sample_id int64 0 0 | question stringlengths 15 115 | answer stringlengths 1 118 | modality stringclasses 3
values | sft_output stringlengths 285 629 | conclusion stringlengths 121 307 | n_total int64 3 7 | n_valid int64 2 5 | n_causal int64 1 7 | n_radlex_verified int64 0 7 | mean_clip float64 0.18 0.44 | concepts listlengths 3 7 | concepts_json stringlengths 901 2.41k | p0 float64 0.02 0.98 | delta_conf_computed bool 1
class | dag_nodes stringlengths 271 821 | dag_edges stringlengths 2 1.33k | dag_root stringlengths 4 55 | topo_order stringlengths 20 195 | n_dag_nodes int64 2 5 | n_dag_edges int64 0 10 | n_causal_edges int64 0 10 | n_spatial_edges int64 0 20 | n_anatomical_edges int64 0 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | are regions of the brain infarcted? | yes | MRI | Modality: MRI
[Causal]
acute infarcts [140, 105, 858, 893]
[Context]
basal ganglia [344, 118, 652, 874]
internal capsule [305, 388, 416, 500]
cerebral cortex [148, 148, 484, 484]
[Perception]
Right cerebral hemisphere [202, 388, 400, 586]
[Unlocalized]
Right basal ganglia
Right corona radiata
[Conclusion]
Acute in... | Acute infarcts in the right cerebral hemisphere involving the basal ganglia, internal capsule, and cerebral cortex confirm ischemic damage, supporting the presence of infarcted brain regions. | 7 | 5 | 1 | 4 | 0.3258 | [
{
"bbox": [
140,
105,
858,
893
],
"bbox_consistency": 0.83,
"clip_score": 0.4163,
"consistency": 1,
"delta_conf": 0.031,
"is_pathology": true,
"layer": "Causal",
"match_score": 0.93,
"name": "acute infarcts",
"radlex_category": "pathology",
"ra... | [{"name": "acute infarcts", "raw_name": "Acute infarct", "radlex_id": "RID3120", "radlex_category": "pathology", "consistency": 1.0, "match_score": 0.93, "is_pathology": true, "bbox": [140, 105, 858, 893], "valid": true, "clip_score": 0.4163, "bbox_consistency": 0.83, "layer": "Causal", "delta_conf": 0.031}, {"name": "... | 0.8162 | true | [{"name": "acute infarcts", "layer": "Causal", "delta_conf": 0.031, "bbox": [140, 105, 858, 893], "radlex_id": "RID3120", "clip_score": 0.4163}, {"name": "Right cerebral hemisphere", "layer": "Perception", "delta_conf": -0.0028, "bbox": [202, 388, 400, 586], "radlex_id": null, "clip_score": 0.3291}, {"name": "basal gan... | [{"src": "acute infarcts", "dst": "basal ganglia", "edge_type": "causal", "weight": 0.0271}, {"src": "acute infarcts", "dst": "internal capsule", "edge_type": "causal", "weight": 0.0294}, {"src": "acute infarcts", "dst": "Right cerebral hemisphere", "edge_type": "causal", "weight": 0.0338}, {"src": "acute infarcts", "d... | acute infarcts | ["acute infarcts", "basal ganglia", "Right cerebral hemisphere", "cerebral cortex", "internal capsule"] | 5 | 7 | 4 | 3 | 0 |
0 | are the lungs normal appearing? | no | X-ray | Modality: X-ray
[Causal]
aortic arch [446, 103, 558, 216]
[Context]
trachea [105, 700, 905, 947]
lung base [100, 708, 944, 944]
diaphragm [280, 484, 724, 948]
[Perception]
Retrocardiac region [31, 105, 975, 245]
[Unlocalized]
ribs
clavicles
[Conclusion]
Lungs are not normal; increased interstitial markings and bil... | Lungs are not normal; increased interstitial markings and bilateral lower zone opacities suggest pulmonary edema, with a prominent aortic arch and retrocardiac density contributing to the abnormal appearance. | 7 | 5 | 1 | 6 | 0.3465 | [
{
"bbox": [
446,
103,
558,
216
],
"bbox_consistency": 0.35,
"clip_score": 0.2777,
"consistency": 1,
"delta_conf": 0.0021,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "aortic arch", "raw_name": "Aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [446, 103, 558, 216], "valid": true, "clip_score": 0.2777, "bbox_consistency": 0.35, "layer": "Causal", "delta_conf": 0.0021}, {"name": "trache... | 0.8932 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": 0.0021, "bbox": [446, 103, 558, 216], "radlex_id": "RID1309", "clip_score": 0.2777}, {"name": "trachea", "layer": "Context", "delta_conf": -0.0044, "bbox": [105, 700, 905, 947], "radlex_id": "RID1334", "clip_score": 0.3896}, {"name": "lung base", "layer": "Conte... | [{"src": "lung base", "dst": "trachea", "edge_type": "spatial_containment", "weight": 0.955}, {"src": "diaphragm", "dst": "trachea", "edge_type": "spatial_overlap", "weight": 0.373}, {"src": "diaphragm", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.349}, {"src": "Retrocardiac region", "dst": "aortic ... | lung base | ["diaphragm", "Retrocardiac region", "lung base", "aortic arch", "trachea"] | 5 | 4 | 0 | 5 | 0 |
0 | which organ system is abnormal in this image? | cardiovascular | X-ray | Modality: X-ray
[Causal]
pacemaker generator [688, 410, 815, 508]
cardiovascular system abnormality [400, 288, 808, 644]
[Perception]
right ventricular lead [588, 348, 825, 538]
pacemaker leads [388, 250, 708, 744]
mediastinal silhouette [688, 388, 825, 488]
[Unlocalized]
cardiac silhouette
Cardiac pacemaker
[Concl... | Pacemaker generator and leads are visible, with the device implanted in the cardiovascular system, confirming a cardiovascular abnormality. | 7 | 5 | 2 | 1 | 0.3695 | [
{
"bbox": [
688,
410,
815,
508
],
"bbox_consistency": 0.51,
"clip_score": 0.4171,
"consistency": 0.67,
"delta_conf": -0.012,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "pacemaker generator",
"radlex_category": "unverified",... | [{"name": "pacemaker generator", "raw_name": "pacemaker generator", "radlex_id": null, "radlex_category": "unverified", "consistency": 0.67, "match_score": 0.0, "is_pathology": false, "bbox": [688, 410, 815, 508], "valid": true, "clip_score": 0.4171, "bbox_consistency": 0.51, "layer": "Causal", "delta_conf": -0.012}, {... | 0.7818 | true | [{"name": "pacemaker generator", "layer": "Causal", "delta_conf": -0.012, "bbox": [688, 410, 815, 508], "radlex_id": null, "clip_score": 0.4171}, {"name": "right ventricular lead", "layer": "Perception", "delta_conf": -0.0289, "bbox": [588, 348, 825, 538], "radlex_id": null, "clip_score": 0.3742}, {"name": "cardiovascu... | [{"src": "right ventricular lead", "dst": "pacemaker generator", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "right ventricular lead", "dst": "mediastinal silhouette", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cardiovascular system abnormality", "dst": "pacemaker generator", "edge_typ... | pacemaker leads | ["pacemaker leads", "cardiovascular system abnormality", "right ventricular lead", "mediastinal silhouette", "pacemaker generator"] | 5 | 7 | 3 | 7 | 0 |
0 | is the lesion causing significant brainstem herniation? | no | MRI | Modality: MRI
[Causal]
brainstem [380, 388, 618, 588]
[Context]
cerebellum [375, 408, 618, 538]
fourth ventricle [350, 385, 650, 485]
cerebellar vermis [388, 394, 608, 500]
[Perception]
Foramen magnum [458, 105, 540, 183]
[Unlocalized]
pons
Basilar artery
[Conclusion]
The lesion is located in the cerebellum, but t... | The lesion is located in the cerebellum, but there is no evidence of brainstem compression or displacement into the foramen magnum, indicating no significant brainstem herniation. | 7 | 5 | 1 | 5 | 0.3257 | [
{
"bbox": [
380,
388,
618,
588
],
"bbox_consistency": 0.43,
"clip_score": 0.4057,
"consistency": 1,
"delta_conf": -0.0034,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "brainstem",
"radlex_category": "anatomy",
"radlex_id... | [{"name": "brainstem", "raw_name": "Brainstem", "radlex_id": "RID3013", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [380, 388, 618, 588], "valid": true, "clip_score": 0.4057, "bbox_consistency": 0.43, "layer": "Causal", "delta_conf": -0.0034}, {"name": "cerebellu... | 0.819 | true | [{"name": "brainstem", "layer": "Causal", "delta_conf": -0.0034, "bbox": [380, 388, 618, 588], "radlex_id": "RID3013", "clip_score": 0.4057}, {"name": "cerebellum", "layer": "Context", "delta_conf": -0.0048, "bbox": [375, 408, 618, 538], "radlex_id": "RID3011", "clip_score": 0.2716}, {"name": "fourth ventricle", "layer... | [{"src": "brainstem", "dst": "cerebellum", "edge_type": "spatial_containment", "weight": 0.979}, {"src": "brainstem", "dst": "fourth ventricle", "edge_type": "spatial_containment", "weight": 0.77}, {"src": "brainstem", "dst": "cerebellar vermis", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebellum",... | cerebellar vermis | ["brainstem", "Foramen magnum", "cerebellum", "fourth ventricle", "cerebellar vermis"] | 5 | 6 | 0 | 6 | 0 |
0 | what is the condition of the patient | blind loop syndrome | CT | Modality: CT
[Causal]
blind loop syndrome [200, 130, 800, 827]
bowel gas [220, 180, 780, 500]
[Perception]
distended small bowel [220, 200, 778, 500]
dilated loops of small intestine [228, 300, 375, 488]
mesenteric fat stranding [385, 250, 500, 347]
[Unlocalized]
cecum
terminal ileum
[Conclusion]
Distended and dila... | Distended and dilated small bowel loops with bowel gas and mesenteric fat stranding are consistent with blind loop syndrome, reflecting impaired motility and bacterial overgrowth in a stagnant segment of intestine. | 7 | 5 | 2 | 2 | 0.3134 | [
{
"bbox": [
200,
130,
800,
827
],
"bbox_consistency": 0.67,
"clip_score": 0.3546,
"consistency": 1,
"delta_conf": 0.0346,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "blind loop syndrome",
"radlex_category": "unverified",
... | [{"name": "blind loop syndrome", "raw_name": "blind loop syndrome", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [200, 130, 800, 827], "valid": true, "clip_score": 0.3546, "bbox_consistency": 0.67, "layer": "Causal", "delta_conf": 0.0346}, {"... | 0.6966 | true | [{"name": "blind loop syndrome", "layer": "Causal", "delta_conf": 0.0346, "bbox": [200, 130, 800, 827], "radlex_id": null, "clip_score": 0.3546}, {"name": "distended small bowel", "layer": "Perception", "delta_conf": 0.0559, "bbox": [220, 200, 778, 500], "radlex_id": null, "clip_score": 0.3269}, {"name": "bowel gas", "... | [{"src": "blind loop syndrome", "dst": "dilated loops of small intestine", "edge_type": "causal", "weight": 0.0393}, {"src": "blind loop syndrome", "dst": "mesenteric fat stranding", "edge_type": "causal", "weight": 0.0485}, {"src": "blind loop syndrome", "dst": "distended small bowel", "edge_type": "spatial_containmen... | bowel gas | ["blind loop syndrome", "bowel gas", "distended small bowel", "dilated loops of small intestine", "mesenteric fat stranding"] | 5 | 9 | 8 | 4 | 0 |
