascularity appears to be normal and there is no focal airspace disease. However, scattered opacities are present which could be either scarring or atelectasis. The left hemidiaphragm is elevated and there is scoliosis involving the lumbar spine. The impression is that there is a continued elevation of the left hemidiaphragm and scattered scarring/atelectasis in the left base."
        },
        {
            "image_id": "1767_1",
            "caption": "The heart and mediastinal structures are normal in size. There is a calcified granuloma in the right lower lobe. The lungs are without focal airspace disease. No pneumothorax or pleural effusion is identified. No acute bony abnormalities are observed. There is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1767_2",
            "caption": "The heart and mediastinal structures are normal in size. There is a calcified granuloma in the right lower lobe. The lungs are without focal airspace disease. No pneumothorax or pleural effusion is identified. No acute bony abnormalities are observed. There is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3170_1",
            "caption": "The x-ray image reveals an ectatic aorta, but no acute cardiopulmonary abnormality. Specifically, the heart size and cardiomediastinal contours appear normal, and the lungs are clear without evidence of fibrosis, pleural effusions, or pneumothorax. The thoracic spine shows endplate sclerotic changes."
        },
        {
            "image_id": "3170_2",
            "caption": "The x-ray image reveals an ectatic aorta, but no acute cardiopulmonary abnormality. Specifically, the heart size and cardiomediastinal contours appear normal, and the lungs are clear without evidence of fibrosis, pleural effusions, or pneumothorax. The thoracic spine shows endplate sclerotic changes."
        },
        {
            "image_id": "3616_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and stable. The aorta has atherosclerosis, while there are emphysematous changes with increased interstitial markings found in the periphery and lung bases. There are no focal infiltrates, and no pleural effusion is seen. Based on these findings, it is suggested that the patient is dealing with emphysema with potential chronic lung disease or fibrosis in the lungs. It is recommended to consult a healthcare provider for further evaluation and management of this condition."
        },
        {
            "image_id": "3616_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and stable. The aorta has atherosclerosis, while there are emphysematous changes with increased interstitial markings found in the periphery and lung bases. There are no focal infiltrates, and no pleural effusion is seen. Based on these findings, it is suggested that the patient is dealing with emphysema with potential chronic lung disease or fibrosis in the lungs. It is recommended to consult a healthcare provider for further evaluation and management of this condition."
        },
        {
            "image_id": "1001_1",
            "caption": "The X-ray shows diffuse prominent interstitial markings throughout both lungs, indicating diffuse fibrosis. The heart is of normal size. The overall impression is no visible focal acute disease."
        },
        {
            "image_id": "1001_2",
            "caption": "The X-ray shows diffuse prominent interstitial markings throughout both lungs, indicating diffuse fibrosis. The heart is of normal size. The overall impression is no visible focal acute disease."
        },
        {
            "image_id": "595_1",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary disease. The heart, pulmonary vasculature, and mediastinum are all within normal limits. There are no pleural effusions or pneumothorax. Additionally, no focal airspace opacity is identified to suggest pneumonia."
        },
        {
            "image_id": "595_2",
            "caption": "The chest x-ray shows no evidence of acute cardiopulmonary disease. The heart, pulmonary vasculature, and mediastinum are all within normal limits. There are no pleural effusions or pneumothorax. Additionally, no focal airspace opacity is identified to suggest pneumonia."
        },
        {
            "image_id": "581_1",
            "caption": "The chest x-ray image is normal without any significant changes in cardiomediastinal contour. Furthermore, no visible focal airspace consolidation is observed and neither is any pleural effusion noticed. The overall observation confirms that there is no evidence of active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "581_2",
            "caption": "The chest x-ray image is normal without any significant changes in cardiomediastinal contour. Furthermore, no visible focal airspace consolidation is observed and neither is any pleural effusion noticed. The overall observation confirms that there is no evidence of active cardiac, pulmonary, or pleural disease."
        },
        {
            "image_id": "3602_1",
            "caption": "The cardiomediastinal and hilar contours are normal. Calcified granulomas are seen in both lungs and perihilar area, along with clear lungs without any focal area of consolidation or pleural effusion or pneumothorax. Also, intact, acute osseous abnormality. The chest radiograph indicates no acute cardiopulmonary disease."
        },
        {
            "image_id": "3602_2",
            "caption": "The cardiomediastinal and hilar contours are normal. Calcified granulomas are seen in both lungs and perihilar area, along with clear lungs without any focal area of consolidation or pleural effusion or pneumothorax. Also, intact, acute osseous abnormality. The chest radiograph indicates no acute cardiopulmonary disease."
        },
        {
            "image_id": "768_1",
            "caption": "The X-ray shows that the heart size and mediastinal contours are normal. There are no focal air space opacities or pleural effusion, and visualized osseous structures appear unremarkable. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "768_2",
            "caption": "The X-ray shows that the heart size and mediastinal contours are normal. There are no focal air space opacities or pleural effusion, and visualized osseous structures appear unremarkable. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2093_1",
            "caption": "The x-ray shows clear lungs without the presence of any acute or active cardiopulmonary abnormality. The cardiomediastinal silhouette appears normal with the exception of a right-sided Mediport catheter. No pleural effusion or focal lung infiltrates are visible. The overall impression is that of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2093_2",
            "caption": "The x-ray shows clear lungs without the presence of any acute or active cardiopulmonary abnormality. The cardiomediastinal silhouette appears normal with the exception of a right-sided Mediport catheter. No pleural effusion or focal lung infiltrates are visible. The overall impression is that of no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3399_1",
            "caption": "A strandy infiltrate has developed in the left lower lobe. Right lung is clear. Heart size remains normal. Chest radiograph with patchy left lower lobe infiltrate and focal atelectasis, consistent with pneumonitis."
        },
        {
            "image_id": "2939_1",
            "caption": "No acute osseous abnormalities. Surgical clips in the right upper abdomen indicative of prior cholecystectomy. Normal heart size and hilar vascular markings. Grossly clear lungs without focal consolidation, pleural effusion, or pneumothorax. No evidence of active tuberculosis, based on chest X-ray."
        },
        {
            "image_id": "2939_2",
            "caption": "No acute osseous abnormalities. Surgical clips in the right upper abdomen indicative of prior cholecystectomy. Normal heart size and hilar vascular markings. Grossly clear lungs without focal consolidation, pleural effusion, or pneumothorax. No evidence of active tuberculosis, based on chest X-ray."
        },
        {
            "image_id": "754_1",
            "caption": "The chest X-ray shows that the heart and lungs have remained stable since the last exam. Both lungs are clear and expanded with no abnormalities, while the heart and mediastinum look normal. The impression is that there are no signs of active disease present in the X-ray image."
        },
        {
            "image_id": "754_2",
            "caption": "The chest X-ray shows that the heart and lungs have remained stable since the last exam. Both lungs are clear and expanded with no abnormalities, while the heart and mediastinum look normal. The impression is that there are no signs of active disease present in the X-ray image."
        },
        {
            "image_id": "740_1",
            "caption": "On examination of the x-ray, it was found that the heart and mediastinum were stable. The lungs appeared clear without any infiltrate, pleural effusion or pneumothorax. The impression drawn from this is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "998_1",
            "caption": "Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted. X-ray findings do not indicate any current cardiopulmonary issues. However, the X-ray displays multilevel degenerative disc disease of the thoracic spine and thoracic aorta having tortuosity and atherosclerosis. Consultation with a spine specialist or a cardiologist may be needed for further evaluation and management."
        },
        {
            "image_id": "998_2",
            "caption": "Cardiomediastinal silhouette demonstrates normal heart size with tortuosity and atherosclerosis of the thoracic aorta. No focal consolidation, pneumothorax, or pleural effusion. No acute bony abnormality identified. Multilevel degenerative disc disease of the thoracic spine noted. X-ray findings do not indicate any current cardiopulmonary issues. However, the X-ray displays multilevel degenerative disc disease of the thoracic spine and thoracic aorta having tortuosity and atherosclerosis. Consultation with a spine specialist or a cardiologist may be needed for further evaluation and management."
        },
        {
            "image_id": "3428_1",
            "caption": "On the x-ray image, the calcified head of the right anterior first rib is prominent and the aorta is tortuous. The T-spine shows osteophytes. However, the cardiomediastinal silhouette and pulmonary vasculature are in normal condition. There is no pneumothorax or pleural effusion and no focal area of consolidation was observed. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3428_2",
            "caption": "On the x-ray image, the calcified head of the right anterior first rib is prominent and the aorta is tortuous. The T-spine shows osteophytes. However, the cardiomediastinal silhouette and pulmonary vasculature are in normal condition. There is no pneumothorax or pleural effusion and no focal area of consolidation was observed. The impression is that there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1559_1",
            "caption": "The chest x-ray reveals stable cardiomedialstinal silhouette with surgical clips in the right hilar region and right-sided volume loss. There is an increasing density in the superior segment of the left lower lobe, which is better visualized on lateral view. The lungs are free from pneumothorax. Also, there is severe degenerative disease. These findings are consistent with the known tumor and worsening of the condition."
        },
        {
            "image_id": "1559_2",
            "caption": "The chest x-ray reveals stable cardiomedialstinal silhouette with surgical clips in the right hilar region and right-sided volume loss. There is an increasing density in the superior segment of the left lower lobe, which is better visualized on lateral view. The lungs are free from pneumothorax. Also, there is severe degenerative disease. These findings are consistent with the known tumor and worsening of the condition."
        },
        {
            "image_id": "2044_1",
            "caption": "The x-ray reveals low lung volumes with bronchovascular crowding at the bases, and no evidence of focal opacity, pneumothorax or large pleural effusion. It also shows that the cardiac silhouette mediastinal contours within normal limits, and there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "2044_2",
            "caption": "The x-ray reveals low lung volumes with bronchovascular crowding at the bases, and no evidence of focal opacity, pneumothorax or large pleural effusion. It also shows that the cardiac silhouette mediastinal contours within normal limits, and there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "967_1",
            "caption": "The x-ray image shows a normal heart size with unremarkable mediastinal contours. No acute abnormalities were found, including no pneumothorax, pleural effusion or focal airspace consolidation. Thus, there are no acute cardiopulmonary findings in the image."
