Upload 6 files

english_test.csv

@@ -0,0 +1,1022 @@
+id,sentence_index,text,omittable,measure,extension,atelectasis,satellite,lymphadenopathy,pleural,distant
+3064003,0,"No prior imaging studies for comparison.
+",1,0,0,0,0,0,0,0
+3064003,1,Consolidation and ground-glass opacity in the right middle lobe.,0,1,0,0,0,0,0,0
+3064003,2,"No definite mass lesion identified, but right hilar lymphadenopathy is suspected, raising the possibility of invasive mucinous adenocarcinoma with lymph node metastasis.
+",0,1,0,0,0,1,0,0
+3064003,3,"No other active lesions in the lung fields.
+",1,0,0,0,0,0,0,0
+3064003,4,"No significant mediastinal lymphadenopathy.
+",1,0,0,0,0,0,0,0
+3064003,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+3064003,6,"Multiple liver cysts, with no evidence of hepatic metastasis.
+",1,0,0,0,0,0,0,0
+3064003,7,"Low-attenuation mass in the right adrenal gland, likely an adenoma.
+",1,0,0,0,0,0,0,0
+3064003,8,"No significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+3064003,9,"No ascites.
+",1,0,0,0,0,0,0,0
+3064003,10,No other significant findings.,1,0,0,0,0,0,0,0
+14406674,0,"Infiltrative shadow in the middle lobe of the right lung, with increased density in segment S5.",0,1,0,0,0,0,0,0
+14406674,1,"While findings suggest pneumonia, bronchial washing cytology is Class V, raising suspicion of invasive mucinous adenocarcinoma.
+",0,1,0,0,0,0,0,0
+14406674,2,"Ground-glass opacity in the right lower lobe, which may also indicate a tumor, with a T classification equivalent to T3.
+",0,1,0,0,1,0,0,0
+14406674,3,"No significant enlargement of mediastinal or hilar lymph nodes or other mediastinal structural abnormalities.
+",1,0,0,0,0,0,0,0
+14406674,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+14406674,5,"Scattered hepatic cysts noted.
+",1,0,0,0,0,0,0,0
+14406674,6,"Low-attenuation nodule with smooth margins in the right adrenal gland, suggestive of an adrenal adenoma.",1,0,0,0,0,0,0,0
+13877446,0,"Infiltrative shadow in the right middle lobe, presumed to correspond to the known lung cancer lesion.
+",0,1,0,0,0,0,0,0
+13877446,1,"No pathological lymph node enlargement observed.
+",1,0,0,0,0,0,0,0
+13877446,2,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13877446,3,Right adrenal gland suspected to have an adenoma; follow-up is recommended.,0,0,0,0,0,0,0,1
+6513495,0,"Infiltrative shadow in the right middle lobe with unclear mass morphology, raising suspicion of invasive mucinous adenocarcinoma.
+",0,1,0,0,0,0,0,0
+6513495,1,"Ground-glass opacity in the right lower lobe, possibly indicative of pneumonia.
+",1,0,0,0,0,0,0,0
+6513495,2,"No mediastinal lymphadenopathy.
+",1,0,0,0,0,0,0,0
+6513495,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+6513495,4,"Right adrenal nodule, likely an adrenal adenoma.",1,0,0,0,0,0,0,0
+14181490,0,"Atelectasis in the right middle lobe, suspected to be obstructive atelectasis due to lung cancer based on bronchial washing cytology findings, classified as T2.
+",0,0,0,1,0,0,0,0
+14181490,1,"Faint ground-glass opacity in the right lower lobe, suggestive of mild inflammatory changes.
+",1,0,0,0,0,0,0,0
+14181490,2,"No tumorous lesions identified in other lung fields.
+",1,0,0,0,0,0,0,0
+14181490,3,"No pathological enlargement of mediastinal, hilar, or axillary lymph nodes.
+",1,0,0,0,0,0,0,0
+14181490,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+14181490,5,"Small nodule in the right adrenal gland, presumed to be a previously noted lesion.",0,0,0,0,0,0,0,1
+14181490,6,PET-CT is recommended to confirm FDG uptake.,0,0,0,0,0,0,0,1
+9095281,0,"Wedge-shaped area of atelectasis primarily in the right middle lobe, with an air bronchogram and ground-glass opacity at the margins.",0,1,0,1,0,0,0,0
+9095281,1,"Bronchial washing cytology indicates Class V, suggesting mucinous adenocarcinoma.",0,1,0,0,0,0,0,0
+9095281,2,"The lesion is in contact with the pleura, raising suspicion of visceral pleural invasion.
+",0,0,1,0,0,0,0,0
+9095281,3,"No findings suggestive of intrapulmonary metastasis.
+",1,0,0,0,0,0,0,0
+9095281,4,"No lymph node enlargement in the hilar or mediastinal regions, with no evidence of lymph node metastasis.
+",1,0,0,0,0,0,0,0
+9095281,5,"Nodular shadow near the right adrenal gland, suspected to be a previously identified adenoma, not indicative of distant metastasis.",1,0,0,0,0,0,0,0
+467592,0,"Infiltrative shadows in the right middle lobe and ground-glass opacities in the lower lobe, suggestive of pneumonia.",0,1,0,0,1,0,0,0
+467592,1,"However, based on cytological findings, mucinous adenocarcinoma cannot be ruled out.",0,1,0,0,0,0,0,0
+467592,2,"If lung cancer is confirmed, lesions in different lobes of the same lung are suspected.
+",0,0,0,0,1,0,0,0
+467592,3,"Slight enlargement of the right hilar lymph nodes, raising suspicion of metastasis.
+",0,0,0,0,0,1,0,0
+467592,4,"Right adrenal nodule, suggestive of an adrenal adenoma, but follow-up is recommended to rule out metastasis.
+",0,0,0,0,0,0,0,1
+467592,5,Hepatic cyst.,1,0,0,0,0,0,0,0
+15985099,0,"Infiltrative shadow with a bronchial air sign in the periphery of the right middle lobe, suspicious of lung cancer, with an estimated maximum diameter of approximately 5 cm.
+",0,1,0,0,0,0,0,0
+15985099,1,"Ground-glass opacities with centrilobular and panlobular distribution observed around this lesion and in the right lower lobe, likely representing inflammatory changes.
+",1,0,0,0,0,0,0,0
+15985099,2,"No findings suggestive of lung metastasis.
+",1,0,0,0,0,0,0,0
+15985099,3,"No pathological enlargement of mediastinal or hilar lymph nodes.
+",1,0,0,0,0,0,0,0
+15985099,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+15985099,5,Hepatic cyst noted.,1,0,0,0,0,0,0,0
+15985099,6,"No findings suggestive of liver metastasis.
+",1,0,0,0,0,0,0,0
+15985099,7,Right adrenal nodule observed.,1,0,0,0,0,0,0,0
+15985099,8,"Although CT attenuation is unknown due to the absence of non-contrast CT, it has been previously noted and is likely a benign lesion, such as an adrenal adenoma.
+",1,0,0,0,0,0,0,0
+15985099,9,No significant abnormalities in other upper abdominal organs.,1,0,0,0,0,0,0,0
+2392977,0,"Infiltrative shadow and ground-glass opacity in the right middle lobe, suggesting pneumonia.",0,0,0,1,0,0,0,0
+2392977,1,"A partially mass-like area in the periphery raises the possibility of a coexisting tumor.
+",0,1,0,0,0,0,0,0
+2392977,2,"No significant mediastinal lymphadenopathy.
+",1,0,0,0,0,0,0,0
+2392977,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2392977,4,"Low-attenuation area in the liver, likely a cyst.
+",1,0,0,0,0,0,0,0
+2392977,5,"Small nodule in the right adrenal gland, consistent with an adenoma or similar condition.",1,0,0,0,0,0,0,0
+11653835,0,"No comparable imaging studies available.
+",1,0,0,0,0,0,0,0
+11653835,1,"Extensive ground-glass opacities and consolidation in the upper to lower lobes of both lungs, accompanied by thickening of the interlobular septa.
+",0,1,1,0,1,0,0,0
+11653835,2,"Enlarged lymph nodes in the hilar and mediastinal regions, suspicious of invasive mucinous adenocarcinoma with lymph node metastasis.
+",0,0,0,0,0,1,0,0
+11653835,3,"Small amount of pleural effusion noted.
+",0,0,0,0,0,0,1,0
+11653835,4,"No significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+11653835,5,"No ascites.
+",1,0,0,0,0,0,0,0
+11653835,6,No other significant findings.,1,0,0,0,0,0,0,0
+2104225,0,"Diffuse ground-glass opacities in both lung fields with thickening of the interlobular septa and increased density, suggesting severe pneumonia.
+",0,1,1,0,1,0,0,0
+2104225,1,"Sputum cytology is Class V, raising suspicion for invasive mucinous adenocarcinoma.
+",0,1,0,0,0,0,0,0
+2104225,2,"No significant mediastinal or hilar lymphadenopathy.
+",1,0,0,0,0,0,0,0
+2104225,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2104225,4,No significant abnormalities in the upper abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+1112974,0,"Extensive ground-glass opacities in both lungs with interlobular septal thickening, raising the possibility of mucinous adenocarcinoma based on other examinations.
+",0,1,1,0,1,0,0,0
+1112974,1,"No pathological lymphadenopathy.
+",1,0,0,0,0,0,0,0
+1112974,2,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+1112974,3,No significant lesions in the upper abdomen.,1,0,0,0,0,0,0,0
+11633148,0,"Extensive ground-glass opacities and consolidation predominantly beneath the pleura in both lungs, accompanied by thickening of the interlobular septa, presenting a crazy paving pattern.
+",0,1,1,0,1,0,0,0
+11633148,1,"While pneumonia is present, invasive mucinous adenocarcinoma distributed in both lungs is also a possibility.
+",0,1,0,0,0,0,0,0
+11633148,2,"Small amount of pleural effusion noted on the left side.
+",0,0,0,0,0,0,1,0
+11633148,3,No clear evidence of mediastinal lymphadenopathy.,1,0,0,0,0,0,0,0
+3212964,0,"Extensive ground-glass opacities in both lungs, predominantly in the left, suspicious for invasive mucinous adenocarcinoma based on cytology and tumor markers.
+",0,1,1,0,1,0,0,0
+3212964,1,"Lesions in at least different lobes of the lung raise suspicion for T4, with similar opacities in the contralateral lung suggesting transbronchial metastasis (M1a).
+",0,1,0,0,1,0,0,0
+3212964,2,"Soft tissue masses in bilateral hilar regions, suspicious of lymph node metastasis (N3).
+",0,0,0,0,0,1,0,0
+3212964,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+3212964,4,No significant findings in the abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+15624962,0,"Extensive infiltrative and ground-glass opacities in both lung fields, resembling findings seen in COVID-19.",0,1,1,0,1,0,0,0
+15624962,1,"However, as the PCR test is negative, COVID-19 is ruled out.
+",1,0,0,0,0,0,0,0
+15624962,2,Sputum cytology result of class V raises suspicion of mucinous adenocarcinoma of the lung.,0,1,0,0,0,0,0,0
+15624962,3,"The primary site is unclear, but bilateral findings suggest contralateral lung metastasis via the airways.
+",0,0,0,0,1,0,0,0
+15624962,4,"Soft tissue shadows in the mediastinum, suspicious of mediastinal lymph node metastasis.",0,0,0,0,0,1,0,0
+12276319,0,"Extensive ground-glass opacities in both lungs, accompanied by thickening of the interlobular septa and other broad interstitial structures.",0,1,1,0,1,0,0,0
+12276319,1,"Differential diagnoses include pneumonia, including atypical pneumonia, invasive mucinous adenocarcinoma (supported by sputum cytology findings), pulmonary alveolar proteinosis, and nonspecific interstitial pneumonia (NSIP).
+",0,1,0,0,0,0,0,0
+12276319,2,"No significant lymph node enlargement in the mediastinum or hila.
+",1,0,0,0,0,0,0,0
+12276319,3,No large pleural effusion.,1,0,0,0,0,0,0,0
+6643899,0,"Multiple well-defined ground-glass opacities diffusely observed in both lung fields, relatively uniform and accompanied by interlobular septal thickening.",0,1,1,0,1,0,0,0
+6643899,1,"Based on laboratory data, the possibility of multiple adenocarcinomas is high.
+",0,1,0,0,0,0,0,0
+6643899,2,"Coexisting pneumonia cannot be ruled out.
+",1,0,0,0,0,0,0,0
+6643899,3,"No pathological enlargement of mediastinal, hilar, or supraclavicular lymph nodes.
+",1,0,0,0,0,0,0,0
+6643899,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+6643899,5,No findings suggestive of metastasis to upper abdominal organs or bones within the imaging range.,1,0,0,0,0,0,0,0
+8236928,0,Diffuse ground-glass opacities are observed throughout both lung fields.,0,1,1,0,1,0,0,0
+8236928,1,"Based on blood test and sputum test results, invasive mucinous adenocarcinoma is a possible diagnosis.",0,1,0,0,0,0,0,0
+8236928,2,"Differential diagnoses include viral pneumonia and drug-induced lung injury.
+",1,0,0,0,0,0,0,0
+8236928,3,"No significant mediastinal lymphadenopathy.
+",1,0,0,0,0,0,0,0
+8236928,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+8236928,5,Prominent soft tissue shadow in the AC region of the left breast; further evaluation with ultrasound is recommended as a precaution.,1,0,0,0,0,0,0,0
+6432143,0,"No comparable imaging studies.
+",1,0,0,0,0,0,0,0
+6432143,1,"Mass lesion with heterogeneous enhancement, measuring approximately 36 mm in the left lower lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+6432143,2,"Nodular shadows scattered throughout both lungs, with the largest exceeding 10 mm, suggestive of pulmonary metastases.
+",0,0,0,0,1,0,0,0
+6432143,3,Emphysematous changes.,1,0,0,0,0,0,0,0
+6432143,4,"No other significant lung lesions.
+",1,0,0,0,0,0,0,0
+6432143,5,"Multiple enlarged subcarinal lymph nodes, suspicious of metastasis.",0,0,0,0,0,1,0,0
+6432143,6,"Left hilar lymph node may be contiguous with the primary lesion.
+",0,0,0,0,0,1,0,0
+6432143,7,"No other significant lymph node enlargement.
+",1,0,0,0,0,0,0,0
+6432143,8,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+6432143,9,"Bilateral adrenal masses with heterogeneous enhancement, nonspecific but suspicious for metastasis.
+",0,0,0,0,0,0,0,1
+6432143,10,"Renal cysts.
+",1,0,0,0,0,0,0,0
+6432143,11,"No significant abnormalities in the liver, gallbladder, pancreas, spleen, or pelvic organs.
+",1,0,0,0,0,0,0,0
+6432143,12,"No ascites.
+",1,0,0,0,0,0,0,0
+6432143,13,"Cystic mass in the left temporal lobe with a widespread surrounding low-density area and midline shift, suggesting a metastatic brain tumor with edema.
+",0,0,0,0,0,0,0,1
+6432143,14,No other significant findings.,1,0,0,0,0,0,0,0
+4096364,0,"Findings consistent with chronic emphysema.
+",1,0,0,0,0,0,0,0
+4096364,1,"Irregularly shaped mass measuring 36 mm in the left lower lobe, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+4096364,2,"Scattered small nodules in the left upper lobe, suggesting possible satellite tumor nodules.
+",0,0,0,0,1,0,0,0
+4096364,3,"Enlarged left hilar and bilateral mediastinal lymph nodes, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+4096364,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+4096364,5,"Bilateral adrenal gland nodules, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+4096364,6,"No evidence of metastasis to abdominal organs or bones.
+Left renal cyst.
+",1,0,0,0,0,0,0,0
+4096364,7,"Necrotic mass in the left temporal lobe with significant surrounding edema and midline shift to the right, suspicious of a metastatic brain tumor.",0,0,0,0,0,0,0,1
+5145642,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+5145642,1,"Mass lesion measuring 36 mm in the left lower lobe, with a lobulated shape and spiculation, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+5145642,2,"Multiple round nodules in both lungs, suggestive of metastases.
+",0,0,0,0,1,0,0,0
+5145642,3,"Enlarged lymph nodes below the left pulmonary hilum and tracheal bifurcation, raising suspicion of metastases.
+",0,0,0,0,0,1,0,0
+5145642,4,"Round masses in bilateral adrenal glands, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+5145642,5,Brain metastases confirmed on MRI.,0,0,0,0,0,0,0,1
+12909941,0,"Lobulated mass measuring 36 mm in the left lower lobe (S6), with obstruction of the left lower lobe bronchus.
+",0,1,1,0,0,0,0,0
+12909941,1,"Infiltrative shadow distal to the obstruction, accompanied by obstructive pneumonia.
+",0,0,0,1,0,0,0,0
+12909941,2,"Enlarged lymph nodes in the left pulmonary hilum and ipsilateral mediastinum, suspicious of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+12909941,3,"Well-defined nodule in the right lower lobe (S6), suspicious of pulmonary metastasis.
+",0,0,0,0,1,0,0,0
+12909941,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+12909941,5,"Bilateral adrenal gland nodules, raising suspicion of adrenal metastases.
+",0,0,0,0,0,0,0,1
+12909941,6,"Bilateral renal cysts noted.
+",1,0,0,0,0,0,0,0
+12909941,7,"No significant abnormalities in other abdominal organs.
+",1,0,0,0,0,0,0,0
+12909941,8,"No ascites.
+",1,0,0,0,0,0,0,0
+12909941,9,No obvious abdominal lymph node enlargement.,1,0,0,0,0,0,0,0
+13560846,0,"Emphysema noted.
+",1,0,0,0,0,0,0,0
+13560846,1,"Mass measuring 3.6 cm in the left lower lobe, with obstruction of the left lower lobe bronchus and narrowing of the bronchus in the left lingular segment.",0,1,1,0,0,0,0,0
+13560846,2,"Infiltration into the left pulmonary artery and vein within the mediastinum, suggestive of T4.
+",0,1,1,0,0,0,0,0
+13560846,3,"Enlarged mediastinal lymph node (#4L), raising suspicion of N2.",0,0,0,0,0,1,0,0
+13560846,4,"Possible lymph node enlargement on the right side at the tracheal bifurcation, suggesting N3 if metastasis is present.
+",0,0,0,0,0,1,0,0
+13560846,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13560846,6,"Nodules in both adrenal glands, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+13560846,7,"Cyst noted in the left kidney.
+",1,0,0,0,0,0,0,0
+13560846,8,"No significant findings in the liver, gallbladder, pancreas, or spleen.",1,0,0,0,0,0,0,0
+15824422,0,"Head CT:
+Nodular lesion in the left cerebral hemisphere with extensive surrounding edema, suspicious of a metastatic brain tumor.
+
+",0,0,0,0,0,0,0,1
+15824422,1,"Chest CT:
+Findings of emphysema, indicating a predisposition to lung cancer.
+",1,0,0,0,0,0,0,0
+15824422,2,"Solid mass lesion approximately 36 mm in the left lower lobe (S10), suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+15824422,3,"The lesion is in contact with the interlobar pleura, raising suspicion of interlobar pleural invasion.
+",0,0,1,0,0,0,0,0
+15824422,4,"Obstructive atelectasis involving part of the left lower lobe.
+",0,0,0,1,0,0,0,0
+15824422,5,"Multiple nodules in the right lung, suspicious of contralateral lung metastases.
+",0,0,0,0,1,0,0,0
+15824422,6,"Nodular lesion in the left upper lobe, suggestive of intralobar metastasis within the same lung.
+",0,0,0,0,1,0,0,0
+15824422,7,"Enlarged lymph nodes from the left pulmonary hilum to the mediastinum, raising suspicion of lymph node metastases.",0,0,0,0,0,1,0,0
+2470201,0,"Head:
+29 mm mass in the left temporoparietal lobe with extensive surrounding edema, suspicious of brain metastasis.
+",0,0,0,0,0,0,0,1
+2470201,1,"Significant mass effect with midline shift and left uncal herniation.
+
+",0,0,0,0,0,0,0,1
+2470201,2,"Chest to Pelvis:
+Severe emphysematous changes.
+",1,0,0,0,0,0,0,0
+2470201,3,"36 mm mass spanning the interlobar pleura from the left upper lobe to the lower lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+2470201,4,"Peripheral consolidation suggests obstructive pneumonia.
+",0,0,0,1,0,0,0,0
+2470201,5,"Multiple nodules in both lungs, lung metastases cannot be ruled out.
+",0,0,0,0,1,0,0,0
+2470201,6,"Ipsilateral mediastinal and subcarinal lymphadenopathy, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+2470201,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2470201,8,"Bilateral adrenal nodules, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+2470201,9,"No significant abnormalities in the liver, gallbladder, pancreas, spleen, or kidneys.
+",1,0,0,0,0,0,0,0
+2470201,10,No para-aortic lymphadenopathy or ascites.,1,0,0,0,0,0,0,0
+10654072,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+10654072,1,"Irregularly margined mass measuring 36 mm in the central region of the left lower lobe, causing severe narrowing of the left lower lobe bronchus and partial atelectasis in the peripheral region.
+",0,1,1,1,0,0,0,0
+10654072,2,"Multiple spherical nodules scattered throughout both lung fields.
+",0,0,0,0,1,0,0,0
+10654072,3,"Pathologically enlarged lymph nodes in the left pulmonary hilum and left mediastinum, raising suspicion of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+10654072,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+10654072,5,"Multiple masses in both adrenal glands, suggestive of adrenal metastasis.
+",0,0,0,0,0,0,0,1
+10654072,6,"No findings suggestive of liver metastasis.
+",1,0,0,0,0,0,0,0
+10654072,7,"Left renal cyst.
+",1,0,0,0,0,0,0,0
+10654072,8,"No significant abnormalities in other abdominal organs.
+",1,0,0,0,0,0,0,0
+10654072,9,"No pathologically enlarged lymph nodes in the abdomen.
+",1,0,0,0,0,0,0,0
+10654072,10,"No ascites.
+",1,0,0,0,0,0,0,0
+10654072,11,"No bone destruction or sclerosis suggestive of bone metastasis.
+",1,0,0,0,0,0,0,0
+10654072,12,"Cystic lesion in the left temporal lobe with an extensive surrounding low-density area indicative of edema, causing a midline shift to the right due to compressive changes.
+",0,0,0,0,0,0,0,1
+10654072,13,Findings strongly suggest brain metastasis with necrosis or cystic changes.,0,0,0,0,0,0,0,1
+14311169,0,"Emphysematous changes observed.
+",1,0,0,0,0,0,0,0
+14311169,1,"Irregular mass measuring 36 mm in the left lower lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+14311169,2,"Nodular shadows scattered throughout both lung fields, raising suspicion of metastases.
+",0,0,0,0,1,0,0,0
+14311169,3,"Enlarged lymph nodes in the mediastinum, suggestive of metastases.
+",0,0,0,0,0,1,0,0
+14311169,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+14311169,5,"Low-density area in the left cerebral hemisphere, suggestive of edematous changes.",0,0,0,0,0,0,0,1
+14311169,6,"Some areas appear mass-like, raising suspicion of brain metastases, with a midline shift to the right.
+",0,0,0,0,0,0,0,1
+14311169,7,"Masses in both adrenal glands, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+14311169,8,"Left renal cyst noted.
+",1,0,0,0,0,0,0,0
+14311169,9,No ascites.,1,0,0,0,0,0,0,0
+10353181,0,"Part-solid nodule with a lobulated shape measuring 33 mm in the S1+2 segment of the left upper lobe, with an internal high-density portion measuring 13 mm, consistent with findings of known lung adenocarcinoma.
+",0,1,0,0,0,0,0,0
+10353181,1,"Tiny nodular shadow in the dorsal S1 segment of the right upper lobe, unchanged from a CT scan 5 years ago, likely a benign lesion such as an old granuloma or intrapulmonary lymph node.
+",1,0,0,0,0,0,0,0
+10353181,2,"No obvious metastases or other active lesions in the lung fields.
+",1,0,0,0,0,0,0,0
+10353181,3,"No significant lymph node enlargement in the mediastinum or hilar regions.
+",1,0,0,0,0,0,0,0
+10353181,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+10353181,5,Fatty liver noted.,1,0,0,0,0,0,0,0
+10353181,6,"Post-cholecystectomy status observed.
+",1,0,0,0,0,0,0,0
+10353181,7,"No obvious abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+10353181,8,"No ascites.
+",1,0,0,0,0,0,0,0
+10353181,9,No other significant findings.,1,0,0,0,0,0,0,0
+8946994,0,"Partially solid nodule in the left lung apex, measuring 33 mm in maximum diameter with a 13 mm solid component, corresponding to a known lesion of lung adenocarcinoma.
+",0,1,0,0,0,0,0,0
+8946994,1,"Small subpleural nodule in the right lung apex, unchanged from previous CT scans, likely a residual inflammatory nodule.
+",1,0,0,0,0,0,0,0
+8946994,2,"No other nodules or infiltrative shadows in the lung fields.
+",1,0,0,0,0,0,0,0
+8946994,3,"No significant enlargement of mediastinal or hilar lymph nodes and no mediastinal structural abnormalities.
+",1,0,0,0,0,0,0,0
+8946994,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+8946994,5,"Suspected fatty liver.
+",1,0,0,0,0,0,0,0
+8946994,6,"Post-cholecystectomy status noted.
+",1,0,0,0,0,0,0,0
+8946994,7,No obvious abnormalities in the abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+8541406,0,"Well-defined mixed ground-glass nodule (GGN) measuring 33 mm in the left upper lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+8541406,1,"Small subpleural nodule in the right upper lobe, unchanged from the previous examination, likely representing chronic inflammatory changes.
+",1,0,0,0,0,0,0,0
+8541406,2,"No pathological lymph node enlargement identified.
+",1,0,0,0,0,0,0,0
+8541406,3,No evidence of significant metastasis in the upper abdomen.,1,0,0,0,0,0,0,0
+4539912,0,"Mass lesion in the left lung apex with a maximum diameter of 33 mm, including a 13 mm solid component.
+",0,1,0,0,0,0,0,0
+4539912,1,"Small subpleural nodule in the right lung apex with no change in size, likely due to chronic inflammatory changes.
+",1,0,0,0,0,0,0,0
+4539912,2,"No mediastinal lymph node enlargement.
+",1,0,0,0,0,0,0,0
+4539912,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+4539912,4,"Post-cholecystectomy status.
+",1,0,0,0,0,0,0,0
+4539912,5,"Fatty liver.
+",1,0,0,0,0,0,0,0
+4539912,6,No significant abnormalities in the abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+13237701,0,"Ground-glass opacity with a solid mass measuring 1.3 cm in the left upper lobe, suspicious of lung cancer based on the clinical course, consistent with T1b.
+",0,1,0,0,0,0,0,0
+13237701,1,"No enlargement of mediastinal or hilar lymph nodes.
+",1,0,0,0,0,0,0,0
+13237701,2,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13237701,3,"No findings suggestive of metastasis to the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+13237701,4,"Post-cholecystectomy status noted.
+",1,0,0,0,0,0,0,0
+13237701,5,"No significant abnormalities observed in the pancreas, spleen, or kidneys.",1,0,0,0,0,0,0,0
+612334,0,"Mass-like lesion approximately 3 cm in size in S1+2 of the left upper lobe, predominantly ground-glass opacity with an internal solid component, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+612334,1,"No pulmonary metastases.
+",1,0,0,0,0,0,0,0
+612334,2,No pathological enlargement of hilar or mediastinal lymph nodes.,1,0,0,0,0,0,0,0
+6952150,0,"Irregular nodule measuring 33 mm in the left upper lobe, accompanied by a linear shadow continuous with the pleura, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+6952150,1,"Small nodule in the right upper lobe shows no significant changes compared to five years ago, likely a benign lesion such as a granuloma.
+",1,0,0,0,0,0,0,0
+6952150,2,"No significant lymph node enlargement in the hilar or mediastinal regions.
+",1,0,0,0,0,0,0,0
+6952150,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+6952150,4,Fatty liver.,1,0,0,0,0,0,0,0
+10666201,0,"Ground-glass-like mass in the left upper lobe with relatively well-defined margins and a partially lobulated appearance, consistent with a known cancerous lesion.
+",0,1,0,0,0,0,0,0
+10666201,1,"The tumor measures 33 mm in maximum diameter, with a solid component measuring 13 mm.
+",0,1,0,0,0,0,0,0
+10666201,2,"Small nodule at the pleural edge of the right lung apex, unchanged from a CT scan 5 years ago, likely a benign lesion.
+",1,0,0,0,0,0,0,0
+10666201,3,"No lesions suggestive of lung metastasis.
+",1,0,0,0,0,0,0,0
+10666201,4,"No pathological enlargement of mediastinal, hilar, or supraclavicular lymph nodes.
+",1,0,0,0,0,0,0,0
+10666201,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+10666201,6,"No lesions suspicious for metastasis in the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+10666201,7,"No significant abnormalities in other upper abdominal organs within the imaging range.
+",1,0,0,0,0,0,0,0
+10666201,8,"No findings of bone metastasis, such as bone destruction or sclerosis.",1,0,0,0,0,0,0,0
+9228287,0,"Part-solid ground-glass nodule (GGN) measuring 33 mm, with a 13 mm solid component, observed in the left upper lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+9228287,1,"Small subpleural nodule in the right upper lobe, unchanged from the previous examination, likely a benign nodule.
+",1,0,0,0,0,0,0,0
+9228287,2,"No significant mediastinal lymphadenopathy.
+",1,0,0,0,0,0,0,0
+9228287,3,No pleural effusion.,1,0,0,0,0,0,0,0
+2560353,0,"No comparable imaging studies available.
+",1,0,0,0,0,0,0,0
+2560353,1,"Lobulated nodule with spiculation, 15 mm in maximum diameter, in S3 of the right upper lobe, suggestive of lung cancer.
+",0,1,0,0,0,0,0,0
+2560353,2,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+2560353,3,"No obvious metastases or other active lesions in the lung fields.
+",1,0,0,0,0,0,0,0
+2560353,4,"No significant mediastinal or hilar lymphadenopathy.
+",1,0,0,0,0,0,0,0
+2560353,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2560353,6,"Left renal cyst.
+",1,0,0,0,0,0,0,0
+2560353,7,"No significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+2560353,8,"No ascites.
+",1,0,0,0,0,0,0,0
+2560353,9,No other significant findings.,1,0,0,0,0,0,0,0
+13219429,0,"Findings consistent with moderate chronic pulmonary emphysema.
+",1,0,0,0,0,0,0,0
+13219429,1,"Lobulated mass with spiculation in the right upper lobe (S3), measuring 15 mm in maximum diameter, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+13219429,2,"No significant enlargement of mediastinal or hilar lymph nodes or other mediastinal structural abnormalities.
+",1,0,0,0,0,0,0,0
+13219429,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13219429,4,"Left renal cyst noted.
+",1,0,0,0,0,0,0,0
+13219429,5,No obvious abnormalities in the upper abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+2674298,0,"15 mm nodule in the right upper lobe (S3), presumed to be the known primary lesion.
+",0,1,0,0,0,0,0,0
+2674298,1,"No pathological lymphadenopathy.
+",1,0,0,0,0,0,0,0
+2674298,2,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2674298,3,No significant metastases in the upper abdomen.,1,0,0,0,0,0,0,0
+12525895,0,"Nodule with spiculation in the right upper lobe (S3), measuring 15 mm in maximum diameter, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+12525895,1,"Emphysema observed.
+",1,0,0,0,0,0,0,0
+12525895,2,"No pulmonary metastases.
+",1,0,0,0,0,0,0,0
+12525895,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+12525895,4,"No evidence of liver or adrenal metastases.
+",1,0,0,0,0,0,0,0
+12525895,5,Left renal cyst noted.,1,0,0,0,0,0,0,0
+8622060,0,"Emphysema.
+",1,0,0,0,0,0,0,0
+8622060,1,"Nodule measuring 1.5 cm in the right upper lobe with spiculated margins, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+8622060,2,"Scattered linear shadows and polygonal opacities in other lung fields, likely representing old inflammatory scars and nodules.
+",1,0,0,0,0,0,0,0
+8622060,3,"No enlargement of mediastinal, hilar, or supraclavicular lymph nodes.
+",1,0,0,0,0,0,0,0
+8622060,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+8622060,5,"No tumorous lesions identified in the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+8622060,6,"Cyst observed in the left kidney.
+",1,0,0,0,0,0,0,0
+8622060,7,No significant findings in the abdominal region within the imaging range.,1,0,0,0,0,0,0,0
+6581451,0,"Emphysema.
+",1,0,0,0,0,0,0,0
+6581451,1,"Nodular shadow measuring 15 mm in the right upper lobe, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+6581451,2,"No evidence of intralobar metastasis.
+",1,0,0,0,0,0,0,0
+6581451,3,"Lymph nodes in the mediastinum and hilum are observed, but their morphology does not strongly suggest metastasis.",0,0,0,0,0,1,0,0
+7465759,0,"Irregular 15 mm nodule with spiculation in the right upper lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+7465759,1,"No other obvious abnormalities in the lung fields.
+",1,0,0,0,0,0,0,0
+7465759,2,"No significant lymph node enlargement in the mediastinum or hilum.
+",1,0,0,0,0,0,0,0
+7465759,3,Liver cyst and left renal cyst noted.,1,0,0,0,0,0,0,0
+13172848,0,"Emphysematous changes observed.
+",1,0,0,0,0,0,0,0
+13172848,1,"Lobulated mass in the right upper lobe, measuring 15 mm with spiculated margins, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+13172848,2,"Scattered small nodules along the pleural edges of both lungs, likely benign lesions such as old inflammatory changes or intrapulmonary lymph nodes.
+",1,0,0,0,0,0,0,0
+13172848,3,"No mediastinal or hilar lymphadenopathy.
+",1,0,0,0,0,0,0,0
+13172848,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13172848,5,"No evidence of metastasis to the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+13172848,6,"Hepatic cyst and left renal cyst noted.
+",1,0,0,0,0,0,0,0
+13172848,7,"No significant abnormalities in the upper abdominal organs within the imaging range.
+",1,0,0,0,0,0,0,0
+13172848,8,No bone destruction or sclerosis within the imaging range of the bones.,1,0,0,0,0,0,0,0
+11301489,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+11301489,1,"Irregularly margined 15 mm nodule with spiculation in the right upper lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+11301489,2,"Small angular-shaped nodule in the right upper lobe, likely a benign lesion.
+",1,0,0,0,0,0,0,0
+11301489,3,"No significant mediastinal lymphadenopathy.
+",1,0,0,0,0,0,0,0
+11301489,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+11301489,5,"Hepatic cyst noted.
+",1,0,0,0,0,0,0,0
+11301489,6,Left renal cyst noted.,1,0,0,0,0,0,0,0
+1644144,0,"Lobulated nodule with a maximum diameter of 21 mm in the right lower lobe (S6), appearing to be continuous with a vein, consistent with lung cancer.
+",0,1,0,0,0,0,0,0
+1644144,1,"Bulla in the left lower lobe with an adjacent 1 cm nodule, showing no significant change compared to previous imaging, likely a benign lesion such as an old granuloma.
+",1,0,0,0,0,0,0,0
+1644144,2,"No clear metastases or other active lesions in the lung fields.
+",1,0,0,0,0,0,0,0
+1644144,3,"Enlargement of mediastinal lymph nodes, including right hilar and subcarinal regions, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+1644144,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+1644144,5,"No significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+1644144,6,"No ascites.
+",1,0,0,0,0,0,0,0
+1644144,7,No other significant findings.,1,0,0,0,0,0,0,0
+7510589,0,"Lobulated mass with spiculation, measuring 21 mm in the right lower lobe (S6), suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+7510589,1,"No findings suggestive of satellite tumor nodules in the lung fields.
+",1,0,0,0,0,0,0,0
+7510589,2,"Enlarged lymph nodes sporadically observed in the right hilar and mediastinal regions, raising suspicion of metastasis.
+",0,0,0,0,0,1,0,0
+7510589,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+7510589,4,No significant abnormalities in the upper abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+4864589,0,"Mild pulmonary cysts.
+",1,0,0,0,0,0,0,0
+4864589,1,"Lobulated nodule measuring 21 mm in the right lower lobe (S6), suspected to correspond to the known cancer.
+",0,1,0,0,0,0,0,0
+4864589,2,"Well-defined nodule in the left lung base, unchanged from the previous examination, likely representing chronic inflammatory changes.
+",1,0,0,0,0,0,0,0
+4864589,3,"Cord-like shadow in the left lingular segment, resembling an inflammatory scar.
+",1,0,0,0,0,0,0,0
+4864589,4,"Enlarged lymph nodes in the bilateral mediastinum, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+4864589,5,No evidence of gross metastasis in the upper abdomen.,1,0,0,0,0,0,0,0
+14032277,0,"21 mm lobulated nodule in the right lower lobe (S6), accompanied by pleural indentation, suspicious of lung cancer.
+",0,1,1,0,0,0,0,0
+14032277,1,"Flat nodule in the left lower lobe (S6), unchanged from previous imaging, likely representing chronic inflammatory changes.
+",1,0,0,0,0,0,0,0
+14032277,2,"Enlarged right hilar lymph nodes, as well as ipsilateral and contralateral mediastinal lymph nodes, raising suspicion of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+14032277,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+14032277,4,No significant abnormalities noted in the abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+5134666,0,"Nodule with a maximum diameter of 2.1 cm in the right lower lobe (S6), showing a lobulated shape and spiculated margins, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+5134666,1,"Small nodule in the left lower lobe (S10), adjacent to an emphysematous bulla, showing no significant change and likely representing an inflammatory nodule.
+",1,0,0,0,0,0,0,0
+5134666,2,"Enlarged mediastinal lymph nodes (#4R, #7) and right hilar lymph nodes, raising suspicion of metastasis.
+",0,0,0,0,0,1,0,0
+5134666,3,"Scattered linear to plate-like opacities in other lung fields, likely scars from previous inflammatory changes.
+",1,0,0,0,0,0,0,0
+5134666,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+5134666,5,"Hepatic cyst noted.
+",1,0,0,0,0,0,0,0
+5134666,6,"No tumorous lesions in the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+5134666,7,No significant findings in the abdominal region within the imaging range.,1,0,0,0,0,0,0,0
+6944515,0,"Lobulated mass lesion in the S10 segment of the right lower lobe, measuring 21 mm in maximum diameter, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+6944515,1,"No findings suggestive of intrapulmonary metastasis.
+",1,0,0,0,0,0,0,0
+6944515,2,"Enlarged lymph nodes in the right pulmonary hilum and ipsilateral mediastinum, raising suspicion of lymph node metastasis.",0,0,0,0,0,1,0,0
+2151584,0,"Emphysematous changes.
+Irregularly shaped 21 mm nodule with spiculation in the right lower lobe (S6), suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+2151584,1,"Enlarged lymph nodes in the right hilar, ipsilateral mediastinal, and subcarinal regions, suggesting possible metastasis.
+",0,0,0,0,0,1,0,0
+2151584,2,"Nodule adjacent to a cyst in the left lower lobe, showing no significant changes over 10 years, likely benign.
+",1,0,0,0,0,0,0,0
+2151584,3,No pleural effusion.,1,0,0,0,0,0,0,0
+8083643,0,"Mild emphysematous changes.
+",1,0,0,0,0,0,0,0
+8083643,1,"Nodule with irregular margins and spiculated features in the right lower lobe, measuring 21 mm in maximum diameter, consistent with known lung cancer.
+",0,1,0,0,0,0,0,0
+8083643,2,"Oval-shaped nodule on the mediastinal side of the left lower lobe, unchanged compared to a CT scan from 10 years ago, likely a benign lesion such as a residual inflammatory change.
+",1,0,0,0,0,0,0,0
+8083643,3,"Scattered residual inflammatory changes, including small rectangular nodules and linear opacities, noted in both lung fields.
+",1,0,0,0,0,0,0,0
+8083643,4,"No lesions suggestive of pulmonary metastasis.
+",1,0,0,0,0,0,0,0
+8083643,5,"Multiple prominent lymph nodes in the right pulmonary hilum and ipsilateral mediastinum, some exceeding 1 cm in short-axis diameter, highly suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+8083643,6,"No pathological enlargement of supraclavicular lymph nodes.
+",1,0,0,0,0,0,0,0
+8083643,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+8083643,8,"Scattered small hypovascular nodules in the liver, likely cysts, though differentiation is challenging due to their small size; MRI is recommended.
+",0,0,0,0,0,0,0,1
+8083643,9,"No lesions suggestive of adrenal metastasis.
+",1,0,0,0,0,0,0,0
+8083643,10,No significant bone destruction or sclerosis within the imaging range.,1,0,0,0,0,0,0,0
+8900494,0,"Irregular mass shadow measuring 21 mm in the right lower lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+8900494,1,"Cavity formation and nodular shadow at the margin in the left lower lobe, unchanged compared to the previous examination.
+",1,0,0,0,0,0,0,0
+8900494,2,"Enlarged lymph nodes in the right hilar region and mediastinum, raising suspicion of metastasis.
+",0,0,0,0,0,1,0,0
+8900494,3,No pleural effusion.,1,0,0,0,0,0,0,0
+3678614,0,"No comparable imaging studies available.
+",1,0,0,0,0,0,0,0
+3678614,1,"Lobulated mass lesion measuring 68 mm in the right lung apex, containing air.",0,1,0,0,0,0,0,0
+3678614,2,"The lesion extends to the chest wall, with destruction of the adjacent vertebral body and rib.
+",0,0,1,0,0,0,0,0
+3678614,3,"Bilateral bullae.
+",1,0,0,0,0,0,0,0
+3678614,4,"No evidence of metastasis or other active lesions in the lung fields.
+",1,0,0,0,0,0,0,0
+3678614,5,"Enlarged lymph nodes in the right pulmonary hilum and left supraclavicular fossa, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+3678614,6,"No other significant lymphadenopathy within the imaging range.
+",1,0,0,0,0,0,0,0
+3678614,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+3678614,8,"Liver shows low attenuation, consistent with fatty liver.
+",1,0,0,0,0,0,0,0
+3678614,9,"No significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+3678614,10,"No ascites.
+",1,0,0,0,0,0,0,0
+3678614,11,No other significant findings.,1,0,0,0,0,0,0,0
+9260669,0,"Mass measuring 68 mm in the right lung apex, adjacent to the vertebral body, with destruction of the adjacent thoracic vertebra and rib, suspicious of primary lung cancer with rib and thoracic vertebral invasion.
+",0,1,1,0,0,0,0,0
+9260669,1,"No findings suggestive of secondary tumor nodules in the lung fields.
+",1,0,0,0,0,0,0,0
+9260669,2,"Sporadic enlargement of the right hilar lymph nodes, raising suspicion of metastasis.
+",0,0,0,0,0,1,0,0
+9260669,3,"No significant enlargement of mediastinal lymph nodes or other mediastinal structural abnormalities.
+",1,0,0,0,0,0,0,0
+9260669,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+9260669,5,No obvious abnormalities in the upper abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+1062264,0,"Irregular mass measuring 68 mm in the right upper lobe, strongly abutting the mediastinal side.",0,1,1,0,0,0,0,0
+1062264,1,"Margins exhibit spiculation, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+1062264,2,"Destruction of the T3 and T4 vertebral bodies and ribs, suggesting direct tumor invasion.
+",0,0,1,0,0,0,0,0
+1062264,3,"No pathological lymph node enlargement.
+",1,0,0,0,0,0,0,0
+1062264,4,No pleural effusion.,1,0,0,0,0,0,0,0
+2729319,0,"Mass in the right lung apex with a maximum diameter of 68 mm, cavitated and surrounded by emphysematous changes.
+",0,1,0,0,0,0,0,0
+2729319,1,"Direct invasion into the chest wall with infiltration of the right 3rd to 5th ribs and the Th3 and Th4 vertebral bodies.
+",0,0,1,0,0,0,0,0
+2729319,2,"Spinal canal extension cannot be ruled out; MRI evaluation recommended.
+",0,0,1,0,0,0,0,0
+2729319,3,"No pulmonary metastases.
+",1,0,0,0,0,0,0,0
+2729319,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2729319,5,"Enlarged right hilar lymph nodes, suspicious of metastasis.",0,0,0,0,0,1,0,0
+4447874,0,"Mass with a maximum diameter of 6.8 cm in the right upper lobe, with bone destruction in the Th3 and Th4 vertebral bodies, suggesting T4.",0,1,1,0,0,0,0,0
+4447874,1,"Bone destruction also involves the right 3rd and 4th ribs.
+",0,0,1,0,0,0,0,0
+4447874,2,"No tumor lesions in other lung fields.
+",1,0,0,0,0,0,0,0
+4447874,3,"No enlargement of the hilar or mediastinal lymph nodes, but an enlarged spherical lymph node in the left supraclavicular fossa, suspicious of metastasis (N3).
+",0,0,0,0,0,1,0,0
+4447874,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+4447874,5,No significant findings in the abdominal region within the imaging range.,1,0,0,0,0,0,0,0
+9897409,0,"Emphysema observed in both lung fields.