0 | what abnormality is seen? | blind-ending loop of bowel arising from the cecum | CT | Modality: CT
[Causal]
blind-ending loop of bowel [248, 200, 400, 484]
[Context]
cecum [250, 205, 408, 474]
ascending colon [385, 284, 612, 444]
mesenteric fat [125, 115, 873, 883]
[Perception]
terminal ileum [225, 187, 775, 587]
[Unlocalized]
small bowel
peritoneum
[Conclusion]
The blind-ending loop of bowel arisi... | The blind-ending loop of bowel arising from the cecum is consistent with a dilated, non-communicating segment, likely representing a cecal diverticulum or a redundant loop, supported by the adjacent normal ascending colon and terminal ileum, with surrounding mesenteric fat showing no signs of inflammation. | 7 | 5 | 1 | 4 | 0.3529 | [
{
"bbox": [
248,
200,
400,
484
],
"bbox_consistency": 0.75,
"clip_score": 0.2784,
"consistency": 1,
"delta_conf": -0.0684,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "blind-ending loop of bowel",
"radlex_category": "unverif... | [{"name": "blind-ending loop of bowel", "raw_name": "blind-ending loop of bowel", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [248, 200, 400, 484], "valid": true, "clip_score": 0.2784, "bbox_consistency": 0.75, "layer": "Causal", "delta_conf... | 0.4685 | true | [{"name": "blind-ending loop of bowel", "layer": "Causal", "delta_conf": -0.0684, "bbox": [248, 200, 400, 484], "radlex_id": null, "clip_score": 0.2784}, {"name": "cecum", "layer": "Context", "delta_conf": -0.0631, "bbox": [250, 205, 408, 474], "radlex_id": "RID2028", "clip_score": 0.4231}, {"name": "ascending colon", ... | [{"src": "blind-ending loop of bowel", "dst": "cecum", "edge_type": "spatial_containment", "weight": 0.949}, {"src": "ascending colon", "dst": "cecum", "edge_type": "causal", "weight": 0.032}, {"src": "ascending colon", "dst": "blind-ending loop of bowel", "edge_type": "causal", "weight": 0.0373}, {"src": "terminal ile... | mesenteric fat | ["mesenteric fat", "terminal ileum", "ascending colon", "blind-ending loop of bowel", "cecum"] | 5 | 10 | 8 | 3 | 0 |
0 | what is the location of the mass? | pineal region | MRI | Modality: MRI
[Causal]
pineal gland [450, 400, 550, 500]
[Context]
third ventricle [385, 400, 610, 588]
midbrain [484, 520, 516, 550]
[Perception]
superior colliculus [450, 200, 550, 484]
[Unlocalized]
posterior commissure
cerebral aqueduct
posterior aspect of the cerebral hemispheres
[Conclusion]
The mass is loca... | The mass is located in the pineal region, as evidenced by its position adjacent to the pineal gland, third ventricle, and midbrain, with involvement of the superior colliculus, consistent with pineal gland pathology. | 7 | 4 | 1 | 3 | 0.3218 | [
{
"bbox": [
450,
400,
550,
500
],
"bbox_consistency": 0.09,
"clip_score": 0.3242,
"consistency": 1,
"delta_conf": 0.0186,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "pineal gland",
"radlex_category": "unverified",
"radl... | [{"name": "pineal gland", "raw_name": "pineal gland", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [450, 400, 550, 500], "valid": true, "clip_score": 0.3242, "bbox_consistency": 0.09, "layer": "Causal", "delta_conf": 0.0186}, {"name": "third ... | 0.7864 | true | [{"name": "pineal gland", "layer": "Causal", "delta_conf": 0.0186, "bbox": [450, 400, 550, 500], "radlex_id": null, "clip_score": 0.3242}, {"name": "third ventricle", "layer": "Context", "delta_conf": 0.0228, "bbox": [385, 400, 610, 588], "radlex_id": "RID3008", "clip_score": 0.3325}, {"name": "midbrain", "layer": "Con... | [{"src": "pineal gland", "dst": "midbrain", "edge_type": "causal", "weight": 0.0225}, {"src": "third ventricle", "dst": "midbrain", "edge_type": "causal", "weight": 0.0267}, {"src": "third ventricle", "dst": "pineal gland", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "superior colliculus", "dst": "midbr... | superior colliculus | ["third ventricle", "superior colliculus", "pineal gland", "midbrain"] | 4 | 5 | 3 | 2 | 0 |
0 | where is the mass? | pineal region | MRI | Modality: MRI
[Causal]
third ventricle [375, 185, 625, 500]
[Context]
cerebral hemispheres [447, 185, 550, 485]
[Perception]
pineal gland [414, 185, 586, 484]
posterior commissure [450, 580, 550, 680]
[Unlocalized]
pineal region mass
cerebral aqueduct
superior colliculus
[Conclusion]
The mass is located in the pin... | The mass is located in the pineal region, as evidenced by the third ventricle's displacement and the pineal gland's abnormal appearance, with the posterior commissure serving as a key anatomical landmark. | 7 | 4 | 2 | 3 | 0.3317 | [
{
"bbox": [
375,
185,
625,
500
],
"bbox_consistency": 0.47,
"clip_score": 0.3943,
"consistency": 1,
"delta_conf": 0.0178,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "third ventricle",
"radlex_category": "anatomy",
"radl... | [{"name": "third ventricle", "raw_name": "third ventricle", "radlex_id": "RID3008", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [375, 185, 625, 500], "valid": true, "clip_score": 0.3943, "bbox_consistency": 0.47, "layer": "Causal", "delta_conf": 0.0178}, {"name":... | 0.6321 | true | [{"name": "third ventricle", "layer": "Causal", "delta_conf": 0.0178, "bbox": [375, 185, 625, 500], "radlex_id": "RID3008", "clip_score": 0.3943}, {"name": "pineal gland", "layer": "Perception", "delta_conf": 0.0093, "bbox": [414, 185, 586, 484], "radlex_id": null, "clip_score": 0.3136}, {"name": "cerebral hemispheres"... | [{"src": "third ventricle", "dst": "pineal gland", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "third ventricle", "dst": "cerebral hemispheres", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "pineal gland", "dst": "cerebral hemispheres", "edge_type": "spatial_containment", "weight": 0.997}... | cerebral hemispheres | ["third ventricle", "pineal gland", "cerebral hemispheres", "posterior commissure"] | 4 | 4 | 2 | 3 | 0 |
0 | is this image in the transverse plane? | yes | MRI | Modality: MRI
[Causal]
ring-enhancing lesion [538, 315, 746, 525]
[Context]
cerebral hemispheres [375, 105, 625, 205]
[Unlocalized]
corpus callosum
lateral ventricles
brain parenchyma
sulci
[Conclusion]
The transverse plane is confirmed by the axial orientation of the cerebral hemispheres and the symmetric, horizon... | The transverse plane is confirmed by the axial orientation of the cerebral hemispheres and the symmetric, horizontal cross-sectional view of the ring-enhancing lesion within the brain parenchyma. | 6 | 2 | 1 | 4 | 0.2242 | [
{
"bbox": [
538,
315,
746,
525
],
"bbox_consistency": 0.37,
"clip_score": 0.2552,
"consistency": 1,
"delta_conf": -0.0144,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "ring-enhancing lesion",
"radlex_category": "unverified",... | [{"name": "ring-enhancing lesion", "raw_name": "ring-enhancing lesion", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [538, 315, 746, 525], "valid": true, "clip_score": 0.2552, "bbox_consistency": 0.37, "layer": "Causal", "delta_conf": -0.0144... | 0.7619 | true | [{"name": "ring-enhancing lesion", "layer": "Causal", "delta_conf": -0.0144, "bbox": [538, 315, 746, 525], "radlex_id": null, "clip_score": 0.2552}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": 0.0115, "bbox": [375, 105, 625, 205], "radlex_id": "RID3001", "clip_score": 0.1933}] | [{"src": "cerebral hemispheres", "dst": "ring-enhancing lesion", "edge_type": "causal", "weight": 0.0259}] | cerebral hemispheres | ["cerebral hemispheres", "ring-enhancing lesion"] | 2 | 1 | 1 | 0 | 0 |
0 | are there any pulmonary findings? | no | X-ray | Modality: X-ray
[Causal]
Lung fields [100, 100, 900, 900]
[Context]
ribs [104, 669, 885, 998]
[Perception]
Heart size [104, 700, 888, 888]
[Unlocalized]
diaphragm
mediastinum
lung base
[Conclusion]
Lung fields are clear with no infiltrates, masses, or consolidation; heart size is normal, and ribs are intact, suppo... | Lung fields are clear with no infiltrates, masses, or consolidation; heart size is normal, and ribs are intact, supporting the absence of pulmonary pathology. | 6 | 3 | 1 | 4 | 0.3164 | [
{
"bbox": [
100,
100,
900,
900
],
"bbox_consistency": 0.52,
"clip_score": 0.3877,
"consistency": 1,
"delta_conf": 0.0309,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Lung fields",
"radlex_category": "unverified",
"radle... | [{"name": "Lung fields", "raw_name": "Lung fields", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [100, 100, 900, 900], "valid": true, "clip_score": 0.3877, "bbox_consistency": 0.52, "layer": "Causal", "delta_conf": 0.0309}, {"name": "Heart si... | 0.4719 | true | [{"name": "Lung fields", "layer": "Causal", "delta_conf": 0.0309, "bbox": [100, 100, 900, 900], "radlex_id": null, "clip_score": 0.3877}, {"name": "Heart size", "layer": "Perception", "delta_conf": -0.0072, "bbox": [104, 700, 888, 888], "radlex_id": null, "clip_score": 0.224}, {"name": "ribs", "layer": "Context", "delt... | [{"src": "Lung fields", "dst": "ribs", "edge_type": "causal", "weight": 0.0325}, {"src": "Lung fields", "dst": "Heart size", "edge_type": "causal", "weight": 0.0381}, {"src": "ribs", "dst": "Heart size", "edge_type": "spatial_containment", "weight": 0.996}] | Lung fields | ["Lung fields", "ribs", "Heart size"] | 3 | 3 | 2 | 1 | 0 |
0 | are the lungs affected? | no | X-ray | Modality: X-ray
[Causal]
lung base [105, 683, 885, 998]