        },
        {
            "image_id": "967_2",
            "caption": "The x-ray image shows a normal heart size with unremarkable mediastinal contours. No acute abnormalities were found, including no pneumothorax, pleural effusion or focal airspace consolidation. Thus, there are no acute cardiopulmonary findings in the image."
        },
        {
            "image_id": "2722_1",
            "caption": "The chest x-ray shows overall low lung volumes with clear lungs, and no pleural effusions or pneumothoraces. Cardiomgaly and degenerative changes in the spine are noted. Additionally, there is pleural thickening along the inferior left lateral chest which appears relatively stable since the prior examination. Thus, the impression suggests cardiomegaly and pleural thickening along the inferior left lateral chest wall stable since the prior examination."
        },
        {
            "image_id": "2722_2",
            "caption": "The chest x-ray shows overall low lung volumes with clear lungs, and no pleural effusions or pneumothoraces. Cardiomgaly and degenerative changes in the spine are noted. Additionally, there is pleural thickening along the inferior left lateral chest which appears relatively stable since the prior examination. Thus, the impression suggests cardiomegaly and pleural thickening along the inferior left lateral chest wall stable since the prior examination."
        },
        {
            "image_id": "797_1",
            "caption": "The X-ray report indicates an enlarged heart with a tortuous aorta but otherwise normal mediastinal contour. The lungs appear clear without any nodules, masses or infiltrates, and no visible pneumothorax or pleural fluid. The X-ray also shows no visible free intraperitoneal air under the diaphragm. Overall, the impression suggests cardiomegaly without lung infiltrates, which may require further evaluation and management."
        },
        {
            "image_id": "797_2",
            "caption": "The X-ray report indicates an enlarged heart with a tortuous aorta but otherwise normal mediastinal contour. The lungs appear clear without any nodules, masses or infiltrates, and no visible pneumothorax or pleural fluid. The X-ray also shows no visible free intraperitoneal air under the diaphragm. Overall, the impression suggests cardiomegaly without lung infiltrates, which may require further evaluation and management."
        },
        {
            "image_id": "1203_1",
            "caption": "The heart is normal in size and the mediastinum is unremarkable. A patchy opacity is seen in the left upper lobe, and tuberculosis should be excluded. No pleural effusion or pneumothorax is seen, and the lungs are hyperinflated. A left upper lobe infiltrate is present and should be evaluated further to exclude tuberculosis."
        },
        {
            "image_id": "1203_2",
            "caption": "The heart is normal in size and the mediastinum is unremarkable. A patchy opacity is seen in the left upper lobe, and tuberculosis should be excluded. No pleural effusion or pneumothorax is seen, and the lungs are hyperinflated. A left upper lobe infiltrate is present and should be evaluated further to exclude tuberculosis."
        },
        {
            "image_id": "3414_1",
            "caption": "The X-ray image shows the heart size to be slightly enlarged with normal mediastinal contours. Lung volumes are low with patchy basilar atelectasis and central bronchovascular crowding, however, there is no definite acute process. The osseous structures are normal for the patient's age. Overall, the impression is of mild cardiomegaly and a low volume study."
        },
        {
            "image_id": "3414_2",
            "caption": "The X-ray image shows the heart size to be slightly enlarged with normal mediastinal contours. Lung volumes are low with patchy basilar atelectasis and central bronchovascular crowding, however, there is no definite acute process. The osseous structures are normal for the patient's age. Overall, the impression is of mild cardiomegaly and a low volume study."
        },
        {
            "image_id": "1565_1",
            "caption": "The chest X-ray shows that the heart and mediastinum are normal in size and shape. The lungs are well aerated with no visible signs of pneumothorax, pleural effusion, or focal air space consolidation. A mild basilar atelectasis is seen. There is an increased density at the lung bases, likely from overlying breast shadows. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1565_2",
            "caption": "The chest X-ray shows that the heart and mediastinum are normal in size and shape. The lungs are well aerated with no visible signs of pneumothorax, pleural effusion, or focal air space consolidation. A mild basilar atelectasis is seen. There is an increased density at the lung bases, likely from overlying breast shadows. The impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "1571_1",
            "caption": "The x-ray shows that the heart and pulmonary vascularity are normal in size and configuration. However, a 3.2 cm diameter mass density is present in the left midlung zone and a left pleural effusion is seen. There is also an air-fluid level present behind the heart, likely representing a hiatal hernia. Additionally noted are some right lung atelectasis, osteopenia, and deformities in the spine. Surgical clips are also visible. No pneumothorax is present. The impression suggests a left midlung mass, left base effusion, and probable hiatal hernia."
        },
        {
            "image_id": "3366_1",
            "caption": "The X-ray shows that the heart and lungs are in their normal state without any significant changes. There are no signs of active diseases. This indicates that the patient is healthy and does not need any medical attention."
        },
        {
            "image_id": "3366_2",
            "caption": "The X-ray shows that the heart and lungs are in their normal state without any significant changes. There are no signs of active diseases. This indicates that the patient is healthy and does not need any medical attention."
        },
        {
            "image_id": "2078_1",
            "caption": "The patient's x-ray image shows that there is no acute abnormality in the lungs and pleural spaces. The heart size and pulmonary vascularity are also within the normal limits. Therefore, there is no active pulmonary abnormality observed in the patient's x-ray image."
        },
        {
            "image_id": "2078_2",
            "caption": "The patient's x-ray image shows that there is no acute abnormality in the lungs and pleural spaces. The heart size and pulmonary vascularity are also within the normal limits. Therefore, there is no active pulmonary abnormality observed in the patient's x-ray image."
        },
        {
            "image_id": "3400_1",
            "caption": "The x-ray image shows no acute abnormality in the heart, lungs or bones. The heart size, pulmonary vascular engorgement and mediastinal contour appear normal. There is no focal consolidation, pleural effusion, or pneumothorax identified. The impression indicates the absence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3400_2",
            "caption": "The x-ray image shows no acute abnormality in the heart, lungs or bones. The heart size, pulmonary vascular engorgement and mediastinal contour appear normal. There is no focal consolidation, pleural effusion, or pneumothorax identified. The impression indicates the absence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "1217_1",
            "caption": "The above findings from the chest x-ray suggest that there is no significant abnormality in the cardiopulmonary system. The size of the heart and mediastinum are within normal limits. The lungs appear hypoinflated and the costophrenic angles are blunted, but no acute infiltrate, consolidation or abnormal shadows are observed. These findings imply that there is no sign of acute respiratory illness like pneumonia."
        },
        {
            "image_id": "1217_2",
            "caption": "The above findings from the chest x-ray suggest that there is no significant abnormality in the cardiopulmonary system. The size of the heart and mediastinum are within normal limits. The lungs appear hypoinflated and the costophrenic angles are blunted, but no acute infiltrate, consolidation or abnormal shadows are observed. These findings imply that there is no sign of acute respiratory illness like pneumonia."
        },
        {
            "image_id": "783_1",
            "caption": "The chest X-ray shows no signs of acute disease in the lungs or heart. There is a calcified granuloma in the left upper lung zone and hyperinflation is seen. However, no active pulmonary disease is apparent. The skeletal structures and soft tissues appear normal for the patient's age."
        },
        {
            "image_id": "783_2",
            "caption": "The chest X-ray shows no signs of acute disease in the lungs or heart. There is a calcified granuloma in the left upper lung zone and hyperinflation is seen. However, no active pulmonary disease is apparent. The skeletal structures and soft tissues appear normal for the patient's age."
        },
        {
            "image_id": "2079_1",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary disease. The lungs are clear and the cardiomediastinal silhouette is normal. There are calcified granulomas in the right perihilar regions, which seem stable. Additionally, significant degenerative osteophytes of the thoracic spine are visible but also appear stable."
        },
        {
            "image_id": "2079_2",
            "caption": "The x-ray shows no evidence of acute cardiopulmonary disease. The lungs are clear and the cardiomediastinal silhouette is normal. There are calcified granulomas in the right perihilar regions, which seem stable. Additionally, significant degenerative osteophytes of the thoracic spine are visible but also appear stable."
        },
        {
            "image_id": "1570_1",
            "caption": "The x-ray shows no visible abnormalities. The lungs are clear with no signs of pneumothorax, focal airspace opacity. Additionally, the cardiomediastinal silhouette is normal in size and contour. The thoracic spine has mild degenerative changes, however, the included osseous structures are grossly intact. Therefore, there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "1570_2",
            "caption": "The x-ray shows no visible abnormalities. The lungs are clear with no signs of pneumothorax, focal airspace opacity. Additionally, the cardiomediastinal silhouette is normal in size and contour. The thoracic spine has mild degenerative changes, however, the included osseous structures are grossly intact. Therefore, there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "782_1",
            "caption": "The x-ray image reveals no acute or active disease in the cardiac, pulmonary, or pleural regions. Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion is visible. The finding strongly indicates a healthy cardiopulmonary status."
        },
        {
            "image_id": "782_2",
            "caption": "The x-ray image reveals no acute or active disease in the cardiac, pulmonary, or pleural regions. Frontal and lateral views of the chest with overlying external cardiac monitor leads show an unchanged cardiomediastinal silhouette. No focal airspace consolidation or pleural effusion is visible. The finding strongly indicates a healthy cardiopulmonary status."
        },
        {
            "image_id": "1216_1",
            "caption": "No focal consolidation, pneumothorax or definite pleural effusion. Heart size and pulmonary vascularity within normal limits, no mediastinal widening characteristic in appearance of vascular injury. No acute osseous injury demonstrated. No acute findings related to the image. However, please note that nondisplaced fractures may not be demonstrated."