+",1,0,0,0,0,0,0,0
+9897409,1,"Ill-defined infiltrative shadow measuring 68 mm in the dorsal segment of the right upper lobe, with ground-glass opacity at the margin and bronchiectasis within the lesion, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+9897409,2,"Pleural invasion and partial osteolytic changes in the ribs are noted, raising suspicion of chest wall and rib invasion.
+",0,0,1,0,0,0,0,0
+9897409,3,"Enlargement of the right hilar lymph nodes, suggestive of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+9897409,4,"Osteolytic lesions in the Th2 and Th3 vertebral bodies on thoracic spine MRI, suspicious of thoracic spine invasion.",0,0,1,0,0,0,0,0
+3752890,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+3752890,1,"Mass measuring 68 mm in the right upper lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+3752890,2,"Infiltration into the third and fourth thoracic vertebrae and the origin of the right rib.
+",0,0,1,0,0,0,0,0
+3752890,3,"Enlarged right hilar lymph nodes, suggesting possible metastasis.",0,0,0,0,0,1,0,0
+3752890,4,"No mediastinal lymph node enlargement.
+",1,0,0,0,0,0,0,0
+3752890,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+3752890,6,Fatty liver.,1,0,0,0,0,0,0,0
+16740430,0,"Emphysematous changes.
+Irregularly shaped mass in the apex of the right lung, measuring 68 mm along its long axis, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+16740430,1,"Broad contact with the inner dorsal pleura and osteolytic changes in the adjacent vertebral body and right rib, suggesting infiltration.
+",0,0,1,0,0,0,0,0
+16740430,2,"No lesions suggestive of pulmonary metastasis.
+",1,0,0,0,0,0,0,0
+16740430,3,"Lymph nodes with a short axis of 1 cm or more in the right hilar region and left supraclavicular fossa, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+16740430,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+16740430,5,"No gross abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+16740430,6,No findings suggestive of bone metastasis.,1,0,0,0,0,0,0,0
+16070450,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+16070450,1,"Irregular mass measuring 68 mm in the right upper lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+16070450,2,"Destructive changes in the right 2nd to 4th ribs and Th2 and Th3 vertebral bodies, suggesting possible invasion.
+",0,0,1,0,0,0,0,0
+16070450,3,"Extension into the spinal canal is suspected.
+",0,0,1,0,0,0,0,0
+16070450,4,"Enlarged lymph nodes in the right hilar region, raising suspicion of metastasis.
+",0,0,0,0,0,1,0,0
+16070450,5,No pleural effusion.,1,0,0,0,0,0,0,0
+12070907,0,"No comparable imaging studies available.
+",1,0,0,0,0,0,0,0
+12070907,1,"Mass lesion measuring 128 mm in the right lower lobe, extending near the right main bronchus, causing bronchial narrowing and atelectasis due to compression of the lung parenchyma, corresponding to the primary lesion.
+",0,1,1,1,0,0,0,0
+12070907,2,"No obvious metastases or other active lesions in the lung fields.
+",1,0,0,0,0,0,0,0
+12070907,3,"Enlarged lymph nodes below the tracheal bifurcation and adjacent to the lower right bronchus, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+12070907,4,"Right-sided pleural effusion noted, with no pleural thickening identified.
+",0,0,0,0,0,0,1,0
+12070907,5,"Masses with heterogeneous enhancement in both adrenal glands, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+12070907,6,Small cysts suspected in the liver.,1,0,0,0,0,0,0,0
+12070907,7,"No other significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+12070907,8,"Small amount of ascites present.
+",1,0,0,0,0,0,0,0
+12070907,9,"Bone destruction involving the Th10 vertebral body, with partial extension into the spinal canal, raising suspicion of metastasis.",0,0,0,0,0,0,0,1
+6521306,0,"Large hypovascular mass measuring 128 mm in the right lower lobe, suspicious of known sarcomatoid carcinoma.
+",0,1,0,0,0,0,0,0
+6521306,1,"No secondary tumor nodules observed in the lung fields.
+",1,0,0,0,0,0,0,0
+6521306,2,"Multiple enlarged right mediastinal lymph nodes, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+6521306,3,"Mild right pleural effusion noted.
+",0,0,0,0,0,0,1,0
+6521306,4,"Bilateral adrenal masses, raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+6521306,5,"Low-density area in the Th9 vertebral body, suggestive of vertebral metastasis.
+",0,0,0,0,0,0,0,1
+6521306,6,Compression fracture of the Th12 vertebral body,0,0,0,0,0,0,0,1
+1500370,0,"Massive tumor in the right thoracic cavity, measuring 128 mm.",0,1,0,0,0,0,0,0
+1500370,1,"Heterogeneous enhancement at the margins, suggesting sarcoma.",0,1,0,0,0,0,0,0
+1500370,2,"Extensive contact with the pleural surface, raising the possibility of invasion.
+",0,0,1,0,0,0,0,0
+1500370,3,"Right pleural effusion.
+",0,0,0,0,0,0,1,0
+1500370,4,"Both adrenal glands are enlarged, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+1500370,5,Mediastinal lymph nodes cannot be adequately evaluated.,1,0,0,0,0,0,0,0
+15105788,0,"Mass lesion measuring 128 mm in the right lower lobe, with extensive necrosis in the interior.
+",0,1,0,0,0,0,0,0
+15105788,1,"The tumor is fused with the right hilar lymph nodes.
+",0,0,0,0,0,1,0,0
+15105788,2,"No mediastinal lymphadenopathy observed.
+",1,0,0,0,0,0,0,0
+15105788,3,"Small amount of pleural effusion on the right side.
+",0,0,0,0,0,0,1,0
+15105788,4,"Atelectasis in the right middle lobe caused by compression from the tumor.
+",0,0,0,1,0,0,0,0
+15105788,5,"Masses in both adrenal glands, suspicious of adrenal metastases.",0,0,0,0,0,0,0,1
+14833596,0,"Mass measuring 12.8 cm with central necrosis in the right lower lobe, classified as T4.
+",0,1,0,0,0,0,0,0
+14833596,1,"Multiple enlarged lymph nodes in the right mediastinum and hilar regions, suspicious of metastasis, with no contralateral lymph node enlargement, classified as N2.
+",0,0,0,0,0,1,0,0
+14833596,2,"Right pleural effusion noted, possibly malignant.
+",0,0,0,0,0,0,1,0
+14833596,3,"Masses in both adrenal glands, resembling the lung lesion, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+14833596,4,"Lytic lesion in the Th10 vertebral body, suggestive of metastasis.
+",0,0,0,0,0,0,0,1
+14833596,5,"Presence of metastases in multiple organs consistent with M1c.
+",0,0,0,0,0,0,1,1
+14833596,6,"Hepatic cyst noted.
+",1,0,0,0,0,0,0,0
+14833596,7,No significant findings in other abdominal organs within the imaging range.,1,0,0,0,0,0,0,0
+12011384,0,"Solid mass lesion measuring 128 mm in the right lower lobe, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+12011384,1,"Right pleural effusion noted, with associated pleural thickening, raising suspicion of pleural dissemination.
+",0,0,0,0,0,0,1,0
+12011384,2,"Enlarged mediastinal lymph nodes, suggestive of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+12011384,3,"Bilateral adrenal gland enlargement, raising suspicion of adrenal metastasis.",0,0,0,0,0,0,0,1
+1600801,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+1600801,1,"A 12.8 cm mass in the right lower lobe, suspicious of lung cancer.
+",0,1,0,0,0,0,0,0
+1600801,2,"The mass bulges into the intercostal space, suggesting chest wall invasion.
+",0,0,1,0,0,0,0,0
+1600801,3,"Right pleural effusion.
+",0,0,0,0,0,0,1,0
+1600801,4,"Slightly enlarged subcarinal lymph nodes, metastasis cannot be ruled out.
+",0,0,0,0,0,1,0,0
+1600801,5,"Bilateral adrenal nodules, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+1600801,6,"Ascites around the liver.
+",1,0,0,0,0,0,0,0
+1600801,7,"Nodule at Th9, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+1600801,8,"Fracture and bone sclerosis at Th12, suggesting a pathological fracture.",0,0,0,0,0,0,0,1
+15000500,0,"Large mass in the right lower lobe measuring 128 mm along its long axis, with well-defined margins.",0,1,0,0,0,0,0,0
+15000500,1,"The interior shows necrotic low attenuation without contrast enhancement, while the margins exhibit contrast enhancement, consistent with a known cancerous lesion.
+",0,1,0,0,0,0,0,0
+15000500,2,"The mass is in broad contact with the pleura and protrudes into the right intercostal space, suggesting chest wall invasion.
+",0,0,1,0,0,0,0,0
+15000500,3,Compressively atelectatic lung is observed on the ventral side of the mass.,0,0,0,1,0,0,0,0
+15000500,4,"Ground-glass opacity on the cranial side suggests obstructive pneumonia.
+",0,0,0,1,0,0,0,0
+15000500,5,"Scattered ground-glass opacities in other lung fields, likely due to inflammatory changes.
+",1,0,0,0,0,0,0,0
+15000500,6,"Small rectangular nodule in the left lower lobe, considered a chronic inflammatory change.
+",1,0,0,0,0,0,0,0
+15000500,7,"Multiple enlarged lymph nodes in the mediastinum and left supraclavicular fossa, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+15000500,8,"Small amount of right pleural effusion noted.
+",0,0,0,0,0,0,1,0
+15000500,9,"Scattered small low-attenuation areas in the liver, suggestive of cysts due to their small size.
+",1,0,0,0,0,0,0,0
+15000500,10,"Masses in both adrenal glands with heterogeneous contrast enhancement, raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+15000500,11,"Lytic changes and a soft tissue mass protruding posteriorly in the Th9 vertebral body, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+15000500,12,Compression fracture in the Th12 vertebral body.,0,0,0,0,0,0,0,1
+15674007,0,"Massive tumor exceeding 12 cm in the right lower lobe, suspicious of a known malignant tumor.",0,1,0,0,0,0,0,0
+15674007,1,"Contrast imaging shows areas of poor enhancement within the tumor, suggesting necrosis.
+",0,1,0,0,0,0,0,0
+15674007,2,"No significant lymph node enlargement in the mediastinum.
+",1,0,0,0,0,0,0,0
+15674007,3,"Small amount of right pleural effusion noted.
+",0,0,0,0,0,0,1,0
+15674007,4,"Masses in both adrenal glands, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+15674007,5,"Lytic lesion in the Th9 vertebral body, raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+15674007,6,Compression fracture in the Th12 vertebral body.,0,0,0,0,0,0,0,1
+10715255,0,"No comparable imaging studies available.
+",1,0,0,0,0,0,0,0
+10715255,1,"Atelectasis in the left upper lobe with interruption of the left pulmonary artery and left upper lobe bronchus at the hilum.
+",0,0,1,1,0,0,0,0
+10715255,2,"Multiple nodular shadows, some with cavitation, observed in both lungs, suspicious of multiple pulmonary metastases.
+",0,0,0,0,1,0,0,0
+10715255,3,"Enlarged lymph nodes noted in the mediastinum, bilateral hila, supraclavicular fossae, and cardiophrenic lymph nodes, suggesting lymph node metastasis.
+",0,0,0,0,0,1,0,0
+10715255,4,Suspected left upper lobe lung cancer with lymph node metastasis and multiple pulmonary metastases.,0,1,0,0,1,1,0,0
+10715255,5,"The size of the primary lesion is difficult to evaluate.
+",1,0,0,0,0,0,0,0
+10715255,6,"Left pleural effusion noted, with no pleural thickening identified.
+",0,0,0,0,0,0,1,0
+10715255,7,"Hypovascular mass in liver segment 4 (S4), suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+10715255,8,"No significant abnormalities in the upper abdomen within the imaging range.
+",1,0,0,0,0,0,0,0
+10715255,9,"No ascites.
+",1,0,0,0,0,0,0,0
+10715255,10,No other significant findings.,1,0,0,0,0,0,0,0
+6503916,0,"Mass in the left lung apex causing atelectasis of the left upper lobe and extending around the left main bronchus.
+",0,1,1,1,0,0,0,0
+6503916,1,"Multiple cavitary nodules in both lung fields, suggestive of secondary tumor nodules.
+",0,0,0,0,1,0,0,0
+6503916,2,"Enlarged lymph nodes in the mediastinum, bilateral hilar regions, and hepatic hilum, raising suspicion of lymph node metastases.
+",0,0,0,0,0,1,0,0
+6503916,3,"Left pleural effusion noted.
+",0,0,0,0,0,0,1,0
+6503916,4,"Hypovascular nodules in the liver, suggestive of liver metastases.
+",0,0,0,0,0,0,0,1
+6503916,5,"Bilateral adrenal gland enlargement, raising suspicion of hyperplasia.",1,0,0,0,0,0,0,0
+7102597,0,"Atelectasis in the left upper lobe, with pathological findings raising suspicion of lung cancer.
+",0,0,0,1,0,0,0,0
+7102597,1,"Numerous randomly distributed nodular shadows with cavitary changes in both lungs, suggestive of multiple pulmonary metastases.
+",0,0,0,0,1,0,0,0
+7102597,2,"Mild left pleural effusion observed.
+",0,0,0,0,0,0,1,0
+7102597,3,"Pathological lymphadenopathy in the bilateral hilar regions, mediastinum, and supraclavicular fossae, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+7102597,4,"Ring-enhancing mass in liver segment S4, raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+7102597,5,"Nodular enlargement of the right adrenal gland, suggestive of metastasis.",0,0,0,0,0,0,0,1
+4379090,0,"Atelectasis of the entire left upper lobe.
+",0,0,0,1,0,0,0,0
+4379090,1,"Obstruction of the left upper lobe bronchus.
+",0,0,1,0,0,0,0,0
+4379090,2,"The boundary between the atelectasis and the tumor in the left upper lobe is unclear, raising the possibility that the entire left upper lobe has been replaced by the tumor.
+",0,0,1,1,0,0,0,0
+4379090,3,"Lymphadenopathy in the ipsilateral hilum, bilateral mediastinum, and right supraclavicular fossa, suggestive of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+4379090,4,"Small amount of pleural effusion on the left side.
+",0,0,0,0,0,0,1,0
+4379090,5,"Multiple nodules and cavitary lesions scattered throughout both lungs, suspicious of multiple pulmonary metastases.
+",0,0,0,0,1,0,0,0
+4379090,6,"Hypovascular mass in S4 of the liver and bilateral adrenal masses, suggestive of metastases.",0,0,0,0,0,0,0,1
+11514471,0,"The left upper lobe bronchus is obstructed centrally, with peripheral obstructive atelectasis, likely caused by lung cancer.",0,1,1,1,0,0,0,0
+11514471,1,"The size of the mass is difficult to evaluate.
+",1,0,0,0,0,0,0,0
+11514471,2,"Multiple satellite tumor nodules in the left lower lobe suggest T4.
+",0,1,1,1,1,0,0,0
+11514471,3,"Numerous enlarged lymph nodes in the bilateral mediastinum, bilateral hilar regions, and bilateral supraclavicular fossae, consistent with N3.
+",0,0,0,0,0,1,0,0
+11514471,4,"Multiple satellite tumor nodules are also present in the right lung.
+",0,0,0,0,1,0,0,0
+11514471,5,"Left pleural effusion is observed, suspicious of malignant pleural effusion, suggesting at least M1a.
+",0,0,0,0,0,0,1,0
+11514471,6,"Solitary mass in liver segment 4 (S4) and enlargement of the right adrenal gland, requiring confirmation with PET-CT for FDG uptake.",0,0,0,0,0,0,0,1
+11514471,7,"If uptake is present, this would indicate M1b or M1c.
+",0,0,0,0,0,0,0,1
+11514471,8,No significant findings in other abdominal organs.,1,0,0,0,0,0,0,0
+4420717,0,"Atelectasis primarily in the left upper lobe, suspicious of primary lung cancer.",0,1,0,1,0,0,0,0
+4420717,1,"Distinction between the tumor and the atelectatic area is difficult, making accurate assessment of its extent challenging.
+",1,0,0,0,0,0,0,0
+4420717,2,"Unclear boundary with the mediastinum, raising suspicion of mediastinal invasion.
+",0,0,1,0,0,0,0,0
+4420717,3,"Multiple nodular shadows with cavitation in both lung fields, suggestive of pulmonary metastases.
+",0,0,0,0,1,0,0,0
+4420717,4,"Soft tissue mass extending from the left pulmonary hilum to the mediastinum, suspicious of lymph node metastasis.
+",0,0,0,0,0,1,0,0
+4420717,5,"Left pleural effusion, raising suspicion of pleural dissemination.",0,0,0,0,0,0,1,0
+4420717,6,Infiltration into the parietal pleura is not identified.,1,0,0,0,0,0,0,0
+11783944,0,"Mass in the apex of the left lung, suspicious of lung cancer, with associated atelectasis making tumor size assessment challenging.",0,1,0,1,0,0,0,0
+11783944,1,"The mass protrudes toward the chest wall, including the area around the first rib, suggesting possible chest wall invasion.
+",0,0,1,0,0,0,0,0
+11783944,2,"Multiple nodules in both lungs, likely representing pulmonary metastases.
+",0,0,0,0,1,0,0,0
+11783944,3,"Enlarged mediastinal lymph nodes, including those below the tracheal bifurcation, suspicious of metastasis.",0,0,0,0,0,1,0,0
+11783944,4,"Enlarged lymph nodes in the contralateral hilar region, with metastasis not excluded.
+",0,0,0,0,0,1,0,0
+11783944,5,"Left pleural effusion noted.
+",0,0,0,0,0,0,1,0
+11783944,6,"Mass in liver segment 4 (S4), suspicious of liver metastasis.
+",0,0,0,0,0,0,0,1
+11783944,7,"Bilateral adrenal gland enlargement with nodular features, particularly on the right side, raising suspicion of adrenal metastasis.
+",0,0,0,0,0,0,0,1
+11783944,8,"Enlarged lymph nodes near the left side of the stomach and the splenic artery, suspicious of metastasis.",0,0,0,0,0,0,0,1
+9481073,0,Complete atelectasis of the left upper lobe with no bronchial air sign.,0,0,0,1,0,0,0,0
+9481073,1,"The suspected lung cancer is likely contained within this area, but the tumor size is unclear.
+",1,1,0,0,0,0,0,0
+9481073,2,"Numerous nodules in both lung fields, some with cavitation, suggestive of metastases.
+",0,0,0,0,1,0,0,0
+9481073,3,"Pathologically enlarged lymph nodes in the bilateral hilar regions, mediastinum, and supraclavicular fossae, suspicious of metastases.
+",0,0,0,0,0,1,0,0
+9481073,4,"Small amount of left pleural effusion observed.
+",0,0,0,0,0,0,1,0
+9481073,5,"Poorly defined hypovascular masses in liver segments S2 and S4, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+9481073,6,"Enlarged right adrenal gland, raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+9481073,7,"Multiple enlarged lymph nodes near the abdominal aorta within the imaging range, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+9481073,8,"No significant abnormalities in other upper abdominal organs within the imaging range.
+",1,0,0,0,0,0,0,0
+9481073,9,"Lytic changes and soft tissue shadows in the Th4 vertebral body, suggestive of metastasis.",0,0,0,0,0,0,0,1
+12676096,0,"Nodular shadows scattered throughout both lung fields, suspicious of multiple pulmonary metastases.
+",0,0,0,0,1,0,0,0
+12676096,1,"Obstruction of the left upper lobe bronchus resulting in atelectasis, with a possible primary lesion in the central region.
+",0,0,1,1,0,0,0,0
+12676096,2,"Enlarged lymph nodes in the mediastinum, both hila, and the right cardiophrenic angle, suggestive of metastasis.
+",0,0,0,0,0,1,0,0
+12676096,3,"Small amount of left pleural effusion noted.
+",0,0,0,0,0,0,1,0
+12676096,4,"Hypovascular lesion in the liver, raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+12676096,5,"Enlargement of the right adrenal gland, suspicious of metastasis.",0,0,0,0,0,0,0,1

english_train.csv

@@ -0,0 +1,1306 @@
+id,sentence_index,text,omittable,measure,extension,atelectasis,satellite,lymphadenopathy,pleural,distant
+56344,0,"Complete atelectasis of the left upper lobe.
+",0,0,0,1,0,0,0,0
+56344,1,"74 mm mass with poor contrast enhancement, obstructing the left upper lobe bronchus, considered to be lung cancer. 
+",0,1,1,0,0,0,0,0
+56344,2,"Enlargement of the left pulmonary hilum and ipsilateral mediastinal lymph nodes, suggesting lymph node metastases.
+",0,0,0,0,0,1,0,0
+56344,3,"Enlarged lymph nodes on the right side of the trachea, also suspected to be lymph node metastases.",0,0,0,0,0,1,0,0
+56344,4,"The left lower lobe bronchus is also infiltrated by the tumor and is narrowed. 
+",0,0,1,0,0,0,0,0
+56344,5,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+56344,6,Normal appearance of the visualized upper abdomen.,1,0,0,0,0,0,0,0
+133166,0,"Tumorous lesion with a diameter of 30 mm in the right lower lobe, S8.",0,1,0,0,0,0,0,0
+133166,1,Its margin is spiculated.,1,0,0,0,0,0,0,0
+133166,2,"There is a possibility of lung cancer, so thorough examination in pulmonary medicine is recommended. 
+",0,1,0,0,0,0,0,0
+133166,3,"Cord-like opacity in the left lower lobe, similar to an inflammatory scar.
+",1,0,0,0,0,0,0,0
+133166,4,Enlargement of a right hilar lymph node is suspected.,0,0,0,0,0,1,0,0
+133166,5,No pleural effusion.,1,0,0,0,0,0,0,0
+165742,0,"Pulmonary mass with a diameter of 5 cm in the right lung apex with spiculated margins, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+165742,1,"Infiltration to the parietal pleura, suggesting T3. 
+",0,1,1,0,0,0,0,0
+165742,2,"No significant findings in the other lobes.
+",1,0,0,0,0,0,0,0
+165742,3,"No mediastinal or hilar lymph node enlargement.
+",1,0,0,0,0,0,0,0
+165742,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+165742,5,"The left adrenal gland is enlarged, likely an adenoma.
+",1,0,0,0,0,0,0,0
+165742,6,No significant findings in other abdominal organs.,1,0,0,0,0,0,0,0
+404886,0,"Tumorous lesion with a maximum diameter of 72 mm in the left lower lobe, suspicious of lung cancer. 
+",0,1,0,0,0,0,0,0
+404886,1,"The left lower lobe bronchus is infiltrated by the tumor, and there are infiltrative opacities around the tumor. 
+",0,0,1,1,0,0,0,0
+404886,2,"Associated obstructive pneumonia in the left lower lobe. 
+",0,0,0,1,0,0,0,0
+404886,3,"The left hilum and ipsilateral mediastinal lymph nodes are enlarged, suspicious of lymph node metastases. 
+",0,0,0,0,0,1,0,0
+404886,4,"The left axillary lymph nodes are enlarged, suspicious of lymph node metastases. 
+",0,0,0,0,0,0,0,1
+404886,5,"Small amount of pleural effusion on the left. 
+",0,0,0,0,0,0,1,0
+404886,6,"Osteolytic lesions in the proximal end of the left humerus and the left scapula, suspicious of bone metastases. 
+",0,0,0,0,0,0,0,1
+404886,7,"Cystic lesion in the midline skin of the back, possibly a sebaceous cyst.",1,0,0,0,0,0,0,0
+463397,0,Prominent emphysematous changes.,1,0,0,0,0,0,0,0
+463397,1,"Irregular lobulated mass with a maximum diameter of 47 mm in the left upper lobe, with noticeable spiculated margins and pleural indentation.",0,1,1,0,0,0,0,0
+463397,2,This correlates to a known lung cancer with pleural invasion.,0,1,1,0,0,0,0,0
+463397,3,Hilar lymph nodes appear conglomerated.,0,0,0,0,0,1,0,0
+463397,4,No other pathological lymph node enlargement.,1,0,0,0,0,0,0,0
+463397,5,No pleural effusion.,1,0,0,0,0,0,0,0
+493069,0,"Solid mass with a diameter of 3 cm in the lower lobe of the left lung with spiculated margins, suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+493069,1,"A small nodule of 0.8 cm in size is seen within the same lobe, considered as T3. 
+",0,1,0,0,1,0,0,0
+493069,2,"No significant findings in the other lobes.
+",1,0,0,0,0,0,0,0
+493069,3,"Enlargement of the left hilar lymph nodes, suspicious of metastasis.",0,0,0,0,0,1,0,0
+493069,4,"No lymph node metastasis in the mediastinum or on the opposite side, considered as N1.
+",0,0,0,0,0,1,0,0
+493069,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+493069,6,A small nodule in liver S5.,0,0,0,0,0,0,0,1
+493069,7,"It is a single lesion, but there is a possibility of metastasis.
+",0,0,0,0,0,0,0,1
+493069,8,"Bilateral renal cysts.
+",1,0,0,0,0,0,0,0
+493069,9,"No significant findings in the gallbladder, pancreas, or spleen.
+",1,0,0,0,0,0,0,0
+493069,10,"No enlargement of the abdominal lymph nodes.
+",1,0,0,0,0,0,0,0
+493069,11,No ascites.,1,0,0,0,0,0,0,0
+862683,0,"A 12 mm subpleural nodule in the right lower lobe, believed to be a finding of the known lung cancer.",0,1,0,0,0,0,0,0
+862683,1,Interstitial pneumonia is suspected in both lungs.,1,0,0,0,0,0,0,0
+862683,2,No pathological lymph node enlargement.,1,0,0,0,0,0,0,0
+862683,3,No pleural effusion.,1,0,0,0,0,0,0,0
+862683,4,Gallstones.,1,0,0,0,0,0,0,0
+906857,0,"A solid mass of approximately 30 mm is observed in the lower lobe of the left lung, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+906857,1,"There is a 9 mm nodule in its vicinity, and an 8 mm nodule in S8, suspicious of same-side intralobar metastases.",0,0,0,0,1,0,0,0
+906857,2,Multiple soft tissue lesions spreading from the left pulmonary hilum to the mediastinum are suspicious of lymph node metastases.,0,0,0,0,0,1,0,0
+906857,3,"Multiple nodular lesions with ill-defined borders in the liver, suspicious of liver metastases.",0,0,0,0,0,0,0,1
+908422,0,"An irregular mass of 35 mm is observed in the left lower lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+908422,1,"In addition, a nodular shadow is seen on the ventral side of the above lesion, possibly a pulmonary metastasis.",0,0,0,0,1,0,0,0
+908422,2,"Enlarged lymph nodes are observed in the left hilum, suggesting metastases.",0,0,0,0,0,1,0,0
+908422,3,No pleural effusion.,1,0,0,0,0,0,0,0
+908422,4,"A hypovascular lesion is observed in the liver S5, which appears to be continuous with the gallbladder, suspicious of metastasis, or possibly gallbladder cancer.",0,0,0,0,0,0,0,1
+908422,5,Please evaluate in conjunction with clinical findings.,0,0,0,0,0,0,0,1
+908422,6,A cyst in the left kidney.,1,0,0,0,0,0,0,0
+908422,7,No ascites.,1,0,0,0,0,0,0,0
+1185427,0,"A 30 mm diameter tumor is observed in the right lower lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+1185427,1,"Accompanied by interlobar pleural indentation, visceral pleural invasion might be present.",0,0,1,0,0,0,0,0
+1185427,2,"There are multiple focal ground-glass opacities in both upper lobes, recommended for follow-up.",0,0,0,0,1,0,0,0
+1185427,3,No significant lymph node enlargement in the hilum or mediastinum.,1,0,0,0,0,0,0,0
+1185427,4,No pleural effusion.,1,0,0,0,0,0,0,0
+1538432,0,There is a tumor with a maximum diameter of 47 mm in the upper left lobe.,0,1,0,0,0,0,0,0
+1538432,1,"It has infiltrated the lower lobe, crossing the interlobar pleura.",0,0,1,0,0,0,0,0
+1538432,2,The hilar lymph nodes are fused with the tumor.,0,0,0,0,0,1,0,0
+1538432,3,No enlargement of the mediastinal lymph nodes is observed.,1,0,0,0,0,0,0,0
+1538432,4,There is no pleural effusion.,1,0,0,0,0,0,0,0
+1538432,5,No liver or adrenal metastasis is observed.,1,0,0,0,0,0,0,0
+1538432,6,No significant abnormalities are observed in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+1679413,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+1679413,1,"A 47 mm irregular mass in the left upper lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+1679413,2,"Possible invasion into the left pulmonary artery, as far as can be assessed with CT to a limited extent.",0,0,1,0,0,0,0,0
+1679413,3,"The mass is also close to the aortic arch.
+",0,0,1,0,0,0,0,0
+1679413,4,"A small nodule is present in the right middle lobe, possibly inflammatory or metastasis, re-evaluation recommended in follow-up.
+",0,0,0,0,1,0,0,0
+1679413,5,"No significant mediastinal lymph node enlargement.
+",1,0,0,0,0,0,0,0
+1679413,6,No pleural effusion.,1,0,0,0,0,0,0,0
+1736655,0,S/P resection of right breast cancer.,1,0,0,0,0,0,0,0
+1736655,1,No sign of local recurrent tumor.,1,0,0,0,0,0,0,0
+1736655,2,Multiple masses are scattered in the mediastinum and right hilum.,0,1,1,0,0,1,0,0
+1736655,3,Lymph node metastasis is suspected.,0,0,0,0,0,1,0,0
+1736655,4,Differential diagnosis includes right hilar lung cancer and lymph node metastasis.,0,1,1,0,0,1,0,0
+1736655,5,"Subpleural nodules in the right upper lobe, possibly metastases.",0,0,0,0,1,0,0,0
+1736655,6,Predominantly subpleural interstitial changes such as reticular and linear opacities in the lower lobe.,1,0,0,0,0,0,0,0
+1736655,7,No pleural effusion.,1,0,0,0,0,0,0,0
+1736655,8,Hepatosplenomegaly.,1,0,0,0,0,0,0,0
+1856176,0,"A tumor with a major axis of 1 cm, which obstructs the airways from the right main bronchus to the lower lobe bronchus, is observed at the right hilum, suspecting known lung cancer.",0,1,1,0,0,0,0,0
+1856176,1,"Possible fusion of the mass with right hilar and subcarinal lymph nodes. 
+",0,0,0,0,0,1,0,0
+1856176,2,Atelectasis of the right lower lobe.,0,0,0,1,0,0,0,0
+1856176,3,"There is a possibility that lung cancer may also be present here, but it is not conclusively assessable.
+",0,1,1,1,0,0,0,0
+1856176,4,"Pleural effusion in the right chest.
+",0,0,0,0,0,0,1,0
+1856176,5,"Ground-glass opacities in both lungs, suggesting pulmonary edema.",1,0,0,0,0,0,0,0
+1863157,0,"A nodule measuring 12 mm in diameter in the right lower lobe S8/9, increasing in size, suspected to be a known lung cancer.",0,1,0,0,0,0,0,0
+1863157,1,"Reticular opacities present in the right S6, likely inflammatory changes.",1,0,0,0,0,0,0,0
+1863157,2,"Calcified pleural plaques  on both sides, suggesting the possibility of asbestos-related disease.",1,0,0,0,0,0,0,0
+1863157,3,No significant enlargement of the mediastinal and hilar lymph nodes or other mediastinal lesions.,1,0,0,0,0,0,0,0
+1863157,4,No pleural effusion.,1,0,0,0,0,0,0,0
+1863157,5,Gallstones.,1,0,0,0,0,0,0,0
+1876861,0,"Signs of chronic pulmonary emphysema.
+",1,0,0,0,0,0,0,0
+1876861,1,"An irregular tumor with a long diameter of 48 mm in the right lung apex, suspicious of primary lung cancer. 
+",0,1,0,0,0,0,0,0
+1876861,2,"It is in contact with the pleura of the right lung apex, suspecting visceral pleural invasion. 
+",0,0,1,0,0,0,0,0
+1876861,3,"No secondary tumor nodules.
+",1,0,0,0,0,0,0,0
+1876861,4,"Several enlarged hilar and mediastinal lymph nodes on the right side, suspecting metastases. 
+",0,0,0,0,0,1,0,0
+1876861,5,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+1876861,6,"A tumor in the upper part of the left adrenal gland, suspicious of adrenal metastasis.",0,0,0,0,0,0,0,1
+1956050,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+1956050,1,A mass is observed in the center of the left upper lobe.,0,1,0,0,0,0,0,0
+1956050,2,"The left upper lobe bronchus is interrupted proximally, and irregularity and narrowing are observed in the left pulmonary artery and vein, which are partially interrupted.",0,0,1,0,0,0,0,0
+1956050,3,"The mass corresponds to the known lung cancer.
+",0,1,0,0,0,0,0,0
+1956050,4,"The left upper lobe is collapsed and the exact tumor size is not assessable conclusively, but the long diameter is considered to be slightly over 7 cm. 
+",0,1,0,1,0,0,0,0
+1956050,5,"A spindle-shaped small nodule is observed in the right lower lobe, likely an inflammatory scar.
+",1,0,0,0,0,0,0,0
+1956050,6,"No signs of lung metastases.
+",1,0,0,0,0,0,0,0
+1956050,7,Enlarged lymph nodes are observed in the left hilum and on the left side of the aortic arch.,0,0,0,0,0,1,0,0
+1956050,8,"The latter is 9 mm in short diameter, nearly spherical, suspicious of metastasis. 
+",0,0,0,0,0,1,0,0
+1956050,9,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+1956050,10,No lesions suspected of metastasis in the visualized liver and adrenal glands.,1,0,0,0,0,0,0,0
+2021673,0,"A mass, approximately 12 cm in diameter, is observed primarily in the upper lobe of the left lung, extending across the interlobar pleura to the lower lobe of the left lung.",0,1,1,0,0,0,0,0
+2021673,1,The tumor is widely in contact with the mediastinum and pleura.,0,0,1,0,0,0,0,0
+2021673,2,"Osteolytic changes are observed in the left third rib, suggesting infiltration.",0,0,1,0,0,0,0,0
+2021673,3,"Enlarged lymph nodes are observed in the left hilum and near the aorta, suspicious of metastasis.",0,0,0,0,0,1,0,0
+2021673,4,"Several nodules of a few millimeters are observed in the upper lobe of the left lung, possibly metastasis.",0,0,0,0,1,0,0,0
+2021673,5,No lesions suspicious of metastasis in other lung fields.,1,0,0,0,0,0,0,0
+2021673,6,There is no pleural effusion.,1,0,0,0,0,0,0,0
+2021673,7,No lesions suspicious of bone metastasis.,1,0,0,0,0,0,0,0
+2195733,0,Findings of chronic pulmonary emphysema.,1,0,0,0,0,0,0,0
+2195733,1,"An irregular tumor with a long diameter of 35 mm in the left lower lobe S6, suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+2195733,2,Small nodules suspected of being peritumoral nodules are observed around the tumor.,0,0,0,0,1,0,0,0
+2195733,3,"Enlargement of the left hilar lymph nodes, suspicious of metastasis.",0,0,0,0,0,1,0,0
+2195733,4,No pleural effusion.,1,0,0,0,0,0,0,0
+2195733,5,"A hypodense nodule in the liver S5, suspicious of liver metastasis.",0,0,0,0,0,0,0,1
+2195733,6,Bilateral renal cysts.,1,0,0,0,0,0,0,0
+2195733,7,No significant intra-abdominal or retroperitoneal lymph node enlargement.,1,0,0,0,0,0,0,0
+2195733,8,"No soft tissue lesions suspected of disseminated metastases, and no ascites.",1,0,0,0,0,0,0,0
+2240304,0,"46 mm mass in the right upper lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+2240304,1,"The tumor protrudes into the subpleural adipose tissue, suggesting pleural invasion on the parietal side. 
+",0,0,1,0,0,0,0,0
+2240304,2,Enlargement of the mediastinal lymph nodes on the same side.,0,0,0,0,0,1,0,0
+2240304,3,"Although not significant in size, the lymph nodes on the opposite side are also slightly enlarged. 
+",0,0,0,0,0,1,0,0
+2240304,4,"There are bullae in the apices of both lungs. 
+",1,0,0,0,0,0,0,0
+2240304,5,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+2240304,6,"There is a tumor in the left adrenal gland, suspicious of metastasis.",0,0,0,0,0,0,0,1
+2254357,0,"A tumor with a diameter of 12 cm is observed spreading across the upper and lower lobe of the left lung, corresponding to known lung cancer.",0,1,1,0,0,0,0,0
+2254357,1,It is in extensive contact with the pleura and is accompanied by the destruction of the left 3rd rib.,0,0,1,0,0,0,0,0
+2254357,2,Rib and parietal pleural infiltration is suspected.,0,0,1,0,0,0,0,0
+2254357,3,"There are small nodules in the left upper lobe, suspicious of secondary tumor nodules.",0,0,0,0,1,0,0,0
+2254357,4,"The left mediastinal and bilateral hilar lymph nodes are enlarged, suspicious of metastasis.",0,0,0,0,0,1,0,0
+2254357,5,No pleural effusion.,1,0,0,0,0,0,0,0
+2254357,6,No obvious abnormalities are observed in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+2298369,0,"A nodule protruding into the lumen of the right main bronchus and the intermediate bronchus, considered to be a known cancer lesion.",0,1,1,0,0,0,0,0
+2298369,1,The longest diameter is 17 mm.,0,1,0,0,0,0,0,0
+2298369,2,"Due to this, the right middle lobe bronchus and right lower lobe bronchus are obstructed, and the right middle and lower lobes of the lung are collapsed.",0,0,1,1,0,0,0,0
+2298369,3,No significant abnormalities in other areas of the lung.,1,0,0,0,0,0,0,0
+2298369,4,There is no pathological enlargement of the mediastinal and hilar lymph nodes.,1,0,0,0,0,0,0,0
+2298369,5,A small amount of right pleural effusion.,0,0,0,0,0,0,1,0
+2298369,6,No significant abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+2298369,7,No destruction or sclerosis that would be suspicious of metastasis in the visualized bones.,1,0,0,0,0,0,0,0
+2343928,0,No comparable imaging studies available.,1,0,0,0,0,0,0,0
+2343928,1,"A lobulated tumor mass, approximately 47 mm in diameter, in the hilum of the left upper lobe, which is considered to be a known finding of lung cancer.",0,1,0,0,0,0,0,0
+2343928,2,"The lesion appears to surround the bronchus of the left upper lobe, suggesting bronchial stenosis.",0,0,1,0,0,0,0,0
+2343928,3,"Expansion into the mediastinum is also suspected, and the boundary with the left main pulmonary artery cannot be assessed conclusively on the current CT.",0,0,1,0,0,0,0,0
+2343928,4,"Please consider evaluation with contrast-enhanced CT. 
+",0,0,1,0,0,0,0,0
+2343928,5,"No significant lymph node enlargement in the mediastinum or hilum. 
+",1,0,0,0,0,0,0,0
+2343928,6,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+2343928,7,"No obvious abnormalities in the visualized upper abdomen. 
+",1,0,0,0,0,0,0,0
+2343928,8,"No ascites. 
+",1,0,0,0,0,0,0,0
+2343928,9,No other significant findings.,1,0,0,0,0,0,0,0
+2538844,0,"A large tumorous lesion (primary focus 12 cm), centered in the upper lobe of the left lung.",0,1,0,0,0,0,0,0
+2538844,1,"There is extensive contact with the visceral pleura, and pleural invasion is suspected.",0,0,1,0,0,0,0,0
+2538844,2,"Some subpleural adipose tissue is irregular, and invasion into the chest wall is also suspected.",0,0,1,0,0,0,0,0
+2538844,3,"The cortical bone of the left third rib is also irregular, suspicious of rib invasion.
+",0,0,1,0,0,0,0,0
+2538844,4,"No pulmonary metastasis.
+",1,0,0,0,0,0,0,0
+2538844,5,"Enlargement of the left hilum and mediastinal lymph nodes, suspicious of metastasis.",0,0,0,0,0,1,0,0
+2932043,0,"A mass of approximately 74 mm is observed in the upper lobe of the left lung, not containing any air.",0,1,0,0,0,0,0,0
+2932043,1,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+2932043,2,"The central bronchus is obstructed by the tumor, leaving the upper lobe of the left lung in an almost completely atelectatic state. 
+",0,0,1,1,0,0,0,0
+2932043,3,No pulmonary nodules.,1,0,0,0,0,0,0,0
+2932043,4,"There are no findings suggesting lung metastasis.
+",1,0,0,0,0,0,0,0
+2932043,5,Infiltration into the left hilar lymph nodes is suspected.,0,0,0,0,0,1,0,0
+2932043,6,"There is no mediastinal lymph node enlargement.
+",1,0,0,0,0,0,0,0
+2932043,7,No distant metastasis visualized.,1,0,0,0,0,0,0,0
+2987117,0,"Emphysema.
+",1,0,0,0,0,0,0,0
+2987117,1,A mass with a maximum diameter of 4.7 cm in the upper lobe of the left lung.,0,1,0,0,0,0,0,0
+2987117,2,"The tumor has a lobulated shape and spiculated margins, suggesting primary lung cancer.",0,1,0,0,0,0,0,0
+2987117,3,"Infiltration into the mediastinal fat is observed, raising suspicion for T4.
+",0,1,1,0,0,0,0,0
+2987117,4,"No tumorous lesions in other lung fields.
+",1,0,0,0,0,0,0,0
+2987117,5,"On non-contrast CT, no pathological enlargement is observed in the pulmonary hilum, mediastinum, or supraclavicular lymph nodes.
+",1,0,0,0,0,0,0,0
+2987117,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+2987117,7,No significant findings in the visualized abdomen.,1,0,0,0,0,0,0,0
+3029476,0,"A lobulated tumor with a diameter of 40 mm in the right lower lobe, suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+3029476,1,There is bronchiectasis with mucus retention below the tumor.,1,0,0,0,0,0,0,0
+3029476,2,"Ground-glass opacities in the right upper lobe, likely inflammatory.
+",1,0,0,0,0,0,0,0
+3029476,3,"Enlargement of the right hilar and mediastinal lymph nodes, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+3029476,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+3029476,5,"Multiple hypodense nodules in the liver, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+3029476,6,"Dilation of the common bile duct and intrahepatic bile duct.
+",1,0,0,0,0,0,0,0
+3029476,7,Renal cysts.,1,0,0,0,0,0,0,0
+3072861,0,A lobulated mass containg a cavity of 30 mm in diameter in the lower lobe of the left lung.,0,1,0,0,0,0,0,0
+3072861,1,Traction of the interlobar fissure and a spiculated margin are also observed.,0,0,1,0,0,0,0,0
+3072861,2,The mass is considered to be the known lung cancer.,0,1,0,0,0,0,0,0
+3072861,3,"A secondary tumor nodule is suspected within the same lobe.
+",0,0,0,0,1,0,0,0
+3072861,4,"The left hilar lymph node is enlarged.
+",0,0,0,0,0,1,0,0
+3072861,5,No obvious metastasis in the upper abdomen.,1,0,0,0,0,0,0,0
+3384646,0,"A mass with a maximum diameter of 7.2 cm in the lower lobe of the left lung, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+3384646,1,"It is considered T4.
+",0,1,1,1,0,0,0,0
+3384646,2,"Stenosis of the airway caused by the tumor, and an increased density in the peripheral lung field, suspecting obstructive pneumonia.
+",0,0,1,1,0,0,0,0
+3384646,3,Thickening of the pleura adjacent to the tumor and a small amount of pleural effusion.,0,0,0,0,0,0,1,0
+3384646,4,"Pleural invasion and malignant pleural effusion are suspected.
+",0,0,1,0,0,0,1,0
+3384646,5,"No tumorous lesions in other lung fields.
+",1,0,0,0,0,0,0,0
+3384646,6,Enlargement of a mediastinal lymph node level 4L is observed.,0,0,0,0,0,1,0,0
+3384646,7,"It is considered N2.
+",0,0,0,0,0,1,0,0
+3384646,8,"Osteolytic lesions in the left humerus and scapula, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+3384646,9,Metastasis is also observed in the left axillary lymph nodes.,0,0,0,0,0,0,0,1
+3384646,10,"This is distant metastasis.
+",0,0,0,0,0,0,0,1
+3384646,11,"No significant findings in the visualized abdominal organs.
+",1,0,0,0,0,0,0,0
+3384646,12,A subcutaneous lesion suspected of being a sebaceous cyst on the back.,1,0,0,0,0,0,0,0
+3599413,0,"There is a 17 mm protruding lesion in the right bronchial lumen. 
+",0,1,1,0,0,0,0,0
+3599413,1,"It is considered to be the known lesion.
+",0,1,0,0,0,0,0,0
+3599413,2,"The right upper lobe bronchus is patent, but the bronchus intermedius is obstructed by the tumor.",0,0,1,0,0,0,0,0
+3599413,3,"Atelectasis is evident in the right middle and lower lobes.
+",0,0,0,1,0,0,0,0
+3599413,4,"There is a small amount of pleural effusion on the right.
+",0,0,0,0,0,0,1,0
+3599413,5,"The right hilum and ipsilateral mediastinal lymph nodes are enlarged, considered to be lymph node metastases.",0,0,0,0,0,1,0,0
+4092235,0,"A 12 mm nodule is observed in the right lower lobe, which has increased in size compared to the CT in August 2012, possibly lung cancer.