[Context]
ribs [350, 0, 650, 1000]
[Unlocalized]
diaphragm
mediastinum
Lung fields
lung parenchyma
Bilateral lung fields
[Conclusion]
Lung bases are clear with no infiltrates, consolidation, or effusion, and rib structures are intact, supporting the absence of... | Lung bases are clear with no infiltrates, consolidation, or effusion, and rib structures are intact, supporting the absence of lung pathology. | 7 | 2 | 1 | 5 | 0.3309 | [
{
"bbox": [
105,
683,
885,
998
],
"bbox_consistency": 0.94,
"clip_score": 0.2588,
"consistency": 1,
"delta_conf": 0.0002,
"is_pathology": false,
"layer": "Causal",
"match_score": 0.95,
"name": "lung base",
"radlex_category": "anatomy",
"radlex_... | [{"name": "lung base", "raw_name": "Costophrenic angles", "radlex_id": "RID1332", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 0.95, "is_pathology": false, "bbox": [105, 683, 885, 998], "valid": true, "clip_score": 0.2588, "bbox_consistency": 0.94, "layer": "Causal", "delta_conf": 0.0002}, {"name": ... | 0.8472 | true | [{"name": "lung base", "layer": "Causal", "delta_conf": 0.0002, "bbox": [105, 683, 885, 998], "radlex_id": "RID1332", "clip_score": 0.2588}, {"name": "ribs", "layer": "Context", "delta_conf": -0.0344, "bbox": [350, 0, 650, 1000], "radlex_id": "RID1348", "clip_score": 0.403}] | [{"src": "ribs", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.209}] | lung base | ["ribs", "lung base"] | 2 | 1 | 1 | 1 | 0 |
0 | in which lobe are the lesions? | bilateral frontal lobes | MRI | Modality: MRI
[Causal]
Bilateral frontal lobe lesions [10, 10, 990, 500]
frontal lobe [208, 100, 792, 688]
[Context]
lateral ventricles [250, 325, 750, 475]
[Unlocalized]
corpus callosum
cerebral hemispheres
cerebral cortex
gray matter
[Conclusion]
Lesions are located in the bilateral frontal lobes, as evidenced by... | Lesions are located in the bilateral frontal lobes, as evidenced by symmetric hyperintense signal abnormalities adjacent to the lateral ventricles, consistent with frontal lobe involvement. | 7 | 3 | 2 | 6 | 0.3409 | [
{
"bbox": [
10,
10,
990,
500
],
"bbox_consistency": 0.64,
"clip_score": 0.3963,
"consistency": 1,
"delta_conf": 0.013,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Bilateral frontal lobe lesions",
"radlex_category": "unverif... | [{"name": "Bilateral frontal lobe lesions", "raw_name": "Bilateral frontal lobe lesions", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [10, 10, 990, 500], "valid": true, "clip_score": 0.3963, "bbox_consistency": 0.64, "layer": "Causal", "delt... | 0.8093 | true | [{"name": "Bilateral frontal lobe lesions", "layer": "Causal", "delta_conf": 0.013, "bbox": [10, 10, 990, 500], "radlex_id": null, "clip_score": 0.3963}, {"name": "frontal lobe", "layer": "Causal", "delta_conf": -0.0135, "bbox": [208, 100, 792, 688], "radlex_id": "RID3002", "clip_score": 0.3144}, {"name": "lateral vent... | [{"src": "Bilateral frontal lobe lesions", "dst": "frontal lobe", "edge_type": "causal", "weight": 0.0265}, {"src": "Bilateral frontal lobe lesions", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0443}, {"src": "frontal lobe", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": ... | Bilateral frontal lobe lesions | ["Bilateral frontal lobe lesions", "frontal lobe", "lateral ventricles"] | 3 | 3 | 2 | 1 | 0 |
0 | where are the lesions? | bilateral frontal lobes | MRI | Modality: MRI
[Causal]
bilateral frontal lobe lesions [10, 10, 990, 510]
[Context]
lateral ventricles [270, 324, 724, 666]
[Unlocalized]
corpus callosum
brain parenchyma
frontal lobe
cerebral hemispheres
cerebral cortex
[Conclusion]
Bilateral frontal lobe lesions are evident as hyperintense areas on the T2-weighted... | Bilateral frontal lobe lesions are evident as hyperintense areas on the T2-weighted MRI, symmetrically involving the frontal lobes adjacent to the lateral ventricles, consistent with the reported findings. | 7 | 2 | 1 | 5 | 0.4205 | [
{
"bbox": [
10,
10,
990,
510
],
"bbox_consistency": 0.69,
"clip_score": 0.4142,
"consistency": 1,
"delta_conf": 0.0235,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "bilateral frontal lobe lesions",
"radlex_category": "unveri... | [{"name": "bilateral frontal lobe lesions", "raw_name": "bilateral frontal lobe lesions", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [10, 10, 990, 510], "valid": true, "clip_score": 0.4142, "bbox_consistency": 0.69, "layer": "Causal", "delt... | 0.6574 | true | [{"name": "bilateral frontal lobe lesions", "layer": "Causal", "delta_conf": 0.0235, "bbox": [10, 10, 990, 510], "radlex_id": null, "clip_score": 0.4142}, {"name": "lateral ventricles", "layer": "Context", "delta_conf": 0.0192, "bbox": [270, 324, 724, 666], "radlex_id": "RID3007", "clip_score": 0.4269}] | [{"src": "bilateral frontal lobe lesions", "dst": "lateral ventricles", "edge_type": "spatial_overlap", "weight": 0.151}] | bilateral frontal lobe lesions | ["bilateral frontal lobe lesions", "lateral ventricles"] | 2 | 1 | 0 | 1 | 0 |
0 | is there herniation of the brainstem secondary to the lesion | no | MRI | Modality: MRI
[Causal]
brainstem [354, 399, 644, 588]
[Context]
cerebellum [380, 402, 622, 525]
fourth ventricle [458, 400, 540, 500]
cerebellar vermis [408, 398, 588, 500]
[Unlocalized]
Basilar artery
pons
[Conclusion]
No brainstem herniation is present; the brainstem remains in normal position with no displacemen... | No brainstem herniation is present; the brainstem remains in normal position with no displacement or compression, despite the cerebellar lesion, indicating absence of significant mass effect or upward herniation. | 6 | 4 | 1 | 5 | 0.3139 | [
{
"bbox": [
354,
399,
644,
588
],
"bbox_consistency": 0.39,
"clip_score": 0.3925,
"consistency": 1,
"delta_conf": 0.0197,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "brainstem",
"radlex_category": "anatomy",
"radlex_id"... | [{"name": "brainstem", "raw_name": "Brainstem", "radlex_id": "RID3013", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [354, 399, 644, 588], "valid": true, "clip_score": 0.3925, "bbox_consistency": 0.39, "layer": "Causal", "delta_conf": 0.0197}, {"name": "cerebellum... | 0.7865 | true | [{"name": "brainstem", "layer": "Causal", "delta_conf": 0.0197, "bbox": [354, 399, 644, 588], "radlex_id": "RID3013", "clip_score": 0.3925}, {"name": "cerebellum", "layer": "Context", "delta_conf": 0.0079, "bbox": [380, 402, 622, 525], "radlex_id": "RID3011", "clip_score": 0.2656}, {"name": "fourth ventricle", "layer":... | [{"src": "brainstem", "dst": "cerebellum", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "brainstem", "dst": "fourth ventricle", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "brainstem", "dst": "cerebellar vermis", "edge_type": "spatial_containment", "weight": 0.99}, {"src": "cerebellum", "... | brainstem | ["brainstem", "cerebellum", "cerebellar vermis", "fourth ventricle"] | 4 | 6 | 0 | 6 | 0 |
0 | what type of image is this? | mri-dwi | MRI | Modality: MRI
[Causal]
lateral ventricles [418, 104, 580, 384]
[Context]
corpus callosum [250, 350, 750, 650]
[Unlocalized]
cerebral cortex
basal ganglia
white matter
gray matter
[Conclusion]
This is an MRI-DWI image, evidenced by the hyperintense signal in the lateral ventricles and surrounding white matter, consi... | This is an MRI-DWI image, evidenced by the hyperintense signal in the lateral ventricles and surrounding white matter, consistent with restricted diffusion, and the preserved anatomy of the corpus callosum, which is typically well visualized on DWI sequences. | 6 | 2 | 2 | 6 | 0.3057 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.6,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cerebral cortex",
"radlex_category": "anatomy",
"radlex_id": "RID3037... | [{"name": "cerebral cortex", "raw_name": "cerebral cortex", "radlex_id": "RID3037", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.6, "layer": "Causal", "delta_conf": null}, {"name": "lateral ven... | 0.1356 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0018, "bbox": [418, 104, 580, 384], "radlex_id": "RID3007", "clip_score": 0.3069}, {"name": "corpus callosum", "layer": "Context", "delta_conf": 0.0012, "bbox": [250, 350, 750, 650], "radlex_id": "RID3023", "clip_score": 0.3045}] | [] | corpus callosum | ["lateral ventricles", "corpus callosum"] | 2 | 0 | 0 | 0 | 0 |
0 | is the gyral enhancement? | yes | MRI | Modality: MRI
[Causal]
cerebral cortex [214, 104, 784, 684]
[Context]
lateral ventricles [288, 325, 686, 496]
corpus callosum [300, 181, 700, 300]
[Unlocalized]
Gyral enhancement
sulci
basal ganglia
[Conclusion]
Gyral enhancement is evident on the MRI, with abnormal signal intensity along the cerebral cortex, parti... | Gyral enhancement is evident on the MRI, with abnormal signal intensity along the cerebral cortex, particularly involving the gyri adjacent to the lateral ventricles and corpus callosum, consistent with inflammatory or infectious processes. | 6 | 3 | 2 | 5 | 0.3266 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.96,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Gyral enhancement",
"radlex_category": "unverified",
"radlex_id": nu... | [{"name": "Gyral enhancement", "raw_name": "Gyral enhancement", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.96, "layer": "Causal", "delta_conf": null}, {"name": "cerebral... | 0.6469 | true | [{"name": "cerebral cortex", "layer": "Causal", "delta_conf": 0.026, "bbox": [214, 104, 784, 684], "radlex_id": "RID3037", "clip_score": 0.306}, {"name": "lateral ventricles", "layer": "Context", "delta_conf": 0.0513, "bbox": [288, 325, 686, 496], "radlex_id": "RID3007", "clip_score": 0.3167}, {"name": "corpus callosum... | [{"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral cortex", "dst": "corpus callosum", "edge_type": "spatial_containment", "weight": 1.0}] | corpus callosum | ["cerebral cortex", "lateral ventricles", "corpus callosum"] | 3 | 2 | 2 | 2 | 0 |