        },
        {
            "image_id": "3401_1",
            "caption": "The chest x-ray shows no acute findings of cardiopulmonary abnormality, such as focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette appears normal, and there is no mediastinal widening characteristic of vascular injury. The lungs exhibit stable bilateral calcified granulomas/lymph nodes. Additionally, a stable bullet is present in the posterior soft tissues of the left chest wall. Overall, the chest x-ray shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3401_2",
            "caption": "The chest x-ray shows no acute findings of cardiopulmonary abnormality, such as focal consolidation, pneumothorax, or pleural effusion. The cardiomediastinal silhouette appears normal, and there is no mediastinal widening characteristic of vascular injury. The lungs exhibit stable bilateral calcified granulomas/lymph nodes. Additionally, a stable bullet is present in the posterior soft tissues of the left chest wall. Overall, the chest x-ray shows no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3415_1",
            "caption": "The chest X-ray showed no acute abnormalities in the cardiopulmonary or osseous structures. There were no signs of pneumothorax or pleural effusion. Some mild bibasilar atelectasis was observed. The presence of some stable calcified granulomas and lymph nodes were noted. The patient has mild degenerative changes in the thoracic spine. Overall, the finding suggests no active or acute cardiopulmonary disease."
        },
        {
            "image_id": "3415_2",
            "caption": "The chest X-ray showed no acute abnormalities in the cardiopulmonary or osseous structures. There were no signs of pneumothorax or pleural effusion. Some mild bibasilar atelectasis was observed. The presence of some stable calcified granulomas and lymph nodes were noted. The patient has mild degenerative changes in the thoracic spine. Overall, the finding suggests no active or acute cardiopulmonary disease."
        },
        {
            "image_id": "1202_1",
            "caption": "The chest x-ray shows cardiomegaly and pulmonary venous hypertension. The heart is large with engorgement of the pulmonary circulation, but no infiltrates are identified. Further evaluation may be necessary to determine the underlying cause of these findings."
        },
        {
            "image_id": "1202_2",
            "caption": "The chest x-ray shows cardiomegaly and pulmonary venous hypertension. The heart is large with engorgement of the pulmonary circulation, but no infiltrates are identified. Further evaluation may be necessary to determine the underlying cause of these findings."
        },
        {
            "image_id": "796_1",
            "caption": "The chest x-ray showed a normal cardiomediastinal silhouette with no visible signs of acute abnormality, such as focal consolidation, pneumothorax, or large pleural effusion. The impression indicates that it is negative for any acute abnormality."
        },
        {
            "image_id": "796_2",
            "caption": "The chest x-ray showed a normal cardiomediastinal silhouette with no visible signs of acute abnormality, such as focal consolidation, pneumothorax, or large pleural effusion. The impression indicates that it is negative for any acute abnormality."
        },
        {
            "image_id": "1564_1",
            "caption": "The x-ray shows normal heart size with stable mediastinal and hilar contours. Coronary artery stent artifact, graft and clips suggest CABG. There are mediastinal and hilar calcifications indicating a previous granulomatous process. The x-ray also shows stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, and scarring in the peripheral right lung. No acute opacities or definite pleural effusion seen. No typical findings of pulmonary edema. There are osseous demineralization and stable T9 and T12 vertebral fractures. Overall, the x-ray indicates chronic changes with no acute findings."
        },
        {
            "image_id": "1564_2",
            "caption": "The x-ray shows normal heart size with stable mediastinal and hilar contours. Coronary artery stent artifact, graft and clips suggest CABG. There are mediastinal and hilar calcifications indicating a previous granulomatous process. The x-ray also shows stable hyperinflation, bilateral upper lobe pleuroparenchymal near and nodular irregularities, and scarring in the peripheral right lung. No acute opacities or definite pleural effusion seen. No typical findings of pulmonary edema. There are osseous demineralization and stable T9 and T12 vertebral fractures. Overall, the x-ray indicates chronic changes with no acute findings."
        },
        {
            "image_id": "3373_1",
            "caption": "The x-ray of the chest is normal. The findings suggest that the heart and lungs are functioning normally as there are no signs of cardiopulmonary abnormalities, such as pleural effusion, pneumothorax, or focal airspace disease. The report mentions that the mediastinum. Overall, the x-ray does not reveal any acute issues in the chest."
        },
        {
            "image_id": "3373_2",
            "caption": "The x-ray of the chest is normal. The findings suggest that the heart and lungs are functioning normally as there are no signs of cardiopulmonary abnormalities, such as pleural effusion, pneumothorax, or focal airspace disease. The report mentions that the mediastinum. Overall, the x-ray does not reveal any acute issues in the chest."
        },
        {
            "image_id": "2045_1",
            "caption": "Upon examination of the x-ray, the radiologist reported that the heart appeared to be at the upper limits of normal size, and there was mild tortuosity of the thoracic aorta. However, the lungs were clear without any infiltrate or effusion, and there was no sign of pneumothorax. In conclusion, the impression was that there was no acute cardiopulmonary disease, but further evaluation may be necessary due to the mild abnormalities noted in the heart and aorta."
        },
        {
            "image_id": "2045_2",
            "caption": "Upon examination of the x-ray, the radiologist reported that the heart appeared to be at the upper limits of normal size, and there was mild tortuosity of the thoracic aorta. However, the lungs were clear without any infiltrate or effusion, and there was no sign of pneumothorax. In conclusion, the impression was that there was no acute cardiopulmonary disease, but further evaluation may be necessary due to the mild abnormalities noted in the heart and aorta."
        },
        {
            "image_id": "2723_1",
            "caption": "The X-ray shows no signs of acute cardiopulmonary abnormalities. The heart and vascular structures appear normal, and there is no evidence of vascular congestion. The lungs are clear except for minimal subsegmental atelectasis. The bony structures are intact, and there are minimal degenerative changes in the thoracic spine. No pneumothorax is present."
        },
        {
            "image_id": "2723_2",
            "caption": "The X-ray shows no signs of acute cardiopulmonary abnormalities. The heart and vascular structures appear normal, and there is no evidence of vascular congestion. The lungs are clear except for minimal subsegmental atelectasis. The bony structures are intact, and there are minimal degenerative changes in the thoracic spine. No pneumothorax is present."
        },
        {
            "image_id": "3429_1",
            "caption": "Upon reviewing the x-ray image, the radiologist notes that the heart appears normal in size and the bony structures are intact. Additionally, no acute cardiopulmonary abnormalities are present, as there is no evidence of pneumothorax, pleural effusion, or focal airspace disease. The radiologist does note, however, that lung volumes appear low on the image. Furthermore, the left humeral head bone anchors are visible."
        },
        {
            "image_id": "3429_2",
            "caption": "Upon reviewing the x-ray image, the radiologist notes that the heart appears normal in size and the bony structures are intact. Additionally, no acute cardiopulmonary abnormalities are present, as there is no evidence of pneumothorax, pleural effusion, or focal airspace disease. The radiologist does note, however, that lung volumes appear low on the image. Furthermore, the left humeral head bone anchors are visible."
        },
        {
            "image_id": "2737_1",
            "caption": "The X-ray image shows that the heart is normal in size and the mediastinum is unremarkable. Although there is a slight elevation of the left hemidiaphragm with subsegmental atelectasis, the lungs are otherwise grossly clear. Overall, there is no evidence of acute disease."
        },
        {
            "image_id": "1558_1",
            "caption": "The x-ray image indicates that there is no acute abnormality in the lungs, heart size and pulmonary vascular engorgement are within normal limits. Similarly, there is no pleural effusion, pneumothorax or focal airspace disease observed. Also, the cardiomediastinal silhouette and bony structures appear to be normal. Based on these observations, there is no acute disease or abnormalities detected in the cardiopulmonary system."
        },
        {
            "image_id": "1558_2",
            "caption": "The x-ray image indicates that there is no acute abnormality in the lungs, heart size and pulmonary vascular engorgement are within normal limits. Similarly, there is no pleural effusion, pneumothorax or focal airspace disease observed. Also, the cardiomediastinal silhouette and bony structures appear to be normal. Based on these observations, there is no acute disease or abnormalities detected in the cardiopulmonary system."
        },
        {
            "image_id": "2904_1",
            "caption": "The X-ray shows that the heart and lungs appear normal with no acute abnormalities. There are no signs of pneumonia or fluid buildup around the lungs. The bony structures also appear intact. The impression is that there are no acute findings, indicating no pressing health concerns at this time."
        },
        {
            "image_id": "2904_2",
            "caption": "The X-ray shows that the heart and lungs appear normal with no acute abnormalities. There are no signs of pneumonia or fluid buildup around the lungs. The bony structures also appear intact. The impression is that there are no acute findings, indicating no pressing health concerns at this time."
        },
        {
            "image_id": "999_1",
            "caption": "The x-ray shows that the lungs are clear with no signs of acute focal consolidation or pleural effusion. The cardiomediastinal silhouette is within normal limits and there are no signs of pneumothoraces. In general, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "999_2",
            "caption": "The x-ray shows that the lungs are clear with no signs of acute focal consolidation or pleural effusion. The cardiomediastinal silhouette is within normal limits and there are no signs of pneumothoraces. In general, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "999_3",
            "caption": "The x-ray shows that the lungs are clear with no signs of acute focal consolidation or pleural effusion. The cardiomediastinal silhouette is within normal limits and there are no signs of pneumothoraces. In general, there is no evidence of acute cardiopulmonary abnormality."
        },
        {
            "image_id": "741_1",
            "caption": "The X-ray images reveal that the heart size and pulmonary vasculature are normal, and the mediastinal contour is unremarkable. No acute changes are identified, as there is no focal consolidation, pleural effusion or pneumothorax. Additionally, the bones appear normal. Overall, there is no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2910_1",
            "caption": "The chest X-ray shows that the heart and mediastinal contours are normal in size and appearance. The lungs are clear with no obvious focal abnormalities like infiltrates, nodules or masses, and there is no visible pleural fluid or pneumothorax. There is no visible free intraperitoneal air under the diaphragm. The overall impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "2910_2",
            "caption": "The chest X-ray shows that the heart and mediastinal contours are normal in size and appearance. The lungs are clear with no obvious focal abnormalities like infiltrates, nodules or masses, and there is no visible pleural fluid or pneumothorax. There is no visible free intraperitoneal air under the diaphragm. The overall impression is that there is no acute radiographic cardiopulmonary process."
