id stringlengths 36 36 | date stringdate 2005-10-13 00:00:00 2026-04-02 00:00:00 | url stringlengths 48 48 | context stringlengths 22 1.24k | options listlengths 5 5 | image_url stringlengths 79 79 | canary_string stringclasses 1
value |
|---|---|---|---|---|---|---|
ff343f11-fff9-56c7-aac5-9aab29bfb75c | 2005-10-13 | https://www.nejm.org/image-challenge?ci=20051013 | What is the diagnosis? | [
{
"key": "A",
"text": "Left facial palsy"
},
{
"key": "B",
"text": "Cavernous sinus thrombosis"
},
{
"key": "C",
"text": "Orbital lymphoma"
},
{
"key": "D",
"text": "Herpes zoster ophthalmicus"
},
{
"key": "E",
"text": "Orbtial fracture"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051013&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
598acd0c-cfc9-5d76-9a54-73de93ec2752 | 2005-10-20 | https://www.nejm.org/image-challenge?ci=20051020 | What process is illustrated in the radiograph? | [
{
"key": "A",
"text": "Paget's disease"
},
{
"key": "B",
"text": "Osteopetrosis"
},
{
"key": "C",
"text": "Hyperparathyroidism"
},
{
"key": "D",
"text": "Bone marrow hyperplasia"
},
{
"key": "E",
"text": "Acromegaly"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051020&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
e6bf3b65-0f2a-51d7-aaa4-8085d38af253 | 2005-10-27 | https://www.nejm.org/image-challenge?ci=20051027 | The pictured patient suffered a traumatic head injury. What underlying diagnosis is suggested by the examination findings? | [
{
"key": "A",
"text": "Skull fracture"
},
{
"key": "B",
"text": "Infratentorial hemorrhage"
},
{
"key": "C",
"text": "Intraorbital foreign body"
},
{
"key": "D",
"text": "Uncal herniation"
},
{
"key": "E",
"text": "Carotid dissection"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051027&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
400581f6-2537-5ee6-8ec1-d89f11d606e1 | 2005-11-03 | https://www.nejm.org/image-challenge?ci=20051103 | This radiograph was taken 12 minutes after infusion of intravenous contrast. What diagnosis is suggested? | [
{
"key": "A",
"text": "Left renal artery stenosis"
},
{
"key": "B",
"text": "Right staghorn calculus"
},
{
"key": "C",
"text": "Left hypernephroma"
},
{
"key": "D",
"text": "Bladder carcinoma"
},
{
"key": "E",
"text": "Right ureterovesical calculus"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051103&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
e5bf83b3-4fcb-5a2e-b08c-eb53f2cabc63 | 2005-11-10 | https://www.nejm.org/image-challenge?ci=20051110 | What is the most important diagnosis to exclude in this 81-year-old woman? | [
{
"key": "A",
"text": "Lentigo maligna"
},
{
"key": "B",
"text": "Basal cell carcinoma"
},
{
"key": "C",
"text": "Varicella zoster"
},
{
"key": "D",
"text": "Systemic sclerosis"
},
{
"key": "E",
"text": "Actinic keratosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051110&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
118217b8-c745-5cbc-a262-083cb68d8fa9 | 2005-11-17 | https://www.nejm.org/image-challenge?ci=20051117 | What is the diagnosis? | [
{
"key": "A",
"text": "Budd chiari syndrome"
},
{
"key": "B",
"text": "Cutaneous larva migrans"
},
{
"key": "C",
"text": "Umbilical hernia"
},
{
"key": "D",
"text": "Portal hypertension"
},
{
"key": "E",
"text": "Gastric carcinoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051117&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
576bb490-a1a2-51fa-9619-3c282c1c8767 | 2005-11-24 | https://www.nejm.org/image-challenge?ci=20051124 | This 61-year-old man is receiving care for an arrhythmia. What is the cause of his appearance? | [
{
"key": "A",
"text": "Procainemide"
},
{
"key": "B",
"text": "Bretylium"
},
{
"key": "C",
"text": "Amiodarone"
},
{
"key": "D",
"text": "Sotalol"
},
{
"key": "E",
"text": "Hydralazine"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051124&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
981490c0-6dd1-5266-8bd2-2c6067e8625c | 2005-12-01 | https://www.nejm.org/image-challenge?ci=20051201 | What is the diagnosis? | [
{
"key": "A",
"text": "Gout"
},
{
"key": "B",
"text": "Rheumatoid arthritis"
},
{
"key": "C",
"text": "Gonococcal arthritis"
},
{
"key": "D",
"text": "Leprosy"
},
{
"key": "E",
"text": "Psoriasis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051201&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
e327b982-50d9-5420-9f12-7b1f75daa916 | 2005-12-08 | https://www.nejm.org/image-challenge?ci=20051208 | This urine sample was photographed under light microscopy. What type of crystal is illustrated? | [
{
"key": "A",
"text": "Urate"
},
{
"key": "B",
"text": "Oxalate"
},
{
"key": "C",
"text": "Cysteine"
},
{
"key": "D",
"text": "Ethylene glycol"
},
{
"key": "E",
"text": "Triphosphate"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051208&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
46c9819e-c769-52aa-bf13-d4d92fbbbaa3 | 2005-12-15 | https://www.nejm.org/image-challenge?ci=20051215 | What is the diagnosis? | [
{
"key": "A",
"text": "Pterygium"
},
{
"key": "B",
"text": "Retroorbital hematoma"
},
{
"key": "C",
"text": "Retained suture"
},
{
"key": "D",
"text": "Loa loa"
},
{
"key": "E",
"text": "Toxocariasis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051215&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
4a6b1049-d2b7-5740-b1ab-6e7a6dfbf073 | 2005-12-22 | https://www.nejm.org/image-challenge?ci=20051222 | What endocrinopathy is most frequently associated with this sign? | [
{
"key": "A",
"text": "Addison's disease"
},
{
"key": "B",
"text": "Insulin resistance"
},
{
"key": "C",
"text": "Growth hormone excess"
},
{
"key": "D",
"text": "Glucagonoma"
},
{
"key": "E",
"text": "Diabetes insipidus"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051222&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
c9c5f204-63c6-51c6-9e72-afcac199c83b | 2005-12-29 | https://www.nejm.org/image-challenge?ci=20051229 | What is the diagnosis? | [
{
"key": "A",
"text": "Aspergillosis"
},
{
"key": "B",
"text": "Adrenal insufficiency"
},
{
"key": "C",
"text": "Oral leukoplakia"
},
{
"key": "D",
"text": "Pellagra"
},
{
"key": "E",
"text": "Lingua villosa nigra"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20051229&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9ee1a3b2-df4e-5ffd-8dde-edb33ff31ca3 | 2006-01-05 | https://www.nejm.org/image-challenge?ci=20060105 | A 37-year-old woman with idiopathic T-cell deficiency underwent computed tomography of the abdomen. What diagnosis is most likely to account for the findings? | [
{
"key": "A",
"text": "Histoplasmosis"
},
{
"key": "B",
"text": "Miliary tuberculosis"
},
{
"key": "C",
"text": "Amyloidosis"
},
{
"key": "D",
"text": "Lymphoma"
},
{
"key": "E",
"text": "Portal hypertension"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060105&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
4c1cd397-cd51-56b5-8f9d-2586f6a7892a | 2006-01-12 | https://www.nejm.org/image-challenge?ci=20060112 | What is most likely to account for the findings on this abdominal radiograph? | [