0 | what is the location of the abnormality? | right colon | CT | Modality: CT
[Causal]
abnormality in right colon [150, 275, 848, 500]
[Context]
ascending colon [150, 300, 400, 500]
cecum [154, 280, 844, 500]
mesenteric fat [388, 500, 608, 645]
[Perception]
terminal ileum [100, 240, 400, 400]
[Unlocalized]
liver
vertebral body
[Conclusion]
The abnormality is located in the righ... | The abnormality is located in the right colon, as evidenced by the focal lesion involving the ascending colon, cecum, and terminal ileum, with associated mesenteric fat stranding. | 7 | 5 | 1 | 5 | 0.3682 | [
{
"bbox": [
150,
275,
848,
500
],
"bbox_consistency": 0.61,
"clip_score": 0.3725,
"consistency": 1,
"delta_conf": 0.0256,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "abnormality in right colon",
"radlex_category": "unverifi... | [{"name": "abnormality in right colon", "raw_name": "abnormality in right colon", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [150, 275, 848, 500], "valid": true, "clip_score": 0.3725, "bbox_consistency": 0.61, "layer": "Causal", "delta_conf... | 0.8557 | true | [{"name": "abnormality in right colon", "layer": "Causal", "delta_conf": 0.0256, "bbox": [150, 275, 848, 500], "radlex_id": null, "clip_score": 0.3725}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.0074, "bbox": [150, 300, 400, 500], "radlex_id": "RID2029", "clip_score": 0.406}, {"name": "cecum", "la... | [{"src": "abnormality in right colon", "dst": "mesenteric fat", "edge_type": "causal", "weight": 0.0222}, {"src": "abnormality in right colon", "dst": "ascending colon", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "abnormality in right colon", "dst": "cecum", "edge_type": "spatial_containment", "weight"... | abnormality in right colon | ["abnormality in right colon", "mesenteric fat", "cecum", "ascending colon", "terminal ileum"] | 5 | 7 | 1 | 7 | 0 |
0 | where is the abnormal finding? | right colon | CT | Modality: CT
[Causal]
bowel wall thickening [150, 250, 848, 525]
[Context]
ascending colon [178, 258, 817, 512]
transverse colon [150, 248, 848, 688]
[Perception]
Small bowel loops [100, 245, 900, 725]
Peritoneal fat [388, 500, 608, 650]
[Unlocalized]
vertebral body
mesenteric fat
[Conclusion]
Bowel wall thickenin... | Bowel wall thickening in the ascending colon, along with adjacent small bowel loops and peritoneal fat stranding, localizes the abnormality to the right colon, consistent with inflammatory or neoplastic processes in this region. | 7 | 5 | 1 | 5 | 0.3862 | [
{
"bbox": [
150,
250,
848,
525
],
"bbox_consistency": 0.72,
"clip_score": 0.3877,
"consistency": 1,
"delta_conf": 0.0048,
"is_pathology": true,
"layer": "Causal",
"match_score": 0.7,
"name": "bowel wall thickening",
"radlex_category": "pathology",
... | [{"name": "bowel wall thickening", "raw_name": "Abnormal bowel wall thickening", "radlex_id": "RID2111", "radlex_category": "pathology", "consistency": 1.0, "match_score": 0.7, "is_pathology": true, "bbox": [150, 250, 848, 525], "valid": true, "clip_score": 0.3877, "bbox_consistency": 0.72, "layer": "Causal", "delta_co... | 0.6705 | true | [{"name": "bowel wall thickening", "layer": "Causal", "delta_conf": 0.0048, "bbox": [150, 250, 848, 525], "radlex_id": "RID2111", "clip_score": 0.3877}, {"name": "ascending colon", "layer": "Context", "delta_conf": -0.0173, "bbox": [178, 258, 817, 512], "radlex_id": "RID2029", "clip_score": 0.3813}, {"name": "Small bow... | [{"src": "ascending colon", "dst": "bowel wall thickening", "edge_type": "spatial_containment", "weight": 0.846}, {"src": "Small bowel loops", "dst": "Peritoneal fat", "edge_type": "causal", "weight": 0.0642}, {"src": "Small bowel loops", "dst": "bowel wall thickening", "edge_type": "causal", "weight": 0.0904}, {"src":... | Small bowel loops | ["transverse colon", "Small bowel loops", "Peritoneal fat", "ascending colon", "bowel wall thickening"] | 5 | 10 | 10 | 2 | 0 |
0 | what plane is seen? | pa | X-ray | Modality: X-ray
[Causal]
lungs [355, 516, 644, 909]
[Context]
ribs [21, 185, 979, 300]
mediastinum [100, 650, 900, 888]
[Unlocalized]
posterior-anterior projection
heart
clavicles
diaphragm
[Conclusion]
Posteroanterior (PA) projection is confirmed by the clear visualization of the clavicles and scapulae lateral to ... | Posteroanterior (PA) projection is confirmed by the clear visualization of the clavicles and scapulae lateral to the lung fields, with symmetrical rib alignment and adequate lung expansion, consistent with standard PA chest radiography. | 7 | 3 | 2 | 5 | 0.3153 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.72,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "posterior-anterior projection",
"radlex_category": "unverified",
"ra... | [{"name": "posterior-anterior projection", "raw_name": "posterior-anterior projection", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.72, "layer": "Causal", "delta_conf": n... | 0.6856 | true | [{"name": "lungs", "layer": "Causal", "delta_conf": -0.0536, "bbox": [355, 516, 644, 909], "radlex_id": null, "clip_score": 0.2938}, {"name": "ribs", "layer": "Context", "delta_conf": -0.0322, "bbox": [21, 185, 979, 300], "radlex_id": "RID1348", "clip_score": 0.3416}, {"name": "mediastinum", "layer": "Context", "delta_... | [{"src": "ribs", "dst": "lungs", "edge_type": "causal", "weight": 0.0214}, {"src": "mediastinum", "dst": "ribs", "edge_type": "causal", "weight": 0.0342}, {"src": "mediastinum", "dst": "lungs", "edge_type": "causal", "weight": 0.0556}] | mediastinum | ["mediastinum", "ribs", "lungs"] | 3 | 3 | 3 | 0 | 0 |
0 | how would you describe the mass? | isointense | MRI | Modality: MRI
[Causal]
lateral ventricles [344, 344, 652, 652]
[Perception]
brain parenchyma [550, 420, 850, 780]
[Unlocalized]
corpus callosum
right temporal lobe mass
gray matter
white matter
cerebral cortex
[Conclusion]
The mass is isointense to brain parenchyma on this T2-weighted MRI, as it demonstrates simila... | The mass is isointense to brain parenchyma on this T2-weighted MRI, as it demonstrates similar signal intensity to surrounding gray matter, with no significant hyperintensity or hypointensity relative to adjacent tissue. | 7 | 2 | 2 | 5 | 0.2795 | [
{
"bbox": [
344,
344,
652,
652
],
"bbox_consistency": 0.42,
"clip_score": 0.3493,
"consistency": 1,
"delta_conf": -0.0133,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"... | [{"name": "lateral ventricles", "raw_name": "lateral ventricle", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [344, 344, 652, 652], "valid": true, "clip_score": 0.3493, "bbox_consistency": 0.42, "layer": "Causal", "delta_conf": -0.0133}, {"... | 0.7347 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0133, "bbox": [344, 344, 652, 652], "radlex_id": "RID3007", "clip_score": 0.3493}, {"name": "brain parenchyma", "layer": "Perception", "delta_conf": 0.0196, "bbox": [550, 420, 850, 780], "radlex_id": null, "clip_score": 0.2097}] | [{"src": "brain parenchyma", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0329}] | brain parenchyma | ["brain parenchyma", "lateral ventricles"] | 2 | 1 | 1 | 0 | 0 |
0 | what are the characteristics of the mass? | isointense | MRI | Modality: MRI
[Causal]
lateral ventricles [344, 344, 656, 656]
[Context]
white matter [388, 10, 608, 150]
cerebral cortex [570, 420, 850, 780]
[Unlocalized]
mass in the left temporal lobe
gray matter
corpus callosum
mass
[Conclusion]
The mass is isointense to gray matter on T1-weighted imaging, consistent with its ... | The mass is isointense to gray matter on T1-weighted imaging, consistent with its appearance in the white matter and surrounding cerebral cortex, with no significant mass effect on the lateral ventricles. | 7 | 3 | 3 | 5 | 0.3054 | [
{
"bbox": [
344,
344,
656,
656
],
"bbox_consistency": 0.43,
"clip_score": 0.3464,
"consistency": 1,
"delta_conf": -0.0529,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"... | [{"name": "lateral ventricles", "raw_name": "lateral ventricle", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [344, 344, 656, 656], "valid": true, "clip_score": 0.3464, "bbox_consistency": 0.43, "layer": "Causal", "delta_conf": -0.0529}, {"... | 0.6001 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0529, "bbox": [344, 344, 656, 656], "radlex_id": "RID3007", "clip_score": 0.3464}, {"name": "white matter", "layer": "Context", "delta_conf": -0.0092, "bbox": [388, 10, 608, 150], "radlex_id": "RID3024", "clip_score": 0.2787}, {"name": "cerebral cortex... | [{"src": "white matter", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0437}, {"src": "cerebral cortex", "dst": "white matter", "edge_type": "causal", "weight": 0.0283}, {"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.072}] | cerebral cortex | ["cerebral cortex", "white matter", "lateral ventricles"] | 3 | 3 | 3 | 0 | 0 |
0 | which plane is this image taken in? | pa | X-ray | Modality: X-ray
[Causal]
heart silhouette [104, 688, 908, 998]
[Context]
chest wall [22, 105, 978, 230]
[Unlocalized]
posterior-anterior projection
diaphragm
clavicles
spine
[Conclusion]
The posterior-anterior (PA) projection is confirmed by the clear visualization of the heart silhouette and chest wall anatomy, wi... | The posterior-anterior (PA) projection is confirmed by the clear visualization of the heart silhouette and chest wall anatomy, with the heart appearing smaller and the diaphragm more clearly delineated, consistent with standard PA chest radiography. | 6 | 2 | 2 | 4 | 0.3204 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.23,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "posterior-anterior projection",
"radlex_category": "unverified",