        },
        {
            "image_id": "3398_1",
            "caption": "The findings on the X-ray image reveal chronic changes and no acute process. The cardiomediastinal silhouette and vasculature are normal in size and contour. The lungs are clear and normally inflated, with chronic interstitial marking and a stable right upper lobe granuloma. There are also degenerative changes in the spine."
        },
        {
            "image_id": "3398_2",
            "caption": "The findings on the X-ray image reveal chronic changes and no acute process. The cardiomediastinal silhouette and vasculature are normal in size and contour. The lungs are clear and normally inflated, with chronic interstitial marking and a stable right upper lobe granuloma. There are also degenerative changes in the spine."
        },
        {
            "image_id": "2086_1",
            "caption": "The x-ray shows a normal cardiopulmonary system with no acute abnormalities. The heart size, mediastinal contour, and pulmonary vasculature are within normal limits. The lungs are clear without focal airspace disease, pneumothorax or large pleural effusion. Chronic changes may be present, but there is no visible acute process. There are no visible bony abnormalities or fractures."
        },
        {
            "image_id": "2086_2",
            "caption": "The x-ray shows a normal cardiopulmonary system with no acute abnormalities. The heart size, mediastinal contour, and pulmonary vasculature are within normal limits. The lungs are clear without focal airspace disease, pneumothorax or large pleural effusion. Chronic changes may be present, but there is no visible acute process. There are no visible bony abnormalities or fractures."
        },
        {
            "image_id": "2938_1",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with normally inflated lungs without any focal airspace disease, pleural effusion, or pneumothorax. The osseous structures are also normal for the patient's age. The impression indicates that there is no acute radiographic cardiopulmonary process present."
        },
        {
            "image_id": "2938_2",
            "caption": "The x-ray shows a normal cardiomediastinal silhouette with normally inflated lungs without any focal airspace disease, pleural effusion, or pneumothorax. The osseous structures are also normal for the patient's age. The impression indicates that there is no acute radiographic cardiopulmonary process present."
        },
        {
            "image_id": "769_1",
            "caption": "The x-ray shows clear lungs without any visible pneumothorax or pleural effusion. The heart appears normal and there are mild degenerative changes of the thoracic spine without any acute bony abnormality. A prominent right epicardial fat pad is present. The overall impression from the x-ray is of no acute cardiopulmonary findings."
        },
        {
            "image_id": "769_2",
            "caption": "The x-ray shows clear lungs without any visible pneumothorax or pleural effusion. The heart appears normal and there are mild degenerative changes of the thoracic spine without any acute bony abnormality. A prominent right epicardial fat pad is present. The overall impression from the x-ray is of no acute cardiopulmonary findings."
        },
        {
            "image_id": "2092_1",
            "caption": "The chest X-ray shows a 2 cm noncalcified nodule in the right lower lobe which requires follow-up. Other than that, there is no airspace disease, effusion, or cavitary nodule. The heart size and mediastinum are normal and the visualized areas of the chest X-ray are within normal limits. The impression suggests that a diagnostic test is recommended for further evaluation of the nodule."
        },
        {
            "image_id": "2092_2",
            "caption": "The chest X-ray shows a 2 cm noncalcified nodule in the right lower lobe which requires follow-up. Other than that, there is no airspace disease, effusion, or cavitary nodule. The heart size and mediastinum are normal and the visualized areas of the chest X-ray are within normal limits. The impression suggests that a diagnostic test is recommended for further evaluation of the nodule."
        },
        {
            "image_id": "3603_1",
            "caption": "The x-ray image shows a normal appearance of the cardiac and mediastinal contours with clear lungs and intact bony structures. Overall, there is no evidence of any acute preoperative findings."
        },
        {
            "image_id": "3603_2",
            "caption": "The x-ray image shows a normal appearance of the cardiac and mediastinal contours with clear lungs and intact bony structures. Overall, there is no evidence of any acute preoperative findings."
        },
        {
            "image_id": "580_1",
            "caption": "Upon examination, the heart appears to be normal in size and the mediastinum is unremarkable. Some atherosclerotic calcifications are noted in the aortic region. However, the lungs are clear and no acute disease is found during the examination."
        },
        {
            "image_id": "580_2",
            "caption": "Upon examination, the heart appears to be normal in size and the mediastinum is unremarkable. Some atherosclerotic calcifications are noted in the aortic region. However, the lungs are clear and no acute disease is found during the examination."
        },
        {
            "image_id": "3165_1",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The cardiomediastinal silhouette and vasculature are within normal limits. The lungs appear clear without evidence of focal airspace disease, pneumothorax, or pleural effusion. Interval removal of left-sided intravenous catheter and right-sided rib fractures are also noted. The impression suggests that the mildly improved opacities may represent atelectasis, infiltrate, and/or pleural effusions and recommends further follow-up."
        },
        {
            "image_id": "3165_2",
            "caption": "The x-ray shows no signs of acute cardiopulmonary abnormalities. The cardiomediastinal silhouette and vasculature are within normal limits. The lungs appear clear without evidence of focal airspace disease, pneumothorax, or pleural effusion. Interval removal of left-sided intravenous catheter and right-sided rib fractures are also noted. The impression suggests that the mildly improved opacities may represent atelectasis, infiltrate, and/or pleural effusions and recommends further follow-up."
        },
        {
            "image_id": "3171_1",
            "caption": "The latest X-ray shows no changes in the heart and lungs. Both organs are functioning normally with no visible abnormalities. The lungs appear clear and are fully expanded. A normal heart and mediastinum are observed, providing no evidence of any active disease."
        },
        {
            "image_id": "3171_2",
            "caption": "The latest X-ray shows no changes in the heart and lungs. Both organs are functioning normally with no visible abnormalities. The lungs appear clear and are fully expanded. A normal heart and mediastinum are observed, providing no evidence of any active disease."
        },
        {
            "image_id": "1766_1",
            "caption": "The X-ray images show that the heart size and pulmonary vascular engorgement are within normal limits. The mediastinal contour is unremarkable, and no focal consolidation, pleural effusion, or pneumothorax is identified. There are no convincing acute bony findings on the images. The impression is that there is no acute cardiopulmonary abnormality identified by the X-ray."
        },
        {
            "image_id": "1766_2",
            "caption": "The X-ray images show that the heart size and pulmonary vascular engorgement are within normal limits. The mediastinal contour is unremarkable, and no focal consolidation, pleural effusion, or pneumothorax is identified. There are no convincing acute bony findings on the images. The impression is that there is no acute cardiopulmonary abnormality identified by the X-ray."
        },
        {
            "image_id": "594_1",
            "caption": "The x-ray reveals borderline cardiomegaly and age-indeterminate, thoracic chronic deformity. Additionally, the x-ray shows T-spine osteophytes, calcified costochondral cartilages, and loss of disc height in a midthoracic vertebral body. There are also streaky opacities in both lung bases, which could indicate atelectasis or scarring, and there is no evidence of pneumothorax."
        },
        {
            "image_id": "594_2",
            "caption": "The x-ray reveals borderline cardiomegaly and age-indeterminate, thoracic chronic deformity. Additionally, the x-ray shows T-spine osteophytes, calcified costochondral cartilages, and loss of disc height in a midthoracic vertebral body. There are also streaky opacities in both lung bases, which could indicate atelectasis or scarring, and there is no evidence of pneumothorax."
        },
        {
            "image_id": "1000_1",
            "caption": " A chest X-ray revealed a possible mass in the right upper lobe with associated atelectasis, as well as a suspicious opacity in the left midlung. No other abnormalities were identified. Based on these findings, a chest CT is recommended for further evaluation."
        },
        {
            "image_id": "1000_2",
            "caption": " A chest X-ray revealed a possible mass in the right upper lobe with associated atelectasis, as well as a suspicious opacity in the left midlung. No other abnormalities were identified. Based on these findings, a chest CT is recommended for further evaluation."
        },
        {
            "image_id": "1000_3",
            "caption": " A chest X-ray revealed a possible mass in the right upper lobe with associated atelectasis, as well as a suspicious opacity in the left midlung. No other abnormalities were identified. Based on these findings, a chest CT is recommended for further evaluation."
        },
        {
            "image_id": "2509_1",
            "caption": "The chest X-ray shows that the patient has chronic changes consistent with emphysema. The lungs are hyperexpanded with increased AP diameter of the chest, but the cardiomediastinal silhouette is within normal limits. There is no evidence of pneumothorax or large pleural effusion indicating no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "2509_2",
            "caption": "The chest X-ray shows that the patient has chronic changes consistent with emphysema. The lungs are hyperexpanded with increased AP diameter of the chest, but the cardiomediastinal silhouette is within normal limits. There is no evidence of pneumothorax or large pleural effusion indicating no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3617_1",
            "caption": "The x-ray shows normal cardiac silhouette and mediastinal contours with no visible pneumothorax or large pleural effusion. There are no acute cardiopulmonary diseases present."
        },
        {
            "image_id": "3617_2",
            "caption": "The x-ray shows normal cardiac silhouette and mediastinal contours with no visible pneumothorax or large pleural effusion. There are no acute cardiopulmonary diseases present."
        },
        {
            "image_id": "1028_1",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are normal, and the lungs are clear. The patient has acromioclavicular arthritis, which is moderately severe. There are no acute preoperative findings."
        },
        {
            "image_id": "1028_2",
            "caption": "The X-ray image shows that the cardiac and mediastinal contours are normal, and the lungs are clear. The patient has acromioclavicular arthritis, which is moderately severe. There are no acute preoperative findings."
        },
        {
            "image_id": "3159_1",
            "caption": "The patient's chest x-ray showed moderate cardiomegaly with a prominent vascular pedicle and upper mediastinal contour. Mild central vascular congestion was noted, but there were no signs of edema, confluent lobar pneumonia, or pleural effusion. Thoracic spondylosis was observed as well. The impression from the radiologist is that there are no acute findings, and the patient's physician should refer to the above results for further evaluation."