+",0,1,0,0,0,0,0,0
+4092235,1,"Ground-glass opacities and reticular opacities are seen mainly in the subpleural area of the lower lung field, suggesting interstitial pneumonia. 
+",1,0,0,0,0,0,0,0
+4092235,2,"No significant lymph node enlargement in the hilum and mediastinum, as far as this can be assessed on non-contrast CT.
+",1,0,0,0,0,0,0,0
+4092235,3,"Thickening and calcification of the left pleura, suggesting pleural plaques. 
+",1,0,0,0,0,0,0,0
+4092235,4,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+4092235,5,Gallstones.,1,0,0,0,0,0,0,0
+4166189,0,A tumor with a major axis of 12 cm in the left upper lobe of the lung.,0,1,0,0,0,0,0,0
+4166189,1,Infiltration of the aortic arch and pulmonary artery is suspected.,0,0,1,0,0,0,0,0
+4166189,2,"This is considered T4.
+",0,1,1,0,0,0,0,0
+4166189,3,"Enlargement of the left pulmonary hilum and a mediastinal lymph node in level 6 is observed, suspicious of metastases.",0,0,0,0,0,1,0,0
+4166189,4,"This is considered N2.
+",0,0,0,0,0,1,0,0
+4166189,5,"No pleural effusion is observed.
+",1,0,0,0,0,0,0,0
+4166189,6,Bone destruction due to the tumor is observed in the left 3rd rib.,0,0,1,0,0,0,0,0
+4166189,7,"No findings suggesting distant metastasis to the visualized bones.
+",1,0,0,0,0,0,0,0
+4166189,8,No significant findings in the visualized abdomen.,1,0,0,0,0,0,0,0
+4465068,0,"No comparable imaging studies are available.
+",1,0,0,0,0,0,0,0
+4465068,1,There are multiple enlarged lymph nodes with heterogeneous enhancement in the right hilum and mediastinum.,0,0,0,0,0,1,0,0
+4465068,2,"S/P resection of right breast cancer, but there is no significant lymph node enlargement in other areas, suggesting lymph node metastasis of small cell lung cancer.
+",0,0,0,0,0,1,0,0
+4465068,3,Nodules of about 1 cm in the right upper lobe and 5 mm in the right lower lobe.,0,1,0,0,1,0,0,0
+4465068,4,"Although there is a possibility of primary or metastatic lesions, the polygonal shape suggests benign lesions such as old granulomas.
+",0,1,0,0,1,0,0,0
+4465068,5,"Interstitial changes such as ground-glass opacities, reticular opacities, and cystic changes are seen on the dorsal side of both lower lobes.
+",1,0,0,0,0,0,0,0
+4465068,6,"No other obvious active lesions in the lung field.
+",1,0,0,0,0,0,0,0
+4465068,7,Postoperative changes in the right breast.,1,0,0,0,0,0,0,0
+4465068,8,"No obvious tumors or abnormal enhancement at the resection site or in the left breast.
+",1,0,0,0,0,0,0,0
+4465068,9,"There is no pleural effusion.
+",1,0,0,0,0,0,0,0
+4465068,10,A hypodense lesion in the right lobe of the thyroid gland.,0,0,0,0,0,0,0,1
+4465068,11,"Correlation with ultrasound recommended.
+",0,0,0,0,0,0,0,1
+4465068,12,"No obvious abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+4465068,13,"There is no ascites.
+",1,0,0,0,0,0,0,0
+4465068,14,No other significant findings.,1,0,0,0,0,0,0,0
+4624494,0,There is an irregular mass with a diameter of 50 mm in the apex of the right lung.,0,1,0,0,0,0,0,0
+4624494,1,"It appears to protrude into the subpleural adipose tissue near the origin of the right second rib, and pleural invasion on the visceral side may be present.",0,0,1,0,0,0,0,0
+4624494,2,"The right hilum and mediastinal lymph nodes are slightly enlarged, but not of significant size.",0,0,0,0,0,1,0,0
+4624494,3,Emphysematous changes in the lungs.,1,0,0,0,0,0,0,0
+4624494,4,"There are subpleural ground-glass and reticular opacities, which are considered to be interstitial changes.",1,0,0,0,0,0,0,0
+4624494,5,No pleural effusion.,1,0,0,0,0,0,0,0
+4644367,0,"Mass of 72 mm in the left lower lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+4644367,1,"Infiltratative opacities and ground-glass opacities are seen on the peripheral side, suggesting obstructive pneumonia.",0,0,0,1,0,0,0,0
+4644367,2,"Enlarged lymph nodes in the mediastinum, above the left clavicle, and in the left axilla, suggesting metastases.",0,0,0,0,0,1,0,1
+4644367,3,Small amount of left pleural effusion.,0,0,0,0,0,0,1,0
+4644367,4,"Osteolytic lesions in the left scapula and humerus, suspicious of metastases.",0,0,0,0,0,0,0,1
+4644367,5,"Subcutaneous lesion on the back, which is considered to be a sebaceous cyst or similar.",1,0,0,0,0,0,0,0
+4646850,0,"Pulmonary emphysematous changes. 
+",1,0,0,0,0,0,0,0
+4646850,1,"There is an irregularly margined mass in the lower lobe of the left lung, approximately 35 mm in diameter, considered to be the known lung cancer. 
+",0,1,0,0,0,0,0,0
+4646850,2,"Apart from this tumor, a nodule of 8 mm in diameter is present in the left lower lobe, suspicious of metastasis. 
+",0,0,0,0,1,0,0,0
+4646850,3,"No other lesions suggesting lung metastasis. 
+",1,0,0,0,0,0,0,0
+4646850,4,"Pathologically enlarged lymph nodes in the left hilum, suspicious of metastasis. 
+",0,0,0,0,0,1,0,0
+4646850,5,"No pathological enlargement of lymph nodes in the mediastinum or supraclavicular fossa. 
+",1,0,0,0,0,0,0,0
+4646850,6,"No pleural effusion is present. 
+",1,0,0,0,0,0,0,0
+4646850,7,"In the liver, two hypovascular tumors with ill-defined margins are observed in the gallbladder bed, suspicious of metastasis. 
+",0,0,0,0,0,0,0,1
+4646850,8,"These tumors are in contact with the gallbladder, and diffuse wall thickening is observed in the gallbladder.",0,0,0,0,0,0,0,1
+4646850,9,"Therefore, infiltration into the gallbladder is considered. 
+",0,0,0,0,0,0,0,1
+4646850,10,"No lesions suggestive of adrenal metastasis. 
+",1,0,0,0,0,0,0,0
+4646850,11,"Bilateral renal cysts. 
+",1,0,0,0,0,0,0,0
+4646850,12,"No significant abnormal findings in other abdominal organs. 
+",1,0,0,0,0,0,0,0
+4646850,13,"No pathological enlargement of abdominal lymph nodes. 
+",1,0,0,0,0,0,0,0
+4646850,14,"No ascites is present. 
+",1,0,0,0,0,0,0,0
+4646850,15,No bone destruction or sclerotic lesions suggestive of bone metastasis.,1,0,0,0,0,0,0,0
+4760374,0,"A lobulated tumor mass with a diameter of 40 mm is present in segment S6 of the right lower lobe of the lung, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+4760374,1,"A ground-glass nodule with lobulated margins is present in segment S2 of the right upper lobe, which may also be lung cancer (adenocarcinoma in situ).
+",0,0,0,0,1,0,0,0
+4760374,2,Emphysematous changes in the lung.,1,0,0,0,0,0,0,0
+4760374,3,"No metastases or other lesions in the lungs.
+",1,0,0,0,0,0,0,0
+4760374,4,"The right upper paratracheal lymph node is enlarged, suggesting metastasis.",0,0,0,0,0,1,0,0
+4760374,5,"Enlarged lymph nodes are also suspected at the right hilum.
+",0,0,0,0,0,1,0,0
+4760374,6,"A small amount of pleural effusion is present.
+",0,0,0,0,0,0,1,0
+4760374,7,Multiple hypodense tumors are found in the liver.,0,0,0,0,0,0,0,1
+4760374,8,"Gallstones and common bile duct stones are found, and the intrahepatic bile ducts and the common bile duct are dilated.",1,0,0,0,0,0,0,0
+4760374,9,"There are no CT findings suggesting biliary tumors such as thickening of the bile duct wall, and liver metastasis from lung cancer is more likely.
+",0,0,0,0,0,0,0,1
+4760374,10,"Multiple enlarged lymph nodes at the hepatic hilum, which also suggests the possibility of metastasis.
+",0,0,0,0,0,0,0,1
+4760374,11,"There are no obvious abnormalities in the pancreas, spleen, kidneys, adrenal glands, or pelvic organs.
+",1,0,0,0,0,0,0,0
+4760374,12,Ascites is present.,1,0,0,0,0,0,0,0
+4844803,0,"Moderate emphysematous changes in the lungs.
+",1,0,0,0,0,0,0,0
+4844803,1,An irregularly margined tumor is observed in the central part of the left upper lung lobe.,0,1,0,0,0,0,0,0
+4844803,2,The margins are spiculated and the tumor has a maximum diameter of 47 mm.,0,1,0,0,0,0,0,0
+4844803,3,It is considered to be the known lung cancer.,0,1,0,0,0,0,0,0
+4844803,4,"The tumor is  in broad contact with the interlobar pleura.
+",0,0,1,0,0,0,0,0
+4844803,5,"The left pulmonary artery upper lobe branch is in broad contact with the tumor, and infiltration is suspected.
+",0,0,1,0,0,0,0,0
+4844803,6,"The left upper lobe bronchus is compressed and narrowed by the tumor.
+",0,0,1,0,0,0,0,0
+4844803,7,There are scattered tiny nodules in both lung fields.,0,0,0,0,1,0,0,0
+4844803,8,"Due to their small size, differentiation is difficult.",0,0,0,0,1,0,0,0
+4844803,9,"Many are rectangular, and are mostly considered benign lesions, but it is possible that some of them are metastases.
+",0,0,0,0,1,0,0,0
+4844803,10,"No pathological enlargement in the mediastinal and hilar lymph nodes.
+",1,0,0,0,0,0,0,0
+4844803,11,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+4844803,12,"No gross lesions in the visualized upper abdomen, as far as can be assessed by CT.
+",1,0,0,0,0,0,0,0
+4844803,13,No bone destruction or bone sclerosis suggesting metastasis visualized.,1,0,0,0,0,0,0,0
+4850448,0,"Mild emphysematous changes of the lungs are present. 
+",1,0,0,0,0,0,0,0
+4850448,1,The left upper lobe is atelectatic.,0,0,0,1,0,0,0,0
+4850448,2,"An irregular soft tissue mass is located centrally, suggesting the possibility of lung cancer.",0,1,0,0,0,0,0,0
+4850448,3,"There is a possibility of infiltration into the mediastinum.
+",0,0,1,0,0,0,0,0
+4850448,4,"Left hilar lymph nodes are enlarged, suggesting the possibility of metastasis.",0,0,0,0,0,1,0,0
+4850448,5,"Enlarged lymph nodes are also suspected in the same side mediastinum, suggesting the possibility of metastasis.
+",0,0,0,0,0,1,0,0
+4850448,6,A small amount of left pleural effusion is present.,0,0,0,0,0,0,1,0
+5033297,0,"No comparable imaging studies are available. 
+",1,0,0,0,0,0,0,0
+5033297,1,"A lobulated tumor mass, approximately 30 mm in diameter is present in S6 of the left lower lobe of the lung.",0,1,0,0,0,0,0,0
+5033297,2,This is considered lung adenocarcinoma.,0,1,0,0,0,0,0,0
+5033297,3,"A nodule of about 9 mm in diameter is in contact with the lesion, and a nodule of 8 mm in contact with the interlobar pleura is also seen within the same lobe, considered to be secondary tumor nodules. 
+",0,0,0,0,1,0,0,0
+5033297,4,"No findings suggesting metastasis in other lobes of the lung. 
+",1,0,0,0,0,0,0,0
+5033297,5,"Bullae are present in both lung apices. 
+",1,0,0,0,0,0,0,0
+5033297,6,"Enlargement of the left hilar lymph nodes, suspicious of metastasis.",0,0,0,0,0,1,0,0
+5033297,7,"No significant lymph node enlargement in other areas. 
+",1,0,0,0,0,0,0,0
+5033297,8,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+5033297,9,"An ill-defined hypodense lesion is present in the liver in contact with the gallbladder, suspicious of metastasis. 
+",0,0,0,0,0,0,0,1
+5033297,10,"There are cysts and stones in both kidneys. 
+",1,0,0,0,0,0,0,0
+5033297,11,"No obvious abnormalities in the gallbladder, pancreas, spleen, adrenal glands, or pelvic organs. 
+",1,0,0,0,0,0,0,0
+5033297,12,"No significant lymph node enlargement in the abdomen and pelvis. 
+",1,0,0,0,0,0,0,0
+5033297,13,"No ascites. 
+",1,0,0,0,0,0,0,0
+5033297,14,No other significant findings.,1,0,0,0,0,0,0,0
+5073667,0,There is a solid tumor of 30 mm in S8 of the right lower lung lobe.,0,1,0,0,0,0,0,0
+5073667,1,It has a lobulated shape and is accompanied by pleural indentation.,0,0,1,0,0,0,0,0
+5073667,2,No sign of invasion beyond the interlobar pleura.,1,0,0,0,0,0,0,0
+5073667,3,No pulmonary metastasis.,1,0,0,0,0,0,0,0
+5073667,4,"There is a small nodule in the apex of the right lung, follow up recommended.",0,0,0,0,1,0,0,0
+5073667,5,No pleural effusion.,1,0,0,0,0,0,0,0
+5073667,6,No gross abnormalities in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+5582789,0,"A soft tissue mass is present in the right hilum, suspected to be a conglomerate of lung cancer and hilar lymph node metastasis.",0,1,0,0,0,1,0,0
+5582789,1,Size evaluation is difficult.,1,0,0,0,0,0,0,0
+5582789,2,"The mass is in contact with the tracheal bifurcation and major blood vessels, suggesting invasion.",0,0,1,0,0,0,0,0
+5582789,3,"It is considered T4.
+",0,1,1,0,0,0,0,0
+5582789,4,A small round subpleural nodule is present in the right middle lobe.,0,0,0,0,1,0,0,0
+5582789,5,"Based on its morphology, there is a possibility of metastasis.
+",0,0,0,0,1,0,0,0
+5582789,6,"There is mediastinal lymph node metastasis on the right, but the opposite side lymph nodes are not enlarged.",0,0,0,0,0,1,0,0
+5582789,7,"It is considered N2.
+",0,0,0,0,0,1,0,0
+5582789,8,"Reticular opacities and ground-glass opacities are observed in the lower lobes of both lungs, suspecting interstitial pneumonia.
+",1,0,0,0,0,0,0,0
+5582789,9,"No significant findings in the opposite lung.
+",1,0,0,0,0,0,0,0
+5582789,10,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+5582789,11,"A hypodense nodule is present in the right lobe of the thyroid, recommended to follow up with ultrasound.
+",0,0,0,0,0,0,0,1
+5582789,12,"No tumorous lesions in the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+5582789,13,"No significant findings in the gallbladder, pancreas, or spleen.",1,0,0,0,0,0,0,0
+6231900,0,"A tumor-like lesion with irregular margins, measuring up to 72 mm in diameter, is present on the mediastinal side of the left lower lobe of the lung.",0,1,0,0,0,0,0,0
+6231900,1,The lesion shows heterogenous contrast enhancement.,1,0,0,0,0,0,0,0
+6231900,2,It is considered to correlate to the known cancer.,0,1,0,0,0,0,0,0
+6231900,3,"The tumor is widely in contact with the pleura, but without clear mediastinal invasion.",0,0,1,0,0,0,0,0
+6231900,4,"The left lower lobe bronchus is severely narrowed or occluded, and ground-glass opacities and infiltrative consolidations suggesting obstructive pneumonia are observed around the tumor.",0,0,1,1,0,0,0,0
+6231900,5,"Also, thickening of the interlobular septa is seen around the tumor, possibly lymphangitic carcinomatosis.",0,0,0,0,1,0,0,0
+6231900,6,No lesions suspicious of metastasis to other lobes of the lung.,1,0,0,0,0,0,0,0
+6231900,7,"There are numerous rounded enlarged peritracheal and axillary lymph nodes on the left, suggestive of metastasis.",0,0,0,0,0,1,0,1
+6231900,8,A small amount of left pleural effusion is present.,0,0,0,0,0,0,1,0
+6231900,9,No metastasis to the visualized liver or adrenal glands.,1,0,0,0,0,0,0,0
+6231900,10,"There are osteolytic lesions in the proximal part of the left humerus and the left scapula, considered to be metastases.",0,0,0,0,0,0,0,1
+6232953,0,"No comparable imaging studies are available. 
+",1,0,0,0,0,0,0,0
+6232953,1,A tumor of approximately 17 mm in diameter is observed at the right main bronchus.,0,1,1,0,0,0,0,0
+6232953,2,"The bronchial lumen is narrowed and there is atelectasis peripheral thereof. 
+",0,0,1,1,0,0,0,0
+6232953,3,"Soft tissue lesions, which are considered to be enlarged lymph nodes, are observed under the right hilum and the bifurcation of the trachea, suspicious of metastasis. 
+",0,0,0,0,0,1,0,0
+6232953,4,"There are no obvious metastases or other active lesions in the lungs. 
+",1,0,0,0,0,0,0,0
+6232953,5,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+6232953,6,"No obvious abnormalities in the visualized upper abdomen. 
+",1,0,0,0,0,0,0,0
+6232953,7,"No ascites. 
+",1,0,0,0,0,0,0,0
+6232953,8,No other significant findings.,1,0,0,0,0,0,0,0
+6363776,0,"Numerous tumorous lesions spreading from the right pulmonary hilum to the mediastinum, suspected to be small cell carcionma with lymph node enlargement.",0,1,1,0,0,1,0,0
+6363776,1,"A nodule is present in the peripheral S3 of the right upper lobe, suspicious of pulmonary metastasis.",0,0,0,0,1,0,0,0
+6363776,2,"In addition, there are scattered fine granular opacities, also suspicious of pulmonary metastases.",0,0,0,0,1,0,0,0
+6441303,0,"Emphysematous changes are prominent in the lungs. 
+",1,0,0,0,0,0,0,0
+6441303,1,"There is a lobulated tumor of 40 mm in diameter in the right lower lobe, suggesting lung cancer.",0,1,0,0,0,0,0,0
+6441303,2,"Multiple nodules and increased opacity along the airway in the surrounding area suggest obstructive pneumonia or metastatic nodules. 
+",0,0,0,1,1,0,0,0
+6441303,3,"Ground-glass nodules are scattered in the right upper lobe, which may be inflammatory changes, but should be followed up to rule out malignancy. 
+",0,0,0,0,1,0,0,0
+6441303,4,"The right hilar and pretracheal lymph nodes are enlarged and rounded, suggesting metastasis. 
+",0,0,0,0,0,1,0,0
+6441303,5,"There are numerous ring-enhancing hypodense lesions in the liver, considered to be multiple liver metastases. 
+",0,0,0,0,0,0,0,1
+6441303,6,Gallstones.,1,0,0,0,0,0,0,0
+6441303,7,"Renal cysts. 
+",1,0,0,0,0,0,0,0
+6441303,8,Ascites.,1,0,0,0,0,0,0,0
+6574876,0,"There are multiple enlarged lymph nodes in the right mediastinum and right hilum, consistent with known small cell carcinoma.",0,1,0,0,0,1,0,0
+6574876,1,"A small nodule is observed in the right upper lobe S3, possibly a metastatic nodule. 
+",0,0,0,0,1,0,0,0
+6574876,2,"There is mild interstitial opacitiy in the peripheral lung, possibly interstitial pneumonia. 
+",1,0,0,0,0,0,0,0
+6574876,3,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+6574876,4,"Postoperative changes in the right breast. 
+",1,0,0,0,0,0,0,0
+6574876,5,"No significant axillary lymph node enlargement. 
+",1,0,0,0,0,0,0,0
+6574876,6,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+6778649,0,"A tumor is present in the left pulmonary hilum, suggesting lung cancer.",0,1,0,0,0,0,0,0
+6778649,1,"The right upper lobe bronchus is obstructed due to tumor infiltration, resulting in atelectasis of the left upper lobe.",0,0,1,1,0,0,0,0
+6778649,2,The border between the tumor and the atelectasis is difficult to evaluate.,0,0,1,1,0,0,0,0
+6778649,3,The left pulmonary artery is in contact with the tumor and is narrowed.,0,0,1,0,0,0,0,0
+6778649,4,Infiltration is suspected.,0,0,1,0,0,0,0,0
+6778649,5,"Enlarged lymph nodes are observed in the left pulmonary hilum and mediastinum, suggesting metastasis.",0,0,0,0,0,1,0,0
+6778649,6,"Enlarged lymph nodes are also prominent in the right pulmonary hilum, possibly metastasis.",0,0,0,0,0,1,0,0
+6778649,7,No findings suggest secondary tumor nodules in the lungs.,1,0,0,0,0,0,0,0
+6778649,8,Small left pleural effusion.,0,0,0,0,0,0,1,0
+6778649,9,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+6793001,0,"A 12 cm large tumor is present in the left lung apex, suggesting lung cancer.",0,1,0,0,0,0,0,0
+6793001,1,Destruction of the left 3rd rib suggests infiltration.,0,0,1,0,0,0,0,0
+6793001,2,No significant lymph node enlargement in the mediastinum.,1,0,0,0,0,0,0,0
+6793001,3,There is no pleural effusion.,1,0,0,0,0,0,0,0
+6848850,0,"Emphysema in both lungs.
+",1,0,0,0,0,0,0,0
+6848850,1,A lobulated tumorous lesion is present in the lower lobe of the right lung (maximum diameter 37×37×40mm).,0,1,0,0,0,0,0,0
+6848850,2,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+6848850,3,Soft tissue masses are found in the bronchi.,0,0,1,0,0,0,0,0
+6848850,4,"Bronchial mucus plugs are observed.
+",1,0,0,0,0,0,0,0
+6848850,5,"Faint ground-glass opacities are scattered in both lungs.
+",0,0,0,0,1,0,0,0
+6848850,6,"Lymph node enlargement is found in the mediastinum, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+6848850,7,"Numerous nodules are found in the liver, suspected to be multiple liver metastases.
+",0,0,0,0,0,0,0,1
+6848850,8,"Nodules are also observed in the hepatoduodenal ligament, possibly lymph node metastases.
+",0,0,0,0,0,0,0,1
+6848850,9,The common bile duct is dilated with stones present in the duct.,1,0,0,0,0,0,0,0
+6861476,0,"There is a tumor with a major axis of 72 mm in the left lower lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+6861476,1,"The tumor protrudes into the mediastinum and is in contact with the descending thoracic aorta, suggesting mediastinal invasion.",0,0,1,0,0,0,0,0
+6861476,2,"There is interstitial thickening around the tumor, possibly carcinomatous lymphangitis.
+",0,0,0,0,1,0,0,0
+6861476,3,"There is lymph node enlargement below the tracheal bifurcation, metastasis cannot be ruled out.",0,0,0,0,0,1,0,0
+6861476,4,"In addition, multiple left axillary lymph nodes are enlarged, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+6861476,5,"There is tumor formation in the head of the left humerus and in the scapula, suggesting bone metastasis.",0,0,0,0,0,0,0,1
+7127615,0,There is a tumor with a long diameter of 50 mm in the right lung apex with spiculated margins.,0,1,0,0,0,0,0,0
+7127615,1,The morphology suggests lung cancer.,0,1,0,0,0,0,0,0
+7127615,2,"Emphysematous changes in both lungs. 
+",1,0,0,0,0,0,0,0
+7127615,3,No pathological lymph node enlargement.,1,0,0,0,0,0,0,0
+7127615,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+7127615,5,No coarse lesions in the upper abdomen.,1,0,0,0,0,0,0,0
+7245712,0,A tumor that has become a conglomerate with the hilar lymph nodes is seen on the central side of the left upper lobe.,0,0,0,0,0,1,0,0
+7245712,1,"The left upper lobe bronchus is obstructed, and atelectasis is present, making it difficult to measure the size of the tumor.",0,0,1,1,0,0,0,0
+7245712,2,"The tumor protrudes into the mediastinum, suggesting mediastinal invasion.
+",0,0,1,0,0,0,0,0
+7245712,3,"There is enlargement of the mediastinal lymph nodes on the same side, suspicious of metastasis.
+",0,0,0,0,0,1,0,0
+7245712,4,"A small amount of pleural effusion on the left, which might be malignant pleural effusion.",0,0,0,0,0,0,1,0
+7467648,0,"An irregular mass of 30 mm in size is observed in the right lower lobe, considered to be the suspected lung cancer. 
+",0,1,0,0,0,0,0,0
+7467648,1,"A pure GGN is present in the left lung apex, which should be checked in follow-up. 
+",0,0,0,0,1,0,0,0
+7467648,2,"Striated opacities suspicious of inflammatory scars are seen in both lower lobes. 
+",1,0,0,0,0,0,0,0
+7467648,3,"No significant lymph node enlargement in the mediastinum. 
+",1,0,0,0,0,0,0,0
+7467648,4,There is no pleural effusion.,1,0,0,0,0,0,0,0
+7516987,0,"There is a small subpleural nodule in the right upper lobe of the lung, S3, possibly lung cancer.
+",0,1,0,0,0,0,0,0
+7516987,1,"There are subpleural reticular opacities of both lungs, suspecting interstitial pneumonia.
+",1,0,0,0,0,0,0,0
+7516987,2,"The right hilar, ipsilateral, and contralateral mediastinal lymph nodes are enlarged, considered to be lymph node metastasis.
+",0,0,0,0,0,1,0,0
+7516987,3,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+7516987,4,"No liver or adrenal metastasis.
+",1,0,0,0,0,0,0,0
+7516987,5,No gross abnormalities in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+7547062,0,"Compared with the CT from August 2012.
+",1,0,0,0,0,0,0,0
+7547062,1,A nodule of about 12 mm in diameter is located in S9 of the right lower lobe.,0,1,0,0,0,0,0,0
+7547062,2,"In the CT from August 2012, a focal ground-glass opacity was seen in the same area, which seems to be progressing.",1,0,0,0,0,0,0,0
+7547062,3,"Lung cancer is known, and this lesion is considered cancerous based on the progression.
+",0,1,0,0,0,0,0,0
+7547062,4,"Centrilobular emphysema is observed mainly in the upper lung.
+",1,0,0,0,0,0,0,0
+7547062,5,"Mild interstitial changes are observed mainly in the periphery of both lower lobes.
+",1,0,0,0,0,0,0,0
+7547062,6,"There are no obvious metastases or other active lesions in the lungs.
+",1,0,0,0,0,0,0,0
+7547062,7,"There is no significant lymph node enlargement in the mediastinum or hilum.
+",1,0,0,0,0,0,0,0
+7547062,8,There is no pleural effusion.,1,0,0,0,0,0,0,0
+7547062,9,"There is thickening with calcification in the left pleura, suggesting pleural plaques.
+",1,0,0,0,0,0,0,0
+7547062,10,"Arteriosclerotic changes.
+",1,0,0,0,0,0,0,0
+7547062,11,Gallstones.,1,0,0,0,0,0,0,0
+7547062,12,"There are no other obvious abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+7547062,13,"No ascites.
+",1,0,0,0,0,0,0,0
+7547062,14,No other significant findings.,1,0,0,0,0,0,0,0
+7616690,0,"Emphysema is observed.
+",1,0,0,0,0,0,0,0
+7616690,1,"Subpleural reticular opacities and ground-glass opacities are seen in both lower lobes, suggesting interstitial changes.
+",1,0,0,0,0,0,0,0
+7616690,2,There is a solid subpleural tumor with a long diameter of 1.2 cm of the right lower lobe.,0,1,0,0,0,0,0,0
+7616690,3,"Compared to the previous examination, it has increased in size, suggesting primary lung cancer.",0,1,0,0,0,0,0,0
+7616690,4,"It is considered T1b.
+",0,1,0,0,0,0,0,0
+7616690,5,"No enlargement of the mediastinal and axillary lymph nodes.
+",1,0,0,0,0,0,0,0
+7616690,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+7616690,7,"Calcified pleural thickening, suggesting pleural plaques.
+",1,0,0,0,0,0,0,0
+7616690,8,"Coronary calcification.
+",1,0,0,0,0,0,0,0
+7616690,9,"No tumorous lesions in the liver and adrenal glands.
+",1,0,0,0,0,0,0,0
+7616690,10,"Gallstones.
+",1,0,0,0,0,0,0,0
+7616690,11,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+7656084,0,"No comparable imaging studies are available. 
+",1,0,0,0,0,0,0,0
+7656084,1,A tumor mass measuring 12 cm in diameter is observed in the left lung apex.,0,1,0,0,0,0,0,0
+7656084,2,"The tumor extends to the chest wall and ribs, accompanied by bone destruction.",0,0,1,0,0,0,0,0
+7656084,3,"This is considered indicative of lung cancer with chest wall invasion. 
+",0,1,1,0,0,0,0,0
+7656084,4,"No obvious metastasis or other active lesions in the lung field. 
+",1,0,0,0,0,0,0,0
+7656084,5,"Enlarged lymph nodes in the left hilum and mediastinum, suggesting possible metastasis. 
+",0,0,0,0,0,1,0,0
+7656084,6,"No other significant lymph node enlargement visualized. 
+",1,0,0,0,0,0,0,0
+7656084,7,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+7656084,8,"No obvious abnormalities in the visualized upper abdomen. 
+",1,0,0,0,0,0,0,0
+7656084,9,"No ascites. 
+",1,0,0,0,0,0,0,0
+7656084,10,No other significant findings.,1,0,0,0,0,0,0,0
+7751255,0,No comparable imaging studies are available.,1,0,0,0,0,0,0,0
+7751255,1,"A lobulated tumor mass, approximately 30 mm in diameter, is present in S8 of the right lower lobe of the lung, accompanied by a slight ground-glass opacity in its periphery.",0,1,0,0,0,0,0,0
+7751255,2,This is considered to be a finding of known lung cancer.,0,1,0,0,0,0,0,0
+7751255,3,"Multiple pure GGNs up to about 10 mm are found in the upper and lingular segments of the left lung, which can't be ruled out as neoplastic lesions such as atypical adenomatous hyperplasia (AAH).",0,0,0,0,1,0,0,0
+7751255,4,There are no obvious metastases or other active lesions in the lungs.,1,0,0,0,0,0,0,0
+7751255,5,There is no significant lymph node enlargement in the mediastinum or hilum.,1,0,0,0,0,0,0,0
+7751255,6,There is no pleural effusion.,1,0,0,0,0,0,0,0
+7751255,7,There are no obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+7751255,8,No ascites.,1,0,0,0,0,0,0,0
+7751255,9,No other significant findings.,1,0,0,0,0,0,0,0
+7793337,0,"A nodular infiltratative opacity of 30 mm in diameter is present in the right lower lobe S8, corresponding to known lung cancer.",0,1,0,0,0,0,0,0
+7793337,1,"It is in extensive contact with the interlobar pleura, suggesting infiltration.",0,0,1,0,0,0,0,0
+7793337,2,No findings suspicious of metastasic nodules are observed in both lungs.,1,0,0,0,0,0,0,0
+7793337,3,"Striated opacities are present in both lower lobes, likely inflammatory scarring.
+",1,0,0,0,0,0,0,0
+7793337,4,"No significant enlargement of the mediastinal or hilar lymph nodes, or other mediastinal organ lesions.
+",1,0,0,0,0,0,0,0
+7793337,5,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+7793337,6,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+7943636,0,A nodular mass measuring 1.7 cm in diameter is found in the right main bronchus.,0,1,1,0,0,0,0,0
+7943636,1,"No lesions are seen in the bronchial bifurcation, thus the tumor is considered T2.",0,1,1,1,0,0,0,0
+7943636,2,Obstructive atelectasis is present.,0,0,0,1,0,0,0,0
+7943636,3,No significant findings in other lung segments.,1,0,0,0,0,0,0,0
+7943636,4,"Lymph nodes in the left supraclavicular fossa are enlarged, suspecting N3.",0,0,0,0,0,1,0,0
+7943636,5,Pleural effusion on the right.,0,0,0,0,0,0,1,0
+7943636,6,Please rule out malignant pleural effusion after confirming with cytology.,0,0,0,0,0,0,1,0
+7943636,7,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+8100850,0,"There is a nodule measuring 17 mm in diameter in the right main bronchus, which correlates to the known mucinous squamous cell carcinoma.",0,1,1,0,0,0,0,0
+8100850,1,The right lower lobe bronchus is obstructed.,0,0,1,0,0,0,0,0
+8100850,2,The right lower lobe is collapsed.,0,0,0,1,0,0,0,0
+8100850,3,A small amount of pleural effusion on the right.,0,0,0,0,0,0,1,0
+8100850,4,No secondary tumor nodules in the ventilated lung.,1,0,0,0,0,0,0,0
+8100850,5,"There is a hypodense nodule directly below the left lobe of the thyroid, possibly lymph node metastasis.
+",0,0,0,0,0,1,0,0
+8100850,6,"No significant enlargement of other mediastinal and hilar lymph nodes, or other mediastinal organic lesions.
+",1,0,0,0,0,0,0,0
+8100850,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+8100850,8,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+8221825,0,"A tumor with a major axis of 12 cm is located in the upper and lower lobe of the left lung, suspecting lung cancer.",0,1,0,0,0,0,0,0
+8221825,1,The tumor is destroying the third rib and infiltrating the chest wall.,0,0,1,0,0,0,0,0
+8221825,2,"Also, mediastinal infiltration is suspected, and it is in close proximity to the aortic arch.",0,0,1,0,0,0,0,0
+8221825,3,"There is a small nodule in the peripheral left upper lobe, a metastatic nodule cannot be ruled out.",0,0,0,0,1,0,0,0
+8221825,4,"The left hilar and ipsilateral mediastinal lymph nodes are enlarged, suspicious of metastasis.",0,0,0,0,0,1,0,0
+8235226,0,Moderate chronic pulmonary emphysema.,1,0,0,0,0,0,0,0
+8235226,1,"An irregular tumor with a long diameter of 47 mm is seen in the left upper lobe at the pulmonary hilum, suspicious primary lung cancer.",0,1,0,0,0,0,0,0
+8235226,2,"It is in extensive contact with the interlobar pleura, suggesting infiltration.",0,0,1,0,0,0,0,0
+8235226,3,Mediastinal fat infiltration is also suspected.,0,0,1,0,0,0,0,0
+8235226,4,No significant enlargement of mediastinal and hilar lymph nodes or other mediastinal organ lesions.,1,0,0,0,0,0,0,0
+8235226,5,No pleural effusion.,1,0,0,0,0,0,0,0
+8235226,6,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+8602016,0,A soft tissue mass in the right hilum correlating to the suspected malignant tumor.,0,1,0,0,0,0,0,0
+8602016,1,"The right lower lobe is atelectatic.
+",0,0,0,1,0,0,0,0
+8602016,2,"A nodule is seen above the left clavicle, possibly lymph node metastasis.
+",0,0,0,0,0,1,0,0
+8602016,3,A small amount of pleural effusion on the right.,0,0,0,0,0,0,1,0
+8760223,0,There is a lobulated tumor with a maximum diameter of 40 mm in S6 of the right lower lobe.,0,1,0,0,0,0,0,0
+8760223,1,"It is surrounded by a ground-glass opacities, and it is considered to be lung cancer.",0,1,0,0,0,0,0,0
+8760223,2,"There is a tubular structure continuous with the tumor, and its lumen is enhanced.",0,0,1,0,0,0,0,0
+8760223,3,There is a possibility that the tumor has infiltrated the bronchus.,0,0,1,0,0,0,0,0
+8760223,4,"There is a focal ground-glass opacity in the right upper lobe, which could be a finding of lung cancer.",0,0,0,0,1,0,0,0
+8760223,5,No mediastinal lymph node enlargement.,1,0,0,0,0,0,0,0
+8760223,6,No pleural effusion.,1,0,0,0,0,0,0,0
+8760223,7,"There are multiple hypodense tumors in the liver, considered to be multiple liver metastases.",0,0,0,0,0,0,0,1
+8811397,0,"There is a lobulated irregular tumor measuring 46 mm in the right lung apex, which is considered to be known of lung cancer.",0,1,0,0,0,0,0,0
+8811397,1,"The right mediastinal lymph nodes are enlarged, suggesting metastasis.",0,0,0,0,0,1,0,0
+8811397,2,"The left adrenal gland is significantly enlarged, possibly metastasis.",0,0,0,0,0,0,0,1
+8811397,3,No pleural effusion.,1,0,0,0,0,0,0,0
+9175672,0,"Enlarged lymph nodes in the right pulmonary hilum and the mediastinum, raising suspicion for lung cancer.",0,0,0,0,0,1,0,0
+9175672,1,"Small lymph nodes can also be seen in the left mediastinum, but their size is not significant. 
+",0,0,0,0,0,1,0,0
+9175672,2,"There is a nodule in the right upper lobe, considered to be a secondary tumor nodule within the same lobe.
+",0,0,0,0,1,0,0,0
+9175672,3,"Ground-glass opacities and reticular opacities are distributed mainly in the lower lung and subpleural area on the right, consistent with interstitial pneumonia. 
+",1,0,0,0,0,0,0,0
+9175672,4,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+9175672,5,The patient has a history of right breast cancer treatment.,1,0,0,0,0,0,0,0
+9175672,6,"No obvious local recurrence or axillary lymph node enlargement.
+",1,0,0,0,0,0,0,0
+9175672,7,"The left adrenal gland is enlarged with an obvious tumor mass, but please follow up to rule out metastasis.
+",0,0,0,0,0,0,0,1
+9175672,8,"No obvious metastasis in the liver, gallbladder, pancreas, spleen, or kidneys.",1,0,0,0,0,0,0,0
+9262204,0,"There is a 12 mm subpleural nodule of the right lower lobe in S9, surrounded by ground-glass opacity.",0,1,0,0,0,0,0,0
+9262204,1,"Compared to the CT in August 2012, it has increased in size, and we suspect lung cancer.",1,0,0,0,0,0,0,0
+9262204,2,"There are subpleural reticular opacities and ground-glass opacities in both lungs, consistent with interstitial pneumonia.",1,0,0,0,0,0,0,0
+9262204,3,"There is a cavitary lesion in the right lower lobe S6, which may be a post-inflammatory change.",1,0,0,0,0,0,0,0
+9262204,4,No pleural effusion.,1,0,0,0,0,0,0,0
+9262204,5,No lymph node enlargement.,1,0,0,0,0,0,0,0
+9262204,6,Gallstones.,1,0,0,0,0,0,0,0
+9262204,7,No other gross abnormalities in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+9524486,0,Emphysema and interstitial changes in both lungs.,1,0,0,0,0,0,0,0
+9524486,1,Thickening and calcification of the pleura on both sides.,1,0,0,0,0,0,0,0
+9524486,2,"Asbestosis seems to be present.
+",1,0,0,0,0,0,0,0
+9524486,3,"An irregular subpleural nodule is found in the right lung in S9 (approximately 12 mm), possibly primary lung cancer associated with asbestosis.
+",0,1,0,0,0,0,0,0
+9524486,4,"Multiple mediastinal lymph nodes, but considering the size of the lung cancer, lymph node hyperplasia related to asbestosis or chronic inflammation is more likely.",1,0,0,0,0,0,0,0
+9635688,0,A dense ground-glass opacity measuring 30 mm in diameter is located in S8 of the right lower lung lobe.,0,1,0,0,0,0,0,0
+9635688,1,It is somewhat indistinct and partially lobulated.,1,0,0,0,0,0,0,0
+9635688,2,It is considered to be consistent with a cancerous lesion.,0,1,0,0,0,0,0,0
+9635688,3,"No clear pleural invasion.
+",1,0,0,0,0,0,0,0
+9635688,4,"Multiple ground-glass opacities of several millimeters in both upper lung lobes, possibly pre-cancerous lesions, recommended for follow-up.
+",0,0,0,0,1,0,0,0
+9635688,5,"No lesions suggestive of lung metastasis.
+",1,0,0,0,0,0,0,0
+9635688,6,"A cord-like opacity is observed in the left lower lung lobe, considered to be a finding of old inflammatory changes.
+",1,0,0,0,0,0,0,0
+9635688,7,"No pathological enlargement of the mediastinal and hilar lymph nodes.
+",1,0,0,0,0,0,0,0
+9635688,8,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+9635688,9,"No significant abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+9635688,10,No bone destruction or sclerotic lesions suggestive of metastasis in the visualized bones.,1,0,0,0,0,0,0,0
+9651856,0,"Plaques with some coarse calcification are scattered on both pleurae, suggesting asbestos-related pleural disease.",1,0,0,0,0,0,0,0
+9651856,1,Mild emphysematous changes of the lung parenchyma.,1,0,0,0,0,0,0,0
+9651856,2,"Ground-glass opacities and reticular opacities are seen in the peripheral lung parenchyma, predominantly in the lower lobes on both sides, suggesting interstitial pneumonia.",1,0,0,0,0,0,0,0
+9651856,3,"An irregular nodule is present on the pleura of the right lower lobe, with a long diameter of 12 mm, which is considered to be the indicated cancer lesion.",0,1,0,0,0,0,0,0
+9651856,4,No pleural invasion.,1,0,0,0,0,0,0,0
+9651856,5,No lesions suggesting lung metastasis.,1,0,0,0,0,0,0,0
+9651856,6,"There is no pathological enlargement of the mediastinal and hilar lymph nodes, or the supraclavicular lymph nodes.",1,0,0,0,0,0,0,0
+9651856,7,No pleural effusion.,1,0,0,0,0,0,0,0
+9651856,8,No metastasis in the visualized liver and adrenal glands.,1,0,0,0,0,0,0,0
+9651856,9,Gallstones.,1,0,0,0,0,0,0,0
+9651856,10,No signs of cholecystitis.,1,0,0,0,0,0,0,0
+9651856,11,No bone destruction or sclerotic lesions suggesting bone metastasis.,1,0,0,0,0,0,0,0
+9673524,0,There is a lobulated tumor with a maximum diameter of 46 mm in the right lung apex.,0,1,0,0,0,0,0,0
+9673524,1,It is accompanied by a ground-glass opacity around it.,1,0,0,0,0,0,0,0
+9673524,2,The tumor is considered to be lung cancer.,0,1,0,0,0,0,0,0
+9673524,3,No pleural effusion.,1,0,0,0,0,0,0,0
+9673524,4,"The right hilar, ipsilateral, and contralateral mediastinal lymph nodes are enlarged, suspicious of lymph node metastasis.",0,0,0,0,0,1,0,0
+9673524,5,No pleural effusion.,1,0,0,0,0,0,0,0
+9673524,6,"The left adrenal gland is enlarged, suspicious of adrenal metastasis.",0,0,0,0,0,0,0,1
+9745005,0,"Emphysema.
+",1,0,0,0,0,0,0,0
+9745005,1,"There is a solid mass with a maximum diameter of 47 mm in the upper lobe of the left lung, without any air inside, suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+9745005,2,Invasion of the visceral pleura is suspected.,0,0,1,0,0,0,0,0
+9745005,3,"There are no findings suggesting lung metastasis.
+",1,0,0,0,0,0,0,0
+9745005,4,No pathological lymph node enlargement in the mediastinum or hilum.,1,0,0,0,0,0,0,0
+9818606,0,"Emphysematous changes of the lung parenchyma.
+",1,0,0,0,0,0,0,0
+9818606,1,A tumor with a diameter of 40 mm is located in the lower lobe of the right lung.,0,1,0,0,0,0,0,0
+9818606,2,"It has a lobulated shape, and lung cancer is strongly suspected.",0,1,0,0,0,0,0,0
+9818606,3,"There are multiple granular opacities and mucus plugs in the periphery, which are considered to be signs of obstructive pneumonia. 
+",0,0,0,1,0,0,0,0
+9818606,4,Ground-glass opacities in both upper lobes of the lungs.,1,0,0,0,0,0,0,0
+9818606,5,Small nodules are scattered along the pleura of the left lung.,1,0,0,0,0,0,0,0
+9818606,6,"Both are suspected to be post-inflammatory changes. 
+",1,0,0,0,0,0,0,0
+9818606,7,"No lesions suggestive of lung metastasis.
+",1,0,0,0,0,0,0,0
+9818606,8,"Multiple rounded lymph nodes in the upper mediastinum without pathological enlargment, but likely to be metastases. 
+",0,0,0,0,0,1,0,0
+9818606,9,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+9818606,10,A faint hyperdense stone with a diameter of 13 mm is observed in the lower part of the common bile duct.,1,0,0,0,0,0,0,0
+9818606,11,"The upstream bile duct is dilated, which is considered to be due to stone impaction. 
+",1,0,0,0,0,0,0,0
+9818606,12,Numerous gallstones.,1,0,0,0,0,0,0,0
+9818606,13,"The gallbladder is enlarged and its wall is thickened, possibly with accompanying inflammation.