"ra... | [{"name": "posterior-anterior projection", "raw_name": "posterior-anterior projection", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.23, "layer": "Causal", "delta_conf": n... | 0.9059 | true | [{"name": "heart silhouette", "layer": "Causal", "delta_conf": 0.0248, "bbox": [104, 688, 908, 998], "radlex_id": null, "clip_score": 0.2395}, {"name": "chest wall", "layer": "Context", "delta_conf": -0.0029, "bbox": [22, 105, 978, 230], "radlex_id": "RID1347", "clip_score": 0.4013}] | [{"src": "heart silhouette", "dst": "chest wall", "edge_type": "causal", "weight": 0.0277}] | heart silhouette | ["heart silhouette", "chest wall"] | 2 | 1 | 1 | 0 | 0 |
0 | is the mass hyperintense or hypointense? | hyperintense | MRI | Modality: MRI
[Causal]
third ventricle [360, 175, 647, 471]
pineal gland mass [402, 185, 594, 283]
[Context]
cerebral hemispheres [352, 104, 658, 240]
corpus callosum [355, 170, 647, 488]
lateral ventricles [384, 500, 612, 684]
[Unlocalized]
brainstem
mass in the pineal region
[Conclusion]
The pineal gland mass is ... | The pineal gland mass is hyperintense on this T2-weighted MRI, consistent with a pineal cyst, and is associated with third ventricular compression and hydrocephalus due to obstructive flow. | 7 | 5 | 3 | 5 | 0.327 | [
{
"bbox": [
360,
175,
647,
471
],
"bbox_consistency": 0.39,
"clip_score": 0.3832,
"consistency": 1,
"delta_conf": 0.0137,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "third ventricle",
"radlex_category": "anatomy",
"radl... | [{"name": "third ventricle", "raw_name": "third ventricle", "radlex_id": "RID3008", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [360, 175, 647, 471], "valid": true, "clip_score": 0.3832, "bbox_consistency": 0.39, "layer": "Causal", "delta_conf": 0.0137}, {"name":... | 0.7629 | true | [{"name": "third ventricle", "layer": "Causal", "delta_conf": 0.0137, "bbox": [360, 175, 647, 471], "radlex_id": "RID3008", "clip_score": 0.3832}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": -0.0021, "bbox": [352, 104, 658, 240], "radlex_id": "RID3001", "clip_score": 0.287}, {"name": "corpus call... | [{"src": "third ventricle", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0235}, {"src": "third ventricle", "dst": "pineal gland mass", "edge_type": "causal", "weight": 0.0252}, {"src": "third ventricle", "dst": "cerebral hemispheres", "edge_type": "spatial_overlap", "weight": 0.173}, {"src": "cerebra... | third ventricle | ["corpus callosum", "third ventricle", "lateral ventricles", "cerebral hemispheres", "pineal gland mass"] | 5 | 7 | 2 | 6 | 0 |
0 | what is the radiological description of the mass? | hyperintense | MRI | Modality: MRI
[Causal]
third ventricle [375, 185, 625, 485]
intraventricular mass [375, 155, 625, 285]
[Context]
cerebral hemispheres [352, 121, 647, 281]
corpus callosum [357, 140, 640, 484]
lateral ventricles [350, 208, 650, 300]
[Unlocalized]
mass in the pineal region
hyperintense signal
[Conclusion]
The mass is... | The mass is hyperintense on this MRI, as evidenced by its bright signal relative to surrounding brain parenchyma within the lateral ventricles, consistent with a fluid-filled or cystic lesion adjacent to the third ventricle and corpus callosum. | 7 | 5 | 3 | 4 | 0.321 | [
{
"bbox": [
375,
185,
625,
485
],
"bbox_consistency": 0.48,
"clip_score": 0.3797,
"consistency": 1,
"delta_conf": -0.012,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "third ventricle",
"radlex_category": "anatomy",
"radl... | [{"name": "third ventricle", "raw_name": "third ventricle", "radlex_id": "RID3008", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [375, 185, 625, 485], "valid": true, "clip_score": 0.3797, "bbox_consistency": 0.48, "layer": "Causal", "delta_conf": -0.012}, {"name":... | 0.5868 | true | [{"name": "third ventricle", "layer": "Causal", "delta_conf": -0.012, "bbox": [375, 185, 625, 485], "radlex_id": "RID3008", "clip_score": 0.3797}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": -0.0254, "bbox": [352, 121, 647, 281], "radlex_id": "RID3001", "clip_score": 0.2802}, {"name": "corpus cal... | [{"src": "third ventricle", "dst": "intraventricular mass", "edge_type": "causal", "weight": 0.0242}, {"src": "third ventricle", "dst": "cerebral hemispheres", "edge_type": "spatial_overlap", "weight": 0.244}, {"src": "third ventricle", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 0.833}, ... | third ventricle | ["corpus callosum", "third ventricle", "cerebral hemispheres", "intraventricular mass", "lateral ventricles"] | 5 | 10 | 1 | 10 | 0 |
0 | is it difficult to delineate the left costophrenic angle? | yes | X-ray | Modality: X-ray
[Causal]
pleural effusion [55, 155, 500, 800]
[Context]
lung base [11, 627, 989, 881]
[Unlocalized]
diaphragm
chest wall
[Conclusion]
Pleural effusion obscures the left costophrenic angle, making it difficult to delineate due to fluid accumulation in the lung base. | Pleural effusion obscures the left costophrenic angle, making it difficult to delineate due to fluid accumulation in the lung base. | 4 | 2 | 1 | 4 | 0.277 | [
{
"bbox": [
55,
155,
500,
800
],
"bbox_consistency": 0.08,
"clip_score": 0.3225,
"consistency": 1,
"delta_conf": -0.0318,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "pleural effusion",
"radlex_category": "pathology",
"ra... | [{"name": "pleural effusion", "raw_name": "pleural effusion", "radlex_id": "RID1401", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [55, 155, 500, 800], "valid": true, "clip_score": 0.3225, "bbox_consistency": 0.08, "layer": "Causal", "delta_conf": -0.0318}, {"nam... | 0.8166 | true | [{"name": "pleural effusion", "layer": "Causal", "delta_conf": -0.0318, "bbox": [55, 155, 500, 800], "radlex_id": "RID1401", "clip_score": 0.3225}, {"name": "lung base", "layer": "Context", "delta_conf": 0.004, "bbox": [11, 627, 989, 881], "radlex_id": "RID1332", "clip_score": 0.2315}] | [{"src": "pleural effusion", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.168}] | lung base | ["pleural effusion", "lung base"] | 2 | 1 | 1 | 1 | 0 |
0 | what allows for the bright areas seen in this image? | iv contrast | X-ray | Modality: X-ray
[Causal]
aortic arch [408, 345, 585, 445]
[Context]
abdominal aorta [148, 375, 850, 585]
[Perception]
Iliac arteries [158, 308, 838, 698]
Contrast material in vascular structures [192, 328, 800, 527]
Contrast-enhanced bowel lumen [204, 345, 300, 418]
[Unlocalized]
Enhanced mesenteric vessels
Enhance... | Bright areas result from intravenous contrast enhancing vascular structures, including the aortic arch, abdominal aorta, and iliac arteries, as well as the bowel lumen, confirming contrast administration. | 7 | 5 | 1 | 2 | 0.2123 | [
{
"bbox": [
408,
345,
585,
445
],
"bbox_consistency": 0.5,
"clip_score": 0.2087,
"consistency": 1,
"delta_conf": 0.0053,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_id... | [{"name": "aortic arch", "raw_name": "Aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [408, 345, 585, 445], "valid": true, "clip_score": 0.2087, "bbox_consistency": 0.5, "layer": "Causal", "delta_conf": 0.0053}, {"name": "abdomin... | 0.6862 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": 0.0053, "bbox": [408, 345, 585, 445], "radlex_id": "RID1309", "clip_score": 0.2087}, {"name": "abdominal aorta", "layer": "Context", "delta_conf": -0.0217, "bbox": [148, 375, 850, 585], "radlex_id": "RID2020", "clip_score": 0.2314}, {"name": "Iliac arteries", "l... | [{"src": "abdominal aorta", "dst": "aortic arch", "edge_type": "spatial_containment", "weight": 0.7}, {"src": "abdominal aorta", "dst": "Contrast material in vascular structures", "edge_type": "spatial_containment", "weight": 0.764}, {"src": "Iliac arteries", "dst": "abdominal aorta", "edge_type": "causal", "weight": 0... | aortic arch | ["Iliac arteries", "abdominal aorta", "Contrast material in vascular structures", "aortic arch", "Contrast-enhanced bowel lumen"] | 5 | 8 | 3 | 7 | 0 |
0 | is this an mri? | no | X-ray | Modality: X-ray
[Causal]
clavicles [15, 185, 985, 304]
[Context]
spine [0, 175, 1000, 283]
[Perception]
lungs [288, 321, 704, 998]
heart silhouette [125, 643, 905, 894]
[Unlocalized]
ribs
diaphragm
scapulae
[Conclusion]
This is a chest X-ray, not an MRI, as evidenced by the bony structures, lung fields, and heart ... | This is a chest X-ray, not an MRI, as evidenced by the bony structures, lung fields, and heart silhouette visible in a standard radiographic projection, with no soft tissue contrast or multiplanar imaging typical of MRI. | 7 | 4 | 1 | 5 | 0.3709 | [
{
"bbox": [
15,
185,
985,
304
],
"bbox_consistency": 0.48,
"clip_score": 0.38,
"consistency": 1,
"delta_conf": 0.0438,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "clavicles",
"radlex_category": "anatomy",
"radlex_id": "... | [{"name": "clavicles", "raw_name": "clavicle", "radlex_id": "RID1350", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [15, 185, 985, 304], "valid": true, "clip_score": 0.38, "bbox_consistency": 0.48, "layer": "Causal", "delta_conf": 0.0438}, {"name": "ribs", "raw_na... | 0.7102 | true | [{"name": "clavicles", "layer": "Causal", "delta_conf": 0.0438, "bbox": [15, 185, 985, 304], "radlex_id": "RID1350", "clip_score": 0.38}, {"name": "lungs", "layer": "Perception", "delta_conf": 0.0245, "bbox": [288, 321, 704, 998], "radlex_id": null, "clip_score": 0.3572}, {"name": "heart silhouette", "layer": "Percepti... | [{"src": "clavicles", "dst": "heart silhouette", "edge_type": "causal", "weight": 0.0476}, {"src": "lungs", "dst": "heart silhouette", "edge_type": "causal", "weight": 0.0283}, {"src": "spine", "dst": "heart silhouette", "edge_type": "causal", "weight": 0.0242}, {"src": "spine", "dst": "clavicles", "edge_type": "spatia... | clavicles | ["lungs", "spine", "clavicles", "heart silhouette"] | 4 | 4 | 4 | 1 | 0 |
0 | is the mass heterogenous? | yes | X-ray | Modality: X-ray