        },
        {
            "image_id": "3159_2",
            "caption": "The patient's chest x-ray showed moderate cardiomegaly with a prominent vascular pedicle and upper mediastinal contour. Mild central vascular congestion was noted, but there were no signs of edema, confluent lobar pneumonia, or pleural effusion. Thoracic spondylosis was observed as well. The impression from the radiologist is that there are no acute findings, and the patient's physician should refer to the above results for further evaluation."
        },
        {
            "image_id": "2247_1",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and appearance. Both lungs are clear and there is no evidence of pleural effusion or pneumothorax. The impression is that the chest x-ray is normal."
        },
        {
            "image_id": "2247_2",
            "caption": "The chest x-ray shows that the heart and mediastinum are normal in size and appearance. Both lungs are clear and there is no evidence of pleural effusion or pneumothorax. The impression is that the chest x-ray is normal."
        },
        {
            "image_id": "2253_1",
            "caption": "The patient's X-ray shows hyperinflation of lungs with clear lung fields. The cardiac and mediastinal structures appear normal and the skeletal structures are unremarkable. Bilateral breast prostheses are noted. The impression is consistent with Chronic Obstructive Pulmonary Disease (COPD)."
        },
        {
            "image_id": "2253_2",
            "caption": "The patient's X-ray shows hyperinflation of lungs with clear lung fields. The cardiac and mediastinal structures appear normal and the skeletal structures are unremarkable. Bilateral breast prostheses are noted. The impression is consistent with Chronic Obstructive Pulmonary Disease (COPD)."
        },
        {
            "image_id": "2535_1",
            "caption": "The x-ray shows that the heart and lungs are normal and without any abnormalities such as effusion or pneumothorax. There are no bone or soft tissue problems either. The overall impression is that there is no cardiopulmonary abnormality."
        },
        {
            "image_id": "543_1",
            "caption": "The x-ray image shows clear lungs with normal cardiomediastinal silhouette without any pleural effusion. The overall impression is of a normal chest film with no acute findings to report."
        },
        {
            "image_id": "543_2",
            "caption": "The x-ray image shows clear lungs with normal cardiomediastinal silhouette without any pleural effusion. The overall impression is of a normal chest film with no acute findings to report."
        },
        {
            "image_id": "3818_1",
            "caption": "The x-ray shows no abnormality in the heart, mediastinum, lungs, or bones. The chest is normal without any acute or chronic disease."
        },
        {
            "image_id": "3818_2",
            "caption": "The x-ray shows no abnormality in the heart, mediastinum, lungs, or bones. The chest is normal without any acute or chronic disease."
        },
        {
            "image_id": "225_1",
            "caption": "The cardiomediastinal silhouette is normal. There is no lung consolidation or evidence of pneumothorax or pleural effusion. Bony structures appear normal. Overall, no acute abnormalities were detected on the chest x-ray."
        },
        {
            "image_id": "225_2",
            "caption": "The cardiomediastinal silhouette is normal. There is no lung consolidation or evidence of pneumothorax or pleural effusion. Bony structures appear normal. Overall, no acute abnormalities were detected on the chest x-ray."
        },
        {
            "image_id": "557_1",
            "caption": "The x-ray of the chest shows a normal cardiomediastinal silhouette without any pneumothorax or pleural effusion. The lung zones are clear and there are no bony abnormalities. Overall, the chest appears unremarkable with no acute or chronic disease detected, indicating a healthy chest."
        },
        {
            "image_id": "557_2",
            "caption": "The x-ray of the chest shows a normal cardiomediastinal silhouette without any pneumothorax or pleural effusion. The lung zones are clear and there are no bony abnormalities. Overall, the chest appears unremarkable with no acute or chronic disease detected, indicating a healthy chest."
        },
        {
            "image_id": "219_1",
            "caption": "The patient's X-ray shows that the cardiac and mediastinal contours are normal in size and appearance, while the lungs are clear and the bony structures are intact. The impression is that there is no evidence of pulmonary metastatic disease and a stable appearance of the chest."
        },
        {
            "image_id": "219_2",
            "caption": "The patient's X-ray shows that the cardiac and mediastinal contours are normal in size and appearance, while the lungs are clear and the bony structures are intact. The impression is that there is no evidence of pulmonary metastatic disease and a stable appearance of the chest."
        },
        {
            "image_id": "2290_1",
            "caption": "The x-ray shows no acute abnormality. The cardiopulmonary silhouette is within normal limits, and no pleural effusions or pneumothorax are identified. Bony and soft tissue structures are also normal. The impression is that the patient has a normal chest x-ray."
        },
        {
            "image_id": "2290_2",
            "caption": "The x-ray shows no acute abnormality. The cardiopulmonary silhouette is within normal limits, and no pleural effusions or pneumothorax are identified. Bony and soft tissue structures are also normal. The impression is that the patient has a normal chest x-ray."
        },
        {
            "image_id": "1941_1",
            "caption": "The chest x-ray image reveals a stable right chest wall pacemaker with leads overlying the right atrium and right ventricle, but no pneumothorax identified. Additionally, there is no presence of acute cardiopulmonary abnormalities, with only stable cardiomegaly, calcified thoracic aorta, and mild interstitial opacities observed. The dense retrocardiac opacities are also unchanged based on comparison with previous images. Overall, the chest findings are stable and there are no acute issues requiring further evaluation."
        },
        {
            "image_id": "1799_1",
            "caption": "The x-ray shows that the heart size is normal and there is no focal airspace disease, pneumothorax or pleural effusion. The impression is that there are no acute right pulmonary findings."
        },
        {
            "image_id": "1799_2",
            "caption": "The x-ray shows that the heart size is normal and there is no focal airspace disease, pneumothorax or pleural effusion. The impression is that there are no acute right pulmonary findings."
        },
        {
            "image_id": "3830_1",
            "caption": "The x-ray reveals that the heart and mediastinal contours are within normal limits, the lungs are clear, and bony structures are intact. There are no acute preoperative findings. This means that the patient's x-ray is normal and there are no immediate health concerns. It is always good to get a clean bill of health, but it is important to continue monitoring and managing one's health."
        },
        {
            "image_id": "3830_2",
            "caption": "The x-ray reveals that the heart and mediastinal contours are within normal limits, the lungs are clear, and bony structures are intact. There are no acute preoperative findings. This means that the patient's x-ray is normal and there are no immediate health concerns. It is always good to get a clean bill of health, but it is important to continue monitoring and managing one's health."
        },
        {
            "image_id": "3777_1",
            "caption": "The x-ray image reveals low lung volumes with normal tracheal position. No pneumothorax, pleural effusion, or focal airspace consolidation is identified. The heart size is normal. The thoracic spine shows mild degenerative changes. The cholecystectomy clips in the right upper quadrant are stable. The impression suggests no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "3777_2",
            "caption": "The x-ray image reveals low lung volumes with normal tracheal position. No pneumothorax, pleural effusion, or focal airspace consolidation is identified. The heart size is normal. The thoracic spine shows mild degenerative changes. The cholecystectomy clips in the right upper quadrant are stable. The impression suggests no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2469_1",
            "caption": "Finding from the X-ray image reveals mild opacification over both lungs, possibly due to soft tissue attenuation. However, there is no evidence of focal airspace opacities, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits and trachea is midline. There is no free subdiaphragmatic air. Based on these observations, there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "2469_2",
            "caption": "Finding from the X-ray image reveals mild opacification over both lungs, possibly due to soft tissue attenuation. However, there is no evidence of focal airspace opacities, pleural effusion, or pneumothorax. The cardiomediastinal silhouette is within normal limits and trachea is midline. There is no free subdiaphragmatic air. Based on these observations, there is no evidence of acute pulmonary disease."
        },
        {
            "image_id": "1160_1",
            "caption": "The x-ray image shows a stable left upper lobe collapse associated with parenchymal scarring and pleural thickening with no infiltrates in the left lower lobe or right lung. The heart size is normal. These findings are consistent with previous active pulmonary tuberculosis pneumonia. The impression suggests that there is no acute abnormality in the x-ray."
        },
        {
            "image_id": "1160_2",
            "caption": "The x-ray image shows a stable left upper lobe collapse associated with parenchymal scarring and pleural thickening with no infiltrates in the left lower lobe or right lung. The heart size is normal. These findings are consistent with previous active pulmonary tuberculosis pneumonia. The impression suggests that there is no acute abnormality in the x-ray."
        },
        {
            "image_id": "1606_1",
            "caption": "The x-ray did not show any abnormalities. The heart is normal in size, the mediastinum is unremarkable, and the lungs are clear. The impression is that there is no acute disease present."
        },
        {
            "image_id": "392_1",
            "caption": "The x-ray shows clear lungs without any effusion or pneumothorax. The heart and mediastinal contours appear normal and the osseous structures are intact. There is no evidence of acute cardiopulmonary disease. The left effusion has been resolved over time and the central venous dialysis catheter continues to remain unchanged in position."
        },
        {
            "image_id": "392_2",
            "caption": "The x-ray shows clear lungs without any effusion or pneumothorax. The heart and mediastinal contours appear normal and the osseous structures are intact. There is no evidence of acute cardiopulmonary disease. The left effusion has been resolved over time and the central venous dialysis catheter continues to remain unchanged in position."
        },
        {
            "image_id": "3011_1",
            "caption": "During the examination, the X-ray revealed a few things including aortic atherosclerotic calcifications and a large hiatal hernia. However, there was no sign of pleural effusion, pneumothorax, or focal opacity. Moreover, Cardiomediastinal silhouette appeared stable in size and appearance indicating that there was no acute pulmonary process."
        },
        {
            "image_id": "3011_2",
            "caption": "During the examination, the X-ray revealed a few things including aortic atherosclerotic calcifications and a large hiatal hernia. However, there was no sign of pleural effusion, pneumothorax, or focal opacity. Moreover, Cardiomediastinal silhouette appeared stable in size and appearance indicating that there was no acute pulmonary process."
        },
        {
            "image_id": "3005_1",
            "caption": "The x-ray results show that the heart is of normal size and the mediastinum appears stable. However, there is a tortuous aorta and calcified lymph nodes have been identified. The right paratracheal soft tissues show mild prominence but stable. There is no acute infiltrate or pleural effusion observed but osteopenia and degenerative changes have been identified. Moreover, the patient seems to have emphysema without any acute infiltrate and a progressive mid-thoracic vertebral body deformity, specifically at T9. These findings suggest that the patient's condition is related to the spinal deformity and emphysema, but there is no current pulmonary disease observed."