{
"key": "A",
"text": "Schistosomiasis"
},
{
"key": "B",
"text": "Chronic laxative use"
},
{
"key": "C",
"text": "Hyperparathyroidism"
},
{
"key": "D",
"text": "Ischemic colitis"
},
{
"key": "E",
"text": "Ingestion of a heavy metal"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060112&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
1ddcb544-1745-59a6-832e-3ddcfbe2bae9 | 2006-01-19 | https://www.nejm.org/image-challenge?ci=20060119 | What is the most likely etiology of the findings on this computed tomogram of the chest? | [
{
"key": "A",
"text": "Aspergillus fumigatus"
},
{
"key": "B",
"text": "Bronchiolitis obliterans"
},
{
"key": "C",
"text": "Amiodarone"
},
{
"key": "D",
"text": "Tobacco"
},
{
"key": "E",
"text": "Pneumoconiosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060119&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
db7e7ef8-23c4-561c-a327-c31de29cf908 | 2006-01-26 | https://www.nejm.org/image-challenge?ci=20060126 | This 6-year-old boy presented with fever and rash that did not improve despite treatment with cephalexin. What diagnosis is suggested? | [
{
"key": "A",
"text": "Bullous pemphigoid"
},
{
"key": "B",
"text": "Staphylococcal scalded skin"
},
{
"key": "C",
"text": "Stevens-Johnson syndrome"
},
{
"key": "D",
"text": "Herpes simplex infection"
},
{
"key": "E",
"text": "Kawasaki disease"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060126&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
2255c937-6a9b-5037-b6d7-3e2f6d53c95a | 2006-02-02 | https://www.nejm.org/image-challenge?ci=20060202 | This patient underwent computed tomography of the pelvis having presented with lower extremity edema. What diagnosis is suggested? | [
{
"key": "A",
"text": "Uterine fibroid"
},
{
"key": "B",
"text": "Ovarian cyst"
},
{
"key": "C",
"text": "Urinary retention"
},
{
"key": "D",
"text": "Teratoma"
},
{
"key": "E",
"text": "Aortic aneurysm"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060202&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
ddbdca7a-8ac2-50dc-b6f4-ecd33ad825c8 | 2006-02-09 | https://www.nejm.org/image-challenge?ci=20060209 | This 16-year-old boy presented with malaise and fever. What is the diagnosis? | [
{
"key": "A",
"text": "Scarlet fever"
},
{
"key": "B",
"text": "Infectious mononucleosis"
},
{
"key": "C",
"text": "Measles"
},
{
"key": "D",
"text": "Mumps"
},
{
"key": "E",
"text": "Coxsackie viral infection"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060209&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
ecc356f6-0b01-5c03-bd19-81fbceededd6 | 2006-02-16 | https://www.nejm.org/image-challenge?ci=20060216 | This 75-year-old man presented with cough and hoarseness. What is the most likely cause of his appearance? | [
{
"key": "A",
"text": "Superior vena cava syndrome"
},
{
"key": "B",
"text": "Mitral stenosis"
},
{
"key": "C",
"text": "Chronic obstructive airways disease"
},
{
"key": "D",
"text": "Angioedema"
},
{
"key": "E",
"text": "Systemic lupus erythematosus"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060216&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
4c5fa48b-3510-56ff-8461-4c4b3b276df3 | 2006-02-23 | https://www.nejm.org/image-challenge?ci=20060223 | What nebulized medication is most likely to have caused this patient's anisocoria? | [
{
"key": "A",
"text": "Racemic epinephrine"
},
{
"key": "B",
"text": "Ipatropium"
},
{
"key": "C",
"text": "Ribavirin"
},
{
"key": "D",
"text": "Salbutamol"
},
{
"key": "E",
"text": "Theophylline"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060223&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
b413fc81-00cc-5d3e-8ac4-90bada476508 | 2006-03-02 | https://www.nejm.org/image-challenge?ci=20060302 | A 31-year-old woman presented with fever following a trip to Brazil. What diagnosis is suggested by the findings on her blood smear? | [
{
"key": "A",
"text": "Paracoccidioides brasiliensis"
},
{
"key": "B",
"text": "Trypanozoma cruzi"
},
{
"key": "C",
"text": "Rickettsia typhi"
},
{
"key": "D",
"text": "Plasmodium vivax"
},
{
"key": "E",
"text": "Leishmania donovani"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060302&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9f544ccb-525d-5bc9-82f8-6bf2b563df54 | 2006-03-09 | https://www.nejm.org/image-challenge?ci=20060309 | What diagnosis explains this 15-year-old patient's chest pain? | [
{
"key": "A",
"text": "Aortic coarctation"
},
{
"key": "B",
"text": "Metastatic carcinoma"
},
{
"key": "C",
"text": "Pneumomediastinum"
},
{
"key": "D",
"text": "Acute severe asthma"
},
{
"key": "E",
"text": "Pulmonary hypertension"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060309&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
0f3aa751-2887-5453-b76a-10dfaec3d694 | 2006-03-16 | https://www.nejm.org/image-challenge?ci=20060316 | Twelve hours after urgent coronary angiography, the appearance of this patient's feet had changed. What is the most likely explanation for the finding? | [
{
"key": "A",
"text": "Endocarditis"
},
{
"key": "B",
"text": "Raynaud phenomenon"
},
{
"key": "C",
"text": "Heparin-induced thrombocytopenia"
},
{
"key": "D",
"text": "Contrast allergy"
},
{
"key": "E",
"text": "Cholesterol emboli"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060316&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
8cfe48fa-9c18-59b1-9fb6-fb75396034c1 | 2006-03-23 | https://www.nejm.org/image-challenge?ci=20060323 | A 55-year-old man underwent colonoscopy after complaining of crampy lower abdominal pain. Mobile 1-cm worms were noted in cecum. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Trichuris trichiura"
},
{
"key": "B",
"text": "Enterobius vermicularis"
},
{
"key": "C",
"text": "Ancylostoma duodenale"
},
{
"key": "D",
"text": "Ascaris lumbricoides"
},
{
"key": "E",
"text": "Necator americanus"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060323&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
56871b8a-97eb-5f3e-95fc-836d5821f66b | 2006-03-30 | https://www.nejm.org/image-challenge?ci=20060330 | This abnormality was found during auditory screening of a five-year-old girl at school. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Serous otitis media"
},
{
"key": "B",
"text": "Auditory polyp"
},
{
"key": "C",
"text": "Mastoiditis"
},
{
"key": "D",
"text": "Glomus jugalare"
},
{
"key": "E",
"text": "Cholesteatoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060330&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
f803d875-9557-584e-ac37-8c7cb2d1b77c | 2006-04-06 | https://www.nejm.org/image-challenge?ci=20060406 | This 36-year-old man has undergone renal transplantation and parathyroidectomy. What is the most likely cause of the changes in his hands? | [
{
"key": "A",
"text": "Pseudoclubbing"
},
{
"key": "B",
"text": "Albright's hereditary osteodystrophy"
},