[Causal]
small bowel loops [148, 300, 850, 684]
[Context]
ascending colon [108, 378, 317, 608]
[Perception]
iliac crest [100, 377, 340, 645]
iliac vessels [158, 305, 838, 708]
[Unlocalized]
heterogeneous mass in the right lower quadrant
periosteum of the ilium
heterogeneous soft tissue mass
[Conclu... | The heterogeneous mass is evident on the CT scan, with variable attenuation within the lesion, surrounded by small bowel loops and adjacent to the ascending colon, with the iliac crest and vessels providing anatomical context. | 7 | 4 | 3 | 1 | 0.2497 | [
{
"bbox": [
148,
300,
850,
684
],
"bbox_consistency": 0.51,
"clip_score": 0.1666,
"consistency": 1,
"delta_conf": 0.0916,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "small bowel loops",
"radlex_category": "unverified",
... | [{"name": "small bowel loops", "raw_name": "small bowel loops", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [148, 300, 850, 684], "valid": true, "clip_score": 0.1666, "bbox_consistency": 0.51, "layer": "Causal", "delta_conf": 0.0916}, {"name... | 0.7486 | true | [{"name": "small bowel loops", "layer": "Causal", "delta_conf": 0.0916, "bbox": [148, 300, 850, 684], "radlex_id": null, "clip_score": 0.1666}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.0209, "bbox": [108, 378, 317, 608], "radlex_id": "RID2029", "clip_score": 0.2209}, {"name": "iliac crest", "laye... | [{"src": "small bowel loops", "dst": "iliac crest", "edge_type": "causal", "weight": 0.0657}, {"src": "small bowel loops", "dst": "ascending colon", "edge_type": "causal", "weight": 0.0707}, {"src": "small bowel loops", "dst": "iliac vessels", "edge_type": "spatial_containment", "weight": 0.94}, {"src": "iliac crest", ... | iliac vessels | ["small bowel loops", "iliac vessels", "iliac crest", "ascending colon"] | 4 | 6 | 5 | 3 | 0 |
0 | is the mass heterogenous in consistency? | yes | X-ray | Modality: X-ray
[Causal]
mass in the right lower quadrant [188, 325, 355, 437]
[Context]
ascending colon [173, 316, 857, 508]
mesenteric fat [108, 379, 348, 635]
[Perception]
small bowel loops [105, 298, 905, 714]
iliac crest [105, 380, 905, 730]
[Unlocalized]
liver edge
pelvic bones
[Conclusion]
The mass in the r... | The mass in the right lower quadrant demonstrates heterogeneous attenuation with areas of both hyperdense and hypodense components, consistent with mixed solid and cystic or necrotic elements, supporting a heterogeneous consistency. | 7 | 5 | 1 | 3 | 0.2317 | [
{
"bbox": [
188,
325,
355,
437
],
"bbox_consistency": 0.64,
"clip_score": 0.2402,
"consistency": 1,
"delta_conf": 0.0091,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "mass in the right lower quadrant",
"radlex_category": "un... | [{"name": "mass in the right lower quadrant", "raw_name": "mass in the right lower quadrant", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [188, 325, 355, 437], "valid": true, "clip_score": 0.2402, "bbox_consistency": 0.64, "layer": "Causal",... | 0.7581 | true | [{"name": "mass in the right lower quadrant", "layer": "Causal", "delta_conf": 0.0091, "bbox": [188, 325, 355, 437], "radlex_id": null, "clip_score": 0.2402}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.06, "bbox": [173, 316, 857, 508], "radlex_id": "RID2029", "clip_score": 0.241}, {"name": "small b... | [{"src": "ascending colon", "dst": "mesenteric fat", "edge_type": "causal", "weight": 0.0304}, {"src": "ascending colon", "dst": "mass in the right lower quadrant", "edge_type": "causal", "weight": 0.0509}, {"src": "small bowel loops", "dst": "ascending colon", "edge_type": "causal", "weight": 0.0568}, {"src": "small b... | small bowel loops | ["iliac crest", "small bowel loops", "ascending colon", "mesenteric fat", "mass in the right lower quadrant"] | 5 | 10 | 9 | 2 | 0 |
0 | are there abnormalities with in the contrast between white and grey matter? | yes | MRI | Modality: MRI
[Causal]
cerebral cortex [250, 400, 750, 600]
[Context]
basal ganglia [328, 210, 662, 732]
[Unlocalized]
Loss of gray-white matter differentiation
lateral ventricles
white matter
[Conclusion]
Loss of normal gray-white matter differentiation in the cerebral cortex and basal ganglia indicates cytotoxic ... | Loss of normal gray-white matter differentiation in the cerebral cortex and basal ganglia indicates cytotoxic edema, consistent with acute ischemic injury or severe metabolic insult. | 5 | 2 | 3 | 4 | 0.3169 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.99,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Loss of gray-white matter differentiation",
"radlex_category": "unverifi... | [{"name": "Loss of gray-white matter differentiation", "raw_name": "Loss of gray-white matter differentiation", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.99, "layer": "... | 0.473 | true | [{"name": "cerebral cortex", "layer": "Causal", "delta_conf": 0.0264, "bbox": [250, 400, 750, 600], "radlex_id": "RID3037", "clip_score": 0.2724}, {"name": "basal ganglia", "layer": "Context", "delta_conf": 0.0288, "bbox": [328, 210, 662, 732], "radlex_id": "RID3017", "clip_score": 0.3613}] | [{"src": "basal ganglia", "dst": "cerebral cortex", "edge_type": "spatial_overlap", "weight": 0.322}] | basal ganglia | ["basal ganglia", "cerebral cortex"] | 2 | 1 | 0 | 1 | 0 |
0 | is the gray-white matter junction altered? | yes | MRI | Modality: MRI
[Causal]
gray-white matter junction [300, 300, 700, 700]
[Context]
cerebral cortex [382, 194, 618, 786]
[Unlocalized]
cortical infarct
lateral ventricles
corpus callosum
basal ganglia
gray matter
[Conclusion]
The altered gray-white matter junction is evident on MRI as loss of the normal sharp demarcat... | The altered gray-white matter junction is evident on MRI as loss of the normal sharp demarcation between gray and white matter, consistent with cortical involvement and underlying pathology. | 7 | 2 | 3 | 5 | 0.3059 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.88,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "cortical infarct",
"radlex_category": "unverified",
"radlex_id": nul... | [{"name": "cortical infarct", "raw_name": "cortical infarct", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.88, "layer": "Causal", "delta_conf": null}, {"name": "cerebral c... | 0.6649 | true | [{"name": "cerebral cortex", "layer": "Context", "delta_conf": 0.0165, "bbox": [382, 194, 618, 786], "radlex_id": "RID3037", "clip_score": 0.2728}, {"name": "gray-white matter junction", "layer": "Causal", "delta_conf": 0.0346, "bbox": [300, 300, 700, 700], "radlex_id": null, "clip_score": 0.3389}] | [{"src": "gray-white matter junction", "dst": "cerebral cortex", "edge_type": "spatial_overlap", "weight": 0.46}] | gray-white matter junction | ["gray-white matter junction", "cerebral cortex"] | 2 | 1 | 0 | 1 | 0 |
0 | is there evidence of inflammation? | yes | CT | Modality: CT
[Causal]
mesenteric lymphadenopathy [353, 287, 638, 497]
[Context]
cecum [208, 187, 790, 788]
ascending colon [248, 184, 750, 500]
[Perception]
appendiceal wall thickening [476, 260, 588, 388]
periappendiceal fat stranding [214, 180, 388, 488]
[Unlocalized]
ascites
bowel wall thickening
[Conclusion]
Y... | Yes, mesenteric lymphadenopathy, appendiceal wall thickening, and periappendiceal fat stranding are radiographic signs of inflammation, consistent with acute appendicitis involving the cecum and ascending colon. | 7 | 5 | 3 | 4 | 0.3611 | [
{
"bbox": [
353,
287,
638,
497
],
"bbox_consistency": 0.33,
"clip_score": 0.4354,
"consistency": 1,
"delta_conf": 0.0069,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "mesenteric lymphadenopathy",
"radlex_category": "unverifi... | [{"name": "mesenteric lymphadenopathy", "raw_name": "mesenteric lymphadenopathy", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [353, 287, 638, 497], "valid": true, "clip_score": 0.4354, "bbox_consistency": 0.33, "layer": "Causal", "delta_conf... | 0.5917 | true | [{"name": "mesenteric lymphadenopathy", "layer": "Causal", "delta_conf": 0.0069, "bbox": [353, 287, 638, 497], "radlex_id": null, "clip_score": 0.4354}, {"name": "appendiceal wall thickening", "layer": "Perception", "delta_conf": 0.0146, "bbox": [476, 260, 588, 388], "radlex_id": null, "clip_score": 0.3505}, {"name": "... | [{"src": "mesenteric lymphadenopathy", "dst": "appendiceal wall thickening", "edge_type": "spatial_containment", "weight": 0.789}, {"src": "appendiceal wall thickening", "dst": "periappendiceal fat stranding", "edge_type": "causal", "weight": 0.0225}, {"src": "cecum", "dst": "ascending colon", "edge_type": "causal", "w... | cecum | ["cecum", "ascending colon", "mesenteric lymphadenopathy", "appendiceal wall thickening", "periappendiceal fat stranding"] | 5 | 9 | 6 | 3 | 0 |
0 | is any structure inflamed? | yes | CT | Modality: CT
[Causal]
cecum [220, 250, 388, 488]
[Context]
ascending colon [242, 248, 402, 488]
[Perception]
appendiceal wall thickening [258, 217, 750, 558]
mesenteric fat stranding [250, 250, 750, 750]
[Unlocalized]
appendix
pericecal fat stranding
[Conclusion]
Appendiceal wall thickening and adjacent mesenteric... | Appendiceal wall thickening and adjacent mesenteric fat stranding are radiographic signs of inflammation, supporting the presence of appendicitis involving the cecum and ascending colon. | 6 | 4 | 1 | 3 | 0.3942 | [
{
"bbox": [
220,
250,
388,
488
],
"bbox_consistency": 0.36,
"clip_score": 0.4146,
"consistency": 1,
"delta_conf": 0.0296,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cecum",
"radlex_category": "anatomy",