+",1,0,0,0,0,0,0,0
+9818606,14,"Multiple poorly defined hypodense tumors in the liver, primarily suspicious of metastes, but coexistence of liver abscesses is also considered.
+",0,0,0,0,0,0,0,1
+9818606,15,"Multiple enlarged, nearly round lymph nodes in the porta hepatis, possibly metastases.
+",0,0,0,0,0,0,0,1
+9818606,16,"No pathological enlargement of other abdominal lymph nodes. 
+",1,0,0,0,0,0,0,0
+9818606,17,"No lesions suggestive of adrenal metastasis.
+",1,0,0,0,0,0,0,0
+9818606,18,"There is a cyst in the left kidney. 
+",1,0,0,0,0,0,0,0
+9818606,19,"No significant abnormalities in the pancreas and spleen. 
+",1,0,0,0,0,0,0,0
+9818606,20,"No obvious tumors in the gastrointestinal tract. 
+",1,0,0,0,0,0,0,0
+9818606,21,"Ascites. 
+",1,0,0,0,0,0,0,0
+9818606,22,No bone destruction or sclerotic lesions strongly suggestive of metastasis in the visualized bones.,1,0,0,0,0,0,0,0
+9905822,0,"A tumor with a major axis of 4.6 cm is located in the right lung apex, surrounded by spiculated opacities.",0,1,0,0,0,0,0,0
+9905822,1,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+9905822,2,"Pleural invasion is present at the lung apex, considered as T3.
+",0,1,1,0,0,0,0,0
+9905822,3,"Bullae are scattered in the left upper lobe of the lung.
+",1,0,0,0,0,0,0,0
+9905822,4,"Enlargement of the mediastinal lymph nodes in level 4R, suspecting metastasis.",0,0,0,0,0,1,0,0
+9905822,5,"No enlargement of the lymph nodes on the opposite side, considered as N2.
+",0,0,0,0,0,1,0,0
+9905822,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+9905822,7,"There is a tumor with a major axis of 5.8 cm in the left adrenal gland, suspicious of metastasis.",0,0,0,0,0,0,0,1
+9905822,8,"No other lesions suspected of metastasis, considered as M1b.
+",0,0,0,0,0,0,0,1
+9905822,9,No other significant findings in the visualized abdomen.,1,0,0,0,0,0,0,0
+10223615,0,A lobulated irregular mass of about 3 cm is located in the subpleural area of the peripheral right lung lower lobe in S8.,0,1,0,0,0,0,0,0
+10223615,1,"The main component is solid, but ground-glass opacities can also be seen in its periphery.",0,1,0,0,0,0,0,0
+10223615,2,Pleural retraction is also observed.,0,0,1,0,0,0,0,0
+10223615,3,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+10320785,0,"Multiple tumors are present, spreading from the right hilum to the mediastinum.",0,1,1,0,0,1,0,0
+10320785,1,It is considered to be known small cell carcinoma and its metastases.,0,1,0,0,0,1,0,0
+10320785,2,"The size of the primary tumor is unknown.
+",1,0,0,0,0,0,0,0
+10320785,3,"There is a pleura-based nodule in the right upper lobe, suspicious of metastasis.
+",0,0,0,0,1,0,1,0
+10320785,4,"Reticular opacities are located in the peripheral lung parenchyma, predominantly in the lower lobe.",1,0,0,0,0,0,0,0
+10320785,5,"Interstitial pneumonia is suspected.
+",1,0,0,0,0,0,0,0
+10320785,6,"No findings suggesting recurrence of breast cancer or lymph node metastasis in both breasts, parasternal, axillary, and supraclavicular fossa.
+",1,0,0,0,0,0,0,0
+10320785,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+10320785,8,"No lesions suspected of metastasis in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+10320785,9,No bone destruction or bone sclerosis suggesting bone metastasis.,1,0,0,0,0,0,0,0
+10405379,0,"There is a nodule of 17 mm in diameter in the right main bronchus, which appears to be part of the known mucinous squamous cell carcinoma.",0,1,1,0,0,0,0,0
+10405379,1,"The right lower lobe branch is obstructed, causing atelectasis of the lower lobe.",0,0,1,1,0,0,0,0
+10405379,2,Pleural effusion on the right.,0,0,0,0,0,0,1,0
+10405379,3,No pathological lymph node enlargement.,1,0,0,0,0,0,0,0
+10405379,4,No significant lesions in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+11013624,0,"There is a large 12 cm hypodense tumor in the left upper lobe, considered to be lung cancer.",0,1,0,0,0,0,0,0
+11013624,1,"It is widely in contact with the pleura on the mediastinal side, and pleural invasion is suspected.",0,0,1,0,0,0,0,0
+11013624,2,There is no direct invasion to the mediastinum.,1,0,0,0,0,0,0,0
+11013624,3,"The left pulmonary hilum and ipsilateral mediastinal lymph nodes are enlarged, suspicious of metases.",0,0,0,0,0,1,0,0
+11013624,4,The left third rib is directly invaded by the tumor.,0,0,1,0,0,0,0,0
+11013624,5,No pleural effusion.,1,0,0,0,0,0,0,0
+11013624,6,No adrenal metastasis.,1,0,0,0,0,0,0,0
+11044030,0,"There is a noticeable chain-like lymph node enlargement in the mediastinum, which is believed to be a known lymph node lesion.",0,0,0,0,0,1,0,0
+11044030,1,A small nodule is observed in the right upper lobe.,0,1,0,0,0,0,0,0
+11044030,2,Could this be a primary lung cancer lesion?,0,1,0,0,0,0,0,0
+11044030,3,No pleural effusion.,1,0,0,0,0,0,0,0
+11079957,0,"A solid tumor-like lesion of approximately 72 mm is located in the center of the left lung's lower lobe, S10.",0,1,0,0,0,0,0,0
+11079957,1,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+11079957,2,"It is in contact with the pleura, and pleural invasion is suspected.",0,0,1,0,0,0,0,0
+11079957,3,"Pleural effusion and pleural thickening are noted, suspecting pleural dissemination.
+",0,0,0,0,0,0,1,0
+11079957,4,"There are nodules in the upper lobe of the left lung, suspicious of intra-lobe metastasis on the same side.
+",0,0,0,0,1,0,0,0
+11079957,5,"Numerous enlarged lymph nodes in the left axilla, suspicious of distant lymph node metastases.
+",0,0,0,0,0,0,0,1
+11079957,6,"Osteolytic lesions in the left scapula and humerus, forming tumor-like masses, suggesting bone metastases.
+",0,0,0,0,0,0,0,1
+11079957,7,"A nodule is observed in the mid-dorsal subcutaneous area, which is cystic, and a sebaceous cyst is suspected here.",1,0,0,0,0,0,0,0
+11117507,0,There is a 50 mm neoplastic lesion with spiculated margins in the right lung apex.,0,1,0,0,0,0,0,0
+11117507,1,"It is widely in contact with the pleura, and pleural invasion is suspected.",0,0,1,0,0,0,0,0
+11117507,2,There is no invasion to the ribs.,1,0,0,0,0,0,0,0
+11117507,3,"Both lungs have subpleural reticular opacities and ground-glass opacities, suggesting interstitial pneumonia.",1,0,0,0,0,0,0,0
+11117507,4,No lung metastasis.,1,0,0,0,0,0,0,0
+11117507,5,No pleural effusion.,1,0,0,0,0,0,0,0
+11117507,6,No liver or adrenal metastasis.,1,0,0,0,0,0,0,0
+11328933,0,"In the coronary reconstruction images, mixed ground-glass opacity (GGO) is observed in the right lower lobe of the lung, considered to be the known lung cancer.",0,1,0,0,0,0,0,0
+11328933,1,"The solid part is 3 cm in diameter, which is considered T1c.
+",0,1,0,0,0,0,0,0
+11328933,2,A ground-glass nodule is also seen in the apex of the left lung.,0,0,0,0,1,0,0,0
+11328933,3,"Although small, it is nearly fully rounded and well-differentiated adenocarcinoma cannot be ruled out.",0,0,0,0,1,0,0,0
+11328933,4,"Please confirm histologically if there is an increase in size in follow-up.
+",0,0,0,0,1,0,0,0
+11328933,5,"No mediastinal or hilar lymph node enlargement.
+",1,0,0,0,0,0,0,0
+11328933,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+11328933,7,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+11595888,0,"A 50 mm tumor is located in the apex of the right lung, in contact with the pleura.",0,1,0,0,0,0,0,0
+11595888,1,The tumor has irregular margins and spiculated appearance.,1,0,0,0,0,0,0,0
+11595888,2,"Osteolytic lesions are observed in the right second rib in contact with the tumor, suggesting infiltration.",0,0,1,0,0,0,0,0
+11595888,3,These findings strongly suggest lung cancer.,0,1,0,0,0,0,0,0
+11595888,4,Emphysematous changes are observed in the lung parenchyma.,1,0,0,0,0,0,0,0
+11595888,5,"Ground glass opacities and reticular opacities are present in the peripheral lung parenchyma, suggesting emphysema complicated by interstitial pneumonia.",1,0,0,0,0,0,0,0
+11595888,6,No findings suggestive of metastasis in the lungs.,1,0,0,0,0,0,0,0
+11595888,7,"Numerous mildly enlarged lymph nodes in the mediastinum and hilar region, which are considered to be reactive enlargement.",0,0,0,0,0,1,0,0
+11595888,8,There is no pathological enlargement.,1,0,0,0,0,0,0,0
+11595888,9,No pleural effusion.,1,0,0,0,0,0,0,0
+11595888,10,Diffuse enlargement of the thyroid gland.,0,0,0,0,0,0,0,1
+11595888,11,Please evaluate thyroid function.,0,0,0,0,0,0,0,1
+11595888,12,"There seems to be a tumor in the left adrenal gland, but it's only partially visualized and difficult to evaluate.",0,0,0,0,0,0,0,1
+11595888,13,"Due to the lack of native CT images, it is also difficult to evaluate density values and contrast enhancement.",0,0,0,0,0,0,0,1
+11595888,14,"There is a possibility of metastasis, so further detailed examination with MRI or PET is recommended.",0,0,0,0,0,0,0,1
+11595888,15,No significant abnormal findings in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+11595888,16,No bone destruction or sclerotic lesions in the visualized bones.,1,0,0,0,0,0,0,0
+11604112,0,"Emphysematous changes of the lung parenchyma.
+",1,0,0,0,0,0,0,0
+11604112,1,"An irregular mass is located in the apex of the right lung, which is considered to be a known cancer lesion.",0,1,0,0,0,0,0,0
+11604112,2,Its longest diameter is 46 mm.,0,1,0,0,0,0,0,0
+11604112,3,"It is widely in contact with the pleura, suggesting invasion.",0,0,1,0,0,0,0,0
+11604112,4,"However, clear invasion into the chest wall cannot be pointed out. 
+",0,0,1,0,0,0,0,0
+11604112,5,"No lesions suspicious of lung metastasis. 
+",1,0,0,0,0,0,0,0
+11604112,6,"Pathological enlargement of the lymph nodes near the trachea, suspicious of metastases.",0,0,0,0,0,1,0,0
+11604112,7,"No pathological enlargement in the supraclavicular lymph nodes. 
+",1,0,0,0,0,0,0,0
+11604112,8,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+11604112,9,"A coarse tumor is seen in the left adrenal gland, suspecting metastasis. 
+",0,0,0,0,0,0,0,1
+11604112,10,"No significant abnormal findings in other visualized upper abdominal organs. 
+",1,0,0,0,0,0,0,0
+11604112,11,No bone destruction or bone sclerosis suggesting metastasis in the visualized bones.,1,0,0,0,0,0,0,0
+11650032,0,"There is an irregular tumor measuring 35 mm in the distal part of the left lower lobe, accompanied by retraction of the interlobar pleura.",0,1,1,0,0,0,0,0
+11650032,1,"There is a nodule measuring 8 mm in the left lower lobe, suspected to be a metastatic nodule.",0,0,0,0,1,0,0,0
+11650032,2,"Lymph nodes in the left hilum are enlarged, suggesting metastasis.",0,0,0,0,0,1,0,0
+11650032,3,No significant mediastinal lymph node enlargement.,1,0,0,0,0,0,0,0
+11650032,4,No pleural effusion.,1,0,0,0,0,0,0,0
+11650032,5,"In the liver, there is a hypodense area near the gallbladder bed, suggesting multiple liver metastases.",0,0,0,0,0,0,0,1
+11650032,6,"There are edematous changes around the gallbladder, which may be due to portal vein congestion.",1,0,0,0,0,0,0,0
+11650032,7,Bilateral renal cysts.,1,0,0,0,0,0,0,0
+11650032,8,"No other obvious metastases, including in the adrenal glands.",1,0,0,0,0,0,0,0
+11650032,9,No para-aortic lymph node enlargement or ascites.,1,0,0,0,0,0,0,0
+11789977,0,"No comparable imaging studies are available.
+",1,0,0,0,0,0,0,0
+11789977,1,Atelectasis is observed in the left lingular segment and part of the upper lobe.,0,0,0,1,0,0,0,0
+11789977,2,"No tumor can be seen centrally, but there is narrowing and obstruction of the airways from the left main bronchus to the peripheral bronchi, which is considered to be lung cancer accompanied by atelectasis.
+",0,0,1,1,0,0,0,0
+11789977,3,"There are no obvious metastases or other active lesions in the lung parenchyma.
+",1,0,0,0,0,0,0,0
+11789977,4,"A lymph node with a short diameter of about 9 mm is found in the left mediastinum, and metastasis is suspected.
+",0,0,0,0,0,1,0,0
+11789977,5,"No significant lymphadenopathy in other areas.
+",1,0,0,0,0,0,0,0
+11789977,6,Pleural effusion on the left.,0,0,0,0,0,0,1,0
+11789977,7,"There are no findings that suggest pleural dissemination, such as irregular thickening of the pleura.
+",1,0,0,0,0,0,0,0
+11789977,8,"There are no obvious abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+11789977,9,"There is no ascites.
+",1,0,0,0,0,0,0,0
+11789977,10,There are no other significant findings.,1,0,0,0,0,0,0,0
+12912312,0,"No comparable imaging examinations are available.
+",1,0,0,0,0,0,0,0
+12912312,1,A tumor mass of 72 mm in diameter is located in the lower lobe of the left lung.,0,1,0,0,0,0,0,0
+12912312,2,It is considered to correspond to known lung cancer.,0,1,0,0,0,0,0,0
+12912312,3,"There are no obvious metastases in the lungs.
+",1,0,0,0,0,0,0,0
+12912312,4,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+12912312,5,Pleural effusion on the left.,0,0,0,0,0,0,1,0
+12912312,6,"The pleura is slightly thickened, suggesting the possibility of dissemination.
+",0,0,0,0,0,0,1,0
+12912312,7,"Numerous enlarged lymph nodes in the mediastinum, including below the bifurcation of the trachea, and in the left axilla, raising suspicion of metastasis.",0,0,0,0,0,1,0,1
+12912312,8,"No other significant lymph node enlargement visualized.
+",1,0,0,0,0,0,0,0
+12912312,9,"Osteolytic tumors are observed in the left scapula and humerus, suggesting the possibility of bone metastasis.
+",0,0,0,0,0,0,0,1
+12912312,10,"No obvious abnormalities are observed in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+12912312,11,"No ascites.
+",1,0,0,0,0,0,0,0
+12912312,12,No other significant findings.,1,0,0,0,0,0,0,0
+12958437,0,"Emphysematous changes and bullae in the lung parenchyma. 
+",1,0,0,0,0,0,0,0
+12958437,1,A tumorous lesion measuring 27 × 34 × 46 mm is observed in the right upper lobe of the lung.,0,1,0,0,0,0,0,0
+12958437,2,No intralesional air.,1,0,0,0,0,0,0,0
+12958437,3,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+12958437,4,"It is in contact with the pleura, and visceral pleural invasion is suspected.
+",0,0,1,0,0,0,0,0
+12958437,5,"The mediastinal lymph nodes are enlarged to about 15 mm, and mediastinal lymph node metastasis is suspected.
+",0,0,0,0,0,1,0,0
+12958437,6,"A left adrenal nodule is observed (58mm), suspicious of metastasis.",0,0,0,0,0,0,0,1
+13029131,0,A tumor is located in the left pulmonary hilum.,0,1,0,0,0,0,0,0
+13029131,1,"It protrudes into parts of the upper lobe bronchus, and the periphery has become alectatic.",0,0,1,1,0,0,0,0
+13029131,2,"Towards the mediastinum, it is in contact with the heart and there is a possibility of invasion.",0,0,1,0,0,0,0,0
+13029131,3,"It is considered T4.
+",0,1,1,1,0,0,0,0
+13029131,4,"Small nodules are scattered in the lower lobe of the right lung, but they are mainly polygonal and inflammatory nodules are suspected.
+",0,0,0,0,1,0,0,0
+13029131,5,"There are multiple rounded masses in the left pulmonary hilum region, suspicious of lymph node metastases.
+",0,0,0,0,0,1,0,0
+13029131,6,"No enlargement of the mediastinal lymph nodes.
+",1,0,0,0,0,0,0,0
+13029131,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13029131,8,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+13358309,0,"There is a tumor with a maximum diameter of 30 mm in the left lower lobe S6, and a focal ground-glass opacity of 9 mm in contact with the tumor. 
+",0,1,0,0,0,0,0,0
+13358309,1,"In addition, there is a nodule of 8 mm along the interlobar pleura of the left lower lobe S6. 
+",0,0,0,0,1,0,0,0
+13358309,2,"Lung cancer and pulmonary metastases are suspected. 
+",0,1,0,0,1,0,0,0
+13358309,3,"The left hilar lymph nodes are enlarged, considered to be metastases.
+",0,0,0,0,0,1,0,0
+13358309,4,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+13358309,5,"There is an hypodense tumor in the liver, segment S5, considered to be metastasis.
+",0,0,0,0,0,0,0,1
+13358309,6,"Bilateral renal cysts are present. 
+",1,0,0,0,0,0,0,0
+13358309,7,"There is a noticeable accumulation of feces in the colon. 
+",1,0,0,0,0,0,0,0
+13358309,8,"No significant abnormalities in other abdominal organs. 
+",1,0,0,0,0,0,0,0
+13358309,9,"No ascites. 
+",1,0,0,0,0,0,0,0
+13358309,10,No obvious enlargement of abdominal lymph nodes.,1,0,0,0,0,0,0,0
+13567317,0,Interstitial pneumonia and pulmonary emphysema.,1,0,0,0,0,0,0,0
+13567317,1,"A condition that is prone to the development of lung cancer, such as emphysema combined with pulmonary fibrosis, is suspected.
+",1,0,0,0,0,0,0,0
+13567317,2,A tumorous lesion of approximately 50 mm is located mainly in the right upper lobe of the lung.,0,1,0,0,0,0,0,0
+13567317,3,"Primary lung cancer is suspected.
+",0,1,0,0,0,0,0,0
+13567317,4,"Infiltration into the visceral pleura is suspected.
+",0,0,1,0,0,0,0,0
+13567317,5,"Soft tissue masses are found from the right hilum to the mediastinum, possibly lymph node metastases.",0,0,0,0,0,1,0,0
+13658329,0,There is suspicion of chronic pulmonary emphysema in the lung parenchyma.,1,0,0,0,0,0,0,0
+13658329,1,"A tumor with a long diameter of 50 mm with spiculated margins and extensive contact to the pleura, is located in the right lung apex.",0,1,1,0,0,0,0,0
+13658329,2,Lung cancer with visceral pleural invasion is suspected.,0,1,1,0,0,0,0,0
+13658329,3,No obvious secondary tumor nodules in the lungs.,1,0,0,0,0,0,0,0
+13658329,4,No significant enlargement of the mediastinal and hilar lymph nodes or other mediastinal organ lesions.,1,0,0,0,0,0,0,0
+13658329,5,No pleural effusion.,1,0,0,0,0,0,0,0
+13658329,6,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+14133008,0,"There is a 72 mm tumor in the left lower lobe, which is considered to be the primary focus of known lung cancer.",0,1,0,0,0,0,0,0
+14133008,1,Pleural effusion on the left.,0,0,0,0,0,0,1,0
+14133008,2,Pleural dissemination cannot be ruled out.,0,0,0,0,0,0,1,0
+14133008,3,"The lymph nodes below the tracheal bifurcation are enlarged, suspicious of metastases.",0,0,0,0,0,1,0,0
+14133817,0,"Chest:
+Emphysematous changes.
+",1,0,0,0,0,0,0,0
+14133817,1,"A 40 mm tumor is located in the right lower lobe, accompanied by pleural invasion.",0,1,1,0,0,0,0,0
+14133817,2,Lung cancer is suspected.,0,1,0,0,0,0,0,0
+14133817,3,"A bronchial mucus plug is suspected below the tumor, but a tumor thrombus cannot be ruled out.
+",0,0,1,0,0,0,0,0
+14133817,4,"There is a faint ground-glass opacity in the right upper lobe, which may be an inflammatory change.",1,0,0,0,0,0,0,0
+14133817,5,"Please follow up.
+",1,0,0,0,0,0,0,0
+14133817,6,"The right hilar lymph nodes are slightly enlarged, suggesting metastases.",0,0,0,0,0,1,0,0
+14133817,7,"No enlargement of the mediastinal lymph nodes.
+",1,0,0,0,0,0,0,0
+14133817,8,"No pleural effusion.
+
+",1,0,0,0,0,0,0,0
+14133817,9,"Abdomen to Pelvic area:
+Multiple tumors are found in the liver, suggesting multiple liver metastases.
+",0,0,0,0,0,0,0,1
+14133817,10,Numerous gallstones.,1,0,0,0,0,0,0,0
+14133817,11,"Also, there's a stone in the common bile duct stone, and the upstream common bile duct is dilated.
+",1,0,0,0,0,0,0,0
+14133817,12,"There is a nodule in contact with the hepatic portal area and gallbladder, suggesting lymph node metastasis.
+",0,0,0,0,0,0,0,1
+14133817,13,"A left renal cyst is present.
+",1,0,0,0,0,0,0,0
+14133817,14,"No enlargement of the para-aortic lymph nodes.
+",1,0,0,0,0,0,0,0
+14133817,15,Ascites is present.,1,0,0,0,0,0,0,0
+15005039,0,"No comparable imaging studies are available. 
+",1,0,0,0,0,0,0,0
+15005039,1,"A lobulated tumor mass, measuring 46 mm in the longest dimension, is observed in the right lung apex, which is considered to be a finding of known lung cancer. 
+",0,1,0,0,0,0,0,0
+15005039,2,Centrilobular emphysema is seen mainly in the upper lung.,1,0,0,0,0,0,0,0
+15005039,3,"There are no obvious metastases or other active lesions in the lungs. 
+",1,0,0,0,0,0,0,0
+15005039,4,"Enlargement of the right lower paratracheal lymph node is observed, suggesting metastasis.",0,0,0,0,0,1,0,0
+15005039,5,"The size of the lymph nodes below the tracheal bifurcation and on the opposite mediastinum is also somewhat prominent, but the findings are nonspecific. 
+",0,0,0,0,0,1,0,0
+15005039,6,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+15005039,7,"A tumor measuring approximately 58 mm in the longest dimension is observed in the left adrenal gland, raising suspicion of metastasis. 
+",0,0,0,0,0,0,0,1
+15005039,8,"No other obvious abnormalities in the visualized upper abdomen. 
+",1,0,0,0,0,0,0,0
+15005039,9,"No ascites. 
+",1,0,0,0,0,0,0,0
+15005039,10,No other significant findings.,1,0,0,0,0,0,0,0
+15045923,0,"A tumor shadow of 50 mm is located in the apex of the right lung with irregular shape and spiculated margins, suggesting lung cancer.",0,1,0,0,0,0,0,0
+15045923,1,"It is widely in contact with the chest wall, suspecting infiltration.",0,0,1,0,0,0,0,0
+15045923,2,"There are interstitial changes such as mild emphysematous changes mainly subpleural, reticular opacities, and ground-glass opacities.",1,0,0,0,0,0,0,0
+15045923,3,No significant lymph node enlargement in the mediastinum.,1,0,0,0,0,0,0,0
+15045923,4,There is no pleural effusion.,1,0,0,0,0,0,0,0
+15059875,0,"There is a lobulated tumor with a long diameter of 4.0 cm in the right lower lobe of the lung, suspecting lung cancer.",0,1,0,0,0,0,0,0
+15059875,1,"There are nodular opacities around the lesion, suspected to be obstructive atelectasis due to the tumor.",0,0,0,1,0,0,0,0
+15059875,2,"It is considered T2.
+",0,1,0,1,0,0,0,0
+15059875,3,"Lymph node enlargement is seen on the right side of the trachea, suspecting metastasis.",0,0,0,0,0,1,0,0
+15059875,4,No enlargement is observed in the lymph nodes on the opposite side.,1,0,0,0,0,0,0,0
+15059875,5,"It is considered N2.
+",0,0,0,0,0,1,0,0
+15059875,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+15059875,7,"Multiple tumors are found in the liver, suspecting multiple metastases.",0,0,0,0,0,0,0,1
+15059875,8,"It is considered M1c.
+",0,0,0,0,0,0,0,1
+15059875,9,"No tumorous lesions in the adrenal glands.
+",1,0,0,0,0,0,0,0
+15059875,10,Significant dilation of the common bile duct and intrahepatic bile duct.,1,0,0,0,0,0,0,0
+15059875,11,"A hypodense stone is seen in the lower common bile duct.
+",1,0,0,0,0,0,0,0
+15059875,12,"A cyst is found in the left kidney.
+",1,0,0,0,0,0,0,0
+15059875,13,"No significant findings in the spleen.
+",1,0,0,0,0,0,0,0
+15059875,14,"No abdominal lymph node enlargement.
+",1,0,0,0,0,0,0,0
+15059875,15,"Ascites is present in the pelvic cavity.
+",1,0,0,0,0,0,0,0
+15059875,16,No findings suggesting bone metastasis.,1,0,0,0,0,0,0,0
+15095613,0,Severe emphysematous changes.,1,0,0,0,0,0,0,0
+15095613,1,"There is an irregular tumor of 47 mm in the upper lobe of the left lung, suspecting lung cancer.",0,1,0,0,0,0,0,0
+15095613,2,The tumor has narrowed the upper lobe bronchus.,0,0,1,0,0,0,0,0
+15095613,3,"Also, the tumor is closely associated with the main trunk of the left pulmonary artery, raising suspicion of invasion.",0,0,1,0,0,0,0,0
+15095613,4,Please re-evaluate in contrast-enhanced imaging.,0,0,1,0,0,0,0,0
+15095613,5,"The tumor is also in contact with the mediastinum near the aortic arch, and evaluation of mediastinal invasion by contrast-enhanced images is recommended.",0,0,1,0,0,0,0,0
+15095613,6,The tumor appears to be a mass with the left hilum lymph nodes.,0,0,0,0,0,1,0,0
+15095613,7,No coarse mediastinal lymphadenopathy.,1,0,0,0,0,0,0,0
+15095613,8,No pleural effusion.,1,0,0,0,0,0,0,0
+15410359,0,"No comparable imaging studies are available.
+",1,0,0,0,0,0,0,0
+15410359,1,A tumor mass measuring 50 mm in diameter is located in the right lung apex.,0,1,0,0,0,0,0,0
+15410359,2,The lesion is in close proximity to the pleura and extends close to the ribs.,0,0,1,0,0,0,0,0
+15410359,3,"There is a possibility of pleural invasion.
+",0,0,1,0,0,0,0,0
+15410359,4,Small nodules are found in the right upper lobe.,0,0,0,0,1,0,0,0
+15410359,5,"Their size is too small for a specific diagnosis, please follow up.
+",0,0,0,0,1,0,0,0
+15410359,6,Centrilobular emphysema is seen mainly in the upper lungs.,1,0,0,0,0,0,0,0
+15410359,7,"Interstitial changes such as ground-glass opacities, reticular opacities, and cystic changes are seen in the peripheral areas of both lower lobes.
+",1,0,0,0,0,0,0,0
+15410359,8,"No other obvious active lesions are observed in the lungs.
+",1,0,0,0,0,0,0,0
+15410359,9,"The size of the lymph nodes at the right hilum and below the tracheal bifurcation is noticeable, suggesting the possibility of metastasis.",0,0,0,0,0,1,0,0
+15410359,10,"Please also evaluate with PET-CT.
+",1,0,0,0,0,0,0,0
+15410359,11,"No other significant lymph node enlargement visualized.
+",1,0,0,0,0,0,0,0
+15410359,12,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+15410359,13,A hypodense tumor is found in the left adrenal gland.,0,0,0,0,0,0,0,1
+15410359,14,"Detailed evaluation is difficult as it is only partially visualized, but metastasis cannot be ruled out.",0,0,0,0,0,0,0,1
+15410359,15,"Please consider additional abdominal CT.
+",1,0,0,0,0,0,0,0
+15410359,16,"No other obvious abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+15410359,17,"No ascites.
+",1,0,0,0,0,0,0,0
+15410359,18,No other significant findings.,1,0,0,0,0,0,0,0
+15465590,0,"There is a tumor with a long diameter of 72 mm in the left lower lobe, suspecting primary lung cancer.",0,1,0,0,0,0,0,0
+15465590,1,Ground-glass opacity and interlobular septal thickening are present around the tumor.,0,0,0,0,1,0,0,0
+15465590,2,There is a possibility of lymphangitic carcinomatosis.,0,0,0,0,1,0,0,0
+15465590,3,"A few lymph nodes in the left axilla are enlarged, suspecting metastasis.",0,0,0,0,0,0,0,1
+15465590,4,Pleural effusion on the left.,0,0,0,0,0,0,1,0
+15465590,5,"Osteolytic lesions are found in the left humerus and scapula, suspecting bone metastasis.",0,0,0,0,0,0,0,1
+15465590,6,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+15465590,7,"Subcutaneous nodules in the chest and back are observed, suspecting benign nodules such as sebaceous cysts.",1,0,0,0,0,0,0,0
+15654062,0,"An irregular tumor mass of 46 mm is located in the apex of the right lung, suggesting lung cancer.",0,1,0,0,0,0,0,0
+15654062,1,"It is widely in contact with the pleura, and there is a possibility of infiltration.
+",0,0,1,0,0,0,0,0
+15654062,2,"Bronchiectases in the left upper lobe.
+",1,0,0,0,0,0,0,0
+15654062,3,"Enlarged lymph nodes in the mediastinum, suggesting metastasis.
+",0,0,0,0,0,1,0,0
+15654062,4,"There is no pleural effusion.
+",1,0,0,0,0,0,0,0
+15654062,5,"There is a tumor in the left adrenal region, with an increased density of the surrounding fat tissue.",0,0,0,0,0,0,0,1
+15654062,6,Differential diagnoses include metastasis and hematoma.,0,0,0,0,0,0,0,1
+15702092,0,"There is a large tumor with a diameter of 12 cm in the left upper lobe of the lung, which is believed to be a known primary lesion.",0,1,0,0,0,0,0,0
+15702092,1,Mediastinal infiltration is suspected.,0,0,1,0,0,0,0,0
+15702092,2,There are also two small nodules around it.,0,0,0,0,1,0,0,0
+15702092,3,"Lung cancer with intra-lobe metastasis is suggested.
+",0,1,0,0,1,0,0,0
+15702092,4,Left mediastinal lymph node metastasis is suspected.,0,0,0,0,0,1,0,0
+15702092,5,No coarse lesions in the upper abdomen.,1,0,0,0,0,0,0,0
+15853567,0,"Emphysematous changes.
+",1,0,0,0,0,0,0,0
+15853567,1,A tumor mass of 40 mm is found in the right lower lobe.,0,1,0,0,0,0,0,0
+15853567,2,"Lung cancer is suspected.
+",0,1,0,0,0,0,0,0
+15853567,3,"Ground-glass opacities are scattered in the right upper lobe, possibly inflammatory changes, recommended to follow up.
+",1,0,0,0,0,0,0,0
+15853567,4,"No significant lymph node enlargement in the mediastinum.
+",1,0,0,0,0,0,0,0
+15853567,5,"There is no pleural effusion.
+",1,0,0,0,0,0,0,0
+15853567,6,"Hypodense tumors are scattered in the liver, and multiple liver metastases are suspected.
+",0,0,0,0,0,0,0,1
+15853567,7,"Gallstones.
+",1,0,0,0,0,0,0,0
+15853567,8,"Common bile duct stones, accompanied by bile duct dilation.
+",1,0,0,0,0,0,0,0
+15853567,9,"A cyst is found in the left kidney.
+",1,0,0,0,0,0,0,0
+15853567,10,"No significant lymph node enlargement in the periaortic region.
+",1,0,0,0,0,0,0,0
+15853567,11,There is ascites in the pelvic region.,1,0,0,0,0,0,0,0
+16564891,0,A nodule is present in the right hilum to the right bronchus (the nodular part is approximately 17 mm).,0,1,1,0,0,0,0,0
+16564891,1,Primary bronchial carcinoma (adenosquamous carcinoma) originating from the right hilum bronchus is suspected.,0,1,1,0,0,0,0,0
+16564891,2,"The ventilation of the right lower and middle lobes is decreased, and air bronchograms and mucus plugs are also observed, considered to be an obstructive atelectasis of the right lower and middle lobes due to bronchial carcinoma.",0,0,0,1,0,0,0,0
+16564891,3,"The ventilation of the right upper lobe is normal.
+",1,0,0,0,0,0,0,0
+16564891,4,"No obvious nodules in the left lung.
+",1,0,0,0,0,0,0,0
+16564891,5,"The right hilar lymph nodes are conglomerated, and lymph node metastasis is suspected.",0,0,0,0,0,1,0,0
+16564891,6,"The mediastinal lymph nodes are also enlarged, suggesting metastasis.",0,0,0,0,0,1,0,0
+16573882,0,"Mild emphysematous changes.
+",1,0,0,0,0,0,0,0
+16573882,1,"There is a 12 mm subpleural nodule in the right lower lobe, considered to be the indicated lung cancer lesion.
+",0,1,0,0,0,0,0,0
+16573882,2,"No significant lymph node enlargement in the mediastinum.
+",1,0,0,0,0,0,0,0
+16573882,3,There is no pleural effusion.,1,0,0,0,0,0,0,0
+16625166,0,"A tumorous lesion accompanied by a atelectatic lung is observed in the left upper lobe, suggesting to be a finding of known lung cancer.",0,1,0,1,0,0,0,0
+16625166,1,Infiltration into the pleura and mediastinum is suspected.,0,0,1,0,0,0,0,0
+16625166,2,"The hilar lymph nodes appear enlarged, indicating a possibility of metastasis.",0,0,0,0,0,1,0,0

english_val.csv

@@ -0,0 +1,596 @@
+id,sentence_index,text,omittable,measure,extension,atelectasis,satellite,lymphadenopathy,pleural,distant
+147290,0,"37 mm mass in the left pulmonary hilum, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+147290,1,No significant lymph node enlargement in the mediastinum.,1,0,0,0,0,0,0,0
+147290,2,No pleural effusion.,1,0,0,0,0,0,0,0
+147290,3,"Subcutaneous lesion at the back, likely a sebaceous cyst.",1,0,0,0,0,0,0,0
+241752,0,Focal ground-glass opacity measuring 14 x 15 mm in the right lower lobe.,0,1,0,0,0,0,0,0
+241752,1,No significant solid portion.,0,1,0,0,0,0,0,0
+241752,2,A blood vessel is passing through the lesion.,1,0,0,0,0,0,0,0
+241752,3,This finding is considered to be a known lung cancer.,0,1,0,0,0,0,0,0
+241752,4,No mediastinal lymph node enlargement.,1,0,0,0,0,0,0,0
+241752,5,No pleural effusion.,1,0,0,0,0,0,0,0
+241752,6,No significant abnormalities in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+876951,0,"Tumor with a maximum diameter of 37 mm, mainly on the dorsal side of the left upper lung lobe, protruding into the lower lobe across the interlobar pleura.",0,1,1,0,0,0,0,0
+876951,1,Spiculated margins and a cavity are present in the mass.,1,0,0,0,0,0,0,0
+876951,2,The findings are consistent with lung cancer.,0,1,0,0,0,0,0,0
+876951,3,"The tumor is in contact with the left pulmonary artery, but no clear irregularities or narrowing of the vessel wall, indicative of invasion, can be seen.",0,0,1,0,0,0,0,0
+876951,4,"Small nodules scattered along the pleura of both lungs, without pleural effusion, likely benign changes such as inflammatory scars and less likely tumor dissemination.",0,0,0,0,0,0,1,0
+876951,5,No pathological enlargement of the mediastinal and hilar lymph nodes.,1,0,0,0,0,0,0,0
+876951,6,"A smooth-bordered mass, likely a benign lesion such as a sebaceous cyst, in the subcutaneous tissue of the right back.",1,0,0,0,0,0,0,0
+876951,7,No findings suspicious of metastasis in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+923073,0,A mass with a maximum diameter of 3.7 cm in the left upper lobe of the lung.,0,1,0,0,0,0,0,0
+923073,1,"It has a lobulated shape, and spiculated margins, suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+923073,2,The size suggests T2a.,0,1,0,0,0,0,0,0
+923073,3,"It appears to be in contact with the right pulmonary artery, but no invasion into the main pulmonary artery is observed.
+",0,0,1,0,0,0,0,0
+923073,4,"No significant findings in other lung fields.
+",1,0,0,0,0,0,0,0
+923073,5,"No enlargement of the mediastinal or axillary lymph nodes.
+",1,0,0,0,0,0,0,0
+923073,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+923073,7,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+1600422,0,"An irregular tumor with a long diameter of 22 mm is observed in the left lung apex, which corresponds to a known lung cancer.",0,1,0,0,0,0,0,0
+1600422,1,No secondary tumor nodules in the lung.,1,0,0,0,0,0,0,0
+1600422,2,No significant enlargement of the mediastinal and hilar lymph nodes or other mediastinal organic lesions.,1,0,0,0,0,0,0,0
+1600422,3,No pleural effusion.,1,0,0,0,0,0,0,0
+1600422,4,No obvious abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+2318717,0,"A mixed ground-glass opacity with a maximum diameter of 15 mm is observed in the right lower lobe, possibly lung adenocarcinoma.",0,1,0,0,0,0,0,0
+2318717,1,There are streaky opacities suspected of inflammatory scars in the right middle lobe and left lingular segment.,1,0,0,0,0,0,0,0
+2318717,2,No significant mediastinal lymph node enlargement.,1,0,0,0,0,0,0,0
+2318717,3,The hilar lymph nodes should be evaluated with contrast.,0,0,0,0,0,1,0,0
+2318717,4,Cardiac enlargement and pericardial effusion.,0,0,0,0,0,0,1,0
+2737981,0,A lobulated tumorous lesion is observed in the left lung apex.,0,1,0,0,0,0,0,0
+2737981,1,"The maximum diameter is 22 mm, suspicious of primary lung cancer.
+",0,1,0,0,0,0,0,0
+2737981,2,"There is a nodule nearby, suggesting intralobular metastasis.
+",0,0,0,0,1,0,0,0
+2737981,3,No enlargement of the mediastinal or hilar lymph nodes.,1,0,0,0,0,0,0,0
+2755461,0,"There is a poorly defined tumor with a maximum diameter of 103 mm in the upper left lobe, which shows little contrast enhancement, considered to be lung cancer.",0,1,0,0,0,0,0,0
+2755461,1,The left bronchus is obstructed by the tumor.,0,0,1,0,0,0,0,0
+2755461,2,"There is also atelectasis in the lower left lobe, and pleural effusion on the left side.",0,0,0,1,0,0,1,0
+2755461,3,The left pulmonary hilum and ipsilateral mediastinal lymph nodes are consolidated with the tumor.,0,0,0,0,0,1,0,0
+2755461,4,There is also tumor infiltration in the left pulmonary artery.,0,0,1,0,0,0,0,0
+2755461,5,"Multiple nodules are found in the upper and lower lobes of the right lung, which are considered to be multiple pulmonary metastases.",0,0,0,0,1,0,0,0
+2755461,6,No liver or adrenal metastases.,1,0,0,0,0,0,0,0
+3162670,0,"A tumor forming a mass with the pulmonary hilum and mediastinal lymph nodes in the left pulmonary hilum, suspicious of lung cancer.",0,1,0,0,0,1,0,0
+3162670,1,"The left main bronchus is obstructed, and no air is observed in the left lung.",0,0,1,1,0,0,0,0
+3162670,2,"There is stenosis in the main trunk of the left pulmonary artery, suggesting infiltration.",0,0,1,0,0,0,0,0
+3162670,3,"Also, the tumor is in close contact with the left atrium, suggesting infiltration.",0,0,1,0,0,0,0,0
+3162670,4,"Multiple nodules in the right upper and lower lobes, suggesting lung metastasis.",0,0,0,0,1,0,0,0
+3162670,5,Pleural effusion on the left.,0,0,0,0,0,0,1,0
+3462779,0,"There is a tumor suspected of mediastinal infiltration in the left lung, accompanied by atelectasis extending throughout the left lung.",0,1,1,1,0,0,0,0
+3462779,1,Lymph node enlargement is suspected below the pulmonary hilum and tracheal bifurcation.,0,0,0,0,0,1,0,0
+3462779,2,"There are numerous nodules in the right lung, suggesting possible metastasis.",0,0,0,0,1,0,0,0
+4592263,0,"Ground-glass nodule in the right lower lobe of the lung, measuring 14 x 15 mm in diameter.",0,1,0,0,0,0,0,0
+4592263,1,"The margin is smooth and the nodule has a lobulated shape, with homogenous ground-glass.",0,1,0,0,0,0,0,0
+4592263,2,"The findings may be consistent with adenocarcinoma.
+",0,1,0,0,0,0,0,0
+4592263,3,"Streaky opacities are observed bilaterally in the lungs, considered to be chronic inflammatory changes or atelectasis.
+",1,0,0,0,0,0,0,0
+4592263,4,"No lesions suspicious of metastasis in the lungs.
+",1,0,0,0,0,0,0,0
+4592263,5,"There is no pathological enlargement of the mediastinal and hilar lymph nodes.
+",1,0,0,0,0,0,0,0
+4592263,6,"Cardiomegaly and pericardial effusion.
+",0,0,0,0,0,0,1,0
+4592263,7,"A small amount of right pleural effusion.
+",0,0,0,0,0,0,1,0
+4592263,8,"No gross lesions in the solid organs of the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+4592263,9,"No bone destruction or sclerotic lesion, suspicious of aggressive metastasis in the visualized bones.",1,0,0,0,0,0,0,0
+4644984,0,"Mass in the right lower lobe, considered to be the known lung cancer.
+",0,1,0,0,0,0,0,0
+4644984,1,"Soft tissue lesions are observed in the right mediastinum and hilum, suspecting lymph node metastasis.
+",0,0,0,0,0,1,0,0
+4644984,2,"Bilateral pleural effusion.
+",0,0,0,0,0,0,1,0
+4644984,3,"There are multiple occurrences of sclerotic changes in the left rib, lumbar vertebrae, and bilateral pelvic bones, suspecting bone metastasis.
+",0,0,0,0,0,0,0,1
+4644984,4,There is a left renal cyst.,1,0,0,0,0,0,0,0
+4644984,5,No findings suggesting metastasis to the visualized abdominal organs.,1,0,0,0,0,0,0,0
+4660316,0,A tumor with a major axis of 10.3 cm is observed in the left lung hilum with obstructive atelectasis of the left lung.,0,1,0,1,0,0,0,0
+4660316,1,"The tumor is in contact with the main pulmonary artery and the heart, suggesting infiltration.",0,0,1,0,0,0,0,0
+4660316,2,"T4 is suspected.
+",0,1,1,1,0,0,0,0
+4660316,3,"The left hilar lymph nodes and the mediastinal lymph nodes in level 4L are enlarged and appear as a mass, suggesting metastasis.",0,0,0,0,0,1,0,0
+4660316,4,"N2 is suspected.
+",0,0,0,0,0,1,0,0
+4660316,5,"Multiple round nodules are present in the right lung, suggesting metastasis.",0,0,0,0,1,0,0,0
+4660316,6,"M1a is suspected.
+",0,0,0,0,1,0,0,0
+4660316,7,"Pleural effusion on the left, suspected to be malignant.