{
"key": "C",
"text": "Hypertrophic osteoarthropathy"
},
{
"key": "D",
"text": "Yellow nail syndrome"
},
{
"key": "E",
"text": "Psoriasis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060406&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
a38616b1-b2cd-5232-a511-a7cd9be73988 | 2006-04-13 | https://www.nejm.org/image-challenge?ci=20060413 | This 46-year-old woman developed pruritus and similar papular lesions over her axillae, groin, and buttocks. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Pilonidal sinus"
},
{
"key": "B",
"text": "Psoriasis"
},
{
"key": "C",
"text": "Impetigo"
},
{
"key": "D",
"text": "Dermatomyositis"
},
{
"key": "E",
"text": "Scabies"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060413&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9976984d-0c2d-57ca-94ce-f229c1153bff | 2006-04-20 | https://www.nejm.org/image-challenge?ci=20060420 | This 63-year-old man with a 10-year history of progressive neck enlargement noted a sudden increase in the size of the swelling on the left side. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Superior vena cava syndrome"
},
{
"key": "B",
"text": "Scrofula"
},
{
"key": "C",
"text": "Bleeding into a thyroid nodule"
},
{
"key": "D",
"text": "Non-hodgkins lymphoma"
},
{
"key": "E",
"text": "Follicular thyroid carcinoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060420&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
bd98f75b-95d4-54aa-9c9c-dd1540778b14 | 2006-04-27 | https://www.nejm.org/image-challenge?ci=20060427 | A 39-year-old Zambian man who has tested positive for the human immunodeficiency virus presented with a three-week history of a draining neck mass. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Actinomycosis"
},
{
"key": "B",
"text": "Scrofula"
},
{
"key": "C",
"text": "Kaposi sarcoma"
},
{
"key": "D",
"text": "Burkitt lymphoma"
},
{
"key": "E",
"text": "Nocardiosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060427&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
0a6536e6-a763-5789-be9f-d9fb8167d808 | 2006-05-04 | https://www.nejm.org/image-challenge?ci=20060504 | What is the most likely cause of the abnormality on the chest radiograph? | [
{
"key": "A",
"text": "Aspiration pneumonia"
},
{
"key": "B",
"text": "Pneumocystis jiroveci pneumonia"
},
{
"key": "C",
"text": "Acute respiratory distress syndrome"
},
{
"key": "D",
"text": "Hemothorax"
},
{
"key": "E",
"text": "Reexapansion pulmonary edema"... | https://csvc.nejm.org/ContentServer/images?id=IC20060504&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
d95b6751-3d21-5693-ba56-fd808be1c432 | 2006-05-11 | https://www.nejm.org/image-challenge?ci=20060511 | This 61-year-old man presented with abdominal pain. Basophilic stippling was evident on a blood smear. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Acute myelogenous leukemia"
},
{
"key": "B",
"text": "Chronic lead poisoning"
},
{
"key": "C",
"text": "Beta-thallasemia"
},
{
"key": "D",
"text": "Megaloblastic anemia"
},
{
"key": "E",
"text": "Sickle cell anemia"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060511&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
19f650bf-37bb-57e3-b14b-259e19f58a2f | 2006-05-18 | https://www.nejm.org/image-challenge?ci=20060518 | What diagnosis explains the combination of findings on this lateral chest radiograph? | [
{
"key": "A",
"text": "Syphilis"
},
{
"key": "B",
"text": "Dressler's syndrome"
},
{
"key": "C",
"text": "Turner's syndrome"
},
{
"key": "D",
"text": "Rheumatic heart disease"
},
{
"key": "E",
"text": "Tertiary hyperparathyroidism"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060518&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
3be74f97-e497-5cd4-9f82-95f621cd33e9 | 2006-05-25 | https://www.nejm.org/image-challenge?ci=20060525 | This 9-year-old boy presented with a two-day history of right shoulder pain after an upper respiratory tract infection. What is the cause of the abnormality demonstrated? | [
{
"key": "A",
"text": "Palsy of the long thoracic nerve"
},
{
"key": "B",
"text": "Subcutaneous emphysema"
},
{
"key": "C",
"text": "Neuralgic amyotrophy"
},
{
"key": "D",
"text": "Pleural prolapse"
},
{
"key": "E",
"text": "Scapular subluxation"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060525&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
7ca7561f-51d1-5353-afd4-0cc0147e08c1 | 2006-06-01 | https://www.nejm.org/image-challenge?ci=20060601 | What diagnosis is suggested by this radiograph taken following a barium swallow? | [
{
"key": "A",
"text": "Achalasia"
},
{
"key": "B",
"text": "Esophageal carcinoma"
},
{
"key": "C",
"text": "Zenker's diverticulum"
},
{
"key": "D",
"text": "Esophageal stricture"
},
{
"key": "E",
"text": "Diffuse esophageal spasm"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060601&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
7d95d100-afb3-5de9-8606-552257e59627 | 2006-06-08 | https://www.nejm.org/image-challenge?ci=20060608 | A 70-year-old man presented with weight loss and hemoptysis. Multiple painless cutaneous nodules had developed over several weeks. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Neurofibromatosis"
},
{
"key": "B",
"text": "Acute myelogenous leukemia"
},
{
"key": "C",
"text": "Disseminated leishmaniasis"
},
{
"key": "D",
"text": "Acquired immunodeficiency syndrome"
},
{
"key": "E",
"text": "Small-cell lung cancer... | https://csvc.nejm.org/ContentServer/images?id=IC20060608&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
a16083fa-bf6e-5783-8a92-6041c2d4871c | 2006-06-15 | https://www.nejm.org/image-challenge?ci=20060615 | This 68-year-old woman presented with hair growth and a sore furrowed tongue. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Cushing's syndrome"
},
{
"key": "B",
"text": "Prophyria cutanea tarda"
},
{
"key": "C",
"text": "Paraneoplastic disorder"
},
{
"key": "D",
"text": "Acromegaly"
},
{
"key": "E",
"text": "Polycystic ovarian syndrome"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060615&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
d249ab68-633c-5b1b-a841-7a0695dfd6ad | 2006-06-22 | https://www.nejm.org/image-challenge?ci=20060622 | A 55-year-old kidney-transplant recipient presented with headache and fever. The cerebrospinal fluid contained 84 percent neutrophils. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Nocardia asteroides infection"
},
{
"key": "B",
"text": "Cerebral toxoplasmosis"
},
{
"key": "C",
"text": "Listeria moncytogenes infection"
},
{
"key": "D",
"text": "Miliary tuberculosis"
},
{
"key": "E",
"text": "Cryptococcus neoformans... | https://csvc.nejm.org/ContentServer/images?id=IC20060622&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
efd7dafc-261d-5e70-8b18-26520f76cc50 | 2006-06-29 | https://www.nejm.org/image-challenge?ci=20060629 | What diagnosis is suggested? | [
{
"key": "A",
"text": "Parotitis"
},
{
"key": "B",