"radlex_id": "R... | [{"name": "cecum", "raw_name": "cecum", "radlex_id": "RID2028", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [220, 250, 388, 488], "valid": true, "clip_score": 0.4146, "bbox_consistency": 0.36, "layer": "Causal", "delta_conf": 0.0296}, {"name": "ascending colon", ... | 0.5686 | true | [{"name": "cecum", "layer": "Causal", "delta_conf": 0.0296, "bbox": [220, 250, 388, 488], "radlex_id": "RID2028", "clip_score": 0.4146}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.0261, "bbox": [242, 248, 402, 488], "radlex_id": "RID2029", "clip_score": 0.3826}, {"name": "appendiceal wall thickenin... | [{"src": "cecum", "dst": "ascending colon", "edge_type": "spatial_containment", "weight": 0.905}, {"src": "appendiceal wall thickening", "dst": "cecum", "edge_type": "causal", "weight": 0.0203}, {"src": "appendiceal wall thickening", "dst": "ascending colon", "edge_type": "causal", "weight": 0.0238}, {"src": "mesenteri... | appendiceal wall thickening | ["mesenteric fat stranding", "appendiceal wall thickening", "cecum", "ascending colon"] | 4 | 6 | 2 | 5 | 0 |
0 | is the image in the axial plane? | yes | MRI | Modality: MRI
[Causal]
lateral ventricles [416, 120, 588, 278]
[Context]
corpus callosum [448, 12, 550, 386]
[Unlocalized]
cerebral hemispheres
falx cerebri
gyri
sulci
[Conclusion]
The visible lateral ventricles and corpus callosum are oriented in the axial plane, with the corpus callosum appearing horizontally acr... | The visible lateral ventricles and corpus callosum are oriented in the axial plane, with the corpus callosum appearing horizontally across the midline and the lateral ventricles symmetrically positioned, confirming the axial orientation of the MRI slice. | 6 | 2 | 2 | 6 | 0.3225 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.52,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cerebral hemispheres",
"radlex_category": "anatomy",
"radlex_id": "R... | [{"name": "cerebral hemispheres", "raw_name": "cerebral hemispheres", "radlex_id": "RID3001", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.52, "layer": "Causal", "delta_conf": null}, {"name": "... | 0.7372 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": 0.0399, "bbox": [416, 120, 588, 278], "radlex_id": "RID3007", "clip_score": 0.3018}, {"name": "corpus callosum", "layer": "Context", "delta_conf": 0.0085, "bbox": [448, 12, 550, 386], "radlex_id": "RID3023", "clip_score": 0.3432}] | [{"src": "corpus callosum", "dst": "lateral ventricles", "edge_type": "spatial_overlap", "weight": 0.328}] | lateral ventricles | ["corpus callosum", "lateral ventricles"] | 2 | 1 | 1 | 1 | 0 |
0 | how can the distribution in this image be described? | micronodular | X-ray | Modality: X-ray
[Causal]
micronodular lung pattern [103, 127, 937, 883]
interstitial markings [20, 105, 488, 305]
[Context]
lung base [105, 111, 893, 388]
[Perception]
bilateral lung fields [100, 100, 900, 900]
[Unlocalized]
lung parenchyma
lung apex
upper lung zones
[Conclusion]
The bilateral, diffuse micronodula... | The bilateral, diffuse micronodular pattern with prominent interstitial markings, particularly in the lung bases, supports a diffuse interstitial lung disease process. | 7 | 4 | 2 | 4 | 0.3758 | [
{
"bbox": [
103,
127,
937,
883
],
"bbox_consistency": 0.85,
"clip_score": 0.4222,
"consistency": 1,
"delta_conf": -0.0573,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "micronodular lung pattern",
"radlex_category": "unverifi... | [{"name": "micronodular lung pattern", "raw_name": "micronodular lung pattern", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [103, 127, 937, 883], "valid": true, "clip_score": 0.4222, "bbox_consistency": 0.85, "layer": "Causal", "delta_conf":... | 0.3537 | true | [{"name": "micronodular lung pattern", "layer": "Causal", "delta_conf": -0.0573, "bbox": [103, 127, 937, 883], "radlex_id": null, "clip_score": 0.4222}, {"name": "bilateral lung fields", "layer": "Perception", "delta_conf": -0.0758, "bbox": [100, 100, 900, 900], "radlex_id": null, "clip_score": 0.3712}, {"name": "inter... | [{"src": "micronodular lung pattern", "dst": "interstitial markings", "edge_type": "spatial_containment", "weight": 0.732}, {"src": "micronodular lung pattern", "dst": "lung base", "edge_type": "spatial_containment", "weight": 0.942}, {"src": "bilateral lung fields", "dst": "micronodular lung pattern", "edge_type": "sp... | interstitial markings | ["bilateral lung fields", "micronodular lung pattern", "lung base", "interstitial markings"] | 4 | 6 | 4 | 7 | 0 |
0 | is there blunting of the left costophrenic angle? | yes | X-ray | Modality: X-ray
[Causal]
pleural effusion [44, 540, 998, 850]
[Context]
lung base [14, 685, 477, 998]
chest wall [350, 0, 650, 1000]
mediastinum [10, 684, 488, 805]
diaphragm [12, 580, 488, 998]
[Unlocalized]
left hemidiaphragm
left lung base
[Conclusion]
Blunting of the left costophrenic angle is evident due to th... | Blunting of the left costophrenic angle is evident due to the presence of a left-sided pleural effusion, which accumulates in the dependent lung base, obscuring the normally sharp angle between the diaphragm and chest wall. | 7 | 5 | 3 | 6 | 0.3267 | [
{
"bbox": [
44,
540,
998,
850
],
"bbox_consistency": 0.32,
"clip_score": 0.2842,
"consistency": 1,
"delta_conf": 0.0039,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "pleural effusion",
"radlex_category": "pathology",
"rad... | [{"name": "pleural effusion", "raw_name": "pleural effusion", "radlex_id": "RID1401", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [44, 540, 998, 850], "valid": true, "clip_score": 0.2842, "bbox_consistency": 0.32, "layer": "Causal", "delta_conf": 0.0039}, {"name... | 0.7072 | true | [{"name": "pleural effusion", "layer": "Causal", "delta_conf": 0.0039, "bbox": [44, 540, 998, 850], "radlex_id": "RID1401", "clip_score": 0.2842}, {"name": "lung base", "layer": "Context", "delta_conf": -0.0156, "bbox": [14, 685, 477, 998], "radlex_id": "RID1332", "clip_score": 0.3103}, {"name": "chest wall", "layer": ... | [{"src": "pleural effusion", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.194}, {"src": "pleural effusion", "dst": "mediastinum", "edge_type": "spatial_containment", "weight": 0.929}, {"src": "pleural effusion", "dst": "diaphragm", "edge_type": "spatial_overlap", "weight": 0.32}, {"src": "lung base",... | chest wall | ["chest wall", "pleural effusion", "diaphragm", "lung base", "mediastinum"] | 5 | 10 | 5 | 7 | 0 |
0 | what type of distributions is seen on this image? | micronodular | X-ray | Modality: X-ray
[Causal]
micronodular lung pattern [101, 172, 922, 885]
interstitial markings [14, 104, 984, 280]
[Perception]
bilateral lung fields [100, 100, 900, 900]
[Unlocalized]
lung parenchyma
lung base
lung apex
[Conclusion]
The bilateral micronodular pattern with diffuse interstitial markings supports a di... | The bilateral micronodular pattern with diffuse interstitial markings supports a diffuse lung process, consistent with a micronodular distribution, likely reflecting interstitial or alveolar involvement. | 6 | 3 | 2 | 4 | 0.3666 | [
{
"bbox": [
101,
172,
922,
885
],
"bbox_consistency": 0.82,
"clip_score": 0.4249,
"consistency": 1,
"delta_conf": -0.0484,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "micronodular lung pattern",
"radlex_category": "unverifi... | [{"name": "micronodular lung pattern", "raw_name": "micronodular lung pattern", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [101, 172, 922, 885], "valid": true, "clip_score": 0.4249, "bbox_consistency": 0.82, "layer": "Causal", "delta_conf":... | 0.1442 | true | [{"name": "micronodular lung pattern", "layer": "Causal", "delta_conf": -0.0484, "bbox": [101, 172, 922, 885], "radlex_id": null, "clip_score": 0.4249}, {"name": "bilateral lung fields", "layer": "Perception", "delta_conf": -0.0311, "bbox": [100, 100, 900, 900], "radlex_id": null, "clip_score": 0.3712}, {"name": "inter... | [{"src": "bilateral lung fields", "dst": "micronodular lung pattern", "edge_type": "spatial_containment", "weight": 0.973}, {"src": "bilateral lung fields", "dst": "interstitial markings", "edge_type": "spatial_containment", "weight": 0.825}, {"src": "interstitial markings", "dst": "micronodular lung pattern", "edge_ty... | interstitial markings | ["bilateral lung fields", "interstitial markings", "micronodular lung pattern"] | 3 | 3 | 1 | 3 | 0 |
0 | what is the location of the mass? | left rectus abdominus | X-ray | Modality: X-ray
[Causal]
Left rectus abdominis muscle [130, 385, 347, 683]
mass in left rectus abdominis muscle [183, 300, 840, 525]
[Context]
abdominal wall [58, 300, 980, 700]
subcutaneous fat [115, 395, 308, 607]
[Unlocalized]
pelvic bones
iliac crest
Intestine
[Conclusion]
The mass is located within the left re... | The mass is located within the left rectus abdominis muscle, as evidenced by its position in the abdominal wall, surrounded by subcutaneous fat, and confirmed by imaging showing a distinct lesion in the left rectus abdominis muscle. | 7 | 4 | 2 | 3 | 0.2597 | [
{
"bbox": [
130,
385,
347,
683
],
"bbox_consistency": 0.46,
"clip_score": 0.2402,
"consistency": 1,
"delta_conf": 0.0166,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Left rectus abdominis muscle",
"radlex_category": "unveri... | [{"name": "Left rectus abdominis muscle", "raw_name": "Left rectus abdominis muscle", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [130, 385, 347, 683], "valid": true, "clip_score": 0.2402, "bbox_consistency": 0.46, "layer": "Causal", "delta_... | 0.8438 | true | [{"name": "Left rectus abdominis muscle", "layer": "Causal", "delta_conf": 0.0166, "bbox": [130, 385, 347, 683], "radlex_id": null, "clip_score": 0.2402}, {"name": "abdominal wall", "layer": "Context", "delta_conf": 0.0853, "bbox": [58, 300, 980, 700], "radlex_id": "RID2042", "clip_score": 0.2298}, {"name": "subcutaneo... | [{"src": "Left rectus abdominis muscle", "dst": "subcutaneous fat", "edge_type": "spatial_containment", "weight": 0.922}, {"src": "abdominal wall", "dst": "mass in left rectus abdominis muscle", "edge_type": "causal", "weight": 0.0266}, {"src": "abdominal wall", "dst": "subcutaneous fat", "edge_type": "causal", "weight... | abdominal wall | ["abdominal wall", "mass in left rectus abdominis muscle", "Left rectus abdominis muscle", "subcutaneous fat"] | 4 | 6 | 5 | 1 | 0 |