        },
        {
            "image_id": "386_1",
            "caption": "The chest x-ray is unremarkable, showing no signs of acute cardiopulmonary issues. The heart is normal in size and the mediastinum is stable. There is no alveolar consolidation or pleural effusion. The bronchovascular crowding is present but not indicative of pulmonary edema. Overall, the findings suggest no acute abnormalities."
        },
        {
            "image_id": "386_2",
            "caption": "The chest x-ray is unremarkable, showing no signs of acute cardiopulmonary issues. The heart is normal in size and the mediastinum is stable. There is no alveolar consolidation or pleural effusion. The bronchovascular crowding is present but not indicative of pulmonary edema. Overall, the findings suggest no acute abnormalities."
        },
        {
            "image_id": "1612_1",
            "caption": "The X-ray shows mild cardiomegaly and a tortuous thoracic aorta with atherosclerosis. However, there is no evidence of an acute cardiopulmonary process such as pneumothorax, pleural effusion, edema or airspace consolidation. There are degenerative changes in the thoracic spine without evidence of deformity and the visualized osseous structures are intact. Additionally, there are no displaced rib fractures."
        },
        {
            "image_id": "1174_1",
            "caption": "The chest x-ray shows no presence of pneumothorax or pleural effusion. The cardiac contours are normal. The left lung shows clear picture while the right middle lobe shows increased opacities which could represent an infiltrate. Further examination might be required for proper diagnosis and treatment."
        },
        {
            "image_id": "1174_2",
            "caption": "The chest x-ray shows no presence of pneumothorax or pleural effusion. The cardiac contours are normal. The left lung shows clear picture while the right middle lobe shows increased opacities which could represent an infiltrate. Further examination might be required for proper diagnosis and treatment."
        },
        {
            "image_id": "3763_1",
            "caption": "The patient's x-ray was taken and interpreted by a medical professional. The finding indicates that both lungs are clear and expanded and that the heart and mediastinum are normal. The impression suggests that there is no active disease detected in the x-ray image."
        },
        {
            "image_id": "3763_2",
            "caption": "The patient's x-ray was taken and interpreted by a medical professional. The finding indicates that both lungs are clear and expanded and that the heart and mediastinum are normal. The impression suggests that there is no active disease detected in the x-ray image."
        },
        {
            "image_id": "3993_1",
            "caption": "The x-ray indicates that the heart is slightly enlarged and the left hemidiaphragm has been elevated. However, there is no sign of acute infiltrate or pleural effusion, and the mediastinum appears normal. Therefore, it is determined that there is no acute disease at this time, although borderline cardiomegaly is present."
        },
        {
            "image_id": "3993_2",
            "caption": "The x-ray indicates that the heart is slightly enlarged and the left hemidiaphragm has been elevated. However, there is no sign of acute infiltrate or pleural effusion, and the mediastinum appears normal. Therefore, it is determined that there is no acute disease at this time, although borderline cardiomegaly is present."
        },
        {
            "image_id": "2333_1",
            "caption": "The x-ray results indicate a normal heart size and absence of any focal consolidations. However, a 6 mm calcified granuloma is observed at the medial right lung base. There are no signs of pneumothorax or pleural effusion. The impression reveals no significant acute cardiopulmonary findings."
        },
        {
            "image_id": "2327_1",
            "caption": "The X-ray shows a large pleural effusion on the right side and the left lung appears clear. No other acute findings are present. The condition has developed since the previous CT scan was taken."
        },
        {
            "image_id": "2327_2",
            "caption": "The X-ray shows a large pleural effusion on the right side and the left lung appears clear. No other acute findings are present. The condition has developed since the previous CT scan was taken."
        },
        {
            "image_id": "3039_1",
            "caption": "The X-ray findings reveal a clear lung and a normal-sized heart. There are no signs of acute cardiopulmonary issues, such as pneumothorax or large pleural effusion. The patient's health appears to be stable according to the X-ray examination."
        },
        {
            "image_id": "3039_2",
            "caption": "The X-ray findings reveal a clear lung and a normal-sized heart. There are no signs of acute cardiopulmonary issues, such as pneumothorax or large pleural effusion. The patient's health appears to be stable according to the X-ray examination."
        },
        {
            "image_id": "3987_1",
            "caption": "The x-ray shows no acute abnormalities in the cardiopulmonary or osseous system. The thoracic spine has stable scattered endplate degenerative changes and osteophyte formation. The cardiomediastinal silhouette and hilar contours are normal with no focal areas of consolidation, pleural effusion or pneumothorax."
        },
        {
            "image_id": "3987_2",
            "caption": "The x-ray shows no acute abnormalities in the cardiopulmonary or osseous system. The thoracic spine has stable scattered endplate degenerative changes and osteophyte formation. The cardiomediastinal silhouette and hilar contours are normal with no focal areas of consolidation, pleural effusion or pneumothorax."
        },
        {
            "image_id": "2441_1",
            "caption": "Based on the X-ray finding, there is no indication of significant pulmonary or cardiac abnormalities. However, there is a possibility of a small right pleural effusion, without any focus of consolidation or pneumothorax. The tortuosity of the thoracic aorta is mild but stable, while the heart size is normal. Additionally, there is multilevel degenerative disc disease in the thoracolumbar spine and old, healed left rib fractures that were noted. A follow-up may be necessary to monitor the possible small right pleural effusion."
        },
        {
            "image_id": "2441_2",
            "caption": "Based on the X-ray finding, there is no indication of significant pulmonary or cardiac abnormalities. However, there is a possibility of a small right pleural effusion, without any focus of consolidation or pneumothorax. The tortuosity of the thoracic aorta is mild but stable, while the heart size is normal. Additionally, there is multilevel degenerative disc disease in the thoracolumbar spine and old, healed left rib fractures that were noted. A follow-up may be necessary to monitor the possible small right pleural effusion."
        },
        {
            "image_id": "1148_1",
            "caption": "The chest x-ray reveals that the cardiac and mediastinal contours are normal with clear lungs and intact bony structures, indicating negative findings."
        },
        {
            "image_id": "1148_2",
            "caption": "The chest x-ray reveals that the cardiac and mediastinal contours are normal with clear lungs and intact bony structures, indicating negative findings."
        },
        {
            "image_id": "437_1",
            "caption": "The chest x-ray shows postoperative sternotomy changes and stable cardiomegaly with a prominent contour of the ascending aorta, which is consistent with a known aneurysm. The lungs are clear, and no focal airspace consolidation, pleural effusion, or pneumothorax are identified. There are minimal degenerative changes in the spine. Overall, the x-ray indicates no acute pulmonary abnormality, and the patient's cardiac condition remains stable."
        },
        {
            "image_id": "437_2",
            "caption": "The chest x-ray shows postoperative sternotomy changes and stable cardiomegaly with a prominent contour of the ascending aorta, which is consistent with a known aneurysm. The lungs are clear, and no focal airspace consolidation, pleural effusion, or pneumothorax are identified. There are minimal degenerative changes in the spine. Overall, the x-ray indicates no acute pulmonary abnormality, and the patient's cardiac condition remains stable."
        },
        {
            "image_id": "351_1",
            "caption": "The lungs and pleural spaces are normal except for minimal scarring. Heart size and pulmonary vascularity are normal, and there is stable mild tortuosity of the descending thoracic aorta. No acute abnormalities found in the chest X-ray."
        },
        {
            "image_id": "351_2",
            "caption": "The lungs and pleural spaces are normal except for minimal scarring. Heart size and pulmonary vascularity are normal, and there is stable mild tortuosity of the descending thoracic aorta. No acute abnormalities found in the chest X-ray."
        },
        {
            "image_id": "345_1",
            "caption": "The x-ray shows no acute findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lungs are clear with no pneumothorax or pleural effusion. The thoracic spine has degenerative changes but there are no acute osseous findings. The impression is that there are no acute cardiopulmonary findings in this x-ray."
        },
        {
            "image_id": "345_2",
            "caption": "The x-ray shows no acute findings. Cardiomediastinal silhouette and pulmonary vasculature are within normal limits. The lungs are clear with no pneumothorax or pleural effusion. The thoracic spine has degenerative changes but there are no acute osseous findings. The impression is that there are no acute cardiopulmonary findings in this x-ray."
        },
        {
            "image_id": "3978_1",
            "caption": "The chest X-ray image shows no acute abnormalities. The heart and mediastinum are normal in size and shape, with no mediastinal widening. Both lungs are clear without any pleural effusion or pneumothorax. Furthermore, the bony structures appear to be intact. Therefore, the impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "3978_2",
            "caption": "The chest X-ray image shows no acute abnormalities. The heart and mediastinum are normal in size and shape, with no mediastinal widening. Both lungs are clear without any pleural effusion or pneumothorax. Furthermore, the bony structures appear to be intact. Therefore, the impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "423_1",
            "caption": "The x-ray reveals a concerning left subphrenic free air, which requires further abdominal decubitus views for verification. Bilateral pleural effusions have increased in size since the prior exam, along with bibasilar atelectasis/airspace disease. The heart is at the upper limits of normal, and the left central venous catheter remains unchanged. The feeding tube has been newly placed and extends below the diaphragm, out of the field-of-view."
        },
        {
            "image_id": "423_2",
            "caption": "The x-ray reveals a concerning left subphrenic free air, which requires further abdominal decubitus views for verification. Bilateral pleural effusions have increased in size since the prior exam, along with bibasilar atelectasis/airspace disease. The heart is at the upper limits of normal, and the left central venous catheter remains unchanged. The feeding tube has been newly placed and extends below the diaphragm, out of the field-of-view."
        },
        {
            "image_id": "423_3",
            "caption": "The x-ray reveals a concerning left subphrenic free air, which requires further abdominal decubitus views for verification. Bilateral pleural effusions have increased in size since the prior exam, along with bibasilar atelectasis/airspace disease. The heart is at the upper limits of normal, and the left central venous catheter remains unchanged. The feeding tube has been newly placed and extends below the diaphragm, out of the field-of-view."