"text": "Otitis externa"
},
{
"key": "C",
"text": "Herpes zoster"
},
{
"key": "D",
"text": "Frey's syndrome"
},
{
"key": "E",
"text": "Parotid adenoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060629&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
bfdfc0b7-e703-5dbe-be67-8bc0ca63ead1 | 2006-07-06 | https://www.nejm.org/image-challenge?ci=20060706 | This patient presented with an S4 gallop, an elevated jugular venous pressure, and bilateral pitting edema. What diagnosis is most likely? | [
{
"key": "A",
"text": "Congestive heart failure"
},
{
"key": "B",
"text": "Constrictive pericarditis"
},
{
"key": "C",
"text": "Subacute bacterial endocarditis"
},
{
"key": "D",
"text": "Systemic amyloidosis"
},
{
"key": "E",
"text": "Scleroderma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060706&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
a9c67e98-6fdc-5266-a5d3-9bf2d2fe536e | 2006-07-13 | https://www.nejm.org/image-challenge?ci=20060713 | Treatment with which antihypertensive is most likely to cause this appearance? | [
{
"key": "A",
"text": "Beta-blocker"
},
{
"key": "B",
"text": "Diuretic"
},
{
"key": "C",
"text": "Alpha-blocker"
},
{
"key": "D",
"text": "Angiotensin converting-enzyme inhibitor"
},
{
"key": "E",
"text": "Calcium-channel blocker"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060713&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
c8e58b9d-1702-5153-9f7c-4b31e8022b56 | 2006-07-20 | https://www.nejm.org/image-challenge?ci=20060720 | This appearance most typically follows treatment with which medication? | [
{
"key": "A",
"text": "Atypical antipsychotic"
},
{
"key": "B",
"text": "Protease inhibitor"
},
{
"key": "C",
"text": "Glucocorticoid"
},
{
"key": "D",
"text": "Thiazolidinedione"
},
{
"key": "E",
"text": "Barbiturate"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060720&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
8eb5e7a0-84b5-5ed4-8ed2-41f3a23d428a | 2006-07-27 | https://www.nejm.org/image-challenge?ci=20060727 | The pupils of this female smoker were unresponsive to light and accommodation. She had noted weight loss and postural hypotension and was found to have an irregular centimeter-sized nodule in the right middle lobe. A test for which one of the following would most likely lead to the diagnosis? | [
{
"key": "A",
"text": "Calcium-receptor antibody"
},
{
"key": "B",
"text": "Parathyroid hormone related protein"
},
{
"key": "C",
"text": "Serum ceruloplasmin"
},
{
"key": "D",
"text": "Treponema pallidum haemagglutination assay"
},
{
"key": "E",
"text": "Anti... | https://csvc.nejm.org/ContentServer/images?id=IC20060727&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
57ddcc3c-9222-5b37-b555-738aa632a22b | 2006-08-03 | https://www.nejm.org/image-challenge?ci=20060803 | What is the diagnosis? | [
{
"key": "A",
"text": "Elephantiasis"
},
{
"key": "B",
"text": "Hydrocele"
},
{
"key": "C",
"text": "Inguinal hernia"
},
{
"key": "D",
"text": "Non-seminomatous germ-cell tumor"
},
{
"key": "E",
"text": "Testicular torsion"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060803&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
c6137083-211a-5cc7-8195-d7b231734b28 | 2006-08-10 | https://www.nejm.org/image-challenge?ci=20060810 | A 25-year-old bodybuilder presented with a tender, erythematous mass in the left upper arm. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Ruputred biceps tendon"
},
{
"key": "B",
"text": "Abscess"
},
{
"key": "C",
"text": "Axillary vein thrombosis"
},
{
"key": "D",
"text": "Glenohumeral joint dislocation"
},
{
"key": "E",
"text": "Osteosarcoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060810&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
499e19c7-ea20-5025-9adf-a5a7eb3785c5 | 2006-08-17 | https://www.nejm.org/image-challenge?ci=20060817 | This patient's appearance is a consequence of what surgery? | [
{
"key": "A",
"text": "Gastric bypass"
},
{
"key": "B",
"text": "Adrenalectomy"
},
{
"key": "C",
"text": "Liposuction"
},
{
"key": "D",
"text": "Pancreatectomy"
},
{
"key": "E",
"text": "Small bowel transplant"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060817&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
4df1986c-82c9-5dfc-844b-333caed93ea9 | 2006-08-24 | https://www.nejm.org/image-challenge?ci=20060824 | This lesion developed after the patient consumed raw meat from a sick goat. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Brucellosis"
},
{
"key": "B",
"text": "Anthrax"
},
{
"key": "C",
"text": "Herpes simplex"
},
{
"key": "D",
"text": "Orf"
},
{
"key": "E",
"text": "Pasteurella multocida"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060824&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
908cf3ae-ff95-575e-8d44-230a09f072cb | 2006-08-31 | https://www.nejm.org/image-challenge?ci=20060831 | This 38-year-old woman developed recurrent right-sided chest pain synchronously with her menses. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Recurrent pulmonary emboli"
},
{
"key": "B",
"text": "Alpha-1 antitrypsin deficiency"
},
{
"key": "C",
"text": "Meig's syndrome"
},
{
"key": "D",
"text": "Thoracic endometriosis"
},
{
"key": "E",
"text": "Lymphangiomyomatosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060831&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
d4ae19be-3e61-5c8d-a827-68115ddacf5f | 2006-09-07 | https://www.nejm.org/image-challenge?ci=20060907 | What is the diagnosis? | [
{
"key": "A",
"text": "Cardiac tamponade"
},
{
"key": "B",
"text": "Tension hydrothorax"
},
{
"key": "C",
"text": "Diaphragmatic eventeration"
},
{
"key": "D",
"text": "Pulmonary hydatid disease"
},
{
"key": "E",
"text": "Lymphangiomyomatosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060907&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
43f1dfc1-86e1-588c-a37e-823b49c115d2 | 2006-09-14 | https://www.nejm.org/image-challenge?ci=20060914 | What is the diagnosis? | [
{
"key": "A",
"text": "Cytomegalovirus retinitis"
},
{
"key": "B",
"text": "Roth spots"
},
{
"key": "C",
"text": "Central retinal vein occlusion"
},
{
"key": "D",
"text": "Hypertensive retinopathy"
},
{
"key": "E",
"text": "Papilledema"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060914&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
92552761-841f-598d-99db-ee588e88233f | 2006-09-21 | https://www.nejm.org/image-challenge?ci=20060921 | This plantar lesion was associated with inguinal lymphadenopathy. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Pyogenic granuloma"
},
{
"key": "B",
"text": "Plantar wart"
},
{
"key": "C",
"text": "Malignant melanoma"
},
{
"key": "D",
"text": "Syphilis"
},
{
"key": "E",
"text": "Cat scratch disease"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060921&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