+",0,0,0,0,0,0,1,0
+4660316,8,A hypodense lesion is present in the left lobe of the liver.,0,0,0,0,0,0,0,1
+4660316,9,Please correlate with possible accumulation in PET-CT.,0,0,0,0,0,0,0,1
+4660316,10,"If this lesion is a metastasis, it will be M1b.",0,0,0,0,1,0,1,1
+4724041,0,"A tumor with irregular margins with a major axis of 37 mm is present in the left pulmonary hilum and the left upper lobe S2, with cavity formation inside.",0,1,1,0,0,0,0,0
+4724041,1,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+4724041,2,"The tumor is in contact with the left pulmonary artery and the left upper lobe bronchus, but there is no narrowing of these structures.",0,0,1,0,0,0,0,0
+4724041,3,No secondary tumor nodules.,1,0,0,0,0,0,0,0
+4724041,4,"No clear mediastinal invasion, pathological enlargement of the pulmonary hilum or mediastinal lymph nodes.",1,0,0,0,0,0,0,0
+4724041,5,No pleural effusion.,1,0,0,0,0,0,0,0
+4724041,6,No abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+4734929,0,"There is a 37 mm cavitated tumor spanning from the left lingular segment to the lower lobe, correlating to the known lung cancer.",0,1,1,0,0,0,0,0
+4734929,1,The mediastinal lymph nodes appear slightly conglomerated.,0,0,0,0,0,1,0,0
+4734929,2,No pleural effusion.,1,0,0,0,0,0,0,0
+4924173,0,"A ground-glass nodule with a maximum diameter of 1.5 cm is present in segment S10 of the right lower lobe of the lung, considered to be the known lung adenocarcinoma.",0,1,0,0,0,0,0,0
+4924173,1,"There are no solid components, and it is considered Tis.",0,1,0,0,0,0,0,0
+4924173,2,"Striated opacities in both lungs, likely old inflammatory scars.",1,0,0,0,0,0,0,0
+4924173,3,"Multiple polygonal small subpleural nodules in the left lower lobe, most likely inflammatory nodules.",1,0,0,0,0,0,0,0
+4924173,4,No active inflammation or tumorous lesions in other lung segments.,1,0,0,0,0,0,0,0
+4924173,5,"No enlargement of the mediastinal, hilar, or axillary lymph nodes.",1,0,0,0,0,0,0,0
+4924173,6,There is a small amount of right pleural effusion and pericardial effusion.,0,0,0,0,0,0,1,0
+4924173,7,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+5180986,0,"No comparable imaging studies are available.
+",1,0,0,0,0,0,0,0
+5180986,1,"Squamous cell carcinoma is known.
+",1,0,0,0,0,0,0,0
+5180986,2,"The lateral side from the left main bronchus is obstructed, and the left lung is atelectatic.
+",0,0,1,1,0,0,0,0
+5180986,3,"A tumor with heterogeneous density is extending from the left hilum to the mediastinum, which is considered to be the primary lesion.",0,1,1,0,0,0,0,0
+5180986,4,"The adjoining left pulmonary artery and vein are narrowed, suggesting infiltration.",0,0,1,0,0,0,0,0
+5180986,5,"The left hilar lymph nodes and mediastinal lymph nodes may be lumped together with the lesion.
+",0,0,0,0,0,1,0,0
+5180986,6,"Multiple nodules are observed in the right lung, suspecting metastasis.
+",0,0,0,0,1,0,0,0
+5180986,7,"Otherwise, there are no active lesions in the lungs.
+",1,0,0,0,0,0,0,0
+5180986,8,"Left pleural effusion.
+",0,0,0,0,0,0,1,0
+5180986,9,"No obvious abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+5180986,10,"No ascites.
+",1,0,0,0,0,0,0,0
+5180986,11,"Otherwise, there are no significant findings.",1,0,0,0,0,0,0,0
+5764772,0,A GGN with a diameter of 15 mm is present in the right lower lobe S10.,0,1,0,0,0,0,0,0
+5764772,1,It is considered to be the known lung cancer.,0,1,0,0,0,0,0,0
+5764772,2,No suspicious nodules in other lung segments.,1,0,0,0,0,0,0,0
+5764772,3,The nodule is considered equivalent to T classification Tis.,0,1,0,0,0,0,0,0
+5764772,4,"A nodule is observed under the pleura of the left lower lobe, but it is suspected to be an old inflammatory nodule.",1,0,0,0,0,0,0,0
+5764772,5,"Striated opacities are diffusely distributed in both lungs, probably inflammatory scars.
+",1,0,0,0,0,0,0,0
+5764772,6,"Cardiomegaly and pericardial effusion.
+",0,0,0,0,0,0,1,0
+5764772,7,"No significant enlargement of the mediastinal and hilar lymph nodes, or other mediastinal lesions are observed.
+",1,0,0,0,0,0,0,0
+5764772,8,"Small right pleural effusion.
+",0,0,0,0,0,0,1,0
+5764772,9,No gross abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+5888093,0,"A tumor with a maximum diameter of 103 mm is present in the left hilum, suggesting primary lung cancer.",0,1,0,0,0,0,0,0
+5888093,1,The left main bronchus shows obstruction due to tumor infiltration.,0,0,1,0,0,0,0,0
+5888093,2,The left lung is collapsed.,0,0,0,1,0,0,0,0
+5888093,3,"The tumor also infiltrates the left pulmonary artery, causing it to narrow.",0,0,1,0,0,0,0,0
+5888093,4,Mediastinal tumor infiltration is suspected.,0,0,1,0,0,0,0,0
+5888093,5,"The tumor, left hilar, and left mediastinal lymph nodes are all conglomerated.",0,0,0,0,0,1,0,0
+5888093,6,"The right mediastinal lymph nodes are also enlarged, suggesting metastasis.
+",0,0,0,0,0,1,0,0
+5888093,7,"Nodules suspected of being secondary tumor nodules are scattered in the right lung.
+",0,0,0,0,1,0,0,0
+5888093,8,"Small pleural effusion on the left.
+",0,0,0,0,0,0,1,0
+5888093,9,No gross abnormalities in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+6238897,0,"A soft tissue mass is observed in the left pulmonary hilum, suggesting lung cancer.",0,1,0,0,0,0,0,0
+6238897,1,"It has progressed into the mediastinum, and the left main bronchus is obstructed by the tumor, resulting in a collapsed left lung.",0,0,1,1,0,0,0,0
+6238897,2,"Nodules are scattered in the right lung, possibly metastases.",0,0,0,0,1,0,0,0
+6238897,3,No significant lymph node enlargement in the opposite pulmonary hilum.,1,0,0,0,0,0,0,0
+6238897,4,Pleural effusion on the left.,0,0,0,0,0,0,1,0
+6278112,0,"A large tumor with a diameter of 137 mm is observed in the right upper lobe, suggesting primary lung cancer.",0,1,0,0,0,0,0,0
+6278112,1,"It is infiltrating the chest wall and ribs. 
+",0,0,1,0,0,0,0,0
+6278112,2,"Multiple nodules are present in both lungs, suggesting metastatic nodules. 
+",0,0,0,0,1,0,0,0
+6278112,3,There is left pleural effusion and compressive atelectasis.,0,0,0,1,0,0,1,0
+6278112,4,Soft tissue masses suggestive of disseminated tumors are observed on the left pleura.,0,0,0,0,0,0,1,0
+6278112,5,"There is also mild right pleural effusion. 
+",0,0,0,0,0,0,1,0
+6278112,6,"Several enlarged mediastinal lymph nodes and bilateral hilar lymph nodes, suggesting metastasis. 
+",0,0,0,0,0,1,0,0
+6278112,7,"Adrenal tumors on both sides, suspicious of metastasis. 
+",0,0,0,0,0,0,0,1
+6278112,8,Bilateral parapelvic cysts.,1,0,0,0,0,0,0,0
+6311491,0,"There is a 37 mm cavitary lesion with spiculated margins in the posterior left upper lobe. 
+",0,1,0,0,0,0,0,0
+6311491,1,"The left upper lobe bronchus is obstructed due to the tumor. 
+",0,0,1,0,0,0,0,0
+6311491,2,"Part of the tumor has infiltrated beyond the interlobar pleura into the left lower lobe. 
+",0,0,1,0,0,0,0,0
+6311491,3,"The left hilar lymph nodes are conglomerated with the tumor, suggesting lymph node metastasis. 
+",0,0,0,0,0,1,0,0
+6311491,4,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+6311491,5,"There is a cystic lesion in the subcutaneous tissue of the right back, probably a sebaceous cyst.",1,0,0,0,0,0,0,0
+6688795,0,"No comparable imaging studies are available. 
+",1,0,0,0,0,0,0,0
+6688795,1,"A lobulated tumor of approximately 37 mm in diameter in the hilum of the left upper lung lobe, with spiculated margins and retraction of the surrounding structures, indicative of lung cancer. 
+",0,1,1,0,0,0,0,0
+6688795,2,"Small nodules on the dorsal side of the left lower lung lobe, which are relatively dense and considered to be chronic inflammatory changes. 
+",1,0,0,0,0,0,0,0
+6688795,3,"No obvious metastases or active lesions in the lung field. 
+",1,0,0,0,0,0,0,0
+6688795,4,"The size of the left hilar lymph nodes is somewhat prominent, raising suspicion of metastasis. 
+",0,0,0,0,0,1,0,0
+6688795,5,"No significant mediastinal lymphadenopathy. 
+",1,0,0,0,0,0,0,0
+6688795,6,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+6688795,7,"No obvious abnormalities in the visualized upper abdomen 
+No ascites. 
+",1,0,0,0,0,0,0,0
+6688795,8,A tumor of approximately 10 mm is observed in the subcutaneous tissue of the back.,1,0,0,0,0,0,0,0
+6688795,9,"It is considered to be a sebaceous cyst or similar. 
+",1,0,0,0,0,0,0,0
+6688795,10,No other significant findings.,1,0,0,0,0,0,0,0
+6831979,0,Numerous round masses in both lungs.,0,0,0,0,1,0,0,0
+6831979,1,The largest one in the right lung measures 137 mm and there is a suspicion of infiltration into the chest wall and ribs.,0,1,1,0,0,0,0,0
+6831979,2,It appears to be the known neuroendocrine carcinoma.,0,1,0,0,0,0,0,0
+6831979,3,"Atelectasis of the left lower lobe and pleural effusion are present. 
+",0,0,0,1,0,0,1,0
+6831979,4,"The hilar and mediastinal lymph nodes on both sides are enlarged, suggesting metastasis.
+",0,0,0,0,0,1,0,0
+6831979,5,"Both adrenal glands are enlarged, suspicious of metastasis.
+",0,0,0,0,0,0,0,1
+6831979,6,"Bilateral hydronephrosis is present, but a cause of obstruction is not visualized.",0,0,0,0,0,0,0,1
+7859648,0,"There is an irregular tumor mass in the right lower lobe, suggesting a finding of known primary lung cancer (maximum diameter 42 mm).",0,1,0,0,0,0,0,0
+7859648,1,"The ipsilateral subcarinal lymph nodes are pathologically enlarged, suggesting metastasis.",0,0,0,0,0,1,0,0
+7859648,2,"There are multiple sclerotic lesions in the bone, suggesting metastases.",0,0,0,0,0,0,0,1
+7859648,3,Please confirm with bone scintigraphy or PET.,0,0,0,0,0,0,0,1
+7883310,0,"A lobulated irregular nodule of 22 mm in size is present in the upper left lobe, suspicious of lung cancer. 
+",0,1,0,0,0,0,0,0
+7883310,1,"No other significant lesions in the lung. 
+",1,0,0,0,0,0,0,0
+7883310,2,No significant mediastinal lymph node enlargement or pleural effusion.,1,0,0,0,0,0,0,0
+8370801,0,"A tumor-like lesion of approximately 13 cm is spreading in the right upper lobe and the middle lobe of the lung, suspicious of primary lung cancer.",0,1,1,0,0,0,0,0
+8370801,1,"It is infiltrating the chest wall.
+",0,0,1,0,0,0,0,0
+8370801,2,"Tumor-like lesions are also found in the lower lobe of the left lung, and there is atelectasis of the left lower lobe.",0,0,0,1,1,0,0,0
+8370801,3,Nodules and tumor masses of various sizes are observed in both lungs.,0,0,0,0,1,0,0,0
+8370801,4,"Multiple lung metastases are suspected.
+",0,0,0,0,1,0,0,0
+8370801,5,"Pleural effusion on the left.
+",0,0,0,0,0,0,1,0
+8370801,6,"Enlargement of the lymph nodes in the right hilum and in the mediastinum, suspicious of lymph node metastases.
+",0,0,0,0,0,1,0,0
+8370801,7,"Both adrenal glands are enlarged, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+8370801,8,Bilateral hydronephrosis.,0,0,0,0,0,0,0,1
+8370801,9,"There may be lymph node metastasis around the aorta causing ureteral compression, although outside of the scan range.",0,0,0,0,0,0,0,1
+8450208,0,"No comparable imaging studies are available. 
+",1,0,0,0,0,0,0,0
+8450208,1,There is a lobulated nodule of about 22 mm in diameter in S1+2 of the left upper lung lobe.,0,1,0,0,0,0,0,0
+8450208,2,"The findings are consistent with lung adenocarcinoma. 
+",0,1,0,0,0,0,0,0
+8450208,3,"There are no obvious metastases or other active lesions in the lungs. 
+",1,0,0,0,0,0,0,0
+8450208,4,"There is no significant lymph node enlargement in the mediastinum or hilum. 
+",1,0,0,0,0,0,0,0
+8450208,5,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+8450208,6,"No obvious abnormalities in the visualized upper abdomen. 
+",1,0,0,0,0,0,0,0
+8450208,7,"No ascites. 
+",1,0,0,0,0,0,0,0
+8450208,8,No other significant findings.,1,0,0,0,0,0,0,0
+8977151,0,"A tumor with a diameter of 4.2 cm is present in the right lower lobe, suspicious of lung cancer.",0,1,0,0,0,0,0,0
+8977151,1,Atelectasis is also present.,0,0,0,1,0,0,0,0
+8977151,2,"There is contrast-enhancing thickening of the chest wall near the tumor, suggesting infiltration.",0,0,1,0,0,0,0,0
+8977151,3,"The tumor is considered T3.
+",0,1,1,1,0,0,0,0
+8977151,4,"The mediastinal lymph nodes in levels 4R and 7 are enlarged, suspecting metastasis.",0,0,0,0,0,1,0,0
+8977151,5,"No pathological enlargement is seen in the lymph nodes on the opposite side, thus it is considered N2.
+",0,0,0,0,0,1,0,0
+8977151,6,"There is a small amount of pleural effusion on both sides, predominantly on the right, which may be malignant.
+",0,0,0,0,0,0,1,0
+8977151,7,"No tumorous lesions in the liver and adrenal glands.
+",1,0,0,0,0,0,0,0
+8977151,8,"A cyst is seen in the left kidney.
+",1,0,0,0,0,0,0,0
+8977151,9,"No significant findings in the gallbladder, pancreas, and spleen.
+",1,0,0,0,0,0,0,0
+8977151,10,"Sclerotic bone lesions are found in the left 7th rib, L4, L5, sacrum, and both iliac bones, suspicious of metastasis.",0,0,0,0,0,0,0,1
+8977151,11,"As metastases are only in the bone but there are multiple, it is considered M1c.",0,0,0,0,0,0,0,1
+9815314,0,There is a tumorous lesion with a maximum diameter of 137 mm in the right lower lobe.,0,1,0,0,0,0,0,0
+9815314,1,The lesion directly invades the chest wall in the intercostal space.,0,0,1,0,0,0,0,0
+9815314,2,There is no sign of rib invasion.,1,0,0,0,0,0,0,0
+9815314,3,"Multiple nodules are present in both lungs, which are considered to be multiple lung metastases.",0,0,0,0,1,0,0,0
+9815314,4,There is left pleural effusion and atelectasis.,0,0,0,1,0,0,1,0
+9815314,5,"Also, there are nodules in the pleura, which are considered to be pleural dissemination.",0,0,0,0,0,0,1,0
+9815314,6,"The right hilum and ipsilateral mediastinal lymph nodes are enlarged, considered to be lymph node metastases.",0,0,0,0,0,1,0,0
+9815314,7,"There are masses in the pancreas and both adrenal glands, which are considered to be metastases.",0,0,0,0,0,0,0,1
+9815314,8,Bilateral hydronephrosis is also present.,0,0,0,0,0,0,0,1
+10365351,0,"A tumor-like lesion is present in the central parts of the left lung (103 × 83 × 96 mm), suspicious of primary lung cancer.",0,1,0,0,0,0,0,0
+10365351,1,"The peripheral areas of the left lung have become atelectatic, causing the border of the tumor to be unclear. 
+",0,0,1,1,0,0,0,0
+10365351,2,"The tumor is in extensive contact with the mediastinum, suggesting mediastinal invasion. 
+",0,0,1,0,0,0,0,0
+10365351,3,"Multiple nodules are observed in the right lung, suggesting possible contralateral lung metastasis. 
+",0,0,0,0,1,0,0,0
+10365351,4,"There is enlargement of the left pulmonary hilar lymph nodes, suggesting lymph node metastases.",0,0,0,0,0,1,0,0
+10365351,5,Enlargement is also observed in the lymph nodes below the tracheal bifurcation with a possibility of mediastinal lymph node metastases.,0,0,0,0,0,1,0,0
+10376521,0,"A tumor exceeding the chest wall, with a major axis of 13.7 cm, is located in the right lung, considered T4. 
+",0,1,1,0,0,0,0,0
+10376521,1,"There are rounded enlarged mediastinal lymph nodes in level 2R, suspicious of metastases.",0,0,0,0,0,1,0,0
+10376521,2,"It is considered N2. 
+",0,0,0,0,0,1,0,0
+10376521,3,"Numerous nodules in both lungs, suspicious of metastases.",0,0,0,0,1,0,0,0
+10376521,4,Bilateral pleural dissemination is observed.,0,0,0,0,0,0,1,0
+10376521,5,"Pleural effusion on the left, suspected to be malignant. 
+",0,0,0,0,0,0,1,0
+10376521,6,"Tumors in both adrenal glands, suspicous of metastases. 
+",0,0,0,0,0,0,0,1
+10376521,7,"No other tumorous lesions in the visualized abdominal organs. 
+",1,0,0,0,0,0,0,0
+10376521,8,Cysts in both kidneys.,1,0,0,0,0,0,0,0
+10634640,0,"An irregular tumor mass of 22 mm is located in the upper left lobe, suggesting lung cancer.",0,1,0,0,0,0,0,0
+10634640,1,No significant lymph node enlargement in the mediastinum.,1,0,0,0,0,0,0,0
+10634640,2,No pleural effusion.,1,0,0,0,0,0,0,0
+10708825,0,"No comparable imaging studies are available.
+",1,0,0,0,0,0,0,0
+10708825,1,A tumor mass measuring 13.7 cm in diameter in the right upper lobe of the lung.,0,1,0,0,0,0,0,0
+10708825,2,The tumor is extending beyond the chest wall.,0,0,1,0,0,0,0,0
+10708825,3,"Multiple nodules are seen in both lungs, suggesting metastases.
+",0,0,0,0,1,0,0,0
+10708825,4,"Mild emphysematous changes are present.
+",1,0,0,0,0,0,0,0
+10708825,5,"A large amount of pleural effusion is observed mainly on the left side, and irregular thickening of the pleura is suspected.",0,0,0,0,0,0,1,0
+10708825,6,"On the right side, there is a tumor mass along the pleura, which is considered a sign of pleural dissemination.
+",0,0,0,0,0,0,1,0
+10708825,7,"Multiple enlarged lymph nodes in the right hilum and mediastinum are suspicious of metastases.
+",0,0,0,0,0,1,0,0
+10708825,8,"Tumors are present in both adrenal glands, suspicious of metastases.
+",0,0,0,0,0,0,0,1
+10708825,9,"There is a tumor on the ventral side of the pancreatic body, appearing to be continuous with the pancreas, also raising suspicion of metastasis.
+",0,0,0,0,0,0,0,1
+10708825,10,Bilateral hydronephrosis is suspected.,0,0,0,0,0,0,0,1
+10708825,11,"Please consider evaluation with abdominal CT.
+",0,0,0,0,0,0,0,1
+10708825,12,"Renal cysts.
+",1,0,0,0,0,0,0,0
+10708825,13,"No other significant abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+10708825,14,"No ascites.
+",1,0,0,0,0,0,0,0
+10708825,15,No other significant findings.,1,0,0,0,0,0,0,0
+10868892,0,"A 42 mm tumor is located in the right lower lobe, suspecting lung cancer.",0,1,0,0,0,0,0,0
+10868892,1,Discontinuous secondary tumor nodules within the same lobe in S6 are suspected.,0,0,0,0,1,0,0,0
+10868892,2,"The mediastinal lymph nodes at the right hilum and on the same side below the tracheal bifurcation are enlarged, suspecting metastasis.",0,0,0,0,0,1,0,0
+10868892,3,"Although not significant in size, there is mild enlargement of the contralateral mediastinal lymph nodes, and metastasis cannot be ruled out.",0,0,0,0,0,1,0,0
+10868892,4,A small amount of pleural effusion is present on both sides.,0,0,0,0,0,0,1,0
+10868892,5,"On the right side, there are areas where the pleura appears thickened, suspicious of dissemination.",0,0,0,0,0,0,1,0
+10868892,6,"Lesions and bone sclerosis are observed in the left 7th rib, 4th and 5th lumbar vertebrae, sacrum, and bilateral pelvic bones, suspecting multiple bone metastases.",0,0,0,0,0,0,0,1
+10868892,7,No obvious metastasis in the adrenal glands or liver.,1,0,0,0,0,0,0,0
+10868892,8,A cyst is seen in the left kidney.,1,0,0,0,0,0,0,0
+10868892,9,No enlargement of the para-aortic lymph nodes and no ascites.,1,0,0,0,0,0,0,0
+11407659,0,"A tumor mass of 42 mm is present in the right lower lobe, suggesting lung cancer. 
+",0,1,0,0,0,0,0,0
+11407659,1,"Enlarged lymph nodes in the mediastinum, suspicious of metastases. 
+",0,0,0,0,0,1,0,0
+11407659,2,"A small amount of pleural effusion on both sides. 
+",0,0,0,0,0,0,1,0
+11407659,3,"Sclerotic lesions are scattered in the left 8th rib and pelvic bone, suggesting multiple bone metastases. 
+",0,0,0,0,0,0,0,1
+11407659,4,"No obvious distant metastasis in the abdominal organs. 
+",1,0,0,0,0,0,0,0
+11407659,5,"There is a cyst in the left kidney. 
+",1,0,0,0,0,0,0,0
+11407659,6,There is no ascites.,1,0,0,0,0,0,0,0
+11566958,0,An irregular tumor-like lesion of approximately 3.7 cm is located centrally in S3 of the left upper lung lobe.,0,1,0,0,0,0,0,0
+11566958,1,"It is primarily composed of solid components, and also has a cavity inside.",0,1,0,0,0,0,0,0
+11566958,2,"There is ground-glass opacity at its periphery, as well as accompanying inflammatory changes in the peripheral lung parenchyma.",0,1,0,1,0,0,0,0
+11566958,3,"It is also in contact with the interlobar pleura, and viscearl pleural invasion is suspected.",0,0,1,0,0,0,0,0
+11566958,4,"Multiple small nodules are observed in the periphery, suggesting the possibility of intrapulmonary lymphatic involvement.",0,0,0,0,1,0,0,0
+11726941,0,"There is an irregularly margined tumor in the left hilum, which is considered to be the indicated cancer lesion.",0,1,0,0,0,0,0,0
+11726941,1,"The left main bronchus is obstructed, and the entire left lung has become atelectatic.",0,0,1,1,0,0,0,0
+11726941,2,"Due to this, it is difficult to evaluate the size of the tumor, but it appears to be approximately 10 cm or more in the longest dimension. 
+",0,1,0,0,0,0,0,0
+11726941,3,The left pulmonary vein is obstructed proximally.,0,0,1,0,0,0,0,0
+11726941,4,"The left pulmonary artery shows some irregularity proximally, suggesting infiltration, but no clear obstruction is present. 
+",0,0,1,0,0,0,0,0
+11726941,5,"Multiple rounded small nodules are observed in the right lung, suspicious of metastases. 
+",0,0,0,0,1,0,0,0
+11726941,6,"The left hilar lymph nodes have become one mass with the tumor, and subcarinal lymph nodes are enlarged, suspecting metastases. 
+",0,0,0,0,0,1,0,0
+11726941,7,"Pleural effusion on the left. 
+",0,0,0,0,0,0,1,0
+11726941,8,No metastasis in the visualized upper abdomen.,1,0,0,0,0,0,0,0
+12023275,0,"No comparable imaging examinations are available. 
+",1,0,0,0,0,0,0,0
+12023275,1,"A tumor mass of about 42 mm in diameter in the right lower lobe of the lung, which is considered to be a finding of known lung cancer. 
+",0,1,0,0,0,0,0,0
+12023275,2,"There are no obvious metastases or other active lesions in the lung field. 
+",1,0,0,0,0,0,0,0
+12023275,3,"Enlarged lymph nodes with heterogenous enhancement are observed in the right hilum and mediastinum, suggesting metastases.",0,0,0,0,0,1,0,0
+12023275,4,"No significant lymph node enlargement is seen in other areas. 
+",1,0,0,0,0,0,0,0
+12023275,5,"Bilateral pleural effusion. 
+",0,0,0,0,0,0,1,0
+12023275,6,"Heterogenous sclerotic lesions are observed in the vertebral bodies, ribs, and pelvic bones, suggesting possible metastases.",0,0,0,0,0,0,0,1
+12023275,7,"No metastasis extending into the spinal canal. 
+",1,0,0,0,0,0,0,0
+12023275,8,"There is a renal cyst on the left. 
+",1,0,0,0,0,0,0,0
+12023275,9,"No obvious abnormalities are found in the liver, gallbladder, pancreas, spleen, right kidney, adrenal glands, or pelvic organs. 
+",1,0,0,0,0,0,0,0
+12023275,10,"There is no ascites. 
+",1,0,0,0,0,0,0,0
+12023275,11,No other significant findings.,1,0,0,0,0,0,0,0
+12550658,0,A well-defined tumor with a diameter of approximately 13 cm is located in the right upper lobe of the lung.,0,1,0,0,0,0,0,0
+12550658,1,It is considered to be the primary lesion of a cancer.,0,1,0,0,0,0,0,0
+12550658,2,"It shows clear infiltration into the chest wall. 
+",0,0,1,0,0,0,0,0
+12550658,3,"In addition, numerous rounded masses are observed in both lungs.",0,0,0,0,1,0,0,0
+12550658,4,Some of them are infiltrating into the pleura and chest wall.,0,0,0,0,1,0,0,0
+12550658,5,"These are considered to be metastases. 
+",0,0,0,0,1,0,0,0
+12550658,6,"The left lower lobe of the lung is showing atelectasis. 
+",0,0,0,1,0,0,0,0
+12550658,7,Enlarged lymph nodes are found in the right mediastinum.,0,0,0,0,0,1,0,0
+12550658,8,"Infiltration into the trachea is observed. 
+",0,0,0,0,0,1,0,0
+12550658,9,"There is no enlargement of the supraclavicular lymph nodes. 
+",1,0,0,0,0,0,0,0
+12550658,10,"A small amount of right pleural effusion and a large amount of left pleural effusion are present. 
+",0,0,0,0,0,0,1,0
+12550658,11,"No obvious liver metastases. 
+",1,0,0,0,0,0,0,0
+12550658,12,"Tumors are observed in both adrenal glands, suspicious of metastases. 
+",0,0,0,0,0,0,0,1
+12550658,13,"A large tumor is observed in the body of the pancreas, considered to be a metastasis. 
+",0,0,0,0,0,0,0,1
+12550658,14,"Bilateral hydronephrosis without any clear cause.
+",0,0,0,0,0,0,0,1
+12550658,15,No bone destruction or sclerotic lesions that suggest bone metastasis.,1,0,0,0,0,0,0,0
+12646171,0,Multiple tumors are observed in both lungs.,0,0,0,0,1,0,0,0
+12646171,1,"Particularly from the right upper lobe to the middle lobe, there is a large tumor with chest wall invasion, suspecting lung cancer with multiple lung metastases.
+",0,1,1,0,1,0,0,0
+12646171,2,"Bilateral pleural effusion, predominantly on the left.",0,0,0,0,0,0,1,0
+12646171,3,"Especially on the left side, tumor formation along the pleura is suspected, which is considered to be dissemination.
+",0,0,0,0,0,0,1,0
+12646171,4,The mediastinal lymph nodes are slightly enlarged.,0,0,0,0,0,1,0,0
+12646171,5,"Metastasis cannot be ruled out.
+",0,0,0,0,0,1,0,0
+12646171,6,"There are bilateral adrenal nodules, suspecting metastases.
+",0,0,0,0,0,0,0,1
+12646171,7,"Bilateral hydronephrosis, please perform additional abdominal examination.",0,0,0,0,0,0,0,1
+12667350,0,A tumor-like lesion with a maximum diameter of 42 mm is observed in segments S9/10 of the right lower lobe of the lung.,0,1,0,0,0,0,0,0
+12667350,1,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+12667350,2,"There is pleural retraction, suggesting pleural invasion. 
+",0,0,1,0,0,0,0,0
+12667350,3,"No findings suggestive of lung metastasis.
+",1,0,0,0,0,0,0,0
+12667350,4,"Infiltration of the right hilar and mediastinal lymph nodes is suspected, suggesting lymph node metastasis.
+",0,0,0,0,0,1,0,0
+12667350,5,"Multiple sclerotic lesions are observed in the pelvis, suggesting multiple bone metastases.",0,0,0,0,0,0,0,1
+12890602,0,"A well-defined ground-glass nodule (GGN) measuring approximately 14 x 15 mm is observed in the right lower lobe, S6, possibly adenocarcinoma in situ (AIS).",0,1,0,0,0,0,0,0
+12890602,1,"Please evaluate and follow up from a pneumological perspective. 
+",0,1,0,0,0,0,0,0
+12890602,2,"Inflammatory scar-like linear opacities are scattered in other areas of the lung.
+",1,0,0,0,0,0,0,0
+12890602,3,No pathological lymph node enlargement.,1,0,0,0,0,0,0,0
+12890602,4,No pleural effusion.,1,0,0,0,0,0,0,0
+13138120,0,An irregularly margined tumor is located in the left lung apex.,0,1,0,0,0,0,0,0
+13138120,1,The long diameter is 22 mm.,0,1,0,0,0,0,0,0
+13138120,2,It is considered to be a known lung cancer.,0,1,0,0,0,0,0,0
+13138120,3,"There is no infiltration into the pleura. 
+",1,0,0,0,0,0,0,0
+13138120,4,"No lesions suggestive of lung metastasis.
+",1,0,0,0,0,0,0,0
+13138120,5,"No other significant abnormalities in the lungs.
+",1,0,0,0,0,0,0,0
+13138120,6,"No pathological enlargement of the mediastinal and hilar lymph nodes, or of the supraclavicular lymph nodes.
+",1,0,0,0,0,0,0,0
+13138120,7,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13138120,8,"No lesions suggestive of metastasis in the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+13138120,9,"No gross lesions in the other upper abdominal organs.
+",1,0,0,0,0,0,0,0
+13138120,10,No bone destruction or sclerotic lesions suggestive of bone metastasis visualized.,1,0,0,0,0,0,0,0
+13248038,0,"There is a tumor with a maximum diameter of 42 mm in the lower lobe of the right lung. 
+",0,1,0,0,0,0,0,0
+13248038,1,"Lung cancer is suspected.
+",0,1,0,0,0,0,0,0
+13248038,2,"There is enlargement of the right hilar as well as the ipsilateral and contralateral mediastinal lymph nodes, suggesting lymph node metastases.
+",0,0,0,0,0,1,0,0
+13248038,3,"There is a small amount of pleural effusion on both sides.
+",0,0,0,0,0,0,1,0
+13248038,4,"The 7th rib on the left is thickened, suggesting bone metastasis.
+",0,0,0,0,0,0,0,1
+13248038,5,"In addition, there are multiple sclerotic lesions in the lumbar vertebrae and pelvic bones, suggesting multiple bone metastases.",0,0,0,0,0,0,0,1
+13641873,0,An irregular mass is located in the lower lobe of the right lung.,0,1,0,0,0,0,0,0
+13641873,1,Necrotic hypodense areas are seen inside.,1,0,0,0,0,0,0,0
+13641873,2,It is considered to be the indicated cancer lesion.,0,1,0,0,0,0,0,0
+13641873,3,The maximum diameter of the tumor is 42 mm.,0,1,0,0,0,0,0,0
+13641873,4,"There is no clear pleural invasion.
+",1,0,0,0,0,0,0,0
+13641873,5,"Atelectasis is seen in the middle lobe.
+",0,0,0,1,0,0,0,0
+13641873,6,"No findings suggesting lung metastasis.
+",1,0,0,0,0,0,0,0
+13641873,7,"No irregular pleural thickening suggesting pleural dissemination.
+",1,0,0,0,0,0,0,0
+13641873,8,"A mildly enlarged lymph node with central necrosis is seen below the tracheal bifurcation, and it is considered to be metastasis.
+",0,0,0,0,0,1,0,0
+13641873,9,"The lymph nodes on the left side of the trachea and the left supraclavicular lymph nodes are also mildly enlarged, suspicious of metastases.
+",0,0,0,0,0,1,0,0
+13641873,10,"A small amount of bilateral pleural effusion is present.
+",0,0,0,0,0,0,1,0
+13641873,11,"No findings suggesting metastasis to the liver or adrenal glands.
+",1,0,0,0,0,0,0,0
+13641873,12,"A cyst is found in the left kidney.
+",1,0,0,0,0,0,0,0
+13641873,13,"No significant abnormalities in the gallbladder, pancreas, or spleen.
+",1,0,0,0,0,0,0,0
+13641873,14,"There is no pathological enlargement of the abdominal lymph nodes.
+",1,0,0,0,0,0,0,0
+13641873,15,"There is no ascites.
+",1,0,0,0,0,0,0,0
+13641873,16,"Multiple sclerotic lesions in the left 7th rib, lumbar vertebrae, and pelvic bones, considered to be metastases.",0,0,0,0,0,0,0,1
+13716139,0,A nodule with a long diameter of 2.2 cm is located in the left upper lobe of the lung.,0,1,0,0,0,0,0,0
+13716139,1,"It has a lobulated shape, and spiculated opacities can be seen along its margins.",0,1,0,0,0,0,0,0
+13716139,2,Primary lung cancer is suspected.,0,1,0,0,0,0,0,0
+13716139,3,"It is considered to be T1c.
+",0,1,0,0,0,0,0,0
+13716139,4,"No significant findings in other lung areas.
+",1,0,0,0,0,0,0,0
+13716139,5,"No enlargement of the mediastinum or hilar lymph nodes.
+",1,0,0,0,0,0,0,0
+13716139,6,"No pleural effusion.
+",1,0,0,0,0,0,0,0
+13716139,7,"Coronary calcification.
+",1,0,0,0,0,0,0,0
+13716139,8,No significant findings in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+14063477,0,"A lesion exceeding the chest wall, 13 cm in diameter, is found in the right lung, suggesting lung cancer.",0,1,1,0,0,0,0,0
+14063477,1,"Nodules are scattered in both lungs, raising suspicion of lung metastases and pleural dissemination.",0,0,0,0,1,0,1,0
+14063477,2,"Accumulation of fluid is seen in the left chest, and atelectasis is present in the left lung.",0,0,0,1,0,0,1,0
+14063477,3,"There is a tumor between the stomach and pancreas, suggesting possible metastasis.",0,0,0,0,0,0,0,1
+14063477,4,"Tumors are observed in both adrenal glands, suggesting possible metastases.",0,0,0,0,0,0,0,1
+14063477,5,Bilateral hydronephrosis without any clear cause of obstruction visualized.,0,0,0,0,0,0,0,1
+14063477,6,Cysts are found in both kidneys.,1,0,0,0,0,0,0,0
+14841832,0,"A tumor measuring 37 mm in diameter is present in the left pulmonary hilum, with spiculated margins and an internal cavity.",0,1,0,0,0,0,0,0
+14841832,1,Lung cancer is suspected.,0,1,0,0,0,0,0,0
+14841832,2,"The tumor is located in the upper lobe, but it crosses the interlobar pleura and invades the lower lobe as well.",0,0,1,0,0,0,0,0
+14841832,3,"There is also a possibility that it is forming a mass with metastasis to the hilar lymph nodes.
+",0,0,0,0,0,1,0,0
+14841832,4,Several nodules of a few millimeters in size are scattered in both lungs.,0,0,0,0,1,0,0,0
+14841832,5,"Granulomas or intrapulmonary lymph nodes are suspected, but please follow up to rule out metastasis.
+",0,0,0,0,1,0,0,0
+14841832,6,No significant mediastinal lymphadenopathy or ascites.,1,0,0,0,0,0,0,0
+15448681,0,There is a focal ground-glass nodule measuring approximately 1.4 x 1.5 mm in S10 of the right lower lung lobe.,0,1,0,0,0,0,0,0
+15448681,1,"The margins are clearly defined, and there is no obvious solid component.",0,1,0,0,0,0,0,0
+15448681,2,There is a possibility of adenocarcinoma in situ (AIS).,0,1,0,0,0,0,0,0
+15448681,3,Further examination and treatment are recommended.,0,1,0,0,0,0,0,0
+15532322,0,"There is an irregular nodule measuring 22 mm in diameter in the upper left lobe, which is believed to be a finding of known lung cancer.",0,1,0,0,0,0,0,0
+15532322,1,No pathological lymph node enlargement.,1,0,0,0,0,0,0,0
+15532322,2,No pleural effusion.,1,0,0,0,0,0,0,0
+16066820,0,"There is a lobulated tumor with a maximum diameter of 22 mm in the upper lobe of the left lung, with partial pleural indentation. 
+",0,1,1,0,0,0,0,0
+16066820,1,"No lymph node enlargement. 
+",1,0,0,0,0,0,0,0
+16066820,2,"No pulmonary metastasis. 
+",1,0,0,0,0,0,0,0
+16066820,3,"No pleural effusion. 
+",1,0,0,0,0,0,0,0
+16066820,4,No gross abnormalities in the visualized abdominal organs.,1,0,0,0,0,0,0,0
+16191878,0,"No comparable imaging studies are available.
+",1,0,0,0,0,0,0,0
+16191878,1,"A pure Ground Glass Nodule (GGN) with lobulated shape, measuring approximately 1.5 cm x 1.4 cm is found in S10 of the right lower lobe of the lung, suspecting lung cancer.
+",0,1,0,0,0,0,0,0
+16191878,2,"There are no obvious metastases or other active lesions in the lungs.
+",1,0,0,0,0,0,0,0
+16191878,3,"There is no significant lymph node enlargement in the mediastinum or hilum.
+",1,0,0,0,0,0,0,0
+16191878,4,Cardiomegaly is suspected.,1,0,0,0,0,0,0,0
+16191878,5,"There is no pleural effusion.
+",1,0,0,0,0,0,0,0
+16191878,6,"No obvious abnormalities in the visualized upper abdomen.
+",1,0,0,0,0,0,0,0
+16191878,7,"There is no ascites.