        },
        {
            "image_id": "2496_1",
            "caption": "The x-ray shows stable marked cardiomegaly and mediastinal contour with pulmonary vascularity within normal limits. There are no focal consolidation, suspicious pulmonary opacity, pleural effusion, or pneumothorax. The visualized osseous structures appear intact. The impression is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "1821_1",
            "caption": "The x-ray shows a normal heart and mediastinum size and contour, without any focal airspace opacity, pleural effusion, or pneumothorax. Although, there are degenerative changes in the thoracic spine, the doctor rules out any acute cardiopulmonary finding, and more specifically, there is no evidence of active tuberculosis infection."
        },
        {
            "image_id": "1821_2",
            "caption": "The x-ray shows a normal heart and mediastinum size and contour, without any focal airspace opacity, pleural effusion, or pneumothorax. Although, there are degenerative changes in the thoracic spine, the doctor rules out any acute cardiopulmonary finding, and more specifically, there is no evidence of active tuberculosis infection."
        },
        {
            "image_id": "379_1",
            "caption": "Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse. Airspace opacities are identified with bilateral pleural effusions. The X-ray shows interval placement of a dialysis catheter with moderate cardiomegaly and mild calcification of the transverse. There are also bibasilar airspace opacities and bilateral pleural effusions which require further evaluation."
        },
        {
            "image_id": "379_2",
            "caption": "Interval placement of a dual-lumen dialysis catheter with the distal tip projected over the right atrium. Moderate cardiomegaly is identified. There is mild calcification of the transverse. Airspace opacities are identified with bilateral pleural effusions. The X-ray shows interval placement of a dialysis catheter with moderate cardiomegaly and mild calcification of the transverse. There are also bibasilar airspace opacities and bilateral pleural effusions which require further evaluation."
        },
        {
            "image_id": "1835_1",
            "caption": "The patient has low lung volumes. However, there are no acute cardiopulmonary abnormalities observed. The heart size and mediastinal silhouette are within normal limits for contour while the lungs depict clarity without presence of pneumothorax or pleural effusions."
        },
        {
            "image_id": "1835_2",
            "caption": "The patient has low lung volumes. However, there are no acute cardiopulmonary abnormalities observed. The heart size and mediastinal silhouette are within normal limits for contour while the lungs depict clarity without presence of pneumothorax or pleural effusions."
        },
        {
            "image_id": "3944_1",
            "caption": "Finding a mediport catheter with the tip in mid SVC on the right, clear lungs without any pleural effusion, along with a normal heart, mediastinum and skeletal structures. The impression is that there is no active disease present."
        },
        {
            "image_id": "3944_2",
            "caption": "Finding a mediport catheter with the tip in mid SVC on the right, clear lungs without any pleural effusion, along with a normal heart, mediastinum and skeletal structures. The impression is that there is no active disease present."
        },
        {
            "image_id": "3213_1",
            "caption": "The X-ray image shows normal findings of the heart, pulmonary and mediastinum without any pleural effusion, pneumothorax or focal air space opacity. However, a calcified granuloma is present in the right middle lobe. The impression indicates no evidence of active cardiopulmonary disease."
        },
        {
            "image_id": "190_1",
            "caption": "The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident. The X-ray does not show any signs of acute disease or abnormality."
        },
        {
            "image_id": "190_2",
            "caption": "The heart is normal in size. The mediastinum is unremarkable. The lungs are clear. There is no obvious lytic or destructive lesion. No displaced rib fracture is evident. The X-ray does not show any signs of acute disease or abnormality."
        },
        {
            "image_id": "1404_1",
            "caption": "The chest x-ray shows no acute abnormalities. The heart size and pulmonary vasculature are normal, and there is no evidence of a collapsed lung or fluid buildup in the pleural space. The bony structures are intact except for the stable anterior wedge deformities of 2 midthoracic vertebral bodies. The findings suggest the absence of any acute respiratory or cardiac disease."
        },
        {
            "image_id": "1404_2",
            "caption": "The chest x-ray shows no acute abnormalities. The heart size and pulmonary vasculature are normal, and there is no evidence of a collapsed lung or fluid buildup in the pleural space. The bony structures are intact except for the stable anterior wedge deformities of 2 midthoracic vertebral bodies. The findings suggest the absence of any acute respiratory or cardiac disease."
        },
        {
            "image_id": "3575_1",
            "caption": "The finding shows normal heart size and intact bony structures along with the absence of pneumothorax or pleural effusion. There is a central left midlung granuloma along with calcified left hilar adenopathy. The impression suggests no acute cardiopulmonary abnormality, which indicates a stable condition. If you have any concerns, please consult your doctor or healthcare provider for further evaluation."
        },
        {
            "image_id": "3575_2",
            "caption": "The finding shows normal heart size and intact bony structures along with the absence of pneumothorax or pleural effusion. There is a central left midlung granuloma along with calcified left hilar adenopathy. The impression suggests no acute cardiopulmonary abnormality, which indicates a stable condition. If you have any concerns, please consult your doctor or healthcare provider for further evaluation."
        },
        {
            "image_id": "3561_1",
            "caption": "The lungs are clear and the cardiomediastinal silhouette is within normal limits, with no pneumothorax or pleural effusion seen in the X-ray image. The chest X-ray is negative, indicating absence of any abnormalities or diseases related to the cardiopulmonary system in the image."
        },
        {
            "image_id": "3561_2",
            "caption": "The lungs are clear and the cardiomediastinal silhouette is within normal limits, with no pneumothorax or pleural effusion seen in the X-ray image. The chest X-ray is negative, indicating absence of any abnormalities or diseases related to the cardiopulmonary system in the image."
        },
        {
            "image_id": "1376_1",
            "caption": "The patient's chest x-ray shows sequelae of old granulomatous disease. However, the lungs are clear without any signs of focal air space disease, pleural effusions or pneumothoraces. In addition, the heart and mediastinum appear to be of normal size and contour. Degenerative changes in the spine are noted. Based on these results, the patient's lungs are deemed clear."
        },
        {
            "image_id": "1376_2",
            "caption": "The patient's chest x-ray shows sequelae of old granulomatous disease. However, the lungs are clear without any signs of focal air space disease, pleural effusions or pneumothoraces. In addition, the heart and mediastinum appear to be of normal size and contour. Degenerative changes in the spine are noted. Based on these results, the patient's lungs are deemed clear."
        },
        {
            "image_id": "1410_1",
            "caption": "The finding reveals that the heart and mediastinum are normal in size and the lungs are free of any focal infiltrates, nodules, or masses, and no visible pneumothorax or pleural fluid is found. There is no visible free intraperitoneal air under the diaphragm. The impression indicates that there is no acute radiographic cardiopulmonary process, making it a reassuring diagnosis."
        },
        {
            "image_id": "1410_2",
            "caption": "The finding reveals that the heart and mediastinum are normal in size and the lungs are free of any focal infiltrates, nodules, or masses, and no visible pneumothorax or pleural fluid is found. There is no visible free intraperitoneal air under the diaphragm. The impression indicates that there is no acute radiographic cardiopulmonary process, making it a reassuring diagnosis."
        },
        {
            "image_id": "184_1",
            "caption": "The chest X-ray shows clear lungs with no signs of pneumothorax or pleural effusion. The heart and mediastinum are normal in size and there are no acute bony abnormalities. Additionally, there is a 5mm stable right apical nodule. Overall, no acute cardiopulmonary process is evident, however further evaluation is recommended for the right apical nodule."
        },
        {
            "image_id": "184_2",
            "caption": "The chest X-ray shows clear lungs with no signs of pneumothorax or pleural effusion. The heart and mediastinum are normal in size and there are no acute bony abnormalities. Additionally, there is a 5mm stable right apical nodule. Overall, no acute cardiopulmonary process is evident, however further evaluation is recommended for the right apical nodule."
        },
        {
            "image_id": "3207_1",
            "caption": "The X-ray shows interval development of cardiomegaly with no acute radiographic cardiopulmonary process. These contours are within normal limits. The lungs are clear and normally inflated, and the osseous structures are within normal limits for patient age. It is important to monitor the progression of cardiomegaly to prevent any development of future cardiopulmonary problems."
        },
        {
            "image_id": "3207_2",
            "caption": "The X-ray shows interval development of cardiomegaly with no acute radiographic cardiopulmonary process. These contours are within normal limits. The lungs are clear and normally inflated, and the osseous structures are within normal limits for patient age. It is important to monitor the progression of cardiomegaly to prevent any development of future cardiopulmonary problems."
        },
        {
            "image_id": "2119_1",
            "caption": "There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax. Based on the x-ray, there is a 1 cm nodule within the lung base. It is recommended to correlate with an abdominal study, if possible, to investigate further. Also noted is a calcified right hilar lymph node and right granuloma. There is no evidence of pneumothorax."
        },
        {
            "image_id": "2119_2",
            "caption": "There is a 1 cm nodule within one of the lung bases, seen only on the lateral view. There is a calcified right hilar lymph node and right granuloma. Heart size is normal. No pneumothorax. Based on the x-ray, there is a 1 cm nodule within the lung base. It is recommended to correlate with an abdominal study, if possible, to investigate further. Also noted is a calcified right hilar lymph node and right granuloma. There is no evidence of pneumothorax."
        },
        {
            "image_id": "1438_1",
            "caption": "On the x-ray image, the lungs appear clear bilaterally, without any evidence of focal consolidation, pneumothorax, or pleural effusion. There is no acute abnormality on the visualized osseous structures of the thorax. The cardio mediastinal silhouette is unremarkable. The impression suggests there is no acute cardiopulmonary abnormality, specifically, no evidence of active tuberculous process."
        },
        {
            "image_id": "1438_2",
            "caption": "On the x-ray image, the lungs appear clear bilaterally, without any evidence of focal consolidation, pneumothorax, or pleural effusion. There is no acute abnormality on the visualized osseous structures of the thorax. The cardio mediastinal silhouette is unremarkable. The impression suggests there is no acute cardiopulmonary abnormality, specifically, no evidence of active tuberculous process."