28973a88-c81a-5ba5-8aa0-93c977fcd3cc | 2006-09-28 | https://www.nejm.org/image-challenge?ci=20060928 | This patient presented with discoloration of his palms and soles. He reported a normal diet and had normal serum creatinine, thyroxine, and bilirubin concentrations. What is the diagnosis? | [
{
"key": "A",
"text": "Diabetes mellitus"
},
{
"key": "B",
"text": "Vitamin B12 deficiency"
},
{
"key": "C",
"text": "Amiodarone exposure"
},
{
"key": "D",
"text": "Hyperlipidemia type III"
},
{
"key": "E",
"text": "Syphilis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20060928&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
4992e26d-b568-5b64-a210-212968824d3e | 2006-10-05 | https://www.nejm.org/image-challenge?ci=20061005 | What is the diagnosis? | [
{
"key": "A",
"text": "Rocky mountain spotted fever"
},
{
"key": "B",
"text": "Hand foot and mouth disease"
},
{
"key": "C",
"text": "Infective endocarditis"
},
{
"key": "D",
"text": "Psoriasis"
},
{
"key": "E",
"text": "Secondary syphilis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061005&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
cabf0eb5-1978-54d7-9166-970efe67bf96 | 2006-10-12 | https://www.nejm.org/image-challenge?ci=20061012 | An elderly woman presented with abdominal pain and vomiting for three days. A computed tomogram of the abdomen was obtained. What is the diagnosis? | [
{
"key": "A",
"text": "Cecal volvulus"
},
{
"key": "B",
"text": "Intussusception"
},
{
"key": "C",
"text": "Mesenteric ischemia"
},
{
"key": "D",
"text": "Obturator hernia"
},
{
"key": "E",
"text": "Ovarian cancer"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061012&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
ec0e0415-f728-5971-b55e-2e2ee3db25a0 | 2006-10-19 | https://www.nejm.org/image-challenge?ci=20061019 | This patient presented with lower extremity edema. What is the diagnosis? | [
{
"key": "A",
"text": "Cardiac amyloidosis"
},
{
"key": "B",
"text": "Mitral stenosis"
},
{
"key": "C",
"text": "Constrictive pericarditis"
},
{
"key": "D",
"text": "Left ventricular aneurysm"
},
{
"key": "E",
"text": "Mediastinal lymphoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061019&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
b3dd87cf-4abd-51fd-9944-ee05ad490743 | 2006-10-26 | https://www.nejm.org/image-challenge?ci=20061026 | These lesions were neither pruritic nor painful. What is the diagnosis? | [
{
"key": "A",
"text": "Pyoderma gangenosus"
},
{
"key": "B",
"text": "Phlegmasia cerulea dolens"
},
{
"key": "C",
"text": "Pretibial myxedema"
},
{
"key": "D",
"text": "Necrobiosis lipoidica diabeticorum"
},
{
"key": "E",
"text": "Erythema nodosum"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061026&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9f833065-e2bd-5e84-9dfe-737916a7cfc0 | 2006-11-02 | https://www.nejm.org/image-challenge?ci=20061102 | What accounts for this patient's hand pain? | [
{
"key": "A",
"text": "Ulnar artery occlusion"
},
{
"key": "B",
"text": "Wrist fracture"
},
{
"key": "C",
"text": "Radial artery thrombosis"
},
{
"key": "D",
"text": "Carpal tunnel syndrome"
},
{
"key": "E",
"text": "Reflex sympathetic dystrophy"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061102&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
777b2f3f-1710-5fa1-9fc7-4c7319c9216c | 2006-11-09 | https://www.nejm.org/image-challenge?ci=20061109 | Treatment with what antibiotic is most likely to have resulted in this patient's skin changes? | [
{
"key": "A",
"text": "Rifampin"
},
{
"key": "B",
"text": "Chloramphenicol"
},
{
"key": "C",
"text": "Nitrofurantoin"
},
{
"key": "D",
"text": "Minocycline"
},
{
"key": "E",
"text": "Trimethoprim"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061109&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
a7351da8-a127-59cd-812a-ef3c4eb5837f | 2006-11-16 | https://www.nejm.org/image-challenge?ci=20061116 | What is the diagnosis? | [
{
"key": "A",
"text": "Pericardial hydatid cysts"
},
{
"key": "B",
"text": "Diaphragmatic rupture"
},
{
"key": "C",
"text": "Empyema thoracis"
},
{
"key": "D",
"text": "Cystic fibrosis"
},
{
"key": "E",
"text": "Pericardial metastases"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061116&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
efdb75a5-a303-5dd6-b1a6-86be4c4d32f3 | 2006-11-23 | https://www.nejm.org/image-challenge?ci=20061123 | This patient presented with severe jaw pain while being treated for osteoporosis. What is the diagnosis? | [
{
"key": "A",
"text": "Submandibular abscess"
},
{
"key": "B",
"text": "Osteonecrosis"
},
{
"key": "C",
"text": "Behcet's disease"
},
{
"key": "D",
"text": "Accessory tooth"
},
{
"key": "E",
"text": "Calciphylaxis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061123&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
cf873f67-0f8e-5176-86ea-a488540f248d | 2006-11-30 | https://www.nejm.org/image-challenge?ci=20061130 | What is the diagnosis? | [
{
"key": "A",
"text": "Fabry's disease"
},
{
"key": "B",
"text": "Hereditary hemorrhagic telangiectasia"
},
{
"key": "C",
"text": "Peutz-Jegher's syndrome"
},
{
"key": "D",
"text": "Roseola"
},
{
"key": "E",
"text": "Discoid lupus"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061130&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
d1603a77-b7c5-59de-81c6-9e746fb4b565 | 2006-12-07 | https://www.nejm.org/image-challenge?ci=20061207 | This 19-year-old man presented with a 10-month history of Raynaud's phenomenon, fever, abdominal pain, and hypertension. What diagnosis is suggested by the findings on his angiogram? | [
{
"key": "A",
"text": "Takayasu's arteritis"
},
{
"key": "B",
"text": "Wegener's granulomatosis"
},
{
"key": "C",
"text": "Paraganglioma"
},
{
"key": "D",
"text": "Systemic lupus erythematosus"
},
{
"key": "E",
"text": "Polyarteritis nodosa"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061207&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
f162bbd4-b77e-514d-8cfe-8e241bdc96fc | 2006-12-14 | https://www.nejm.org/image-challenge?ci=20061214 | What is the diagnosis? | [
{
"key": "A",
"text": "Pulmonary hydatid disease"
},
{
"key": "B",
"text": "Bullous emphysema"
},
{
"key": "C",
"text": "Pulmonary silicosis"
},
{
"key": "D",
"text": "Multiple bacterial abscesses"
},
{
"key": "E",
"text": "Aspergillosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061214&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
85d7b6ed-1eea-5fdc-ad45-e5476dcb9bfe | 2006-12-21 | https://www.nejm.org/image-challenge?ci=20061221 | This 84-cm tall 40-year-old man underwent whole-body dual-energy x-ray absorptiometry. What is the diagnosis? | [
{
"key": "A",
"text": "Pseudohypoparathyroidism"
},
{
"key": "B",
"text": "X-linked hypophosphatemia"
},
{
"key": "C",
"text": "Osteogenesis imperfecta"
},
{
"key": "D",
"text": "Achondroplasia"
},
{
"key": "E",
"text": "Ehlers Danlos syndrome"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061221&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