+",1,0,0,0,0,0,0,0
+16191878,8,No other significant findings.,1,0,0,0,0,0,0,0
+16572985,0,"A pure GGN of 15 mm is found in the right lower lobe, considered to be the indicated lung cancer lesion.",0,1,0,0,0,0,0,0
+16572985,1,No significant lymph node enlargement in the mediastinum.,1,0,0,0,0,0,0,0
+16572985,2,A small amount of pleural effusion on the right side.,0,0,0,0,0,0,1,0
+16572985,3,"There is a tumor-like formation, most likely in liver segment S1.",0,0,0,0,0,0,0,1
+16572985,4,It is at the lower end of the scan range and difficult to evaluate.,0,0,0,0,0,0,0,1
+16572985,5,Please correlate with ultrasound or similar.,0,0,0,0,0,0,0,1

japanese_train.csv

@@ -0,0 +1,1046 @@
+id,sentence_index,text,omittable,measure,extension,atelectasis,satellite,lymphadenopathy,pleural,distant
+56344,0,左上葉全体が無気肺になっています。,0,0,0,1,0,0,0,0
+56344,1,左上葉気管支は閉塞して造影  CT  で増強効果の乏しい 74mm  の腫瘤があります。,0,1,1,0,0,0,0,0
+56344,2,肺癌と考えます。,0,1,0,0,0,0,0,0
+56344,3,左肺門、同側縦隔リンパ節腫大しリンパ節転移と考えます。,0,0,0,0,0,1,0,0
+56344,4,気管右側にもリンパ節腫大があり、こちらもリンパ節転移を疑います。,0,0,0,0,0,1,0,0
+56344,5,左下葉気管支も腫瘍により浸潤あり、狭窄しています。,0,0,1,0,0,0,0,0
+56344,6,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+56344,7,撮影範囲の腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+133166,0,右下葉 S8 に⻑径 30mm の腫瘤性病変があります。,0,1,0,0,0,0,0,0
+133166,1,辺縁には spicula を伴っています。,1,0,0,0,0,0,0,0
+133166,2,肺癌の可能性がありますので、呼吸器科的に精査ください。,0,1,0,0,0,0,0,0
+133166,3,左下葉には炎症瘢痕様の索状影を認めます。,1,0,0,0,0,0,0,0
+133166,4,右肺門リンパ節腫大が疑われます。,0,0,0,0,0,1,0,0
+133166,5,胸水認めません。,1,0,0,0,0,0,0,0
+165742,0,右肺尖部に長径 5 ㎝の腫瘤を認めます。,0,1,0,0,0,0,0,0
+165742,1,"辺縁に棘状影が見られ原発性肺癌を疑いま
+す。",0,1,0,0,0,0,0,0
+165742,2,壁側胸膜への浸潤も見られ T3 を疑います。,0,1,1,0,0,0,0,0
+165742,3,他肺野に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+165742,4,縦隔、肺門リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+165742,5,胸水は認めません。,1,0,0,0,0,0,0,0
+165742,6,左副腎は腫大しています。,1,0,0,0,0,0,0,0
+165742,7,腺腫を疑います。,1,0,0,0,0,0,0,0
+165742,8,他腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+404886,0,左下葉に最大径 72mm  の腫瘤性病変あります。,0,1,0,0,0,0,0,0
+404886,1,肺癌と考えます。,0,1,0,0,0,0,0,0
+404886,2,左下葉気管支は腫瘍により浸潤があり、腫瘤周囲に浸潤影があります。,0,0,1,0,0,0,0,0
+404886,3,閉塞性肺炎を伴っています。,0,0,0,1,0,0,0,0
+404886,4,左肺門、同側縦隔リンパ節腫大し、リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+404886,5,左腋窩リンパ節腫大し、リンパ節転移を疑います。,0,0,0,0,0,0,0,1
+404886,6,左少量胸水あります。,0,0,0,0,0,0,1,0
+404886,7,左上腕骨近位端、左肩甲骨に溶骨性腫瘤があり、骨転移と考えます。,0,0,0,0,0,0,0,1
+404886,8,背部正中皮膚に嚢胞性病変があります。,1,0,0,0,0,0,0,0
+404886,9,粉瘤の可能性あります。,1,0,0,0,0,0,0,0
+463397,0,背景肺野の気腫性変化が目立っています。,1,0,0,0,0,0,0,0
+463397,1,左上葉には最大径 47mm の分葉状の不整形腫瘤があり、辺縁の spicula や胸膜嵌入像が目立ちます。,0,1,1,0,0,0,0,0
+463397,2,既知の胸膜浸潤を伴う肺癌が疑われます。,0,1,1,0,0,0,0,0
+463397,3,肺門リンパ節は一塊となっている可能性は否定できませんが、その他病的リンパ節腫大は指摘できません。,0,0,0,0,0,1,0,0
+463397,4,胸水認めません。,1,0,0,0,0,0,0,0
+493069,0,左肺下葉に充実成分径 3cm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+493069,1,周囲に棘状影が見られ原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+493069,2,同一肺葉内に 0.8cm 大の小結節が見られます。,0,0,0,0,1,0,0,0
+493069,3,T3 と考えます。,0,1,0,0,1,0,0,0
+493069,4,他肺野に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+493069,5,左肺門リンパ節腫脹あり転移を疑います。,0,0,0,0,0,1,0,0
+493069,6,縦隔や対側のリンパ節転移は見られず N1と考えます。,0,0,0,0,0,1,0,0
+493069,7,胸水は認めません。,1,0,0,0,0,0,0,0
+493069,8,肝 S5 に小結節を認めます。,0,0,0,0,0,0,0,1
+493069,9,単発の病変ですが転移の可能性があります。,0,0,0,0,0,0,0,1
+493069,10,両腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+493069,11,胆嚢、膵、脾に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+493069,12,腹部リンパ節に腫大は認めません。,1,0,0,0,0,0,0,0
+493069,13,腹水は認めません。,1,0,0,0,0,0,0,0
+862683,0,右下葉胸膜直下に 12mm 大の結節を認めます。,0,1,0,0,0,0,0,0
+862683,1,既知の肺癌部分と思われます。,0,1,0,0,0,0,0,0
+862683,2,背景肺野に間質性肺炎が疑われます。,1,0,0,0,0,0,0,0
+862683,3,病的リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+862683,4,胸水認めません。,1,0,0,0,0,0,0,0
+862683,5,胆石を認めます。,1,0,0,0,0,0,0,0
+906857,0,左肺下葉に約 30mm の充実性腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+906857,1,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+906857,2,その近傍に 9mm の結節影、S8 にも 8mm の結節��を認めます。,0,0,0,0,1,0,0,0
+906857,3,同側同一葉内転移を疑います。,0,0,0,0,1,0,0,0
+906857,4,左肺門〜縦隔にも軟部陰影の広がりを認めます。,0,0,0,0,0,1,0,0
+906857,5,縦隔リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+906857,6,肝内に複数箇所、境界不明瞭な結節影を認めます。,0,0,0,0,0,0,0,1
+906857,7,多発肝転移を疑います。,0,0,0,0,0,0,0,1
+908422,0,左下葉に 35mm 大の不整な腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+908422,1,また上記病変腹側に結節影を認め、肺内転移の可能性があります。,0,0,0,0,1,0,0,0
+908422,2,左肺門に腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,0
+908422,3,胸水はありません。,1,0,0,0,0,0,0,0
+908422,4,肝 S5 に hypovascular lesion を認め、胆嚢と連続して見えます。,0,0,0,0,0,0,0,1
+908422,5,一元的に考えると転移が疑われますが、胆嚢癌の可能性もあります。,0,0,0,0,0,0,0,1
+908422,6,臨床と併せてご評価ください。,0,0,0,0,0,0,0,1
+908422,7,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+908422,8,腹水はありません。,1,0,0,0,0,0,0,0
+1185427,0,右下葉に長径 30mm 大の腫瘤を認め、肺癌を疑います。,0,1,0,0,0,0,0,0
+1185427,1,"葉間胸膜の陥入を伴い、臓
+側胸膜浸潤を否定できません。",0,0,1,0,0,0,0,0
+1185427,2,両側上葉に複数の限局性すりガラス影があり、経過フォローください。,0,0,0,0,1,0,0,0
+1185427,3,肺門部や縦隔に有意なリンパ節腫大なし。,1,0,0,0,0,0,0,0
+1185427,4,胸水なし。,1,0,0,0,0,0,0,0
+1538432,0,左上葉に最大径 47mm  の腫瘤があります。,0,1,0,0,0,0,0,0
+1538432,1,葉間胸膜を越えて、一部、下葉に浸潤しています。,0,0,1,0,0,0,0,0
+1538432,2,肺門リンパ節は腫瘍と一塊となっています。,0,0,0,0,0,1,0,0
+1538432,3,縦隔リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+1538432,4,"胸水貯留はありません
+肝転移、副腎転移はありません。",1,0,0,0,0,0,0,0
+1538432,5,撮影範囲の腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+1679413,0,背景肺には気腫性変化を認めます。,1,0,0,0,0,0,0,0
+1679413,1,左上葉に 47mm 大の不整な腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+1679413,2,単純 CT 上、正確な評価は難しいですが、左肺動脈へと浸潤している可能性もあります。,0,0,1,0,0,0,0,0
+1679413,3,大動脈弓部とも近接しています。,0,0,1,0,0,0,0,0
+1679413,4,右中葉に小結節影を認めます。,0,0,0,0,1,0,0,0
+1679413,5,炎症性など良性結節で矛盾しませんが、転移も否定できないため、フォローにて変化をご確認ください。,0,0,0,0,1,0,0,0
+1679413,6,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+1679413,7,胸水はありません。,1,0,0,0,0,0,0,0
+1736655,0,右乳癌術後。,1,0,0,0,0,0,0,0
+1736655,1,明らかな局所再発腫瘤は指摘できません。,1,0,0,0,0,0,0,0
+1736655,2,縦隔や右肺門部に腫瘤を散見します。,0,0,0,0,0,1,0,0
+1736655,3,リンパ節転移が疑われます。,0,0,0,0,0,1,0,0
+1736655,4,右肺門部肺癌＋リンパ節転移も鑑別です。,0,1,0,0,0,1,0,0
+1736655,5,右上葉胸膜下に結節影を認めます。,0,0,0,0,1,0,0,0
+1736655,6,転移も鑑別に挙がります。,0,0,0,0,1,0,0,0
+1736655,7,下葉胸膜下優位に網状影や線状影など間質性陰影を認めます。,1,0,0,0,0,0,0,0
+1736655,8,胸水はありません。,1,0,0,0,0,0,0,0
+1736655,9,肝脾腫を認めます。,1,0,0,0,0,0,0,0
+1856176,0,右肺門部で右主気管支から下葉気管支を閉塞する長径 1cm 大の腫瘤を認め、既知の肺癌を疑います。,0,1,1,0,0,0,0,0
+1856176,1,右肺門や気管分岐下リンパ節と一塊となっている可能性があります。,0,0,0,0,0,1,0,0
+1856176,2,右下葉は無気肺を呈しています。,0,0,0,1,0,0,0,0
+1856176,3,こちらにも肺癌が存在する可能性がありますが、評価が難しいです。,0,0,1,0,0,0,0,0
+1856176,4,右胸水貯留がみられます。,0,0,0,0,0,0,1,0
+1856176,5,両肺ですりガラス影があり、うっ血性変化の疑いがあります。,1,0,0,0,0,0,0,0
+1863157,0,右下葉 S8/9 に⻑径 12mm の結節影が認められ増大しています。,0,1,0,0,0,0,0,0
+1863157,1,既知肺癌と思われます。,0,1,0,0,0,0,0,0
+1863157,2,右 S6 に網状影を認めますが炎症性変化を疑います。,1,0,0,0,0,0,0,0
+1863157,3,両側胸膜石灰化プラークが散見されます。,1,0,0,0,0,0,0,0
+1863157,4,アスベスト関連疾患の可能性があります。,1,0,0,0,0,0,0,0
+1863157,5,縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+1863157,6,胸水は認めません。,1,0,0,0,0,0,0,0
+1863157,7,胆石が散見されます。,1,0,0,0,0,0,0,0
+1876861,0,肺野は背景に慢性肺気腫の所見を認めます。,1,0,0,0,0,0,0,0
+1876861,1,右肺尖部に⻑径 48mm の不整形腫瘤を認め、原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+1876861,2,右肺尖部胸膜に接しており、臓側胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+1876861,3,肺野に副腫瘍結節を指摘できません。,1,0,0,0,0,0,0,0
+1876861,4,右肺門部、縦隔リンパ節腫大が散見され、転移を疑います。,0,0,0,0,0,1,0,0
+1876861,5,胸水貯留を認めません。,1,0,0,0,0,0,0,0
+1876861,6,左副腎上部に腫瘤を認め、副腎転移を疑います。,0,0,0,0,0,0,0,1
+1956050,0,肺野背景に気腫性変化を認めます。,1,0,0,0,0,0,0,0
+1956050,1,左肺上葉中枢側に腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+1956050,2,左肺上葉気管支は近位で途絶し、左肺動静脈には不整と狭細化を認め、一部途絶しています。,0,0,1,0,0,0,0,0
+1956050,3,ご指摘の癌病変と考えます。,0,1,0,0,0,0,0,0
+1956050,4,左肺上葉は虚脱しており正確な腫瘍サイズは不明ですが、長径は 7cm 強と考えます。,0,1,0,1,0,0,0,0
+1956050,5,右肺下葉に紡錘状の小結節を認めます。,1,0,0,0,0,0,0,0
+1956050,6,炎症瘢痕と考えます。,1,0,0,0,0,0,0,0
+1956050,7,肺転移を示唆する所見は指摘できません。,1,0,0,0,0,0,0,0
+1956050,8,左肺門部や大動脈弓部左側に腫大リンパ節を認めます。,0,0,0,0,0,1,0,0
+1956050,9,後者は短径 9mm ですが、球形に近く、転移を疑います。,0,0,0,0,0,1,0,0
+1956050,10,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+1956050,11,撮像範囲の肝、副腎に転移を疑う病変は認めません。,1,0,0,0,0,0,0,0
+2021673,0,"左肺上葉を主体に、葉間胸膜をまたいで左肺下葉に進展する長径 12cm 大の腫瘤性病
+変を認めます。",0,1,1,0,0,0,0,0
+2021673,1,腫瘤は縦隔や胸膜に広く接しています。,0,0,1,0,0,0,0,0
+2021673,2,特に左第 3 肋骨には溶骨性変化を認め、浸潤ありと考えます。,0,0,1,0,0,0,0,0
+2021673,3,左肺門および大動脈傍リンパ節に腫大リンパ節を認め、転移を疑います。,0,0,0,0,0,1,0,0
+2021673,4,左肺上葉に数 mm 程度の結節を認めます。,0,0,0,0,1,0,0,0
+2021673,5,転移の可能性があります。,0,0,0,0,1,0,0,0
+2021673,6,その他の肺野に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+2021673,7,胸水貯留はありません。,1,0,0,0,0,0,0,0
+2021673,8,撮像範囲の骨に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+2021673,9,骨転移を示唆する所見は認めません。,1,0,0,0,0,0,0,0
+2195733,0,肺野には背景に慢性肺気腫の所見を認めます。,1,0,0,0,0,0,0,0
+2195733,1,左下葉 S6 に⻑径 35mm の不整形の腫瘤を認め、原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+2195733,2,腫瘍周囲に副腫瘍結節を疑う小結節を認めます。,0,0,0,0,1,0,0,0
+2195733,3,左肺門部リンパ節腫大を認め、転移を疑います。,0,0,0,0,0,1,0,0
+2195733,4,胸水貯留を認めません。,1,0,0,0,0,0,0,0
+2195733,5,肝 S5 に低吸収結節を認め、肝転移を疑います。,0,0,0,0,0,0,0,1
+2195733,6,両側腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+2195733,7,有意なサイズの腹腔内・後腹膜リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+2195733,8,播種結節を疑う軟部陰影は認めません、腹水は認めません。,1,0,0,0,0,0,0,0
+2240304,0,右上葉に長径 46mm 大の腫瘤があり、肺癌を疑います。,0,1,0,0,0,0,0,0
+2240304,1,"腫瘤は胸膜下脂肪織へ突出
+し、壁側胸膜浸潤を考えます。",0,0,1,0,0,0,0,0
+2240304,2,同側縦隔リンパ節腫大を認めます。,0,0,0,0,0,1,0,0
+2240304,3,有意なサイズではありませんが、対側リンパ節も軽度腫大しています。,0,0,0,0,0,1,0,0
+2240304,4,両側肺尖部にブラあり。,1,0,0,0,0,0,0,0
+2240304,5,胸水なし。,1,0,0,0,0,0,0,0
+2240304,6,左副腎腫瘤があり、転移を疑います。,0,0,0,0,0,0,0,1
+2254357,0,左上下葉に広がる⻑径 12cm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+2254357,1,既知肺癌が示唆されます。,0,1,0,0,0,0,0,0
+2254357,2,胸膜に広範囲に接しており左第 3 肋骨の破壊を伴っています。,0,0,1,0,0,0,0,0
+2254357,3,肋骨、壁側胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+2254357,4,左上葉に小結節あり、副腫瘍結節を疑います。,0,0,0,0,1,0,0,0
+2254357,5,左縦隔、両側肺門部リンパ節が腫大、転移を疑います。,0,0,0,0,0,1,0,0
+2254357,6,胸水は認めません。,1,0,0,0,0,0,0,0
+2254357,7,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+2298369,0,右主気管支から中間気管支幹にかけて、内腔に突出する結節を認めます。,0,1,1,0,0,0,0,0
+2298369,1,"既知の癌
+病変と考えます。",0,1,0,0,0,0,0,0
+2298369,2,長径 17mm です。,0,1,0,0,0,0,0,0
+2298369,3,これにより右中葉気管支と右下葉気管支は閉塞しており、右肺中葉・下葉は虚脱しています。,0,0,1,1,0,0,0,0
+2298369,4,その他の肺野に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+2298369,5,縦隔・肺門リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+2298369,6,少量の右胸水貯留を認めます。,0,0,0,0,0,0,1,0
+2298369,7,縦隔・肺門リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+2298369,8,撮像範囲の上腹部臓器に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+2298369,9,撮像範囲の骨に強く転移を疑う骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+2343928,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+2343928,1,左上葉の肺門部に長径 47mm  程度の分葉状の形態を示す腫瘤影を認め、既知の肺癌の所見と考えます。,0,1,0,0,0,0,0,0
+2343928,2,病変は左上葉の気管支を取り囲むように存在し、気管支の狭小化が疑われます。,0,0,1,0,0,0,0,0
+2343928,3,縦隔への進展も疑われ、単純  CT  上は左主肺動脈との境界が不明瞭です。,0,0,1,0,0,0,0,0
+2343928,4,造影  CT  での評価も検討ください。,0,0,1,0,0,0,0,0
+2343928,5,縦隔、肺門に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+2343928,6,胸水はありません。,1,0,0,0,0,0,0,0
+2343928,7,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+2343928,8,腹水はありません。,1,0,0,0,0,0,0,0
+2343928,9,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+2538844,0,左肺上葉を中心とした巨大な腫瘤性病変（原発巣 12cm）を認めます。,0,1,0,0,0,0,0,0
+2538844,1,臓側胸膜に広く接しており、胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+2538844,2,胸膜下脂肪組織も一部、不整であり、胸壁への浸潤も疑います。,0,0,1,0,0,0,0,0
+2538844,3,左第３肋骨も骨皮質不整であり、肋骨浸潤を疑います。,0,0,1,0,0,0,0,0
+2538844,4,肺内転移は指摘できません。,1,0,0,0,0,0,0,0
+2538844,5,左肺門、縦隔リンパ節の腫大を認めます。,0,0,0,0,0,1,0,0
+2538844,6,左肺門、縦隔リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+2932043,0,左肺に上葉に約 74mm の腫瘤性陰影を認めます。,0,1,0,0,0,0,0,0
+2932043,1,内部に含気は指摘できません。,1,0,0,0,0,0,0,0
+2932043,2,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+2932043,3,腫瘍により中枢側の気管支は閉塞し、末梢側の含気は消失、左肺上葉はほぼ完全に無気肺状態となっています。,0,0,1,1,0,0,0,0
+2932043,4,肺内結節は指摘できません。,1,0,0,0,0,0,0,0
+2932043,5,肺転移を疑う所見はありません。,1,0,0,0,0,0,0,0
+2932043,6,左肺門リンパ節への浸潤を疑います。,0,0,0,0,0,1,0,0
+2932043,7,縦隔リンパ節腫大はありません。,1,0,0,0,0,0,0,0
+2932043,8,観察範囲に遠隔転移は指摘できません。,1,0,0,0,0,0,0,0
+2987117,0,肺気腫を認めます。,1,0,0,0,0,0,0,0
+2987117,1,左肺上葉に長径 4.7cm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+2987117,2,分葉状の形態あり、棘状影が見られ原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+2987117,3,縦隔への脂肪浸潤がみられ T4 を疑います。,0,1,1,0,0,0,0,0
+2987117,4,他肺野に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+2987117,5,単純 CT 上肺門、縦隔、鎖骨上窩リンパ節に病的腫大は認めません。,1,0,0,0,0,0,0,0
+2987117,6,胸水は認めません。,1,0,0,0,0,0,0,0
+2987117,7,撮像範囲の腹部に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+3029476,0,右下葉に⻑径 40mm の分葉状腫瘤を認め原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+3029476,1,腫瘤の下部には粘液貯留を伴う気管支拡張があります。,1,0,0,0,0,0,0,0
+3029476,2,右上葉に GGN を認めます。,1,0,0,0,0,0,0,0
+3029476,3,炎症の可能性が高いと思われます。,1,0,0,0,0,0,0,0
+3029476,4,右肺門部、縦隔リンパ節腫大が目立ちます。,0,0,0,0,0,1,0,0
+3029476,5,転移を疑います。,0,0,0,0,0,1,0,0
+3029476,6,胸水貯留を認めません。,1,0,0,0,0,0,0,0
+3029476,7,肝に多発乏血性結節を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+3029476,8,総胆管、肝内胆管拡張が目立ちます。,0,0,0,0,0,0,0,1
+3029476,9,腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+3072861,0,左肺下葉には⻑径 30mm 大の空洞性変化を伴う分葉状腫瘤が認められます。,0,1,0,0,0,0,0,0
+3072861,1,葉間裂のひきつれや辺縁の spicula も認められ、ご指摘の肺癌部分と思われます。,0,0,1,0,0,0,0,0
+3072861,2,同葉内には副腫瘍結節が疑われます。,0,0,0,0,1,0,0,0
+3072861,3,左肺門リンパ節が腫大しています。,0,0,0,0,0,1,0,0
+3072861,4,上腹部に明らかな転移は指摘できません。,1,0,0,0,0,0,0,0
+3384646,0,左肺下葉に長径 7.2cm の腫瘤を認め肺癌を疑います。,0,1,0,0,0,0,0,0
+3384646,1,T4 と考えま��。,0,1,0,0,0,0,0,0
+3384646,2,腫瘤による気道の狭小化が見られ末梢の肺野に濃度上昇が見られます。,0,0,1,1,0,0,0,0
+3384646,3,閉塞性肺炎を疑います。,0,0,0,1,0,0,0,0
+3384646,4,腫瘤に接して胸膜の肥厚あり、少量の胸水も見られます。,0,0,0,1,0,0,1,0
+3384646,5,胸膜浸潤、癌性胸水を疑います。,0,0,0,1,0,0,1,0
+3384646,6,他肺野に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+3384646,7,縦隔リンパ節#4L を認めます。,0,0,0,0,0,1,0,0
+3384646,8,N2 と考えます。,0,0,0,0,0,1,0,0
+3384646,9,左上腕骨、肩甲骨に溶骨性変化を認め転移を疑います。,0,0,0,0,0,0,0,1
+3384646,10,左腋窩リンパ節にも転移を認めます。,0,0,0,0,0,0,0,1
+3384646,11,こちらは遠隔転移です。,0,0,0,0,0,0,0,1
+3384646,12,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+3384646,13,背部皮下に粉瘤を疑う腫瘤を認めます。,1,0,0,0,0,0,0,0
+3599413,0,右気管支内腔に 17mm  の隆起性病変があります。,0,1,1,0,0,0,0,0
+3599413,1,ご指摘の病変と考えます。,0,1,1,0,0,0,0,0
+3599413,2,右上葉気管支の開存はありますが、右中間気管支幹は腫瘍により閉塞しています。,0,0,1,0,0,0,0,0
+3599413,3,"右中葉、下葉に無気肺があります
+右少量胸水があります。",0,0,0,1,0,0,1,0
+3599413,4,右肺門、同側縦隔リンパ節腫大しています。,0,0,0,0,0,1,0,0
+3599413,5,リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+4092235,0,右下葉に 12mm 大の結節を認め、2012 年 8 月 CT と比較して増大しています。,0,1,0,0,0,0,0,0
+4092235,1,"肺癌
+を否定できません。",0,1,0,0,0,0,0,0
+4092235,2,下肺野優位、胸膜下を主体にすりガラス影や網状影があり、間質性肺炎を疑います。,1,0,0,0,0,0,0,0
+4092235,3,非造影 CT 上は肺門、縦隔に有意なリンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+4092235,4,左胸膜の肥厚と石灰化があり、胸膜プラークを疑います。,1,0,0,0,0,0,0,0
+4092235,5,胸水はみられません。,1,0,0,0,0,0,0,0
+4092235,6,胆石がみられます。,1,0,0,0,0,0,0,0
+4166189,0,左肺上葉に長径 12cm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+4166189,1,弓部大動脈や肺動脈浸潤が疑われます。,0,0,1,0,0,0,0,0
+4166189,2,T4 と考えます。,0,1,1,0,0,0,0,0
+4166189,3,左肺門や縦隔リンパ節#6 の腫大が見られます。,0,0,0,0,0,1,0,0
+4166189,4,転移が疑われます。,0,0,0,0,0,1,0,0
+4166189,5,N2 と考えます。,0,0,0,0,0,1,0,0
+4166189,6,胸水は認めません。,1,0,0,0,0,0,0,0
+4166189,7,左第 3 肋骨は腫瘤による骨破壊が見られます。,0,0,1,0,0,0,0,0
+4166189,8,他撮像範囲の骨に遠隔転移を疑う所見は指摘できません。,1,0,0,0,0,0,0,0
+4166189,9,撮像範囲の腹部に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+4465068,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+4465068,1,右肺門及び縦隔に不均一な増強効果を伴う腫大リンパ節が多発しています。,0,0,0,0,0,1,0,0
+4465068,2,右乳癌に対して術後と知られていますが、その他の部位に有意なリンパ節腫大はなく、肺小細胞癌のリンパ節転移を考えます。,0,0,0,0,0,1,0,0
+4465068,3,右肺上葉に 1cm、右肺下葉に 5mm  程度の結節影を認めます。,0,1,0,0,1,0,0,0
+4465068,4,原発巣ないし転移を見ている可能性は否定できませんが、多角形状の形態を示しており陳旧性肉芽腫のような良性病変をより考えます。,0,1,0,0,1,0,0,0
+4465068,5,両肺下葉の背側にはすりガラス影や網状影、嚢胞性変化などの間質性変化が見られます。,1,0,0,0,0,0,0,0
+4465068,6,その他、肺野に明らかな活動性病変はありません。,1,0,0,0,0,0,0,0
+4465068,7,右乳房に術後変化を認めます。,1,0,0,0,0,0,0,0
+4465068,8,術部や左乳房に明らかな腫瘤や異常増強効果は指摘できません。,1,0,0,0,0,0,0,0
+4465068,9,胸水はありません。,1,0,0,0,0,0,0,0
+4465068,10,甲状腺右葉に低吸収域を認めます。,0,0,0,0,0,0,0,1
+4465068,11,超音波検査でも確認ください。,0,0,0,0,0,0,0,1
+4465068,12,"撮像範囲内の上腹部に明らかな異常はありません
+腹水はありません。",1,0,0,0,0,0,0,0
+4465068,13,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+4624494,0,右肺尖部に長径 50mm 大の不整な腫瘤を認めます。,0,1,0,0,0,0,0,0
+4624494,1,右第 2 肋骨起始部近傍で胸膜下脂肪織へ突出してみえ、臓側胸膜浸潤を否定できません。,0,0,1,0,0,0,0,0
+4624494,2,右肺門や縦隔リンパ節が軽度腫大していますが、有意なサイズではありません。,0,0,0,0,0,1,0,0
+4624494,3,肺気腫性変化がみられます。,1,0,0,0,0,0,0,0
+4624494,4,胸膜下にすりガラス影や網状影があり、間質性変化と思われます。,1,0,0,0,0,0,0,0
+4624494,5,胸水はみられません。,1,0,0,0,0,0,0,0
+4644367,0,左下葉に 72mm 大の腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+4644367,1,末梢側には浸潤影、すりガラス影を認め、閉塞性肺炎が疑われます。,0,0,0,1,0,0,0,0
+4644367,2,縦隔や左鎖骨上、左腋窩に腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,1
+4644367,3,少量の左胸水を認めます。,0,0,0,0,0,0,1,0
+4644367,4,左肩甲骨や上腕骨に溶骨性腫瘤を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+4644367,5,背部皮下に腫瘤を認め、粉瘤などと思われます。,1,0,0,0,0,0,0,0
+4646850,0,肺野背景に気腫性変化を認めます。,1,0,0,0,0,0,0,0
+4646850,1,左肺下葉に辺縁不整な腫瘤を認めます。,0,1,0,0,0,0,0,0
+4646850,2,長径 35mm 程度です。,0,1,0,0,0,0,0,0
+4646850,3,既知の肺癌と考えます。,0,1,0,0,0,0,0,0
+4646850,4,この腫瘤以外に左肺下葉には径 8mm の結節を認めます。,0,0,0,0,1,0,0,0
+4646850,5,転移を疑います。,0,0,0,0,1,0,0,0
+4646850,6,その他に肺転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+4646850,7,左肺門部に病的腫大リンパ節を認め、転移を疑います。,0,0,0,0,0,1,0,0
+4646850,8,縦隔や鎖骨上窩のリンパ節に病的腫大は認めません。,1,0,0,0,0,0,0,0
+4646850,9,胸水貯留はありません。,1,0,0,0,0,0,0,0
+4646850,10,肝には胆嚢床に境界不明瞭な乏血性腫瘤を 2 ヶ所認めます。,0,0,0,0,0,0,0,1
+4646850,11,転移を疑います。,0,0,0,0,0,0,0,1
+4646850,12,この腫瘤と胆嚢は接しており、胆嚢にはびまん性の壁肥厚を認めます。,0,0,0,0,0,0,0,1
+4646850,13,胆嚢への浸潤の可能性が考えられます。,0,0,0,0,0,0,0,1
+4646850,14,副腎に転移を疑う病変はありません。,1,0,0,0,0,0,0,0
+4646850,15,両腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+4646850,16,その他の腹部臓器に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+4646850,17,腹部リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+4646850,18,腹水貯留はありません。,1,0,0,0,0,0,0,0
+4646850,19,強く骨転移を示唆する骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+4760374,0,右肺下葉 S6 に長径 40mm 大の分葉状の形態を示す腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+4760374,1,右肺上葉 S2 には分葉状の形態を示す pure GGN を認め、こちらも肺癌（adenocarcinoma in situ）の可能性があります。,0,0,0,0,1,0,0,0
+4760374,2,肺気腫性変化を認めます。,1,0,0,0,0,0,0,0
+4760374,3,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+4760374,4,右上部気管傍リンパ節が腫大しており、転移が疑われます。,0,0,0,0,0,1,0,0
+4760374,5,右肺門にも腫大リンパ節が疑われます。,0,0,0,0,0,1,0,0
+4760374,6,少量の胸水あり。,0,0,0,0,0,0,1,0
+4760374,7,肝には乏血性腫瘤が多発しています。,0,0,0,0,0,0,0,1
+4760374,8,胆石、総胆管結石を認め、総胆管から肝内胆管が拡張しています。,0,0,0,0,0,0,0,1
+4760374,9,CT 上は胆管壁の肥厚など胆道腫瘍を思わせる所見はなく、肺癌の肝転移をより考えます。,0,0,0,0,0,0,0,1
+4760374,10,肝門部に複数の腫大リンパ節を認め、こちらも転移の疑いがあります。,0,0,0,0,0,0,0,1
+4760374,11,膵、脾、腎、副腎や骨盤内臓器に明らかな異常はありません。,1,0,0,0,0,0,0,0
+4760374,12,腹水あり。,0,0,0,0,0,0,0,1
+4844803,0,肺野背景に中等度の気腫性変化を認めます。,1,0,0,0,0,0,0,0
+4844803,1,左肺上葉中枢に辺縁不整な腫瘤を認めます。,0,1,0,0,0,0,0,0
+4844803,2,スピクラを伴い、長径は 47mm です。,0,1,0,0,0,0,0,0
+4844803,3,既知の肺癌と考えます。,0,1,0,0,0,0,0,0
+4844803,4,腫瘤は葉間胸膜に広く接しています。,0,0,1,0,0,0,0,0
+4844803,5,左肺動脈上葉枝は腫瘤と広く接しており、浸潤を疑います。,0,0,1,0,0,0,0,0
+4844803,6,左上葉気管支は腫瘤により圧排され狭窄しています。,0,0,1,0,0,0,0,0
+4844803,7,両側肺野には微小な結節が散在しています。,0,0,0,0,1,0,0,0
+4844803,8,サイズが小さく鑑別は困難です。,0,0,0,0,1,0,0,0
+4844803,9,矩形のものが多く、ほぼ良性病変と考えますが、転移が混在している可能性が否定できません。,0,0,0,0,1,0,0,0
+4844803,10,縦隔・肺門リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+4844803,11,胸水貯留はありません。,1,0,0,0,0,0,0,0
+4844803,12,撮像範囲の上腹部臓器に単純 CT で指摘できるような粗大病変はありません。,1,0,0,0,0,0,0,0
+4844803,13,撮像範囲の骨に強く転移を示唆する骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+4850448,0,背景肺には軽度気腫性変化を認めます。,1,0,0,0,0,0,0,0
+4850448,1,左上葉は無気肺となっています���,0,0,0,1,0,0,0,0
+4850448,2,中枢側には不整な軟部影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+4850448,3,縦隔へ浸潤している可能性があります。,0,0,1,0,0,0,0,0
+4850448,4,左肺門に腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,0
+4850448,5,同側縦隔にも腫大リンパ節が疑われ、転移の可能性があります。,0,0,0,0,0,1,0,0
+4850448,6,少量の左胸水を認めます。,0,0,0,0,0,0,1,0
+5033297,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+5033297,1,左肺下葉  S6 に長径 30mm  程度の分葉状の形態を示す腫瘤影を認めます。,0,1,0,0,0,0,0,0
+5033297,2,肺腺癌に合致する所見と考えます。,0,1,0,0,0,0,0,0
+5033297,3,病変と接するように長径 9mm  程度の結節影を認め、同一肺葉内には葉間胸膜と接する 8mm 程度の結節影も見られます。,0,0,0,0,1,0,0,0
+5033297,4,副腫瘍結節と考えます。,0,0,0,0,1,0,0,0
+5033297,5,その他の肺葉に転移を思わせる所見はありません。,1,0,0,0,0,0,0,0
+5033297,6,両肺尖部にブラを認めます。,1,0,0,0,0,0,0,0
+5033297,7,左肺門リンパ節の腫大を認め、転移を疑います。,0,0,0,0,0,1,0,0
+5033297,8,その他の部位に有意なリンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+5033297,9,胸水はありません。,1,0,0,0,0,0,0,0
+5033297,10,胆嚢周囲の肝に境界不明瞭な低吸収域を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+5033297,11,両腎に嚢胞、結石を認めます。,1,0,0,0,0,0,0,0
+5033297,12,胆、膵、脾、副腎や骨盤内臓器に明らかな異常はありません。,1,0,0,0,0,0,0,0
+5033297,13,腹部〜骨盤内に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+5033297,14,腹水はありません。,1,0,0,0,0,0,0,0
+5033297,15,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+5073667,0,"右肺下葉  S8 に 30mm  の充実性腫瘤があります
+分葉状の形態で、内胸膜陥入像伴っています。",0,1,1,0,0,0,0,0
+5073667,1,葉間胸膜を越えた浸潤像は認めません。,1,0,0,0,0,0,0,0
+5073667,2,肺内転移は認めません。,1,0,0,0,0,0,0,0
+5073667,3,右肺尖部に微小結節があります。,0,0,0,0,1,0,0,0
+5073667,4,follow up ください。,0,0,0,0,1,0,0,0
+5073667,5,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+5073667,6,撮影範囲の腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+5582789,0,右肺門に軟部影を認めます。,0,1,0,0,0,1,0,0
+5582789,1,組織所見からは肺門部の肺癌とリンパ節転移が一塊化している可能性があります。,0,1,0,0,0,1,0,0
+5582789,2,サイズ評価は困難ですが、気管分岐部や大血管と接しており浸潤の可能性があります。,0,0,1,0,0,0,0,0
+5582789,3,T4 と考えます。,0,1,1,0,0,0,0,0
+5582789,4,右肺中葉胸膜下に球形の小結節を認めます。,0,0,0,0,1,0,0,0
+5582789,5,形態からは転移の可能性があります。,0,0,0,0,1,0,0,0
+5582789,6,右縦隔リンパ節転移はありますが、対側リンパ節に腫大は認めません。,0,0,0,0,0,1,0,0
+5582789,7,N2 と考えます。,0,0,0,0,0,1,0,0
+5582789,8,両肺下葉に網状影、すりガラス影を認めます。,1,0,0,0,0,0,0,0
+5582789,9,間質性肺炎を疑います。,1,0,0,0,0,0,0,0
+5582789,10,対側肺に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+5582789,11,胸水貯留は指摘できません。,1,0,0,0,0,0,0,0
+5582789,12,甲状腺右葉に低吸収結節を認めます。,0,0,0,0,0,0,0,1
+5582789,13,超音波でもご確認ください。,0,0,0,0,0,0,0,1
+5582789,14,肝、副腎に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+5582789,15,胆嚢、膵、脾に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+6231900,0,左肺下葉縦隔側に最大径 72mm の辺縁不整な腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+6231900,1,"内部は不均一
+に造影されています。",1,0,0,0,0,0,0,0
+6231900,2,既知の癌病変と考えます。,0,1,0,0,0,0,0,0
+6231900,3,腫瘤は胸膜に広く接していますが、明らかな縦隔浸潤は指摘できません。,0,0,1,0,0,0,0,0
+6231900,4,左下葉気管支は高度狭窄あるいは閉塞しており、腫瘤の周囲に閉塞性肺炎を疑うすりガラス影や浸潤影を認めます。,0,0,1,1,0,0,0,0
+6231900,5,また腫瘤周囲には小葉間隔壁の肥厚もみられ、癌性リンパ管症も鑑別に挙がります。,0,0,0,0,1,0,0,0
+6231900,6,他肺葉に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+6231900,7,左傍気管リンパ節や左腋窩リンパ節に転移を疑う球形の腫大リンパ節を多数認めます。,0,0,0,0,0,1,0,1
+6231900,8,少量の左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+6231900,9,撮像範囲の肝、副腎に転移を疑う所見は認めません。,1,0,0,0,0,0,0,0
+6231900,10,左上腕骨近位部および左肩甲骨に溶骨性腫瘤を認めます。,0,0,0,0,0,0,0,1
+6231900,11,転移と考えます。,0,0,0,0,0,0,0,1
+6232953,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+6232953,1,右主気管支に長径 17mm  程度の腫瘤を認めます。,0,1,1,0,0,0,0,0
+6232953,2,腫瘤により気管支内腔の狭小化を伴っており、末梢側の無気肺を伴っています。,0,0,1,1,0,0,0,0
+6232953,3,右肺門、気管分岐下には腫大したリンパ節と思われる軟部影を認め、転移の疑いがあります。,0,0,0,0,0,1,0,0
+6232953,4,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+6232953,5,胸水はありません。,1,0,0,0,0,0,0,0
+6232953,6,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+6232953,7,腹水はありません。,1,0,0,0,0,0,0,0
+6232953,8,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+6363776,0,右肺門〜縦隔に広がる多数の腫瘤性病変を認めます。,0,0,0,0,0,1,0,0
+6363776,1,"リンパ節腫大像であり、小細
+胞癌を疑います。",0,0,0,0,0,1,0,0
+6363776,2,右肺上葉 S3 末梢に結節影を認めます。,0,0,0,0,1,0,0,0
+6363776,3,肺内転移を疑います。,0,0,0,0,1,0,0,0
+6363776,4,その他にも微細粒状影が散在しています。,0,0,0,0,1,0,0,0
+6363776,5,いずれも多発肺転移を疑います。,0,0,0,0,1,0,0,0
+6441303,0,背景肺野には気腫性変化が目立ちます。,1,0,0,0,0,0,0,0
+6441303,1,右下葉には⻑径 40mm 大の分葉状腫瘤があり、肺癌が疑われます。,0,1,0,0,0,0,0,0
+6441303,2,周囲には気道に沿った多発結節や濃度上昇があり、閉塞性肺炎もしくは副腫瘍結節が疑われます。,0,0,0,1,1,0,0,0
+6441303,3,右上葉にはすりガラス結節が散見されます。,0,0,0,0,1,0,0,0
+6441303,4,炎症性変化かもしれませんが、悪性除外のためフォローください。,0,0,0,0,1,0,0,0
+6441303,5,右肺門や気管前リンパ節は round に腫大しており、転移が疑われます。,0,0,0,0,0,1,0,0
+6441303,6,肝には ring enhance される多数の低吸収腫瘤があり、多発肝転移が疑われます。,0,0,0,0,0,0,0,1
+6441303,7,胆石を認めます。,1,0,0,0,0,0,0,0
+6441303,8,腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+6441303,9,腹水を認めます。,1,0,0,0,0,0,0,0
+6574876,0,縦隔右側リンパ節、右肺門部リンパ節腫大が多発しています。,0,0,0,0,0,1,0,0
+6574876,1,既知小細胞癌に相当の所見と思われます。,0,0,0,0,0,1,0,0
+6574876,2,右上葉 S3 に小結節を認め、副腫瘍結節を疑います。,0,0,0,0,1,0,0,0
+6574876,3,両側肺野末梢側に軽度の間質影があります。,1,0,0,0,0,0,0,0
+6574876,4,間質性肺炎を否定できません。,1,0,0,0,0,0,0,0
+6574876,5,胸水貯留を認めません。,1,0,0,0,0,0,0,0
+6574876,6,右乳房に術後変化を認めます。,1,0,0,0,0,0,0,0
+6574876,7,有意な腋窩リンパ節腫大を認めません。,1,0,0,0,0,0,0,0
+6574876,8,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+6778649,0,左肺門部腫瘤を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+6778649,1,右上葉気管支は腫瘍浸潤により閉塞し、左上葉無気肺を生じています。,0,0,1,1,0,0,0,0
+6778649,2,腫瘍と無気肺の境界は評価が困難です。,0,0,1,1,0,0,0,0
+6778649,3,左肺動脈は腫瘍に接し狭小化しています。,0,0,1,0,0,0,0,0
+6778649,4,浸潤を疑います。,0,0,1,0,0,0,0,0
+6778649,5,左肺門部、縦隔リンパ節腫大を認め、転移を疑います。,0,0,0,0,0,1,0,0
+6778649,6,右肺門部リンパ節腫大も目立っており転移の可能性があります。,0,0,0,0,0,1,0,0
+6778649,7,肺野に副腫瘍結節を疑う所見を認めません。,1,0,0,0,0,0,0,0
+6778649,8,軽度左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+6778649,9,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+6793001,0,左肺尖部に 12cm 大の腫瘤を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+6793001,1,左第 3 肋骨に破壊像を認め、浸潤が疑われます。,0,0,1,0,0,0,0,0
+6793001,2,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+6793001,3,胸水はありません。,1,0,0,0,0,0,0,0
+6848850,0,両側肺野に肺気腫を認めます。,1,0,0,0,0,0,0,0
+6848850,1,右肺下葉に分葉状腫瘤性病変を認めます（最大径 37×37×40mm）。,0,1,0,0,0,0,0,0
+6848850,2,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+6848850,3,気管支内に軟部影を認めます。,0,0,1,0,0,0,0,0
+6848850,4,気管支粘液栓を認めます。,1,0,0,0,0,0,0,0
+6848850,5,両側肺野に淡いすりガラス陰影も散在しています。,0,0,0,0,1,0,0,0
+6848850,6,上縦隔にリンパ節腫大を認めます。,0,0,0,0,0,1,0,0
+6848850,7,気管リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+6848850,8,肝内に多数の結節影を認めます。,0,0,0,0,0,0,0,1
+6848850,9,多発肝転移を疑います。,0,0,0,0,0,0,0,1
+6848850,10,肝十二指腸間膜にも結節影を認めます。,0,0,0,0,0,0,0,1
+6848850,11,多発リンパ節転移の可能性があります。,0,0,0,0,0,0,0,1
+6848850,12,総胆管は拡張しています。,1,0,0,0,0,0,0,0
+6848850,13,内部に結石を認めます。,1,0,0,0,0,0,0,0
+6861476,0,左下葉に長径 72mm 大の腫瘤を認め、肺癌を疑います。,0,1,0,0,0,0,0,0
+6861476,1,腫瘤は縦隔へ突出し、胸部下行大動脈と接しています。,0,0,1,0,0,0,0,0
+6861476,2,縦隔浸潤を疑います。,0,0,1,0,0,0,0,0
+6861476,3,腫瘤周囲に間質の肥厚があり、癌性リンパ管症も考えられます。,0,0,0,0,1,0,0,0
+6861476,4,気管分岐下にリンパ節腫大があり、転移を否定できません。,0,0,0,0,0,1,0,0
+6861476,5,また、左腋窩リンパ節転移を疑う多発リンパ節腫大がみられます。,0,0,0,0,0,0,0,1
+6861476,6,左上腕骨頭から肩甲骨に腫瘤形成があり、骨転移を疑います。,0,0,0,0,0,0,0,1
+7127615,0,右肺尖部に⻑径 50mm の腫瘤があり、辺縁の spicula が目立ちます。,0,1,0,0,0,0,0,0
+7127615,1,形態からは肺癌が疑われます。,0,1,0,0,0,0,0,0
+7127615,2,背景肺野には気腫性変化が認められます。,1,0,0,0,0,0,0,0
+7127615,3,病的リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+7127615,4,胸水認めません。,1,0,0,0,0,0,0,0
+7127615,5,上腹部に粗大病変指摘できません。,1,0,0,0,0,0,0,0
+7245712,0,左上葉中枢側に肺門部リンパ節と一塊となった腫瘤を認めます。,0,1,0,0,0,1,0,0
+7245712,1,左上葉気管支は閉塞し、無気肺が混在しており、腫瘍のサイズは計測が難しい。,0,0,1,1,0,0,0,0
+7245712,2,腫瘤は縦隔へ突出しており、縦隔浸潤を考えます。,0,0,1,0,0,0,0,0
+7245712,3,同側縦隔リンパ節腫大があり、転移を疑います。,0,0,0,0,0,1,0,0
+7245712,4,少量の左胸水がみられます。,0,0,0,0,0,0,1,0
+7245712,5,断定はできませんが、同側悪性胸水も鑑別に挙がります。,0,0,0,0,0,0,1,0