        },
        {
            "image_id": "2131_1",
            "caption": "The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidations or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary findings. This is a normal X-ray result with no evidence of any disease or abnormality, suggesting that the patient is in good health. However, further medical history, physical examination or imaging studies may be needed for a thorough health evaluation."
        },
        {
            "image_id": "2131_2",
            "caption": "The trachea is midline. The cardiomediastinal silhouette is normal. The lungs are clear, without evidence of focal consolidations or pleural effusion. There is no pneumothorax. The visualized bony structures reveal no acute abnormalities. No acute cardiopulmonary findings. This is a normal X-ray result with no evidence of any disease or abnormality, suggesting that the patient is in good health. However, further medical history, physical examination or imaging studies may be needed for a thorough health evaluation."
        },
        {
            "image_id": "3549_1",
            "caption": "The patient's X-ray suggests that there is no acute cardiopulmonary abnormality. The lungs are clear bilaterally without any focal consolidation, pneumothorax, or pleural effusion. The cardio-mediastinal silhouette is normal and the visualized osseous structures of the thorax are without acute abnormality."
        },
        {
            "image_id": "3549_2",
            "caption": "The patient's X-ray suggests that there is no acute cardiopulmonary abnormality. The lungs are clear bilaterally without any focal consolidation, pneumothorax, or pleural effusion. The cardio-mediastinal silhouette is normal and the visualized osseous structures of the thorax are without acute abnormality."
        },
        {
            "image_id": "3549_3",
            "caption": "The patient's X-ray suggests that there is no acute cardiopulmonary abnormality. The lungs are clear bilaterally without any focal consolidation, pneumothorax, or pleural effusion. The cardio-mediastinal silhouette is normal and the visualized osseous structures of the thorax are without acute abnormality."
        },
        {
            "image_id": "812_1",
            "caption": "The chest x-ray shows chronic bilateral emphysematous changes, but there is no evidence of acute cardiopulmonary abnormalities. The heart and mediastinum are normal, the lungs are clear, and the bones are intact. The splenic artery embolism coils are stable."
        },
        {
            "image_id": "812_2",
            "caption": "The chest x-ray shows chronic bilateral emphysematous changes, but there is no evidence of acute cardiopulmonary abnormalities. The heart and mediastinum are normal, the lungs are clear, and the bones are intact. The splenic artery embolism coils are stable."
        },
        {
            "image_id": "52_1",
            "caption": "The x-ray image shows no acute abnormalities in the heart, lungs, or mediastinal silhouette. The lung fields appear clear without any focal airspace disease, pleural effusions, or pneumothorax. Osseous structures are unremarkable. Therefore, the impression drawn is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "52_2",
            "caption": "The x-ray image shows no acute abnormalities in the heart, lungs, or mediastinal silhouette. The lung fields appear clear without any focal airspace disease, pleural effusions, or pneumothorax. Osseous structures are unremarkable. Therefore, the impression drawn is that there are no acute cardiopulmonary abnormalities."
        },
        {
            "image_id": "806_1",
            "caption": "The X-ray shows borderline enlargement of the cardiac silhouette, which may require further evaluation. The lungs appear clear without any signs of pneumonia, collapsed lung, or fluid accumulation. Additionally, there are no acute abnormalities in the bones. Further examination could provide a more comprehensive assessment of any potential cardiopulmonary issues."
        },
        {
            "image_id": "806_2",
            "caption": "The X-ray shows borderline enlargement of the cardiac silhouette, which may require further evaluation. The lungs appear clear without any signs of pneumonia, collapsed lung, or fluid accumulation. Additionally, there are no acute abnormalities in the bones. Further examination could provide a more comprehensive assessment of any potential cardiopulmonary issues."
        },
        {
            "image_id": "2643_1",
            "caption": "The X-ray image shows that the lungs and pleural spaces are normal and the heart size and pulmonary vascularity are also within normal limits. There are no acute pulmonary abnormalities detected in the image."
        },
        {
            "image_id": "2643_2",
            "caption": "The X-ray image shows that the lungs and pleural spaces are normal and the heart size and pulmonary vascularity are also within normal limits. There are no acute pulmonary abnormalities detected in the image."
        },
        {
            "image_id": "153_1",
            "caption": "A right IJ central venous catheter is seen with its tip overlying the inferior SVC. The cardiac silhouette is of normal size, mediastinal contour and pulmonary vasculature are normal. There is a small right pleural effusion observed. Otherwise, the lungs are clear and do not show any focal airspace disease. Presence of a small right pleural effusion noted. The physician may recommend further investigation or treatment for the same."
        },
        {
            "image_id": "153_2",
            "caption": "A right IJ central venous catheter is seen with its tip overlying the inferior SVC. The cardiac silhouette is of normal size, mediastinal contour and pulmonary vasculature are normal. There is a small right pleural effusion observed. Otherwise, the lungs are clear and do not show any focal airspace disease. Presence of a small right pleural effusion noted. The physician may recommend further investigation or treatment for the same."
        },
        {
            "image_id": "2870_1",
            "caption": "The chest x-ray examination shows normal findings. The heart and lungs appear normal with no signs of pneumonia, fluid accumulation or collapsed lung. No abnormalities are observed in the bones and upper abdomen. The findings indicate no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "2870_2",
            "caption": "The chest x-ray examination shows normal findings. The heart and lungs appear normal with no signs of pneumonia, fluid accumulation or collapsed lung. No abnormalities are observed in the bones and upper abdomen. The findings indicate no acute cardiopulmonary abnormality."
        },
        {
            "image_id": "621_1",
            "caption": "From the chest x-ray, it is evident that the heart, pulmonary arteries, and mediastinum are within normal limits. No pleural effusion or pneumothorax is identified. No focal airspace opacity is suggestive of pneumonia. The spine shows mild degenerative changes. The overall Impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "621_2",
            "caption": "From the chest x-ray, it is evident that the heart, pulmonary arteries, and mediastinum are within normal limits. No pleural effusion or pneumothorax is identified. No focal airspace opacity is suggestive of pneumonia. The spine shows mild degenerative changes. The overall Impression is that there is no acute cardiopulmonary disease."
        },
        {
            "image_id": "147_1",
            "caption": "The patient's X-ray reveals clear lungs with normal heart and pulmonary contours, while the pleural spaces are clear with normal mediastinal contours. The X-ray shows a nodular density overlying the anterior left 4th rib, which represents a healing rib fracture. There is no acute cardiopulmonary disease identified in the X-ray."
        },
        {
            "image_id": "91_1",
            "caption": "Minimal right-to-left cardiomediastinal shift is observed with otherwise normal size and configuration of cardiomediastinal silhouette. Pulmonary vasculature is within normal limits. A moderate-sized right pneumothorax is identified, measuring 3.2 cm at the right apex level. The patient has a moderate-sized right pneumothorax. The minimal right-to-left cardiomediastinal shift indicates that the patient may have a collapsed lung. Further evaluation and management are recommended."
        },
        {
            "image_id": "609_1",
            "caption": "The x-ray indicates a stable cardiomediastinal silhouette with normal pulmonary vascularity. The lungs are clear of any airspace disease, and there is no evidence of pneumothorax or pleural effusion. The XXXX XXXX are intact. Overall, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "609_2",
            "caption": "The x-ray indicates a stable cardiomediastinal silhouette with normal pulmonary vascularity. The lungs are clear of any airspace disease, and there is no evidence of pneumothorax or pleural effusion. The XXXX XXXX are intact. Overall, there is no acute cardiopulmonary abnormality identified."
        },
        {
            "image_id": "2694_1",
            "caption": "The radiograph shows a normal cardiac silhouette and clear lungs without any infiltrate, pneumothorax, or effusion indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "2694_2",
            "caption": "The radiograph shows a normal cardiac silhouette and clear lungs without any infiltrate, pneumothorax, or effusion indicating no acute cardiopulmonary disease."
        },
        {
            "image_id": "2858_1",
            "caption": "The heart size is normal with a tortuous aorta, indicating a primary granulomatous disease. There are no acute cardiopulmonary findings with clear lungs and minimal spurring in the thoracic spine."
        },
        {
            "image_id": "2858_2",
            "caption": "The heart size is normal with a tortuous aorta, indicating a primary granulomatous disease. There are no acute cardiopulmonary findings with clear lungs and minimal spurring in the thoracic spine."
        },
        {
            "image_id": "2858_3",
            "caption": "The heart size is normal with a tortuous aorta, indicating a primary granulomatous disease. There are no acute cardiopulmonary findings with clear lungs and minimal spurring in the thoracic spine."
        },
        {
            "image_id": "2680_1",
            "caption": "The x-ray shows that the lungs are clear and there is no evidence of any pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal. The impression is that there is no acute pulmonary disease found in the x-ray. It is important to keep reviewing and monitoring the patient's condition."
        },
        {
            "image_id": "2680_2",
            "caption": "The x-ray shows that the lungs are clear and there is no evidence of any pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal. The impression is that there is no acute pulmonary disease found in the x-ray. It is important to keep reviewing and monitoring the patient's condition."
        },
        {
            "image_id": "2680_3",
            "caption": "The x-ray shows that the lungs are clear and there is no evidence of any pleural effusion or pneumothorax. The heart, mediastinum and skeletal structures appear normal. The impression is that there is no acute pulmonary disease found in the x-ray. It is important to keep reviewing and monitoring the patient's condition."
        },
        {
            "image_id": "85_1",
            "caption": "Based on the chest x-ray image, there are scattered calcified granulomas present but no active disease identified, no focal infiltrate, pleural effusion, or pneumothorax. The heart size and mediastinal contour appear normal. Additionally, there are degenerative changes noted in the spine."
        },
        {
            "image_id": "85_2",
            "caption": "Based on the chest x-ray image, there are scattered calcified granulomas present but no active disease identified, no focal infiltrate, pleural effusion, or pneumothorax. The heart size and mediastinal contour appear normal. Additionally, there are degenerative changes noted in the spine."
        }
    ]
}