2ad59137-7a6a-5ce9-b602-45cfbfc88b91 | 2006-12-28 | https://www.nejm.org/image-challenge?ci=20061228 | What is the diagnosis? | [
{
"key": "A",
"text": "Prolapse of orbital fat"
},
{
"key": "B",
"text": "Pinguecula"
},
{
"key": "C",
"text": "Graves' disease"
},
{
"key": "D",
"text": "Neurofibromatosis"
},
{
"key": "E",
"text": "Wilson's disease"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20061228&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
a5cff10d-c03c-5c47-b0c1-e38c44a824a2 | 2007-01-04 | https://www.nejm.org/image-challenge?ci=20070104 | This patient developed difficulty swallowing following a dental procedure. What is the diagnosis? | [
{
"key": "A",
"text": "Spondylolisthesis"
},
{
"key": "B",
"text": "Prevertebral air"
},
{
"key": "C",
"text": "Pharyngeal diverticulum"
},
{
"key": "D",
"text": "Pharyngeal foreign body"
},
{
"key": "E",
"text": "Periodontal abscess"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070104&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
c1f22d5e-4ba9-5f0c-a918-71f43962b262 | 2007-01-11 | https://www.nejm.org/image-challenge?ci=20070111 | What is the diagnosis? | [
{
"key": "A",
"text": "Cholesterol emboli"
},
{
"key": "B",
"text": "Acute arterial insufficiency"
},
{
"key": "C",
"text": "Deep venous thrombosis"
},
{
"key": "D",
"text": "Frost bite"
},
{
"key": "E",
"text": "Thromboangiitis obliterans"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070111&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
68d03c94-a643-555b-91e2-b67359548216 | 2007-01-18 | https://www.nejm.org/image-challenge?ci=20070118 | What is the diagnosis? | [
{
"key": "A",
"text": "Retained surgical clamp"
},
{
"key": "B",
"text": "Uterine perforation"
},
{
"key": "C",
"text": "Nephrostomy tube"
},
{
"key": "D",
"text": "Hermaphoditism"
},
{
"key": "E",
"text": "Appendicitis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070118&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
460e5c54-f67d-55cb-af9e-f5848a7d4839 | 2007-01-25 | https://www.nejm.org/image-challenge?ci=20070125 | What is the diagnosis? | [
{
"key": "A",
"text": "Diphtheria"
},
{
"key": "B",
"text": "Secondary syphilis"
},
{
"key": "C",
"text": "Oral leukoplakia"
},
{
"key": "D",
"text": "Candida"
},
{
"key": "E",
"text": "Ludwig's angina"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070125&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
40024b95-ff97-54b5-b02c-68dc5a65e1d6 | 2007-02-01 | https://www.nejm.org/image-challenge?ci=20070201 | What is the diagnosis? | [
{
"key": "A",
"text": "Tinea barbae"
},
{
"key": "B",
"text": "Herpes simplex infection"
},
{
"key": "C",
"text": "Eczema"
},
{
"key": "D",
"text": "Mycosis fungoides"
},
{
"key": "E",
"text": "Impetigo"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070201&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
a5c6d4d6-31fa-5122-9a30-ddec77101086 | 2007-02-08 | https://www.nejm.org/image-challenge?ci=20070208 | What is the diagnosis? | [
{
"key": "A",
"text": "Digitalis intoxication"
},
{
"key": "B",
"text": "Dextrocardia"
},
{
"key": "C",
"text": "Pacemaker malfunction"
},
{
"key": "D",
"text": "Electrical alternans"
},
{
"key": "E",
"text": "Cardiac allograft"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070208&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9862c861-5be7-5089-bc27-3de77ce91608 | 2007-02-15 | https://www.nejm.org/image-challenge?ci=20070215 | This patient presented with loss of vision. What is the diagnosis? | [
{
"key": "A",
"text": "Central retinal artery occlusion"
},
{
"key": "B",
"text": "Diabetic retinopathy"
},
{
"key": "C",
"text": "Tay-Sach's disease"
},
{
"key": "D",
"text": "Hypertensive retinopathy"
},
{
"key": "E",
"text": "Papilledema"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070215&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
8d19c417-fcbf-5f5e-92d4-39f10ed18f99 | 2007-02-22 | https://www.nejm.org/image-challenge?ci=20070222 | Which one of the following organs is enlarged? | [
{
"key": "A",
"text": "Colon"
},
{
"key": "B",
"text": "Ovary"
},
{
"key": "C",
"text": "Stomach"
},
{
"key": "D",
"text": "Spleen"
},
{
"key": "E",
"text": "Gall bladder"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070222&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
079199eb-ebf2-551a-b82b-5276a5f5c8b4 | 2007-03-08 | https://www.nejm.org/image-challenge?ci=20070308 | This patient's serum was found to be discolored four hours following a surgical procedure. What is the most likely cause? | [
{
"key": "A",
"text": "Fluorescent dye"
},
{
"key": "B",
"text": "Methemoglobinemia"
},
{
"key": "C",
"text": "Propofol"
},
{
"key": "D",
"text": "Pseudomonal sepsis"
},
{
"key": "E",
"text": "Ethylene glycol"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070308&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
61b7a264-a4ea-528f-b5d9-5f7dd492abb0 | 2007-03-15 | https://www.nejm.org/image-challenge?ci=20070315 | What is the diagnosis? | [
{
"key": "A",
"text": "Carpal tunnel syndrome"
},
{
"key": "B",
"text": "Rheumatoid Arthritis"
},
{
"key": "C",
"text": "Scleroderma"
},
{
"key": "D",
"text": "Diabetic peripheral neuropathy"
},
{
"key": "E",
"text": "Dupuyten's contracture"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070315&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
5016e4b9-87b1-5608-8335-4042799216c4 | 2007-03-22 | https://www.nejm.org/image-challenge?ci=20070322 | What is the diagnosis? | [
{
"key": "A",
"text": "Chalazion"
},
{
"key": "B",
"text": "Papilloma"
},
{
"key": "C",
"text": "Pterygium"
},
{
"key": "D",
"text": "Pinguecula"
},
{
"key": "E",
"text": "Coloboma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070322&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
1d36e438-27c6-57fa-af61-d7b940aeaad0 | 2007-03-29 | https://www.nejm.org/image-challenge?ci=20070329 | What is the diagnosis? | [
{
"key": "A",
"text": "Subcutaneous metastases"
},
{
"key": "B",
"text": "Filariasis"
},
{
"key": "C",
"text": "Caput Medusae"
},
{
"key": "D",
"text": "Neurofibromatosis"
},
{
"key": "E",
"text": "Hepatocellular carcinoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070329&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
30b0f559-1220-5210-882e-88efe661cab2 | 2007-04-05 | https://www.nejm.org/image-challenge?ci=20070405 | This 9-kg liver was removed at the time of liver transplantation. What is the diagnosis? | [
{
"key": "A",
"text": "Macronodular cirrhosis"
},
{
"key": "B",
"text": "Hepatocellular carcinoma"
},
{
"key": "C",
"text": "Echinococcosis"
},
{
"key": "D",
"text": "Polycystic liver disease"
},
{
"key": "E",
"text": "Trophoblastic tumor"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070405&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
df4e4034-822a-5731-af20-f56b3d2d5f05 | 2007-04-12 | https://www.nejm.org/image-challenge?ci=20070412 | What is the diagnosis? | [
{
"key": "A",
"text": "Intracranial hemorrhage"