+7467648,0,右下葉に 30mm 大の不整形陰影を認め、ご指摘の肺癌が疑われます。,0,1,0,0,0,0,0,0
+7467648,1,左肺尖部に pure GGN を認めます。,0,0,0,0,1,0,0,0
+7467648,2,フォローにて変化をご確認ください。,0,0,0,0,1,0,0,0
+7467648,3,両下葉に炎症瘢痕を疑う索状影を認めます。,1,0,0,0,0,0,0,0
+7467648,4,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+7467648,5,胸水はありません。,1,0,0,0,0,0,0,0
+7516987,0,右肺上葉  S3 胸膜直下に小結節があります。,0,1,0,0,0,0,0,0
+7516987,1,肺癌の可能性があります。,0,1,0,0,0,0,0,0
+7516987,2,両肺胸膜直下に網状影があり、  base  に間質性肺炎疑います。,1,0,0,0,0,0,0,0
+7516987,3,右肺門、同側、対側縦隔リンパ節が腫大しています。,0,0,0,0,0,1,0,0
+7516987,4,リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+7516987,5,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+7516987,6,肝転移、副腎転移は認めません。,1,0,0,0,0,0,0,0
+7516987,7,撮影範囲の腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+7547062,0,2012 年 8 月の CT  と比較しました。,1,0,0,0,0,0,0,0
+7547062,1,右肺下葉  S9 に長径 12mm  程度の結節影を認めます。,0,1,0,0,0,0,0,0
+7547062,2,2012 年 8 月の CT では同部位に限局性すりガラス影がみられ、同病変が増大しているようです。,0,1,0,0,0,0,0,0
+7547062,3,肺癌が知られており、経過からも肺癌を考えます。,0,1,0,0,0,0,0,0
+7547062,4,上肺を主体に小葉中心性肺気腫を認めます。,1,0,0,0,0,0,0,0
+7547062,5,両肺下葉の末梢側を主体に軽度の間質性変化がみられます。,1,0,0,0,0,0,0,0
+7547062,6,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+7547062,7,縦隔、肺門に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+7547062,8,胸水はありません。,1,0,0,0,0,0,0,0
+7547062,9,左胸膜には石灰化を伴う肥厚があり、胸膜プラークが示唆されます。,1,0,0,0,0,0,0,0
+7547062,10,動脈硬化性変化を認めます。,1,0,0,0,0,0,0,0
+7547062,11,胆石を認めます。,1,0,0,0,0,0,0,0
+7547062,12,その他、撮像範囲内の上腹部に明らかな異常ありません。,1,0,0,0,0,0,0,0
+7547062,13,腹水はありません。,1,0,0,0,0,0,0,0
+7547062,14,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+7616690,0,肺気腫を認めます。,1,0,0,0,0,0,0,0
+7616690,1,両肺下葉胸膜下に網状影、すりガラス影を認め、間質性変化を疑います。,1,0,0,0,0,0,0,0
+7616690,2,右肺下葉胸膜下に長径 1.2cm の充実性腫瘤を認めます。,0,1,0,0,0,0,0,0
+7616690,3,前回と比較し増大あり原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+7616690,4,T1b と考えます。,0,1,0,0,0,0,0,0
+7616690,5,縦隔、腋窩リンパ節に腫大は認めません。,1,0,0,0,0,0,0,0
+7616690,6,胸水は認めません。,1,0,0,0,0,0,0,0
+7616690,7,石灰化胸膜肥厚を認め、胸膜プラークを疑います。,1,0,0,0,0,0,0,0
+7616690,8,冠動脈石灰化を認めます。,1,0,0,0,0,0,0,0
+7616690,9,肝、副腎に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+7616690,10,胆嚢結石を認めます。,1,0,0,0,0,0,0,0
+7616690,11,他撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+7656084,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+7656084,1,左肺尖部に長径 12cm  大の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+7656084,2,腫瘤は胸壁、肋骨に及び骨破壊を伴っています。,0,0,1,0,0,0,0,0
+7656084,3,胸壁浸潤を伴った肺癌の所見と考えます。,0,1,1,0,0,0,0,0
+7656084,4,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+7656084,5,左肺門及び縦隔に腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,0
+7656084,6,その他、撮像範囲内に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+7656084,7,胸水はありません。,1,0,0,0,0,0,0,0
+7656084,8,"撮像範囲内の上腹部に明らかな異常はありません
+腹水はありません。",1,0,0,0,0,0,0,0
+7656084,9,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+7751255,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+7751255,1,右肺下葉  S8 に長径 30mm  程度の分葉状の形態を示す腫瘤影を認め、辺縁部にはわずかにすりガラス影を伴っています。,0,1,0,0,0,0,0,0
+7751255,2,既知の肺癌の所見と考えます。,0,1,0,0,0,0,0,0
+7751255,3,左肺上区、舌区には 10mm  程度までの pure GGN を複数認めます。,0,0,0,0,1,0,0,0
+7751255,4,こちらも異型腺腫様過形成（AAH）のような腫瘍性病変の可能性を否定できません。,0,0,0,0,1,0,0,0
+7751255,5,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+7751255,6,縦隔、肺門に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+7751255,7,胸水はありません。,1,0,0,0,0,0,0,0
+7751255,8,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+7751255,9,腹水はありません。,1,0,0,0,0,0,0,0
+7751255,10,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+7793337,0,右下葉 S8 に⻑径 30mm の結節様浸潤影を認めます。,0,1,0,0,0,0,0,0
+7793337,1,既知肺癌に相当の所見と思われます。,0,1,0,0,0,0,0,0
+7793337,2,葉間胸膜に広範囲に接しており浸潤を疑います。,0,0,1,0,0,0,0,0
+7793337,3,両側肺野に副腫瘍結節を疑う所見を認めません。,1,0,0,0,0,0,0,0
+7793337,4,両側下葉に索状影を認め、炎症瘢痕を疑います。,1,0,0,0,0,0,0,0
+7793337,5,縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+7793337,6,胸水は認めません。,1,0,0,0,0,0,0,0
+7793337,7,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+7943636,0,右気管支に長径 1.7cm の隆起性の結節を認めます。,0,1,1,0,0,0,0,0
+7943636,1,"気管分岐部には病変は見られず
+T2 と考えます。",0,1,1,0,0,0,0,0
+7943636,2,末梢は閉塞性無気肺を認めます。,0,0,0,1,0,0,0,0
+7943636,3,他肺野に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+7943636,4,左鎖骨上窩にリンパ節の腫大が見られます。,0,0,0,0,0,1,0,0
+7943636,5,N3 を疑います。,0,0,0,0,0,1,0,0
+7943636,6,右胸水を認めます。,0,0,0,0,0,0,1,0
+7943636,7,細胞診でもご確認の上、悪性胸水を除外ください。,0,0,0,0,0,0,1,0
+7943636,8,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+8100850,0,右主気管支内に⻑径 17mm の結節を認め、既知粘表皮癌相当の病変と思われます。,0,1,1,0,0,0,0,0
+8100850,1,右下葉気管支を閉塞しています。,0,0,1,0,0,0,0,0
+8100850,2,右下葉は虚脱しています、軽度右胸水貯留を伴っています。,0,0,0,1,0,0,1,0
+8100850,3,含気肺には副腫瘍結節を指摘できません。,1,0,0,0,0,0,0,0
+8100850,4,甲状腺左葉直下に低吸収結節あり、リンパ節転移の可能性があります。,0,0,0,0,0,1,0,0
+8100850,5,その他の縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+8100850,6,胸水は認めません。,1,0,0,0,0,0,0,0
+8100850,7,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+8221825,0,左肺上葉から下葉に長径 12cm 大の腫瘤を認め、肺癌を疑います。,0,1,1,0,0,0,0,0
+8221825,1,腫瘤は第 3 肋骨を破壊し、胸壁へ浸潤しています。,0,0,1,0,0,0,0,0
+8221825,2,また、縦隔浸潤が疑われ、大動脈弓と近接しています。,0,0,1,0,0,0,0,0
+8221825,3,左上葉末梢に小結節があり、副腫瘍結節を否定できません。,0,0,0,0,1,0,0,0
+8221825,4,左肺門、同側縦隔リンパ節腫大があり、転移を疑います。,0,0,0,0,0,1,0,0
+8235226,0,中等度慢性肺気腫の所見を認めます。,1,0,0,0,0,0,0,0
+8235226,1,左上葉肺門部に⻑径 47mm の不整形腫瘤を認め、原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+8235226,2,葉間胸膜に広範囲に接しており浸潤を疑います。,0,0,1,0,0,0,0,0
+8235226,3,縦隔脂肪浸潤も疑われます。,0,0,1,0,0,0,0,0
+8235226,4,縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+8235226,5,胸水は認めません。,1,0,0,0,0,0,0,0
+8235226,6,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+8602016,0,右肺門部に軟部影を認め、ご指摘の悪性腫瘍が疑われます。,0,1,0,0,0,0,0,0
+8602016,1,"右下葉は無気肺となっ
+ています。",0,0,0,1,0,0,0,0
+8602016,2,左鎖骨上に結節が疑われ、リンパ節転移の可能性があります。,0,0,0,0,0,1,0,0
+8602016,3,少量の右胸水を認めます。,0,0,0,0,0,0,1,0
+8760223,0,右下葉  S6 に最大径 40mm の分葉状腫瘤があります。,0,1,0,0,0,0,0,0
+8760223,1,周囲にすりガラス影を伴っています。,0,1,0,0,0,0,0,0
+8760223,2,肺癌と考えます。,0,1,0,0,0,0,0,0
+8760223,3,この腫瘍と連続し、管腔状構造の内腔は増強されています。,0,0,1,0,0,0,0,0
+8760223,4,気管支内に腫瘍は浸潤している可能性があります。,0,0,1,0,0,0,0,0
+8760223,5,右肺上葉に限局性すりガラス影があります。,0,0,0,0,1,0,0,0
+8760223,6,これも肺癌の可能性を否定できません。,0,0,0,0,1,0,0,0
+8760223,7,縦隔リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+8760223,8,胸水貯留は指摘できません。,1,0,0,0,0,0,0,0
+8760223,9,肝臓に多発乏血性腫瘤があり、多発肝転移と考えます。,0,0,0,0,0,0,0,1
+8811397,0,右肺尖部には⻑径 46mm 大の分葉状の不整形腫瘤があります。,0,1,0,0,0,0,0,0
+8811397,1,"既知の肺癌部分と思
+われます。",0,1,0,0,0,0,0,0
+8811397,2,右縦隔リンパ節は腫大し、転移が疑われます。,0,0,0,0,0,1,0,0
+8811397,3,左副腎は著明に腫大し、転移の可能性があります。,0,0,0,0,0,0,0,1
+8811397,4,胸水認めません。,1,0,0,0,0,0,0,0
+9175672,0,右肺門から縦隔に多発するリンパ節腫大を認め、肺癌を疑います。,0,1,0,0,0,1,0,0
+9175672,1,左側の縦隔にも小リンパ節がみられますが、サイズは有意ではありません。,1,0,0,0,0,0,0,0
+9175672,2,右上葉に結節影があり、肺転移を疑います。,0,0,0,0,1,0,0,0
+9175672,3,同一肺葉内の副腫瘍結節と考えます。,0,0,0,0,1,0,0,0
+9175672,4,右優位に下肺野および胸膜下を主体に分布するすりガラス影や網状影があり、間質性肺炎を疑います。,1,0,0,0,0,0,0,0
+9175672,5,胸水はみられません。,1,0,0,0,0,0,0,0
+9175672,6,右乳癌治療後です。,1,0,0,0,0,0,0,0
+9175672,7,明らかな局所再発、腋窩リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+9175672,8,左副腎が腫大しています。,0,0,0,0,0,0,0,1
+9175672,9,明らかな腫瘤は指摘できませんが、転移も鑑別に経過フォローください。,0,0,0,0,0,0,0,1
+9175672,10,肝、胆、膵、脾、腎に明らかな転移は指摘できません。,1,0,0,0,0,0,0,0
+9262204,0,右下葉  S9 胸膜直下に 12mm  の結節があります。,0,1,0,0,0,0,0,0
+9262204,1,周囲にすりガラス影があります。,1,0,0,0,0,0,0,0
+9262204,2,2012 年 8 月の  CT  と比較すると増大しており、肺癌と考えます。,0,1,0,0,0,0,0,0
+9262204,3,両肺胸膜直下に網状影、すりガラス影があります。,1,0,0,0,0,0,0,0
+9262204,4,間質性肺炎疑います。,1,0,0,0,0,0,0,0
+9262204,5,右下葉  S6 に空洞性病変がありますが、炎症後変化の可能性あります。,0,0,0,0,1,0,0,0
+9262204,6,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+9262204,7,リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+9262204,8,胆石あります。,1,0,0,0,0,0,0,0
+9262204,9,撮影範囲の腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+9524486,0,背景に肺気腫、間質性変化を認めます。,1,0,0,0,0,0,0,0
+9524486,1,両側胸膜の肥厚と石灰化を認めます。,1,0,0,0,0,0,0,0
+9524486,2,背景にアスベストーシスが存在するようです。,1,0,0,0,0,0,0,0
+9524486,3,右肺 S9 胸膜下に不整結節影を認めます（約 12mm）。,0,1,0,0,0,0,0,0
+9524486,4,アスベスト肺に合併した原発性肺癌の可能性があります。,0,1,0,0,0,0,0,0
+9524486,5,縦隔リンパ節が複数見られますが、肺癌のサイズを考慮すると、アスベストや慢性炎症に関連したリンパ節過形成をより疑います。,0,0,0,0,0,1,0,0
+9635688,0,右肺下葉 S8 に長径 30mm の濃いすりガラス状陰影を認めます。,0,1,0,0,0,0,0,0
+9635688,1,やや境界不明瞭で一部分葉状を呈しています。,1,0,0,0,0,0,0,0
+9635688,2,癌病変に矛盾しないと考えます。,0,1,0,0,0,0,0,0
+9635688,3,明らかな胸膜浸潤は認めません。,1,0,0,0,0,0,0,0
+9635688,4,両肺上葉に多発性に数 mm 程度のすりガラス影を認めます。,0,0,0,0,1,0,0,0
+9635688,5,前癌病変の可能性を考えます。,0,0,0,0,1,0,0,0
+9635688,6,引き続き経過観察をお願いします。,0,0,0,0,1,0,0,0
+9635688,7,肺転移を疑う病変は認めません。,1,0,0,0,0,0,0,0
+9635688,8,左肺下葉に索状影を認めます。,1,0,0,0,0,0,0,0
+9635688,9,陳旧性炎症性変化と考えます。,1,0,0,0,0,0,0,0
+9635688,10,縦隔・肺門リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+9635688,11,胸水貯留はありません。,1,0,0,0,0,0,0,0
+9635688,12,撮像範囲の上腹部臓器に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+9635688,13,撮像範囲の骨に転移を疑うような骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+9651856,0,両側胸膜に一部粗大な石灰化を伴うプラークが散見されます。,1,0,0,0,0,0,0,0
+9651856,1,"アスベスト関連胸膜
+疾患を疑います。",1,0,0,0,0,0,0,0
+9651856,2,肺野背景に軽度の気腫性変化を認めます。,1,0,0,0,0,0,0,0
+9651856,3,下葉優位に両側肺野末梢にすりガラス影や網状影を認めます。,1,0,0,0,0,0,0,0
+9651856,4,間質性肺炎を疑います。,1,0,0,0,0,0,0,0
+9651856,5,右肺下葉胸膜縁に不整形結節を認めます。,0,1,0,0,0,0,0,0
+9651856,6,長径 12mm です。,0,1,0,0,0,0,0,0
+9651856,7,ご指摘の癌病変と考えます。,0,1,0,0,0,0,0,0
+9651856,8,胸膜浸潤は認めません。,1,0,0,0,0,0,0,0
+9651856,9,肺転移を疑う病変は認めません。,1,0,0,0,0,0,0,0
+9651856,10,縦隔・肺門リンパ節、鎖骨上窩リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+9651856,11,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+9651856,12,撮像範囲の肝、副腎に転移は指摘できません。,1,0,0,0,0,0,0,0
+9651856,13,胆石を認めます。,1,0,0,0,0,0,0,0
+9651856,14,胆嚢炎所見は認めません。,1,0,0,0,0,0,0,0
+9651856,15,強く骨転移を疑うような骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+9673524,0,右肺尖部に最大径 46mm  の分葉状腫瘤があります。,0,1,0,0,0,0,0,0
+9673524,1,周囲にすりガラス影を伴っています。,0,1,0,0,0,0,0,0
+9673524,2,肺癌と考えます。,0,1,0,0,0,0,0,0
+9673524,3,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+9673524,4,右肺門、同側、対側縦隔リンパ節腫大しています。,0,0,0,0,0,1,0,0
+9673524,5,リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+9673524,6,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+9673524,7,左副腎は腫大しています。,0,0,0,0,0,0,0,1
+9673524,8,副腎転移と考えます。,0,0,0,0,0,0,0,1
+9745005,0,背景肺野に肺気腫を認めます。,1,0,0,0,0,0,0,0
+9745005,1,左肺上葉に最大径 47mm の充実性腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+9745005,2,内部に含気を認められません。,1,0,0,0,0,0,0,0
+9745005,3,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+9745005,4,臓側胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+9745005,5,肺内転移を疑う様な所見はありません。,1,0,0,0,0,0,0,0
+9745005,6,縦隔、肺門に病的リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+9818606,0,肺野背景に気腫性変化を認めます。,1,0,0,0,0,0,0,0
+9818606,1,右肺下葉に長径 40mm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+9818606,2,分葉状の形態で、肺癌を強く疑います。,0,1,0,0,0,0,0,0
+9818606,3,この末梢には粒状影や粘液栓が多発しています、閉塞性肺炎の所見と考えます。,0,0,0,1,0,0,0,0
+9818606,4,両肺上葉にすりガラス影が散見されます。,1,0,0,0,0,0,0,0
+9818606,5,左肺胸膜縁に小結節が散見されます。,1,0,0,0,0,0,0,0
+9818606,6,いずれも炎症後変化を疑います。,1,0,0,0,0,0,0,0
+9818606,7,肺転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+9818606,8,上縦隔に球形のリンパ節が散見されます。,0,0,0,0,0,1,0,0
+9818606,9,病的腫大はありませんが、転移の可能性が高いと考えます。,0,0,0,0,0,1,0,0
+9818606,10,胸水貯留はありません。,1,0,0,0,0,0,0,0
+9818606,11,総胆管下部に長径 13mm の淡い高吸収結石を認めます。,1,0,0,0,0,0,0,0
+9818606,12,この上流胆管は拡張しており、結石嵌頓による変化と考えます。,1,0,0,0,0,0,0,0
+9818606,13,多数の胆石を認めます。,1,0,0,0,0,0,0,0
+9818606,14,胆嚢は腫大し、壁肥厚を認めます。,1,0,0,0,0,0,0,0
+9818606,15,炎症を伴っている可能性があります。,1,0,0,0,0,0,0,0
+9818606,16,肝内に多発性の境界不明瞭な乏血性腫瘤を認めます。,0,0,0,0,0,0,0,1
+9818606,17,一元的に転移を疑いますが、肝膿瘍の混在も十分考えられ��す。,0,0,0,0,0,0,0,1
+9818606,18,肝門部に腫大リンパ節を複数認めます。,0,0,0,0,0,0,0,1
+9818606,19,球形に近く、転移の可能性があります。,0,0,0,0,0,0,0,1
+9818606,20,その他に腹部リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+9818606,21,副腎に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+9818606,22,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+9818606,23,膵、脾に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+9818606,24,消化管に明らかな腫瘤は認めません。,1,0,0,0,0,0,0,0
+9818606,25,腹水貯留を認めます。,1,0,0,0,0,0,0,0
+9818606,26,撮像範囲の骨に強く転移を疑う骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+9905822,0,右肺尖に長径 4.6cm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+9905822,1,"周囲に棘状影が見られ原発性肺癌を疑いま
+す。",0,1,0,0,0,0,0,0
+9905822,2,肺尖部で胸膜浸潤あり T3 と考えます。,0,1,1,0,0,0,0,0
+9905822,3,左肺上葉に bulla が散見されます。,1,0,0,0,0,0,0,0
+9905822,4,縦隔リンパ節#4R の腫大を認め、転移を疑います。,0,0,0,0,0,1,0,0
+9905822,5,対側のリンパ節に腫大は見られません。,1,0,0,0,0,0,0,0
+9905822,6,N2 と考えます。,0,0,0,0,0,1,0,0
+9905822,7,胸水は認めません。,1,0,0,0,0,0,0,0
+9905822,8,左副腎に長径 5.8cm の腫瘤を認めます。,0,0,0,0,0,0,0,1
+9905822,9,転移を疑います。,0,0,0,0,0,0,0,1
+9905822,10,他撮像範囲に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+9905822,11,M1b と考えます。,0,0,0,0,0,0,0,1
+9905822,12,他、撮像範囲の腹部に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+10223615,0,右肺下葉 S8 末梢側の胸膜下領域に約 3cm の分葉状不整形腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+10223615,1,主体は充実成分ですが、辺縁部分にはすりガラス陰影もみられます。,0,1,0,0,0,0,0,0
+10223615,2,胸膜の引き込みもみられます。,0,0,1,0,0,0,0,0
+10223615,3,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+10320785,0,右肺門部から縦隔内に多発性の腫瘤を認めます。,0,1,0,0,0,1,0,0
+10320785,1,"既知の小細胞癌とその転移と考え
+ます。",0,1,0,0,0,1,0,0
+10320785,2,原発のサイズは不明です。,1,0,0,0,0,0,0,0
+10320785,3,右肺上葉胸膜縁に結節を認めます。,0,0,0,0,1,0,0,0
+10320785,4,転移を疑います。,0,0,0,0,1,0,0,0
+10320785,5,下葉優位に肺野末梢に網状影を認めます。,1,0,0,0,0,0,0,0
+10320785,6,間質性肺炎が疑われます。,1,0,0,0,0,0,0,0
+10320785,7,両側乳房や傍胸骨、腋窩、鎖骨上窩に乳癌再発やリンパ節転移を示唆する所見は認めません。,1,0,0,0,0,0,0,0
+10320785,8,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+10320785,9,撮像範囲の上腹部臓器に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+10320785,10,積極的に骨転移を疑う骨破壊や骨硬化像などは認めません。,1,0,0,0,0,0,0,0
+10405379,0,右主気管支内には⻑径 17mm 大の結節影があり、既知の粘表皮癌部分と思われます。,0,1,1,0,0,0,0,0
+10405379,1,右下葉枝は閉塞し、下葉無気肺を呈しています。,0,0,1,1,0,0,0,0
+10405379,2,右胸水を認めます。,0,0,0,0,0,0,1,0
+10405379,3,病的リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+10405379,4,撮像範囲の上腹部に粗大病変指摘できません。,1,0,0,0,0,0,0,0
+11013624,0,左上葉に 12cm  の巨大な低吸収腫瘤があります。,0,1,0,0,0,0,0,0
+11013624,1,肺癌と考えます。,0,1,0,0,0,0,0,0
+11013624,2,縦隔側の胸膜と広く接しており、胸膜浸潤ありと考えます。,0,0,1,0,0,0,0,0
+11013624,3,縦隔への直接浸潤はありません。,1,0,0,0,0,0,0,0
+11013624,4,左肺門、同側縦隔リンパ節腫大しています。,0,0,0,0,0,1,0,0
+11013624,5,リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+11013624,6,左第 3 肋骨は、腫瘍により直接浸潤があります。,0,0,1,0,0,0,0,0
+11013624,7,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+11013624,8,副腎転移は指摘できません。,1,0,0,0,0,0,0,0
+11044030,0,縦隔には累々としたリンパ節腫大が認められ、既知のリンパ節病変と思われます。,0,0,0,0,0,1,0,0
+11044030,1,右上葉には小結節を認めます。,0,1,0,0,0,0,0,0
+11044030,2,肺癌原発巣でしょうか。,0,1,0,0,0,0,0,0
+11044030,3,胸水認めません。,1,0,0,0,0,0,0,0
+11079957,0,左肺下葉 S10 中心に約 72mm の充実性腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+11079957,1,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+11079957,2,胸膜に接し、胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+11079957,3,胸水がみられ、胸膜肥厚像も認めます。,0,0,0,0,0,0,1,0
+11079957,4,胸膜播種を疑います。,0,0,0,0,0,0,1,0
+11079957,5,左肺上葉に結節影を認めます。,0,0,0,0,1,0,0,0
+11079957,6,同側他葉内転移を疑い���す。,0,0,0,0,1,0,0,0
+11079957,7,左腋窩に多数のリンパ節腫大を認めます。,0,0,0,0,0,0,0,1
+11079957,8,腋窩リンパ節転移（所属リンパ節外）を疑います。,0,0,0,0,0,0,0,1
+11079957,9,左肩甲骨、上腕骨に溶骨性変化を認め、腫瘤性陰影を形成しています。,0,0,0,0,0,0,0,1
+11079957,10,骨転移を疑います。,0,0,0,0,0,0,0,1
+11079957,11,正中背側皮下に結節影を認めますが、嚢胞様陰影であり、こちらは類上皮腫を疑います。,1,0,0,0,0,0,0,0
+11117507,0,右肺尖部に spicula  を伴う 50mm  の腫瘤性病変があります。,0,1,0,0,0,0,0,0
+11117507,1,胸膜と広く接しており、胸膜浸潤ありと考えます。,0,0,1,0,0,0,0,0
+11117507,2,肋骨への浸潤ありません。,1,0,0,0,0,0,0,0
+11117507,3,両肺胸膜直網状影、すりガラス影があります。,1,0,0,0,0,0,0,0
+11117507,4,間質性肺炎と考えます。,1,0,0,0,0,0,0,0
+11117507,5,肺内転移は認めません。,1,0,0,0,0,0,0,0
+11117507,6,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+11117507,7,肝転移、副腎転移は認めません。,1,0,0,0,0,0,0,0
+11328933,0,冠状断再構成画像において右肺下葉に mixed GGO を認めます。,0,1,0,0,0,0,0,0
+11328933,1,"既知の肺癌を疑いま
+す。",0,1,0,0,0,0,0,0
+11328933,2,充実部が長径 3 ㎝大であり T1c と考えます。,0,1,0,0,0,0,0,0
+11328933,3,左肺尖にもすりガラス状結節が見られます。,0,0,0,0,1,0,0,0
+11328933,4,サイズは小さいですが、円形に近く高分化腺癌が否定できません。,0,0,0,0,1,0,0,0
+11328933,5,経過観察の上、増大あるときは組織学的にもご確認ください。,0,0,0,0,1,0,0,0
+11328933,6,縦隔、肺門リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+11328933,7,胸水は認めません。,1,0,0,0,0,0,0,0
+11328933,8,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+11595888,0,右肺尖部に胸膜に接する 50mm 大の腫瘤を認めます。,0,1,0,0,0,0,0,0
+11595888,1,"辺縁不整でスピクラ様の毛羽
+立ちを認めます。",1,0,0,0,0,0,0,0
+11595888,2,腫瘤と接する右第 2 肋骨には溶骨性変化を認め、浸潤と考えます。,0,0,1,0,0,0,0,0
+11595888,3,強く肺癌を疑う所見と考えます。,0,1,0,0,0,0,0,0
+11595888,4,肺野背景に気腫性変化を認めます。,1,0,0,0,0,0,0,0
+11595888,5,肺野末梢にはすりガラス影、網状影を認めます。,1,0,0,0,0,0,0,0
+11595888,6,気腫合併間質性肺炎を疑います。,1,0,0,0,0,0,0,0
+11595888,7,肺野に転移を疑う所見は認めません。,1,0,0,0,0,0,0,0
+11595888,8,縦隔・肺門リンパ節には軽度腫大リンパ節を多数認めます。,1,0,0,0,0,0,0,0
+11595888,9,反応性腫大と考えます。,1,0,0,0,0,0,0,0
+11595888,10,病的腫大はありません。,1,0,0,0,0,0,0,0
+11595888,11,胸水貯留はありません。,1,0,0,0,0,0,0,0
+11595888,12,甲状腺のびまん性腫大を認めます。,1,0,0,0,0,0,0,0
+11595888,13,甲状腺機能評価をお願いします。,1,0,0,0,0,0,0,0
+11595888,14,左副腎に腫瘤がありそうですが、撮像範囲の端であり、評価困難です。,0,0,0,0,0,0,0,1
+11595888,15,単純 CT の画像がないため、CT 値や造影効果の評価も困難です。,0,0,0,0,0,0,0,1
+11595888,16,転移の可能性がありますので、MRI や PET 等でのさらなる精査をお願いします。,0,0,0,0,0,0,0,1
+11595888,17,その他、撮像範囲の上腹部臓器に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+11595888,18,撮像範囲の骨に骨破壊や骨硬化像は指摘できません。,1,0,0,0,0,0,0,0
+11604112,0,肺野背景に気腫性変化を認めます。,1,0,0,0,0,0,0,0
+11604112,1,右肺尖部に辺縁不整な腫瘤を認めます。,0,1,0,0,0,0,0,0
+11604112,2,既知の癌病変と考えます。,0,1,0,0,0,0,0,0
+11604112,3,長径 46mm です。,0,1,0,0,0,0,0,0
+11604112,4,胸膜に広く接しており、浸潤の可能性があります。,0,0,1,0,0,0,0,0
+11604112,5,明らかな胸壁浸潤は指摘できません。,1,0,0,0,0,0,0,0
+11604112,6,肺転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+11604112,7,気管傍リンパ節に病的腫大を認めます。,0,0,0,0,0,1,0,0
+11604112,8,転移と考えます。,0,0,0,0,0,1,0,0
+11604112,9,鎖骨上窩リンパ節に病的腫大は認めません。,1,0,0,0,0,0,0,0
+11604112,10,胸水貯留はありません。,1,0,0,0,0,0,0,0
+11604112,11,左副腎に粗大な腫瘤を認めます。,0,0,0,0,0,0,0,1
+11604112,12,転移を疑います。,0,0,0,0,0,0,0,1
+11604112,13,撮像範囲のその他の上腹部臓器に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+11604112,14,撮像範囲の骨に強くを示唆する骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+11650032,0,左下葉末梢に長径 35mm 大の不整な腫瘤を認め、葉間胸膜の陥入を伴っています。,0,1,1,0,0,0,0,0
+11650032,1,左下葉に 8mm 大の結節が���り、副腫瘍結節を疑います。,0,0,0,0,1,0,0,0
+11650032,2,左肺門部リンパ節腫大を認め、転移を疑います。,0,0,0,0,0,1,0,0
+11650032,3,有意な縦隔リンパ節腫大はみられません。,1,0,0,0,0,0,0,0
+11650032,4,胸水なし。,1,0,0,0,0,0,0,0
+11650032,5,肝臓は胆嚢床近傍で低吸収域があり、多発肝転移を疑います。,0,0,0,0,0,0,0,1
+11650032,6,胆嚢周囲に浮腫性変化があり、肝門部うっ血などと思われます。,1,0,0,0,0,0,0,0
+11650032,7,両腎嚢胞あり。,1,0,0,0,0,0,0,0
+11650032,8,その他、副腎を含め明らかな転移なし。,1,0,0,0,0,0,0,0
+11650032,9,傍大動脈リンパ節腫大や腹水なし。,1,0,0,0,0,0,0,0
+11789977,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+11789977,1,左肺舌区および上区の一部に無気肺を認めます。,0,0,0,1,0,0,0,0
+11789977,2,中枢側に腫瘤は指摘できませんが、左主気管支から末梢側にかけて気管支の狭小化及び閉塞があり、肺癌に無気肺を伴っているものと考えます。,0,1,1,1,0,0,0,0
+11789977,3,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+11789977,4,左側の縦隔には短径 9mm  程度のリンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,0
+11789977,5,その他の部位に有意なリンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+11789977,6,左側に胸水を認めます。,0,0,0,0,0,0,1,0
+11789977,7,胸膜の不整な肥厚など、胸膜播種を積極的に思わせる所見はありません。,1,0,0,0,0,0,0,0
+11789977,8,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+11789977,9,腹水はありません。,1,0,0,0,0,0,0,0
+11789977,10,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+12912312,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+12912312,1,左肺下葉に長径 72mm 大の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+12912312,2,既知の肺癌に相当する所見と考えます。,0,1,0,0,0,0,0,0
+12912312,3,肺野に明らかな転移はありません。,1,0,0,0,0,0,0,0
+12912312,4,肺気腫性変化を認めます。,1,0,0,0,0,0,0,0
+12912312,5,左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+12912312,6,胸膜はやや肥厚しており、播種の可能性があります。,0,0,0,0,0,0,1,0
+12912312,7,気管分岐下を含む縦隔、左腋窩に多数の腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,1
+12912312,8,その他、撮像範囲内に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+12912312,9,左肩甲骨及び上腕骨に骨破壊を伴う腫瘤を認め、骨転移を疑います。,0,0,0,0,0,0,0,1
+12912312,10,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+12912312,11,腹水はありません。,1,0,0,0,0,0,0,0
+12912312,12,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+12958437,0,背景肺野に気腫状変化、bulla を認めます。,1,0,0,0,0,0,0,0
+12958437,1,右肺上葉に 27×34×46mm の腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+12958437,2,内部に含気は認められません。,1,0,0,0,0,0,0,0
+12958437,3,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+12958437,4,胸膜に接しており、臓側胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+12958437,5,縦隔リンパ節が 15mm ほど腫大しており、縦隔リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+12958437,6,左副腎結節を認めます（58mm）。,0,0,0,0,0,0,0,1
+12958437,7,副腎転移を疑います。,0,0,0,0,0,0,0,1
+13029131,0,左肺門部に腫瘤を認めます。,0,1,0,0,0,0,0,0
+13029131,1,一部上葉気管支内に突出を認め、末梢は無気肺となっています。,0,0,1,1,0,0,0,0
+13029131,2,縦隔条件では心臓と接しており浸潤の可能性があります。,0,0,1,0,0,0,0,0
+13029131,3,T4 と考えます。,0,1,1,1,0,0,0,0
+13029131,4,右肺下葉に小結節が散見されますが、多角形に近く炎症性結節を疑います。,1,0,0,0,0,0,0,0
+13029131,5,左肺門領域に複数の球形の陰影があります。,0,0,0,0,0,1,0,0
+13029131,6,リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+13029131,7,縦隔リンパ節に腫大は認めません。,1,0,0,0,0,0,0,0
+13029131,8,胸水は認めません。,1,0,0,0,0,0,0,0
+13029131,9,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+13358309,0,"左下葉 S6 に最大径 30mm  腫瘤と腫瘤に接して 9mm  の限局性すりガラス影があり
+ます。",0,1,0,0,1,0,0,0
+13358309,1,また、左下葉  S6 葉間胸膜に沿って 8mm  の結節があります。,0,1,0,0,1,0,0,0
+13358309,2,肺癌、肺内転移を疑います。,0,1,0,0,1,0,0,0
+13358309,3,左肺門リンパ節が腫大しています。,0,0,0,0,0,1,0,0
+13358309,4,リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+13358309,5,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+13358309,6,肝  S5 に乏血性腫瘤があり���す。,0,0,0,0,0,0,0,1
+13358309,7,肝転移と考えます。,0,0,0,0,0,0,0,1
+13358309,8,両側腎嚢胞あります。,1,0,0,0,0,0,0,0
+13358309,9,結腸に便塊貯留が目立ちます。,1,0,0,0,0,0,0,0
+13358309,10,その他、腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+13358309,11,腹水は指摘出来ません。,1,0,0,0,0,0,0,0
+13358309,12,明らかな腹部リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+13567317,0,背景に間質性肺炎、肺気腫を疑います。,1,0,0,0,0,0,0,0
+13567317,1,"気腫合併肺線維症のような肺癌の発生しや
+すい状態を疑います。",1,0,0,0,0,0,0,0
+13567317,2,右肺上葉を中心に約 50mm の腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+13567317,3,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+13567317,4,臓側胸膜への浸潤を疑います。,0,0,1,0,0,0,0,0
+13567317,5,右肺門～縦隔に軟部陰影を認めます。,0,0,0,0,0,1,0,0
+13567317,6,肺門～縦隔リンパ節転移の可能性があります。,0,0,0,0,0,1,0,0
+13658329,0,肺野背景に慢性肺気腫の所見を疑います。,1,0,0,0,0,0,0,0
+13658329,1,右肺尖部に胸膜に広範囲に接する spicula を伴う⻑径 50mm の腫瘤を認めます。,0,1,1,0,0,0,0,0
+13658329,2,肺癌を疑います。,0,1,0,0,0,0,0,0
+13658329,3,臓側胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+13658329,4,肺野には明らかな副腫瘍結節を認めません。,1,0,0,0,0,0,0,0
+13658329,5,縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+13658329,6,胸水は認めません。,1,0,0,0,0,0,0,0
+13658329,7,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+14133008,0,左下葉には 72mm 大の腫瘤があり、既知の肺癌原発巣と思われます。,0,1,0,0,0,0,0,0
+14133008,1,左胸水を認めます。,0,0,0,0,0,0,1,0
+14133008,2,胸膜播種も否定できません。,0,0,0,0,0,0,1,0
+14133008,3,気管分岐下リンパ節が腫大しています。,0,0,0,0,0,1,0,0
+14133008,4,転移の可能性があります。,0,0,0,0,0,1,0,0
+14133817,0,"胸部：
+肺気腫性変化を認めます。",1,0,0,0,0,0,0,0
+14133817,1,右下葉に 40mm 大の腫瘤を認め、胸膜陥入を伴っています。,0,1,1,0,0,0,0,0
+14133817,2,肺癌を疑います。,0,1,0,0,0,0,0,0
+14133817,3,腫瘤の下方で気管支内粘液栓を疑いますが、腫瘍栓も否定はできません。,0,0,1,0,0,0,0,0
+14133817,4,右上葉に淡いすりガラス影があり、炎症性変化かもしれませんが、経過フォローください。,0,0,0,0,1,0,0,0
+14133817,5,右肺門部リンパ節がやや腫大し、転移を疑います。,0,0,0,0,0,1,0,0
+14133817,6,縦隔リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+14133817,7,胸水なし。,1,0,0,0,0,0,0,0
+14133817,8,"腹部〜骨盤部：
+肝に多発腫瘤があり、多発肝転移を疑います。",0,0,0,0,0,0,0,1
+14133817,9,多数の胆石を認めます。,1,0,0,0,0,0,0,0
+14133817,10,また、下部胆管結石を認め、上流の総胆管が拡張しています。,1,0,0,0,0,0,0,0
+14133817,11,肝門部や胆嚢と接して結節があり、リンパ節転移を疑います。,0,0,0,0,0,0,0,1
+14133817,12,左腎嚢胞あり。,1,0,0,0,0,0,0,0
+14133817,13,傍大動脈リンパ節腫大なし。,1,0,0,0,0,0,0,0
+14133817,14,腹水あり。,1,0,0,0,0,0,0,0
+15005039,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+15005039,1,右肺尖部に長径 46mm 大の分葉状の形態を示す腫瘤影を認め、既知の肺癌の所見と考えます。,0,1,0,0,0,0,0,0
+15005039,2,上肺を主体に小葉中心性肺気腫を認めます。,1,0,0,0,0,0,0,0
+15005039,3,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+15005039,4,右下部気管傍リンパ節の腫大を認め、転移を疑います。,0,0,0,0,0,1,0,0
+15005039,5,気管分岐下や対側縦隔のリンパ節のサイズもやや目立ちますが所見は非特異的です。,0,0,0,0,0,1,0,0
+15005039,6,胸水はありません。,1,0,0,0,0,0,0,0
+15005039,7,左副腎に長径 58mm  程度の腫瘤を認め、転移の疑いがあります。,0,0,0,0,0,0,0,1
+15005039,8,その他、撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+15005039,9,腹水はありません。,1,0,0,0,0,0,0,0
+15005039,10,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+15045923,0,右肺尖部に 50mm 大の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+15045923,1,辺縁不整で spicula を伴っており、肺癌が疑われます。,0,1,0,0,0,0,0,0
+15045923,2,胸壁と広く接しており、浸潤にはご留意ください。,0,0,1,0,0,0,0,0
+15045923,3,背景肺には胸膜下を主体とした軽度気腫性変化や網状影、すりガラス影など間質性陰影が見られます。,1,0,0,0,0,0,0,0
+15045923,4,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+15045923,5,胸水はありません。,1,0,0,0,0,0,0,0
+15059875,0,右肺下葉に長径 4.0cm の分葉状の腫瘤あり、肺癌を疑います。,0,1,0,0,0,0,0,0
+15059875,1,病変の周囲に結節様の陰影がありますが、腫瘤による閉塞を疑います。,0,0,1,1,0,0,0,0
+15059875,2,T2 と考えます。,0,1,1,1,0,0,0,0
+15059875,3,気管の右側にリンパ節腫大が見られ、転移を疑います。,0,0,0,0,0,1,0,0
+15059875,4,対側のリンパ節に腫大は認めません。,1,0,0,0,0,0,0,0
+15059875,5,N2 と考えます。,0,0,0,0,0,1,0,0
+15059875,6,胸水は認めません。,1,0,0,0,0,0,0,0
+15059875,7,肝に複数の腫瘤あり、多発転移を疑います。,0,0,0,0,0,0,0,1
+15059875,8,M1c と考えます。,0,0,0,0,0,0,0,1
+15059875,9,副腎に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+15059875,10,総胆管、肝内胆管拡張を強く認めます。,1,0,0,0,0,0,0,0
+15059875,11,下部総胆管に低吸収の結石が見られます。,1,0,0,0,0,0,0,0
+15059875,12,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+15059875,13,脾臓に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+15059875,14,腹部リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+15059875,15,骨盤内腹水を認めます。,1,0,0,0,0,0,0,0
+15059875,16,骨転移を疑う所見は指摘できません。,1,0,0,0,0,0,0,0
+15095613,0,重度の肺気腫性変化を認めます。,1,0,0,0,0,0,0,0
+15095613,1,左肺上葉に 47mm 大の不整な腫瘤があり、肺癌を疑います。,0,1,0,0,0,0,0,0
+15095613,2,腫瘤により上葉気管支が狭小化しています。,0,0,1,0,0,0,0,0
+15095613,3,また、腫瘤は左肺動脈本幹と密接しており、浸潤の疑いがあります。,0,0,1,0,0,0,0,0
+15095613,4,造影と併せてご判断ください。,0,0,1,0,0,0,0,0
+15095613,5,また、大動脈弓近傍で縦隔と接しており、縦隔浸潤についても造影での評価が望ましい。,0,0,1,0,0,0,0,0
+15095613,6,腫瘤は左肺門部リンパ節と一塊となってみえます。,0,0,0,0,0,1,0,0
+15095613,7,粗大な縦隔リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+15095613,8,胸水はみられません。,1,0,0,0,0,0,0,0
+15410359,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+15410359,1,右肺尖部に長径 50mm  大の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+15410359,2,病変は胸膜と比較的広く接しており肋骨の近傍に及んでいます。,0,0,1,0,0,0,0,0
+15410359,3,胸膜浸潤を伴っている可能性があります。,0,0,1,0,0,0,0,0
+15410359,4,右肺上葉に微小結節影を認めます。,0,0,0,0,1,0,0,0
+15410359,5,良性病変としても矛盾しませんが、サイズが小さく特異的な診断が困難です。,0,0,0,0,1,0,0,0
+15410359,6,経過を追ってください。,0,0,0,0,1,0,0,0
+15410359,7,上肺を主体に小葉中心性肺気腫を認めます。,1,0,0,0,0,0,0,0
+15410359,8,両肺下葉の末梢側にはすりガラス影、網状影や嚢胞性変化等の間質性変化が見られます。,1,0,0,0,0,0,0,0
+15410359,9,その他、肺野に明らかな活動性病変はありません。,1,0,0,0,0,0,0,0
+15410359,10,右肺門、気管分岐下のリンパ節のサイズが目立ち、転移の可能性があります。,0,0,0,0,0,1,0,0
+15410359,11,PET-CT でも評価下さい。,0,0,0,0,0,1,0,0
+15410359,12,その他、撮像範囲内に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+15410359,13,胸水はありません。,1,0,0,0,0,0,0,0
+15410359,14,左副腎に低吸収を示す腫瘤を認めます。,0,0,0,0,0,0,0,1
+15410359,15,一部撮像範囲外のため詳細な評価は困難ですが、転移の可能性を否定できません。,0,0,0,0,0,0,0,1
+15410359,16,腹部 CT  の追加撮像を検討ください。,0,0,0,0,0,0,0,1
+15410359,17,その他、撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+15410359,18,腹水はありません。,1,0,0,0,0,0,0,0
+15410359,19,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+15465590,0,左下葉に⻑径 72mm の腫瘤を認め、原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+15465590,1,腫瘤周囲にすりガラス影、小葉間隔壁肥厚を認めます。,0,0,0,0,1,0,0,0
