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The RALE and AI scores had a strong positive correlation in CXRs from each site (r2 = 0.79-0.86; p less then 0.0001). Patients who died or received mechanical ventilation had significantly higher RALE and AI scores than those with recovery or without the need for mechanical ventilation (p less then 0.001). Patients with a more substantial difference in baseline and maximum RALE scores and AI scores had a higher prevalence of death and mechanical ventilation (p less then 0.001). The addition of patients' age, gender, WBC count, and peripheral oxygen sa