},
{
"key": "B",
"text": "Osteoma"
},
{
"key": "C",
"text": "Neurocysticercosis"
},
{
"key": "D",
"text": "Arachnoid cyst"
},
{
"key": "E",
"text": "Meningioma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070412&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
07eca8e2-6696-563f-9883-229f61b67440 | 2007-04-19 | https://www.nejm.org/image-challenge?ci=20070419 | What is the diagnosis? | [
{
"key": "A",
"text": "Syphilis"
},
{
"key": "B",
"text": "Phenytoin exposure"
},
{
"key": "C",
"text": "Marfan syndrome"
},
{
"key": "D",
"text": "Torus palatinus"
},
{
"key": "E",
"text": "Kaposi sarcoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070419&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
151ce03b-65ad-50e7-9724-8b5f9ab4c026 | 2007-04-26 | https://www.nejm.org/image-challenge?ci=20070426 | In what vessel is this patient's dialysis catheter? | [
{
"key": "A",
"text": "Left axillary vein"
},
{
"key": "B",
"text": "Left internal mammary vein"
},
{
"key": "C",
"text": "Left-sided superior vena cava"
},
{
"key": "D",
"text": "Azygous vein"
},
{
"key": "E",
"text": "Highest intercostal vein"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070426&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9c6d70f8-9859-5886-ad68-c10bf5d970f4 | 2007-05-03 | https://www.nejm.org/image-challenge?ci=20070503 | What is the diagnosis? | [
{
"key": "A",
"text": "Central retinal vein occlusion"
},
{
"key": "B",
"text": "Profilerative diabetic retinopathy"
},
{
"key": "C",
"text": "Hypertensive retinopathy"
},
{
"key": "D",
"text": "Chorioretinitis"
},
{
"key": "E",
"text": "Papilledema"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070503&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
18f902cd-8f57-5e7a-8911-b7d9763ec966 | 2007-05-10 | https://www.nejm.org/image-challenge?ci=20070510 | What is the diagnosis? | [
{
"key": "A",
"text": "Pulmonary embolism"
},
{
"key": "B",
"text": "Blalock-Taussig shunt"
},
{
"key": "C",
"text": "Azygous vein"
},
{
"key": "D",
"text": "Interlobar mesothelioma"
},
{
"key": "E",
"text": "Cervical rib"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070510&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
75ad8be4-f646-57dc-a223-4152d92531b2 | 2007-05-17 | https://www.nejm.org/image-challenge?ci=20070517 | These lesions developed over 1 to 2 years. What is the diagnosis? | [
{
"key": "A",
"text": "Melanocytic nevi"
},
{
"key": "B",
"text": "Seborrheic keratoses"
},
{
"key": "C",
"text": "Pemphigus erythematosus"
},
{
"key": "D",
"text": "Bowenoid papulosis"
},
{
"key": "E",
"text": "Guttate psoriasis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070517&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
46c90f1c-2fd3-5fe6-813d-7e3769ee2bc4 | 2007-05-24 | https://www.nejm.org/image-challenge?ci=20070524 | What is the diagnosis? | [
{
"key": "A",
"text": "Nocardiosis"
},
{
"key": "B",
"text": "Adenocarcinoma"
},
{
"key": "C",
"text": "Ventricular rupture"
},
{
"key": "D",
"text": "Alpha-1 antitrypsin deficiency"
},
{
"key": "E",
"text": "Pulmonary hemosiderosis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070524&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
9ed3cc2d-9341-5c7d-9216-e589bf86cc72 | 2007-05-31 | https://www.nejm.org/image-challenge?ci=20070531 | These lesions appeared spontaneously in a patient with untreated multiple myeloma. Coagulation studies were normal and platelet count was 80,000 per cubic millimeter. What is the diagnosis? | [
{
"key": "A",
"text": "Orbital fracture"
},
{
"key": "B",
"text": "Disseminated intravascular coagulation"
},
{
"key": "C",
"text": "Tuberous sclerosis"
},
{
"key": "D",
"text": "Amyloid purpura"
},
{
"key": "E",
"text": "Horner's syndrome"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070531&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
20d4e688-76a8-553c-86cb-eb4eefa122b4 | 2007-06-07 | https://www.nejm.org/image-challenge?ci=20070607 | What is the diagnosis? | [
{
"key": "A",
"text": "Hypertriglyceridemia"
},
{
"key": "B",
"text": "Hypertensive retinopathy"
},
{
"key": "C",
"text": "Optic atrophy"
},
{
"key": "D",
"text": "Central retinal artery occlusion"
},
{
"key": "E",
"text": "Cytomegalovirus retinitis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070607&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
60e2158e-5a80-51e0-9e32-d2d00a3ac6c2 | 2007-06-14 | https://www.nejm.org/image-challenge?ci=20070614 | These lesions appeared in a recent immigrant from Pakistan. The lesions were neither pruritic nor hypoesthetic. What is the diagnosis? | [
{
"key": "A",
"text": "Granuloma annulare"
},
{
"key": "B",
"text": "Scrofula"
},
{
"key": "C",
"text": "Leprosy"
},
{
"key": "D",
"text": "Pityriasis rosea"
},
{
"key": "E",
"text": "Tinea corporis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070614&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
fdd89988-9354-5e02-9b94-9f2aca2cee25 | 2007-06-21 | https://www.nejm.org/image-challenge?ci=20070621 | This patient presented with hypertension, proteinuria, and renal failure. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Mycosis fungoides"
},
{
"key": "B",
"text": "Wegener's granulomatosis"
},
{
"key": "C",
"text": "Invasive aspergillosis"
},
{
"key": "D",
"text": "Sarcoidosis"
},
{
"key": "E",
"text": "Polychondritis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070621&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
d6fe0223-d58b-5e96-b0c6-231cef8b6252 | 2007-06-28 | https://www.nejm.org/image-challenge?ci=20070628 | What is the diagnosis? | [
{
"key": "A",
"text": "Deep venous thrombosis"
},
{
"key": "B",
"text": "Necrotizing fasciitis"
},
{
"key": "C",
"text": "Chemical burn"
},
{
"key": "D",
"text": "Scleroderma"
},
{
"key": "E",
"text": "Digital ischemia"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070628&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
211ddbf2-c563-5ca9-b603-1029a083438a | 2007-07-05 | https://www.nejm.org/image-challenge?ci=20070705 | This patient developed progressive thickening of the skin following failure of a transplanted kidney. What is the most likely diagnosis? | [
{
"key": "A",
"text": "Eosinophilic fasciitis"
},
{
"key": "B",
"text": "Myxedema"
},
{
"key": "C",
"text": "Nephrogenic fibrosing dermopathy"
},
{
"key": "D",
"text": "Scleroderma"
},
{
"key": "E",
"text": "Vitiligo"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070705&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
22c4eecf-b3a7-5085-a43b-af21f1e5e1ca | 2007-07-12 | https://www.nejm.org/image-challenge?ci=20070712 | This patient developed jaundice and an enlarging neck mass. What is the diagnosis? | [
{
"key": "A",
"text": "Medullary carcinoma of the thyroid"
},
{
"key": "B",
"text": "Peripancreatic malignancy"
},
{
"key": "C",
"text": "Scrofula"
},
{
"key": "D",
"text": "Hodgkin's lymphoma"
},
{
"key": "E",