+15465590,2,癌性リンパ管症の可能性があります。,0,0,0,0,1,0,0,0
+15465590,3,左腋窩リンパ節腫大が散見され、転移を疑います。,0,0,0,0,0,0,0,1
+15465590,4,左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+15465590,5,左上腕骨、肩甲骨に溶骨性腫瘤を認め、骨転移を疑います。,0,0,0,0,0,0,0,1
+15465590,6,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+15465590,7,胸背部皮下結節を認めます。,1,0,0,0,0,0,0,0
+15465590,8,粉瘤などの良性結節を疑います。,1,0,0,0,0,0,0,0
+15654062,0,右肺尖部に 46mm 大の不整な腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+15654062,1,胸膜に広く接しており、壁側胸膜への浸潤の可能性もあります。,0,0,1,0,0,0,0,0
+15654062,2,左上葉にブラを認めます。,1,0,0,0,0,0,0,0
+15654062,3,縦隔に腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,0
+15654062,4,胸水はありません。,1,0,0,0,0,0,0,0
+15654062,5,左副腎部に腫瘤を認め、周囲には脂肪織濃度上昇を認めます。,0,0,0,0,0,0,0,1
+15654062,6,転移や血腫など鑑別に挙がります。,0,0,0,0,0,0,0,1
+15702092,0,左肺上葉には⻑径 12cm の巨大な腫瘤が認められ、既知の原発巣と思われます。,0,1,0,0,0,0,0,0
+15702092,1,縦隔内浸潤が疑われます。,0,0,1,0,0,0,0,0
+15702092,2,周囲には 2 個の小結節も伴っています。,0,0,0,0,1,0,0,0
+15702092,3,同葉内転移を伴う肺癌が示唆されます。,0,0,0,0,1,0,0,0
+15702092,4,左縦隔リンパ節転移が疑われます。,0,0,0,0,0,1,0,0
+15702092,5,上腹部に粗大病変指摘できません。,1,0,0,0,0,0,0,0
+15853567,0,背景肺には気腫性変化を認めます。,1,0,0,0,0,0,0,0
+15853567,1,右下葉に 40mm 大の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+15853567,2,肺癌が疑われます。,0,1,0,0,0,0,0,0
+15853567,3,右上葉にすりガラス影を散見します。,0,0,0,0,1,0,0,0
+15853567,4,炎症性変化かもしれませんが、フォローにて変化をご確認ください。,0,0,0,0,1,0,0,0
+15853567,5,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+15853567,6,胸水はありません。,1,0,0,0,0,0,0,0
+15853567,7,肝に hypovascular tumor を散見し、多発肝転移が疑われます。,0,0,0,0,0,0,0,1
+15853567,8,胆石を認めます。,1,0,0,0,0,0,0,0
+15853567,9,総胆管結石を認め、胆管拡張を伴っています。,1,0,0,0,0,0,0,0
+15853567,10,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+15853567,11,傍大動脈領域に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+15853567,12,骨盤部に腹水を認めます。,1,0,0,0,0,0,0,0
+16564891,0,右肺門部～右肺気管支内に結節影を認めます（結節部は約 17mm）。,0,1,1,0,0,0,0,0
+16564891,1,右肺門部気管支由来の原発性気管支癌（粘表皮癌）を疑います。,0,1,1,0,0,0,0,0
+16564891,2,右肺下葉、中葉の含気は消失傾向、air bronchogram、粘液栓なども認めます。,0,0,1,1,0,0,0,0
+16564891,3,気管支癌による右肺下葉、中葉の閉塞、無気肺像と思われます。,0,0,1,1,0,0,0,0
+16564891,4,右肺上葉の含気は正常に保たれています。,1,0,0,0,0,0,0,0
+16564891,5,左肺に明らかな結節影は指摘できません。,1,0,0,0,0,0,0,0
+16564891,6,右肺門部リンパ節は一塊となり、リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+16564891,7,縦隔リンパ節も腫大しており、転移を疑います。,0,0,0,0,0,1,0,0
+16573882,0,背景肺には軽度気腫性変化を認めます。,1,0,0,0,0,0,0,0
+16573882,1,右下葉胸膜下に 12mm 大の結節影を認めます。,0,1,0,0,0,0,0,0
+16573882,2,ご指摘の肺癌病変が疑われます。,0,1,0,0,0,0,0,0
+16573882,3,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+16573882,4,胸水はありません。,1,0,0,0,0,0,0,0
+16625166,0,左上葉には無気肺を伴う腫瘤性病変が認められ、既知の既知の肺癌が疑われます。,0,1,0,1,0,0,0,0
+16625166,1,心膜・縦隔への浸潤が疑われます。,0,0,1,0,0,0,0,0
+16625166,2,肺門リンパ節は腫大して見え、転移の可能性があります。,0,0,0,0,0,1,0,0

japanese_val.csv

@@ -0,0 +1,458 @@
+id,sentence_index,text,omittable,measure,extension,atelectasis,satellite,lymphadenopathy,pleural,distant
+147290,0,左肺門部に 37mm 大の腫瘤影を認め、ご指摘の肺癌が疑われます。,0,1,0,0,0,0,0,0
+147290,1,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+147290,2,胸水はありません。,1,0,0,0,0,0,0,0
+147290,3,背部皮下に腫瘤を認め、粉瘤などと思われます。,1,0,0,0,0,0,0,0
+241752,0,右下葉に 14×15mm  の限局性すりガラス影があります。,0,1,0,0,0,0,0,0
+241752,1,粗大な充実部分は認めません。,0,1,0,0,0,0,0,0
+241752,2,内部を血管が通過しています。,1,0,0,0,0,0,0,0
+241752,3,既知の肺癌と考えます。,0,1,0,0,0,0,0,0
+241752,4,縦隔リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+241752,5,胸水貯留は指摘できません。,1,0,0,0,0,0,0,0
+241752,6,撮影範囲の腹部臓器に粗大な異常は認めません。,1,0,0,0,0,0,0,0
+876951,0,左肺上葉背側を主体に、葉間胸膜をまたいで下葉にも突出する長径 37mm の腫瘤を認めます。,0,1,1,0,0,0,0,0
+876951,1,辺縁にはスピクラ様の毛羽立ちを認め、内部には空洞を認めます。,1,0,0,0,0,0,0,0
+876951,2,肺癌に矛盾しない所見と考えます。,0,1,0,0,0,0,0,0
+876951,3,腫瘤は左肺動脈に接していますが、明らかな血管壁の不整や狭細化といった浸潤所見は指摘できません。,0,0,1,0,0,0,0,0
+876951,4,両肺胸膜縁に小結節が散在しています。,0,0,0,0,0,0,1,0
+876951,5,播種の可能性が完全には否定できませんが、胸水貯留はみられず、炎症瘢痕などの良性変化と考えます。,0,0,0,0,0,0,1,0
+876951,6,縦隔・肺門リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+876951,7,右背部皮下に粉瘤などの良性病変と思われる辺縁平滑な腫瘤を認めます。,1,0,0,0,0,0,0,0
+876951,8,撮像範囲の上腹部臓器に転移を示唆する所見は指摘できません。,1,0,0,0,0,0,0,0
+923073,0,左肺上葉に長径 3.7 ㎝の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+923073,1,分葉状の形態あり、周囲に棘状影も見られ原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+923073,2,サイズからは T2a を疑います。,0,1,0,0,0,0,0,0
+923073,3,右肺動脈と接して見えますが、肺動脈本幹への浸潤は見られません。,0,0,1,0,0,0,0,0
+923073,4,他肺野に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+923073,5,縦隔、腋窩リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+923073,6,胸水は認めません。,1,0,0,0,0,0,0,0
+923073,7,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+1600422,0,左肺尖部に⻑径 22mm の不整形腫瘤を認め、既知肺癌に相当の病変と思われます。,0,1,0,0,0,0,0,0
+1600422,1,その他、肺野に副腫瘍結節を疑う所見はありません。,1,0,0,0,0,0,0,0
+1600422,2,縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+1600422,3,胸水は認めません。,1,0,0,0,0,0,0,0
+1600422,4,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+2318717,0,右下葉に長径 15mm 大の mixed GGO を認めます。,0,1,0,0,0,0,0,0
+2318717,1,肺腺癌を否定できません。,0,1,0,0,0,0,0,0
+2318717,2,右中葉や左舌区に炎症瘢痕を疑う索状影あり。,1,0,0,0,0,0,0,0
+2318717,3,有意な縦隔リンパ節腫大なし。,1,0,0,0,0,0,0,0
+2318717,4,肺門部リンパ節については造影と併せて評価ください。,0,0,0,0,0,1,0,0
+2318717,5,心拡大と心嚢液貯留あり。,0,0,0,0,0,0,1,0
+2737981,0,左肺尖部に分葉状腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+2737981,1,最大径は 22mm です。,0,1,0,0,0,0,0,0
+2737981,2,"原発性肺癌を疑い
+ます。",0,1,0,0,0,0,0,0
+2737981,3,近傍に結節影があり同葉内転移を疑います。,0,0,0,0,1,0,0,0
+2737981,4,縦隔、肺門リンパ節腫大は見られません。,1,0,0,0,0,0,0,0
+2755461,0,左上葉に最大径 103mm の境界不明瞭な増強効果の乏しい腫瘤があります。,0,1,0,0,0,0,0,0
+2755461,1,肺癌と考えます。,0,1,0,0,0,0,0,0
+2755461,2,左気管支は腫瘍により閉塞しています。,0,0,1,0,0,0,0,0
+2755461,3,左下葉にも無気肺があり、左胸水貯留を認めます。,0,0,0,1,0,0,1,0
+2755461,4,左肺門、同側縦隔リンパ節は腫瘍と一塊となっています。,0,0,0,0,0,1,0,0
+2755461,5,左肺動脈も腫瘍浸潤があります。,0,0,1,0,0,0,0,0
+2755461,6,右肺上葉、下葉に多発結節があり、多発肺内転移と考えます。,0,0,0,0,1,0,0,0
+2755461,7,肝転移、副腎転移は認めません。,1,0,0,0,0,0,0,0
+3162670,0,左肺門部に肺門部、縦隔リンパ節と一塊となった腫瘤を認め、肺癌を疑います。,0,1,0,0,0,1,0,0
+3162670,1,左主気管支は閉塞し、左肺は含気がみられません。,0,0,1,1,0,0,0,0
+3162670,2,左肺動脈本幹に狭小化があり、浸潤を疑います。,0,0,1,0,0,0,0,0
+3162670,3,また、腫瘤は左房と密接し、浸潤を疑います。,0,0,1,0,0,0,0,0
+3162670,4,右上葉や下葉に複数の結節があり、肺転移を疑います。,0,0,0,0,1,0,0,0
+3162670,5,左胸水がみられます。,0,0,0,0,0,0,1,0
+3462779,0,左肺には縦隔浸潤が疑われる腫瘤があり、左肺全体に及ぶ無気肺を伴っています。,0,1,1,1,0,0,0,0
+3462779,1,肺門-気管分岐下にはリンパ節腫大が疑われます。,0,0,0,0,0,1,0,0
+3462779,2,右肺には結節が多数認められ、転移が疑われます。,0,0,0,0,1,0,0,0
+4592263,0,右肺下葉にすりガラス状結節を認めます。,0,1,0,0,0,0,0,0
+4592263,1,横径 14×15mm です。,0,1,0,0,0,0,0,0
+4592263,2,境界明瞭で分葉状を呈しています。,1,0,0,0,0,0,0,0
+4592263,3,内部は均一なすりガラス状です。,0,1,0,0,0,0,0,0
+4592263,4,腺癌に矛盾しない所見です。,0,1,0,0,0,0,0,0
+4592263,5,両側肺野には多発性に索状影を認めます。,1,0,0,0,0,0,0,0
+4592263,6,陳旧性炎症性変化や無気肺と考えます。,1,0,0,0,0,0,0,0
+4592263,7,肺野に転移を疑う病変は指摘できません。,1,0,0,0,0,0,0,0
+4592263,8,縦隔・肺門リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+4592263,9,心拡大および心嚢液貯留を認めます。,0,0,0,0,0,0,1,0
+4592263,10,少量の右胸水貯留を認めます。,0,0,0,0,0,0,1,0
+4592263,11,撮像範囲の上腹部実質臓器に粗大病変は認めません。,1,0,0,0,0,0,0,0
+4592263,12,撮像範囲の骨に積極的に転移を疑う骨破壊や骨硬化像は指摘できません。,1,0,0,0,0,0,0,0
+4644984,0,右下葉に腫瘤を認め、既知肺癌を疑います。,0,1,0,0,0,0,0,0
+4644984,1,右縦隔、肺門部に軟部影を認め、リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+4644984,2,両側胸水貯留を認めます。,0,0,0,0,0,0,1,0
+4644984,3,左肋骨、腰椎、両側骨盤骨に骨硬化性変化が多発しており骨転移を疑います。,0,0,0,0,0,0,0,1
+4644984,4,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+4644984,5,撮像範囲の腹部臓器に転移を疑う所見を認めません。,1,0,0,0,0,0,0,0
+4660316,0,左肺肺門部に長径 10.3cm の腫瘤を認めます。,0,1,0,0,0,0,0,0
+4660316,1,左肺は閉塞性無気肺となっています。,0,0,0,1,0,0,0,0
+4660316,2,肺動脈主管部や心臓と接しており浸潤を疑います。,0,0,1,0,0,0,0,0
+4660316,3,T4 を疑います。,0,1,1,1,0,0,0,0
+4660316,4,左肺門リンパ節や縦隔リンパ節#4L 腫大と一塊化した描出となっており転移が疑われます。,0,0,0,0,0,1,0,0
+4660316,5,N2 を疑います。,0,0,0,0,0,1,0,0
+4660316,6,右肺に複数の球形結節が見られ、転移を疑います。,0,0,0,0,1,0,0,0
+4660316,7,M1a を疑います。,0,0,0,0,1,0,0,0
+4660316,8,左胸水を認めます。,0,0,0,0,0,0,1,0
+4660316,9,癌性胸水を疑います。,0,0,0,0,0,0,1,0
+4660316,10,肝左葉に低吸収腫瘤を認めます。,0,0,0,0,0,0,0,1
+4660316,11,PET-CT でも集積がないかご確認ください。,0,0,0,0,0,0,0,1
+4660316,12,転移の場合は M1b となります。,0,0,0,0,1,0,1,1
+4724041,0,"左肺門部、左上葉 S2 に主座を置く⻑径 37mm の不整形腫瘤を認め、内部に空洞形成
+を認めます。",0,1,0,0,0,0,0,0
+4724041,1,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+4724041,2,左肺動脈、左上葉気管支に接していますが狭小化はありません。,0,0,1,0,0,0,0,0
+4724041,3,副腫瘍結節を認めません。,1,0,0,0,0,0,0,0
+4724041,4,明らかな縦隔浸潤、肺門部、縦隔リンパ節の病的腫大を認めません。,1,0,0,0,0,0,0,0
+4724041,5,胸水は認めません。,1,0,0,0,0,0,0,0
+4724041,6,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+4734929,0,左舌区から下葉にまたがる 37mm の空洞性腫瘤あり、既知の肺癌と思われます。,0,1,1,0,0,0,0,0
+4734929,1,縦隔リンパ節は一塊となっている可能性は否定できません。,0,0,0,0,0,1,0,0
+4734929,2,胸水認めません。,1,0,0,0,0,0,0,0
+4924173,0,右肺下葉 S10 に長径 1.5cm のすりガラス状結節を認め、既知の肺腺癌を疑います。,0,1,0,0,0,0,0,0
+4924173,1,内部に充実成分は認めず、Tis と考えます。,0,1,0,0,0,0,0,0
+4924173,2,両肺に陳旧性炎症瘢痕を疑う索状影が散見されます。,1,0,0,0,0,0,0,0
+4924173,3,左肺下葉胸膜下に多角形の小結節を認めます。,1,0,0,0,0,0,0,0
+4924173,4,炎症性結節を疑います。,1,0,0,0,0,0,0,0
+4924173,5,他肺野に活動性炎症ないし腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+4924173,6,縦隔、肺門、腋窩リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+4924173,7,少量の右胸水、心嚢液貯留を認めます。,0,0,0,0,0,0,1,0
+4924173,8,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+5180986,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+5180986,1,扁平上皮癌が知られています。,1,0,0,0,0,0,0,0
+5180986,2,左主気管支から末梢側は閉塞しており、左肺は無気肺の状態です。,0,0,1,1,0,0,0,0
+5180986,3,左肺門部から縦隔に及ぶ不均一な増強効果を伴う腫瘤を認め、原発巣に相当する所見と考えます。,0,1,1,0,0,0,0,0
+5180986,4,左肺動脈及び静脈の狭小化を伴っており、浸潤が示唆されます。,0,0,1,0,0,0,0,0
+5180986,5,左肺門リンパ節および縦隔リンパ節は病変と一塊となっている可能性があります。,0,0,0,0,0,1,0,0
+5180986,6,右肺には複数の結節影を認め、転移を疑います。,0,0,0,0,1,0,0,0
+5180986,7,その他、肺野に明らかな活動性病変はありません。,1,0,0,0,0,0,0,0
+5180986,8,左胸水を認めます。,0,0,0,0,0,0,1,0
+5180986,9,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+5180986,10,腹水はありません。,1,0,0,0,0,0,0,0
+5180986,11,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+5764772,0,右下葉 S10 に⻑径 15mm の pure GGN を認めます。,0,1,0,0,0,0,0,0
+5764772,1,既知肺癌に相当の病変と思われます。,0,1,0,0,0,0,0,0
+5764772,2,その他の肺野に結節は認めません。,1,0,0,0,0,0,0,0
+5764772,3,T 分類 Tis 相当と思われます。,0,1,0,0,0,0,0,0
+5764772,4,左下葉胸膜下に結節を認めますが陳旧性炎症性結節を疑います。,1,0,0,0,0,0,0,0
+5764772,5,両側肺野には索状影が散見され、炎症瘢痕を疑います。,1,0,0,0,0,0,0,0
+5764772,6,心拡大、心嚢液貯留を認めます。,1,0,0,0,0,0,0,0
+5764772,7,縦隔・肺門部リンパ節の有意な腫大、その他の縦隔器質病変は認めません。,1,0,0,0,0,0,0,0
+5764772,8,軽度右胸水貯留を認めます。,1,0,0,0,0,0,0,0
+5764772,9,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+5888093,0,左肺門部に⻑径 103mm の腫瘤を認め、原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+5888093,1,左主気管支は腫瘍浸潤による閉塞を認めます。,0,0,1,0,0,0,0,0
+5888093,2,左肺野は虚脱しています。,0,0,0,1,0,0,0,0
+5888093,3,左肺動脈にも腫瘍が浸潤、狭小化しています。,0,0,1,0,0,0,0,0
+5888093,4,縦隔腫瘍浸潤を疑います。,0,0,1,0,0,0,0,0
+5888093,5,左肺門部、左縦隔リンパ節と腫瘍は一塊となっています。,0,0,0,0,0,1,0,0
+5888093,6,右側縦隔リンパ節も腫大、転移を疑います。,0,0,0,0,0,1,0,0
+5888093,7,右肺野には副腫瘍結節を疑う結節が散見されます。,0,0,0,0,1,0,0,0
+5888093,8,左胸水貯留を軽度認めます。,0,0,0,0,0,0,1,0
+5888093,9,撮像範囲の上腹部臓器に明らかな異常は認めません。,1,0,0,0,0,0,0,0
+6238897,0,左肺門部に軟部影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+6238897,1,縦隔内へと進展し、左主気管支は腫瘍により閉塞しており、左肺は無気肺となっています。,0,0,1,1,0,0,0,0
+6238897,2,右肺野に結節影を散見し、転移の可能性があります。,0,0,0,0,1,0,0,0
+6238897,3,対側肺門に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+6238897,4,左胸水を認めます。,0,0,0,0,0,0,1,0
+6278112,0,右上葉に⻑径 137mm の巨大腫瘤を認め、原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+6278112,1,"胸壁、肋骨に浸潤
+しています。",0,0,1,0,0,0,0,0
+6278112,2,両側肺野に多発結節を認め、副腫瘍結節を疑います。,0,0,0,0,1,0,0,0
+6278112,3,左胸水貯留と圧排性無気肺を認めます。,0,0,0,0,0,0,1,0
+6278112,4,左胸水内に播種腫瘤を疑う軟部影を認めます。,0,0,0,0,0,0,1,0
+6278112,5,軽度の右胸水貯留も認めます。,0,0,0,0,0,0,1,0
+6278112,6,縦隔リンパ節、両側肺門部リンパ節腫大が散見され、転移を疑います。,0,0,0,0,0,1,0,0
+6278112,7,両側副腎腫瘤を認め、転移を疑います。,0,0,0,0,0,0,0,1
+6278112,8,両側傍腎盂嚢胞を認めます。,1,0,0,0,0,0,0,0
+6311491,0,左上葉背側に spicula  を伴う 37mm  の空洞性病変があります。,0,1,0,0,0,0,0,0
+6311491,1,左上葉気管支は、腫瘍により閉塞しています。,0,0,1,0,0,0,0,0
+6311491,2,腫瘍の一部が、葉間胸膜を越えて、左下葉に浸潤しています。,0,0,1,0,0,0,0,0
+6311491,3,左肺門部リンパ節は、腫瘍と一塊となっており、リンパ節炎転移ありと考えます。,0,0,0,0,0,1,0,0
+6311491,4,胸水貯留は認めません。,1,0,0,0,0,0,0,0
+6311491,5,右背部皮下に嚢胞性病変があります。,1,0,0,0,0,0,0,0
+6311491,6,粉瘤を疑います。,1,0,0,0,0,0,0,0
+6688795,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+6688795,1,左肺上葉の肺門部に長径 37mm  程度の分葉状の腫瘤を認め、スピクラや周囲既存構造の引き込み像を伴っています。,0,1,1,0,0,0,0,0
+6688795,2,肺癌の所見と考えます。,0,1,0,0,0,0,0,0
+6688795,3,左肺下葉背側に微小結節影を認めますが、比較的濃度が高く陳旧性炎症性変化を考えます。,1,0,0,0,0,0,0,0
+6688795,4,その他、肺野に明らかな転移や活動性病変は認められません。,1,0,0,0,0,0,0,0
+6688795,5,左肺門リンパ節のサイズがやや目立ち、転移の疑いがあります。,0,0,0,0,0,1,0,0
+6688795,6,縦隔に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+6688795,7,胸水はありません。,1,0,0,0,0,0,0,0
+6688795,8,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+6688795,9,腹水はありません。,1,0,0,0,0,0,0,0
+6688795,10,背部皮下に 10mm  程度の腫瘤を認めます。,1,0,0,0,0,0,0,0
+6688795,11,粉瘤等を考えます。,1,0,0,0,0,0,0,0
+6688795,12,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+6831979,0,両肺には多数の円形腫瘤が認められます。,0,1,0,0,1,0,0,0
+6831979,1,右肺の 137mm のものが最大で、胸壁や肋骨への浸潤が疑われます。,0,1,1,0,0,0,0,0
+6831979,2,ご指摘の神経内分泌癌と思われます。,0,1,0,0,0,0,0,0
+6831979,3,左下葉無気肺と胸水が目立ちます。,0,0,0,1,0,0,1,0
+6831979,4,両側肺門-縦隔リンパ節が腫大しており、転移が疑われます。,0,0,0,0,0,1,0,0
+6831979,5,両側副腎が腫大し、転移が疑われます。,0,0,0,0,0,0,0,1
+6831979,6,両側水腎がありますが、撮像範囲内では閉塞機転は判然としません。,0,0,0,0,0,0,0,1
+7859648,0,右下葉には不整形の腫瘤影があり、既知の肺癌原発巣が疑われます(最大径 42mm)。,0,1,0,0,0,0,0,0
+7859648,1,同側肺門-気管分岐下縦隔リンパ節が病的腫大しています。,0,0,0,0,0,1,0,0
+7859648,2,転移を疑います。,0,0,0,0,0,1,0,0
+7859648,3,骨には多発硬化像あり、転移が疑われます。,0,0,0,0,0,0,0,1
+7859648,4,骨シンチや PET でも確認ください。,0,0,0,0,0,0,0,1
+7883310,0,左上葉に 22mm 大の分葉状の不整形結節を認め、肺癌を疑います。,0,1,0,0,0,0,0,0
+7883310,1,その他、肺野に明らかな活動性病変は指摘できません。,1,0,0,0,0,0,0,0
+7883310,2,有意な縦隔リンパ節腫大や胸水はみられません。,1,0,0,0,0,0,0,0
+8370801,0,右肺上葉、中葉に広がる約 13cm の腫瘍性病変を疑います。,0,1,1,0,0,0,0,0
+8370801,1,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+8370801,2,胸壁に浸潤しています。,0,0,1,0,0,0,0,0
+8370801,3,左肺下葉にも腫瘤性病変を認め、左肺下葉の無気肺も合併しています。,0,0,0,1,1,0,0,0
+8370801,4,両側肺野に大小の結節影、腫瘤影を認めます。,0,0,0,0,1,0,0,0
+8370801,5,多発肺転移を疑います。,0,0,0,0,1,0,0,0
+8370801,6,左胸水を認めます。,0,0,0,0,0,0,1,0
+8370801,7,右肺門～縦隔リンパ節腫大を認めます。,0,0,0,0,0,1,0,0
+8370801,8,リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+8370801,9,両側副腎は腫大しています。,0,0,0,0,0,0,0,1
+8370801,10,副腎転移を疑います。,0,0,0,0,0,0,0,1
+8370801,11,両側水腎症を認めます。,0,0,0,0,0,0,0,1
+8370801,12,撮影範囲外ですが、大動脈周囲のリンパ節転移、尿管圧排などがあるかもしれません。,0,0,0,0,0,0,0,1
+8450208,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+8450208,1,左肺上区  S1＋2 に長径 22mm  程度の分葉状の形態を示す結節影を認めます。,0,1,0,0,0,0,0,0
+8450208,2,肺腺癌に合致する所見です。,0,1,0,0,0,0,0,0
+8450208,3,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+8450208,4,縦隔、肺門に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+8450208,5,胸水はありません。,1,0,0,0,0,0,0,0
+8450208,6,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+8450208,7,腹水はありません。,1,0,0,0,0,0,0,0
+8450208,8,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+8977151,0,右下葉に長径 4.2cm 大の腫瘤を認め肺癌を疑います。,0,1,0,0,0,0,0,0
+8977151,1,無気肺も伴っています。,0,0,0,1,0,0,0,0
+8977151,2,腫瘤近傍の胸壁に造影効果を伴った肥厚があり浸潤を疑います。,0,0,1,0,0,0,0,0
+8977151,3,T3 と考えます。,0,1,1,1,0,0,0,0
+8977151,4,"縦隔リンパ節#4R,#7 に腫大を認め転移を疑います。",0,0,0,0,0,1,0,0
+8977151,5,対側のリンパ節に病的腫大は見られず N2 と考えます。,0,0,0,0,0,1,0,0
+8977151,6,少量ながら右優位の胸水貯留があります。,0,0,0,0,0,0,1,0
+8977151,7,悪性胸水の可能性があります。,0,0,0,0,0,0,1,0
+8977151,8,肝、副腎に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+8977151,9,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+8977151,10,胆嚢、膵、脾に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+8977151,11,"左第 7 肋骨、L4,L5、仙骨、両側腸骨に骨硬化を認め、転移を疑います。",0,0,0,0,0,0,0,1
+8977151,12,転移は骨のみですが多発であり M1c と考えます。,0,0,0,0,0,0,1,1
+9815314,0,右下葉に最大径 137mm  の腫瘤性病変があります。,0,1,0,0,0,0,0,0
+9815314,1,病変は肋間を越えて胸壁に直接浸潤があります。,0,0,1,0,0,0,0,0
+9815314,2,肋骨の浸潤像はありません。,1,0,0,0,0,0,0,0
+9815314,3,両肺に多発結節があり、多発肺転移と考えます。,0,0,0,0,1,0,0,0
+9815314,4,左胸水貯留と無気肺があります。,0,0,0,1,0,0,1,0
+9815314,5,また、胸膜にも結節があり、胸膜播種と考えます。,0,0,0,0,0,0,1,0
+9815314,6,右肺門、同側縦隔リンパ節腫大しています。,0,0,0,0,0,1,0,0
+9815314,7,リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+9815314,8,膵臓、両側副腎に腫瘤があり、転移と考えます。,0,0,0,0,0,0,0,1
+9815314,9,両側水腎症もあります。,0,0,0,0,0,0,0,1
+10365351,0,左肺中枢側に腫瘤性病変を認めます（103×83×96mm）。,0,1,0,0,0,0,0,0
+10365351,1,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+10365351,2,左肺の末梢側は無気肺となり、含気は消失、腫瘍との境界は不明瞭です。,0,0,0,1,0,0,0,0
+10365351,3,縦隔に広範に接しており、縦隔浸潤を疑います。,0,0,1,0,0,0,0,0
+10365351,4,右肺内に複数の結節影を認め、対側肺転移を疑います。,0,0,0,0,1,0,0,0
+10365351,5,左肺門リンパ節腫大があり、リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+10365351,6,気管分岐下リンパ節にも腫大を認めます。,0,0,0,0,0,1,0,0
+10365351,7,縦隔リンパ節転移の可能性があります。,0,0,0,0,0,1,0,0
+10376521,0,右肺に長径 13.7cm 大、胸壁を超える腫瘤を認めます。,0,1,1,0,0,0,0,0
+10376521,1,T4と考えます。,0,1,1,0,0,0,0,0
+10376521,2,縦隔リンパ節転移#2R に球形の腫大あり転移を疑います。,0,0,0,0,0,1,0,0
+10376521,3,N2 と考えます。,0,0,0,0,0,1,0,0
+10376521,4,両肺に多数の結節あり転移を疑います。,0,0,0,0,1,0,0,0
+10376521,5,両側胸膜播種を認めます。,0,0,0,0,0,0,1,0
+10376521,6,左胸水を認め、癌性胸水を疑います。,0,0,0,0,0,0,1,0
+10376521,7,両側副腎に腫瘤を認め、転移を疑います。,0,0,0,0,0,0,0,1
+10376521,8,他撮像範囲の腹部臓器に腫瘍性病変は指摘できません。,1,0,0,0,0,0,0,0
+10376521,9,両腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+10634640,0,左上葉に 22mm 大の不整形腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+10634640,1,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+10634640,2,胸水はありません。,1,0,0,0,0,0,0,0
+10708825,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+10708825,1,右肺上葉に長径 13.7cm 大の腫瘤影を認めます。,0,1,0,0,0,0,0,0
+10708825,2,腫瘤は胸壁を越えて進展しています。,0,0,1,0,0,0,0,0
+10708825,3,両肺には結節影が多発しており、転移を疑います。,0,0,0,0,1,0,0,0
+10708825,4,軽度の肺気腫性変化あり。,1,0,0,0,0,0,0,0
+10708825,5,左側を主体に多量の胸水を認め、胸膜の不整な肥厚が疑われます。,0,0,0,0,0,0,1,0
+10708825,6,右側では胸膜に沿った腫瘤影を認め、胸膜播種の所見と考えます。,0,0,0,0,0,0,1,0
+10708825,7,右肺門、縦隔には複数の腫大リンパ節を認め、転移を疑います。,0,0,0,0,0,1,0,0
+10708825,8,両副腎に腫瘤を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+10708825,9,膵体部の腹側に膵から連続するように腫瘤を認め、こちらも転移の疑いがあります。,0,0,0,0,0,0,0,1
+10708825,10,両水腎尿管症が疑われます。,0,0,0,0,0,0,0,1
+10708825,11,腹部 CT での評価も検討ください。,0,0,0,0,0,0,0,1
+10708825,12,腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+10708825,13,その他、撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+10708825,14,腹水はありません。,1,0,0,0,0,0,0,0
+10708825,15,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+10868892,0,右下葉に 42mm 大の腫瘤を認め、肺癌を疑います。,0,1,0,0,0,0,0,0
+10868892,1,"S6 に同一肺葉内の不連続な副腫
+瘍結節を疑います。",0,0,0,0,1,0,0,0
+10868892,2,右肺門部や同側、気管分岐下の縦隔リンパ節腫大があり、転移を疑います。,0,0,0,0,0,1,0,0
+10868892,3,有意なサイズではありませんが、対側縦隔リンパ節にも軽度腫大があり、転移を否定できません。,0,0,0,0,0,1,0,0
+10868892,4,少量の両側胸水を認めます。,0,0,0,0,0,0,1,0
+10868892,5,右側では胸膜が厚く見える部位があり、播種を疑います。,0,0,0,0,0,0,1,0
+10868892,6,左第 7 肋骨、第 4、5 腰椎、仙骨や両側骨盤骨に腫瘤や骨硬化があり、多発骨転移を疑います。,0,0,0,0,0,0,0,1
+10868892,7,副腎や肝臓に明らかな転移��指摘できません。,1,0,0,0,0,0,0,0
+10868892,8,左腎のう胞がみられます。,1,0,0,0,0,0,0,0
+10868892,9,傍大動脈リンパ節腫大や腹水なし。,1,0,0,0,0,0,0,0
+11407659,0,右下葉に 42mm 大の腫瘤影を認め、肺癌が疑われます。,0,1,0,0,0,0,0,0
+11407659,1,縦隔に腫大リンパ節を認め、転移が疑われます。,0,0,0,0,0,1,0,0
+11407659,2,少量の両側胸水を認めます。,0,0,0,0,0,0,1,0
+11407659,3,左第 8 肋骨や骨盤骨などに硬化像を散見し、多発骨転移が疑われます。,0,0,0,0,0,0,0,1
+11407659,4,腹部臓器に明らかな遠隔転移は指摘できません。,1,0,0,0,0,0,0,0
+11407659,5,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+11407659,6,腹水はありません。,1,0,0,0,0,0,0,0
+11566958,0,左肺上葉 S3 を中心として  約 3.7cm の  不整形腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+11566958,1,充実成分を主体とし、内部に空洞陰影も伴っています。,0,1,0,0,0,0,0,0
+11566958,2,辺縁にはすりガラス陰影を認め、末梢肺野に随伴性炎症変化を伴っています。,1,0,0,0,0,0,0,0
+11566958,3,葉間胸膜にも接しており、臓側胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+11566958,4,末梢側に微小結節影を複数認めますが、肺内リンパ装置を疑います。,1,0,0,0,0,0,0,0
+11726941,0,左肺門部に辺縁不整な腫瘤を認めます。,0,1,0,0,0,0,0,0
+11726941,1,ご指摘の癌病変と考えます。,0,1,0,0,0,0,0,0
+11726941,2,左主気管支は途絶しており、左肺は全体が無気肺となっています。,0,0,1,1,0,0,0,0
+11726941,3,これにより、腫瘍のサイズは評価が難しいですが、概ね長径は 10cm 以上ありそうです。,0,1,0,0,0,0,0,0
+11726941,4,左肺静脈は近位で途絶しています。,0,0,1,0,0,0,0,0
+11726941,5,左肺動脈は近位にやや不整を認め、浸潤ありと考えますが、明らかな途絶は認めません。,0,0,1,0,0,0,0,0
+11726941,6,右肺には多発する類球形の小結節を認めます。,0,0,0,0,1,0,0,0
+11726941,7,転移を疑います。,0,0,0,0,1,0,0,0
+11726941,8,左肺門部リンパ節は腫瘍と一塊となっており、気管分岐下リンパ節には転移を疑う腫大リンパ節を認めます。,0,0,0,0,0,1,0,0
+11726941,9,左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+11726941,10,撮像範囲の上腹部臓器に転移は指摘できません。,1,0,0,0,0,0,0,0
+12023275,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+12023275,1,右肺下葉に長径 42mm 程度の腫瘤影を認め、既知の肺癌の所見と考えます。,0,1,0,0,0,0,0,0
+12023275,2,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+12023275,3,右肺門や縦隔には不均一な増強効果を伴う腫大リンパ節を認め、転移を疑います。,0,0,0,0,0,1,0,0
+12023275,4,その他の部位に有意なリンパ節腫大は見られません。,1,0,0,0,0,0,0,0
+12023275,5,両側胸水貯留を認めます。,0,0,0,0,0,0,1,0
+12023275,6,椎体や肋骨、骨盤骨には不均一な骨硬化像を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+12023275,7,脊柱管内に及ぶような転移は指摘できません。,0,0,0,0,0,0,0,1
+12023275,8,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+12023275,9,肝、胆、膵、脾、右腎、副腎や骨盤内臓器に明らかな異常はありません。,1,0,0,0,0,0,0,0
+12023275,10,腹水はありません。,1,0,0,0,0,0,0,0
+12023275,11,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+12550658,0,右肺上葉に径 13cm 強の境界明瞭な腫瘤を認めます。,0,1,0,0,0,0,0,0
+12550658,1,癌病変の原発巣と考えます。,0,1,0,0,0,0,0,0
+12550658,2,"明
+らかな胸壁への浸潤を呈しています。",0,0,1,0,0,0,0,0
+12550658,3,この他にも両側肺野に多数の類球形腫瘤を認めます。,0,0,0,0,1,0,0,0
+12550658,4,一部は胸膜、胸壁へ浸潤しています。,0,0,1,0,1,0,0,0
+12550658,5,転移と考えます。,0,0,0,0,1,0,0,0
+12550658,6,左肺下葉は無気肺を呈しています。,0,0,0,1,0,0,0,0
+12550658,7,右縦隔に腫大リンパ節を認めます。,0,0,0,0,0,1,0,0
+12550658,8,気管への浸潤を認めます。,0,0,0,0,0,1,0,0
+12550658,9,鎖骨上窩リンパ節に腫大はありません。,1,0,0,0,0,0,0,0
+12550658,10,少量の右胸水と多量の左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+12550658,11,明らかな肝転移は指摘できません。,1,0,0,0,0,0,0,0
+12550658,12,両側副腎に腫瘤を認めます。,0,0,0,0,0,0,0,1
+12550658,13,転移を疑います。,0,0,0,0,0,0,0,1
+12550658,14,膵体部に大きな腫瘤を認めます。,0,0,0,0,0,0,0,1
+12550658,15,転移と考えます。,0,0,0,0,0,0,0,1
+12550658,16,両側水腎を認めます。,0,0,0,0,0,0,0,1
+12550658,17,撮像範囲内での水腎の原因は不明です。,0,0,0,0,0,0,0,1
+12550658,18,強く骨転移を疑う骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+12646171,0,両肺に多発する腫瘤を認めます。,0,1,0,0,1,0,0,0
+12646171,1,特に右上葉から中葉にかけて、胸壁浸潤を伴う巨大な腫瘤があり、肺癌および多発肺転移を疑います。,0,1,1,0,1,0,0,0
+12646171,2,左優位に両側胸水を認めます。,0,0,0,0,0,0,1,0
+12646171,3,特に左側では胸膜沿いに腫瘤形成が疑われ、播種と思われます。,0,0,0,0,0,0,1,0
+12646171,4,縦隔リンパ節は軽度腫大しています。,0,0,0,0,0,1,0,0
+12646171,5,転移を否定できません。,0,0,0,0,0,1,0,0
+12646171,6,両側副腎結節があり、転移を疑います。,0,0,0,0,0,0,0,1
+12646171,7,両側水腎症があり、腹部も追加検査ください。,0,0,0,0,0,0,0,1
+12667350,0,右肺下葉 S9/10 に最大径 42mm の腫瘤性病変を認めます。,0,1,0,0,0,0,0,0
+12667350,1,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+12667350,2,胸膜の引きつれがあり、胸膜浸潤を疑います。,0,0,1,0,0,0,0,0
+12667350,3,肺転移を疑うような所見は指摘できません。,1,0,0,0,0,0,0,0
+12667350,4,右肺門〜縦隔リンパ節浸潤を疑います。,0,0,0,0,0,1,0,0
+12667350,5,リンパ節転移を疑います。,0,0,0,0,0,1,0,0
+12667350,6,骨盤に多数の硬化性陰影を認めます。,0,0,0,0,0,0,0,1
+12667350,7,多発骨転移を疑います。,0,0,0,0,0,0,0,1
+12890602,0,右下葉 S6 に 14×15mm 程度の境界明瞭な GGN を認めます。,0,1,0,0,0,0,0,0
+12890602,1,AIS の可能性が否定できません。,0,1,0,0,0,0,0,0
+12890602,2,呼吸器科的にご評価、フォローください。,0,1,0,0,0,0,0,0
+12890602,3,その他肺野に炎症瘢痕様の索状影を散見します。,1,0,0,0,0,0,0,0
+12890602,4,病的リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+12890602,5,胸水認めません。,1,0,0,0,0,0,0,0
+13138120,0,左肺尖部に辺縁不整な腫瘤を認めます。,0,1,0,0,0,0,0,0
+13138120,1,長径は 22mm です。,0,1,0,0,0,0,0,0
+13138120,2,"既知の肺癌と考えま
+す。",0,1,0,0,0,0,0,0
+13138120,3,胸膜への浸潤はありません。,1,0,0,0,0,0,0,0
+13138120,4,肺転移を疑う病変はありません。,1,0,0,0,0,0,0,0
+13138120,5,その他、肺野に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+13138120,6,縦隔・肺門リンパ節、鎖骨上窩リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+13138120,7,胸水貯留はありません。,1,0,0,0,0,0,0,0
+13138120,8,肝、副腎に転移を疑う病変は認めません。,1,0,0,0,0,0,0,0
+13138120,9,その他の上腹部臓器に粗大病変はありません。,1,0,0,0,0,0,0,0
+13138120,10,撮像範囲に強く骨転移を疑う骨破壊や骨硬化像は認めません。,1,0,0,0,0,0,0,0
+13248038,0,右肺下葉に最大径 42mm の腫瘤があります。,0,1,0,0,0,0,0,0
+13248038,1,肺癌疑います。,0,1,0,0,0,0,0,0
+13248038,2,右肺門、同側、対側縦隔リンパ節大があり、リンパ節転移と考えます。,0,0,0,0,0,1,0,0
+13248038,3,両側少量胸水があります。,0,0,0,0,0,0,1,0
+13248038,4,左第 7 肋骨腫大し、骨転移と考えます。,0,0,0,0,0,0,0,1
+13248038,5,その他にも、腰椎、骨盤骨に多発硬化像があり、多発骨転移と考えます。,0,0,0,0,0,0,0,1
+13641873,0,右肺下葉に辺縁不整な腫瘤様の陰影を認めます。,0,1,0,0,0,0,0,0
+13641873,1,内部には壊死状の低吸収域を認めます。,1,0,0,0,0,0,0,0
+13641873,2,ご指摘の癌病変と考えます。,0,1,0,0,0,0,0,0
+13641873,3,腫瘤の最大径は 42mm です。,0,1,0,0,0,0,0,0
+13641873,4,明らかな胸膜浸潤はありません。,1,0,0,0,0,0,0,0
+13641873,5,中葉には無気肺を認めます。,0,0,0,1,0,0,0,0
+13641873,6,肺転移を示唆する所見は認めません。,1,0,0,0,0,0,0,0
+13641873,7,胸膜播種を疑うような不整な胸膜肥厚は認めません。,1,0,0,0,0,0,0,0
+13641873,8,気管分岐下に内部壊死状の軽度腫大リンパ節を認め、転移と考えます。,0,0,0,0,0,1,0,0
+13641873,9,気管左側や左鎖骨上窩リンパ節も軽度腫大しており、転移を疑います。,0,0,0,0,0,1,0,0
+13641873,10,少量の両側胸水貯留を認めます。,0,0,0,0,0,0,1,0
+13641873,11,肝、副腎に転移を疑う所見は認めません。,1,0,0,0,0,0,0,0
+13641873,12,左腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+13641873,13,胆、膵、脾に有意な異常所見は指摘できません。,1,0,0,0,0,0,0,0
+13641873,14,腹部リンパ節に病的腫大はありません。,1,0,0,0,0,0,0,0
+13641873,15,腹水貯留はありません。,1,0,0,0,0,0,0,0
+13641873,16,左第 7 肋骨や腰椎、骨盤骨に多発性に骨硬化性病変を認めます。,0,0,0,0,0,0,0,1
+13641873,17,転移と考えます。,0,0,0,0,0,0,0,1
+13716139,0,左肺上葉に長径 2.2cm の結節影を認めます。,0,1,0,0,0,0,0,0
+13716139,1,分葉状の形態あり、辺縁に棘状影が見られます。,1,0,0,0,0,0,0,0
+13716139,2,原発性肺癌を疑います。,0,1,0,0,0,0,0,0
+13716139,3,T1c と考えます。,0,1,0,0,0,0,0,0
+13716139,4,他肺野に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+13716139,5,縦隔、肺門リンパ節に腫大は認めません。,1,0,0,0,0,0,0,0
+13716139,6,胸水は認めません。,1,0,0,0,0,0,0,0
+13716139,7,冠動脈石灰化を認めます。,1,0,0,0,0,0,0,0
+13716139,8,撮像範囲の腹部臓器に有意所見は指摘できません。,1,0,0,0,0,0,0,0
+14063477,0,右肺野に長径 13cm を超え、胸壁へと進展する病変を認め、肺癌が疑われます。,0,1,1,0,0,0,0,0
+14063477,1,両肺野には結節影を散見し、肺転移や胸膜播種が疑われます。,0,0,0,0,1,0,1,0
+14063477,2,左胸水貯留を認めます。,0,0,0,0,0,0,1,0
+14063477,3,左肺には無気肺を認めます。,0,0,0,1,0,0,0,0
+14063477,4,胃と膵臓の間に腫瘤を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+14063477,5,両副腎に腫瘤を認め、転移が疑われます。,0,0,0,0,0,0,0,1
+14063477,6,両側水腎を認めます。,0,0,0,0,0,0,0,1
+14063477,7,撮像範囲内では明らかな閉塞起点は指摘できません。,0,0,0,0,0,0,0,1
+14063477,8,両腎嚢胞を認めます。,1,0,0,0,0,0,0,0
+14841832,0,左肺門部に長径 37mm 大の腫瘤を認め、スピクラと内部空洞がみられます。,0,1,0,0,0,0,0,0
+14841832,1,肺癌を疑います。,0,1,0,0,0,0,0,0
+14841832,2,腫瘤は上葉に位置していますが、葉間胸膜をまたいで、下葉にも浸潤しています。,0,0,1,0,0,0,0,0
+14841832,3,また、肺門部リンパ節転移と一塊となっている可能性があります。,0,0,0,0,0,1,0,0
+14841832,4,両肺に数 mm 大の結節が散見されます。,0,0,0,0,1,0,0,0
+14841832,5,肉芽腫や肺内リンパ節を疑いますが、転移の除外目的に経過フォローください。,0,0,0,0,1,0,0,0
+14841832,6,有意な縦隔リンパ節腫大や腹水なし。,1,0,0,0,0,0,0,0
+15448681,0,右肺下葉 S10 に限局した約 1.4ｘ1.5mm のすりガラス上結節を認めます。,0,1,0,0,0,0,0,0
+15448681,1,境界明瞭であり、内部に明らかな充実成分は指摘できません。,0,1,0,0,0,0,0,0
+15448681,2,上皮内腺癌（AIS）の可能性があります。,0,1,0,0,0,0,0,0
+15448681,3,精査、加療をお願いします。,1,0,0,0,0,0,0,0
+15532322,0,左上葉には⻑径 22mm 大の不整形結節あり、既知の肺癌部分と思われます。,0,1,0,0,0,0,0,0
+15532322,1,病的リンパ節腫大は指摘できません。,1,0,0,0,0,0,0,0
+15532322,2,胸水認めません。,1,0,0,0,0,0,0,0
+16066820,0,左肺上葉に最大径 22mm  の分葉状腫瘤があります。,0,1,0,0,0,0,0,0
+16066820,1,一部胸膜陥入像を伴っています。,0,0,1,0,0,0,0,0
+16066820,2,リンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+16066820,3,肺内転移は認めません。,1,0,0,0,0,0,0,0
+16066820,4,胸水貯留は指摘できません。,1,0,0,0,0,0,0,0
+16066820,5,撮影範囲の腹部臓器に粗大な異常を認めません。,1,0,0,0,0,0,0,0
+16191878,0,比較可能な画像検査はありません。,1,0,0,0,0,0,0,0
+16191878,1,右肺下葉  S10 に 1.5cm×1.4cm  程度の pure GGN を認めます。,0,1,0,0,0,0,0,0
+16191878,2,分葉状の形態を示しており、肺癌に合致する所見と考えます。,0,1,0,0,0,0,0,0
+16191878,3,肺野に明らかな転移やその他活動性病変はありません。,1,0,0,0,0,0,0,0
+16191878,4,縦隔、肺門に有意なリンパ節腫大はありません。,1,0,0,0,0,0,0,0
+16191878,5,心拡大が疑われます。,1,0,0,0,0,0,0,0
+16191878,6,胸水はありません。,1,0,0,0,0,0,0,0
+16191878,7,撮像範囲内の上腹部に明らかな異常はありません。,1,0,0,0,0,0,0,0
+16191878,8,腹水はありません。,1,0,0,0,0,0,0,0
+16191878,9,その他、有意な所見はありません。,1,0,0,0,0,0,0,0
+16572985,0,右下葉に 15mm 大の pure GGN を認めます。,0,1,0,0,0,0,0,0
+16572985,1,ご指摘の肺癌病変が疑われます。,0,1,0,0,0,0,0,0
+16572985,2,縦隔に有意なリンパ節腫大は認めません。,1,0,0,0,0,0,0,0
+16572985,3,わずかに右胸水を認めます。,0,0,0,0,0,0,1,0
+16572985,4,肝 S1 と思われる部分が腫瘤様に見えます。,0,0,0,0,0,0,0,1
+16572985,5,撮像範囲下端であり、評価が難しいです。,0,0,0,0,0,0,0,1
+16572985,6,US などでも一度ご確認ください。,0,0,0,0,0,0,0,1