"text": "Pancoast tumor"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070712&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
646b3c91-7181-5387-b0e1-f9f29a14c483 | 2007-07-19 | https://www.nejm.org/image-challenge?ci=20070719 | This patient presented with chest pain. What is the diagnosis? | [
{
"key": "A",
"text": "Acute pulmonary embolism"
},
{
"key": "B",
"text": "Hypertrophic cardiomyopathy"
},
{
"key": "C",
"text": "Ascending aortic aneurysm"
},
{
"key": "D",
"text": "Coarctation of the aorta"
},
{
"key": "E",
"text": "Lymphoma"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070719&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
380daf08-0fd7-5fa3-846e-a282b316a780 | 2007-07-26 | https://www.nejm.org/image-challenge?ci=20070726 | This patient presented with acute onset of erythema. Nearly a year earlier she was treated for invasive breast cancer. What is the diagnosis? | [
{
"key": "A",
"text": "Erythrasma"
},
{
"key": "B",
"text": "Recurrent breast cancer"
},
{
"key": "C",
"text": "Radiation dermatitis"
},
{
"key": "D",
"text": "Cellulitis"
},
{
"key": "E",
"text": "Lymphedema"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070726&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
3f866f62-b47e-5fe1-b577-b03ed65a77d3 | 2007-08-09 | https://www.nejm.org/image-challenge?ci=20070809 | What is the diagnosis? | [
{
"key": "A",
"text": "Molluscum contagiosum"
},
{
"key": "B",
"text": "Pearly penile papules"
},
{
"key": "C",
"text": "Secondary syphilis"
},
{
"key": "D",
"text": "Obstruction of smegma-producing gland"
},
{
"key": "E",
"text": "Condyloma accuminatum"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070809&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
f7f7b457-a029-5021-8f7c-2dbe469f8b76 | 2007-08-16 | https://www.nejm.org/image-challenge?ci=20070816 | This 12-year-old boy presented with abdominal pain. What is the diagnosis? | [
{
"key": "A",
"text": "Cowden syndrome"
},
{
"key": "B",
"text": "Cronkhite-Canada syndrome"
},
{
"key": "C",
"text": "Osler-Weber-Rendu syndrome"
},
{
"key": "D",
"text": "Peutz-Jeghers syndrome"
},
{
"key": "E",
"text": "VonWillebrand syndrome"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070816&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
35e632d2-61f6-5787-90dd-e861a518c757 | 2007-08-23 | https://www.nejm.org/image-challenge?ci=20070823 | Which one of the following is the most likely diagnosis? | [
{
"key": "A",
"text": "Chronic renal failure"
},
{
"key": "B",
"text": "Iron deficiency"
},
{
"key": "C",
"text": "Graves' disease"
},
{
"key": "D",
"text": "Chemotherapy treatment"
},
{
"key": "E",
"text": "Psoriasis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070823&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
3d76f2ea-d826-5a79-a61a-33efc836d893 | 2007-08-30 | https://www.nejm.org/image-challenge?ci=20070830 | What is the diagnosis? | [
{
"key": "A",
"text": "Cytomegalovirus retinitis"
},
{
"key": "B",
"text": "Lipemia retinalis"
},
{
"key": "C",
"text": "Central retinal vein occlusion"
},
{
"key": "D",
"text": "Diabetic retinopathy"
},
{
"key": "E",
"text": "Retinitis pigmentosa"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070830&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
8f563860-df0a-59ed-b208-9eae1ee23c14 | 2007-09-06 | https://www.nejm.org/image-challenge?ci=20070906 | What is the diagnosis? | [
{
"key": "A",
"text": "Cutis laxa"
},
{
"key": "B",
"text": "Turner's syndrome"
},
{
"key": "C",
"text": "Ehlers-Danlos syndrome"
},
{
"key": "D",
"text": "Pseudoxanthoma elasticum"
},
{
"key": "E",
"text": "Marfan syndrome"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070906&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
ed0067cf-beb0-526a-97f2-d6b3ef592bfa | 2007-09-13 | https://www.nejm.org/image-challenge?ci=20070913 | What is the diagnosis? | [
{
"key": "A",
"text": "Herpetic glossitis"
},
{
"key": "B",
"text": "Aphthous ulceration"
},
{
"key": "C",
"text": "Pemphigoid"
},
{
"key": "D",
"text": "Scurvy"
},
{
"key": "E",
"text": "Oral candidiasis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070913&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
690f07b0-009b-59f5-8a65-e5c990767672 | 2007-09-20 | https://www.nejm.org/image-challenge?ci=20070920 | What is the diagnosis? | [
{
"key": "A",
"text": "Scleroderma"
},
{
"key": "B",
"text": "Thromboangiitis obliterans"
},
{
"key": "C",
"text": "Calciphylaxis"
},
{
"key": "D",
"text": "Hypoparathyroidism"
},
{
"key": "E",
"text": "Osteomyelitis"
}
] | https://csvc.nejm.org/ContentServer/images?id=IC20070920&width=1500&height=4000 | nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284 |
End of preview. Expand in Data Studio
NEJM-Bench: NEJM Image Challenge Benchmark
A benchmark of 1,063 multiple-choice visual questions drawn from the NEJM Image Challenge (October 2005 – April 2026), a weekly clinical image quiz published by the New England Journal of Medicine.
Each case presents a medical image and asks the reader to identify the diagnosis, finding, or underlying process from five answer choices. The benchmark covers a broad range of specialties including radiology, dermatology, ophthalmology, pathology, and more.
Answer keys are not included in this public release. This dataset is intended for model inference only. Scoring requires a separate private key file.
Load the dataset
from datasets import load_dataset
ds = load_dataset("medicalsphere/nejm-bench", split="train")
print(ds[0])
Schema
| Column | Type | Description |
|---|---|---|
id |
string | Stable UUID for the case |
date |
string | Publication date (YYYY-MM-DD) |
url |
string | Original NEJM challenge URL |
context |
string | Question text (e.g. "What is the diagnosis?") |
options |
list of {key, text} |
Answer choices (always 5, keys A–E) |
image_url |
string | Direct URL to the case image |
canary_string |
string | Dataset-level canary for contamination detection |
Usage example
from datasets import load_dataset
ds = load_dataset("medicalsphere/nejm-bench", split="train")
case = ds[0]
print(case["context"])
for opt in case["options"]:
print(f" {opt['key']}: {opt['text']}")
Canary
This dataset contains the following canary string on every row for contamination detection:
nejm-bench:f47b2e91-3da0-4c8e-b61f-09a7d5c3e284
If a model reproduces this string when prompted to complete "nejm-bench:",
it is likely that this dataset appeared in its training data.
Attribution
NEJM Image Challenge cases are publicly available at nejm.org/image-challenge and are the property of the New England Journal of Medicine. See NEJM's terms for use of the underlying content.
Citation
If you use this benchmark, please cite:
@dataset{nejm_bench_2026,
title = {NEJM-Bench: NEJM Image Challenge Benchmark},
author = {Medical Sphere},
year = {2026},
publisher = {Hugging Face},
url = {https://huggingface.co/datasets/medicalsphere/nejm-bench}
}
- Downloads last month
- 219