0 | where is the mass? | left rectus abdominus | X-ray | Modality: X-ray
[Causal]
abdominal wall [58, 298, 984, 725]
mass in left rectus abdominis muscle [148, 344, 300, 444]
[Context]
pelvic bones [181, 345, 300, 445]
liver [118, 367, 356, 681]
[Perception]
iliac crest [108, 378, 916, 714]
[Unlocalized]
left rectus abdominis muscle
mass in left rectus abdominis
[Conclu... | The mass is located in the left rectus abdominis muscle, as evidenced by the abnormal soft tissue density within the abdominal wall, adjacent to the iliac crest and pelvic bones, with no involvement of the liver or other structures. | 7 | 5 | 3 | 3 | 0.2384 | [
{
"bbox": [
58,
298,
984,
725
],
"bbox_consistency": 0.53,
"clip_score": 0.2347,
"consistency": 1,
"delta_conf": 0.0936,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "abdominal wall",
"radlex_category": "anatomy",
"radlex... | [{"name": "abdominal wall", "raw_name": "abdominal wall", "radlex_id": "RID2042", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [58, 298, 984, 725], "valid": true, "clip_score": 0.2347, "bbox_consistency": 0.53, "layer": "Causal", "delta_conf": 0.0936}, {"name": "i... | 0.7482 | true | [{"name": "abdominal wall", "layer": "Causal", "delta_conf": 0.0936, "bbox": [58, 298, 984, 725], "radlex_id": "RID2042", "clip_score": 0.2347}, {"name": "iliac crest", "layer": "Perception", "delta_conf": 0.06, "bbox": [108, 378, 916, 714], "radlex_id": null, "clip_score": 0.3018}, {"name": "pelvic bones", "layer": "C... | [{"src": "abdominal wall", "dst": "iliac crest", "edge_type": "causal", "weight": 0.0336}, {"src": "abdominal wall", "dst": "liver", "edge_type": "causal", "weight": 0.073}, {"src": "abdominal wall", "dst": "mass in left rectus abdominis muscle", "edge_type": "causal", "weight": 0.0871}, {"src": "abdominal wall", "dst"... | abdominal wall | ["abdominal wall", "iliac crest", "liver", "mass in left rectus abdominis muscle", "pelvic bones"] | 5 | 10 | 7 | 4 | 0 |
0 | is this a t1 weighted image? | no | MRI | Modality: MRI
[Causal]
lateral ventricles [244, 150, 750, 680]
[Context]
cerebral cortex [244, 214, 750, 750]
basal ganglia [300, 145, 700, 283]
[Unlocalized]
corpus callosum
third ventricle
thalamus
white matter tracts
[Conclusion]
Lateral ventricles appear hyperintense, cerebral cortex is hypointense, and basal g... | Lateral ventricles appear hyperintense, cerebral cortex is hypointense, and basal ganglia show intermediate signal—consistent with T2-weighted imaging, not T1. | 7 | 3 | 1 | 6 | 0.3039 | [
{
"bbox": [
244,
150,
750,
680
],
"bbox_consistency": 0.57,
"clip_score": 0.3466,
"consistency": 1,
"delta_conf": 0.0035,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"r... | [{"name": "lateral ventricles", "raw_name": "lateral ventricles", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [244, 150, 750, 680], "valid": true, "clip_score": 0.3466, "bbox_consistency": 0.57, "layer": "Causal", "delta_conf": 0.0035}, {"... | 0.7467 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": 0.0035, "bbox": [244, 150, 750, 680], "radlex_id": "RID3007", "clip_score": 0.3466}, {"name": "cerebral cortex", "layer": "Context", "delta_conf": -0.0003, "bbox": [244, 214, 750, 750], "radlex_id": "RID3037", "clip_score": 0.2994}, {"name": "basal gangli... | [{"src": "lateral ventricles", "dst": "basal ganglia", "edge_type": "spatial_containment", "weight": 0.964}, {"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 0.879}] | basal ganglia | ["cerebral cortex", "lateral ventricles", "basal ganglia"] | 3 | 2 | 0 | 3 | 0 |
0 | is the right renal vein visualized? | no | CT | Modality: CT
[Causal]
Right renal vein [185, 218, 500, 747]
right kidney [440, 547, 548, 647]
Right psoas muscle [185, 214, 585, 747]
[Context]
abdominal aorta [500, 575, 581, 678]
inferior vena cava [585, 244, 658, 300]
[Unlocalized]
right adrenal gland
liver
[Conclusion]
The right renal vein is not visualized, as... | The right renal vein is not visualized, as the right kidney and surrounding structures are present, but no vessel is seen draining the kidney into the inferior vena cava, consistent with absence or occlusion. | 7 | 5 | 4 | 5 | 0.319 | [
{
"bbox": [
185,
218,
500,
747
],
"bbox_consistency": 0.5,
"clip_score": 0.3887,
"consistency": 1,
"delta_conf": 0.0522,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Right renal vein",
"radlex_category": "unverified",
"r... | [{"name": "Right renal vein", "raw_name": "Right renal vein", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [185, 218, 500, 747], "valid": true, "clip_score": 0.3887, "bbox_consistency": 0.5, "layer": "Causal", "delta_conf": 0.0522}, {"name": ... | 0.8667 | true | [{"name": "Right renal vein", "layer": "Causal", "delta_conf": 0.0522, "bbox": [185, 218, 500, 747], "radlex_id": null, "clip_score": 0.3887}, {"name": "right kidney", "layer": "Causal", "delta_conf": 0.0139, "bbox": [440, 547, 548, 647], "radlex_id": "RID2012", "clip_score": 0.287}, {"name": "abdominal aorta", "layer"... | [{"src": "Right renal vein", "dst": "right kidney", "edge_type": "causal", "weight": 0.0383}, {"src": "Right renal vein", "dst": "abdominal aorta", "edge_type": "causal", "weight": 0.0394}, {"src": "Right renal vein", "dst": "inferior vena cava", "edge_type": "causal", "weight": 0.0452}, {"src": "Right renal vein", "ds... | Right psoas muscle | ["Right renal vein", "Right psoas muscle", "right kidney", "abdominal aorta", "inferior vena cava"] | 5 | 9 | 7 | 2 | 1 |
0 | is it possible to identify the right renal vein? | no | CT | Modality: CT
[Causal]
right kidney [550, 484, 725, 650]
Right renal vein [446, 474, 550, 552]
[Context]
inferior vena cava [508, 531, 583, 688]
abdominal aorta [444, 500, 548, 600]
[Unlocalized]
renal hilum
aorta
Right renal artery
[Conclusion]
The right renal vein is not visualized due to lack of contrast enhancem... | The right renal vein is not visualized due to lack of contrast enhancement and poor vessel delineation in the current CT phase, despite the presence of the right kidney and adjacent vascular structures. | 7 | 4 | 4 | 4 | 0.3128 | [
{
"bbox": [
550,
484,
725,
650
],
"bbox_consistency": 0.37,
"clip_score": 0.3183,
"consistency": 1,
"delta_conf": 0.0078,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "right kidney",
"radlex_category": "anatomy",
"radlex_... | [{"name": "right kidney", "raw_name": "Right kidney", "radlex_id": "RID2012", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [550, 484, 725, 650], "valid": true, "clip_score": 0.3183, "bbox_consistency": 0.37, "layer": "Causal", "delta_conf": 0.0078}, {"name": "infe... | 0.8093 | true | [{"name": "right kidney", "layer": "Causal", "delta_conf": 0.0078, "bbox": [550, 484, 725, 650], "radlex_id": "RID2012", "clip_score": 0.3183}, {"name": "inferior vena cava", "layer": "Context", "delta_conf": 0.0117, "bbox": [508, 531, 583, 688], "radlex_id": "RID2021", "clip_score": 0.2785}, {"name": "Right renal vein... | [{"src": "inferior vena cava", "dst": "abdominal aorta", "edge_type": "anatomical", "weight": 1.0}, {"src": "abdominal aorta", "dst": "Right renal vein", "edge_type": "spatial_overlap", "weight": 0.402}] | inferior vena cava | ["right kidney", "inferior vena cava", "abdominal aorta", "Right renal vein"] | 4 | 2 | 0 | 1 | 1 |
0 | are the kidneys visible in this image? | yes | CT | Modality: CT
[Causal]
left kidney [200, 575, 425, 725]
[Context]
renal cortex [500, 565, 738, 718]
renal pelvis [318, 564, 482, 780]
[Perception]
renal medulla [500, 558, 738, 725]
[Unlocalized]
aorta
vertebral body
[Conclusion]
Yes, the kidneys are visible, with the left kidney clearly delineated, showing normal ... | Yes, the kidneys are visible, with the left kidney clearly delineated, showing normal cortical and medullary differentiation and a patent renal pelvis, confirming renal anatomy in the axial CT image. | 6 | 4 | 1 | 5 | 0.3243 | [
{
"bbox": [
200,
575,
425,
725
],
"bbox_consistency": 0.4,
"clip_score": 0.3366,
"consistency": 1,
"delta_conf": 0.03,
"is_pathology": false,
"layer": "Causal",
"match_score": 0.76,
"name": "left kidney",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "left kidney", "raw_name": "renal parenchyma", "radlex_id": "RID2013", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 0.76, "is_pathology": false, "bbox": [200, 575, 425, 725], "valid": true, "clip_score": 0.3366, "bbox_consistency": 0.4, "layer": "Causal", "delta_conf": 0.03}, {"name": "ren... | 0.8262 | true | [{"name": "left kidney", "layer": "Causal", "delta_conf": 0.03, "bbox": [200, 575, 425, 725], "radlex_id": "RID2013", "clip_score": 0.3366}, {"name": "renal cortex", "layer": "Context", "delta_conf": 0.0286, "bbox": [500, 565, 738, 718], "radlex_id": "RID2015", "clip_score": 0.2907}, {"name": "renal medulla", "layer": ... | [{"src": "left kidney", "dst": "renal cortex", "edge_type": "anatomical", "weight": 1.0}, {"src": "left kidney", "dst": "renal pelvis", "edge_type": "anatomical", "weight": 1.0}, {"src": "renal medulla", "dst": "renal cortex", "edge_type": "spatial_containment", "weight": 1.0}] | renal pelvis | ["left kidney", "renal medulla", "renal pelvis", "renal cortex"] | 4 | 3 | 0 | 3 | 2 |
0 | is air visible in the bowels? | yes | CT | Modality: CT
[Causal]
bowel gas [194, 179, 821, 520]
[Context]
liver [238, 200, 400, 388]
ascending colon [242, 195, 777, 446]
transverse colon [238, 200, 788, 500]
descending colon [185, 185, 813, 500]
[Unlocalized]
Air in bowel lumen
small bowel
[Conclusion]
Air is visible within the bowel lumen, confirmed by the... | Air is visible within the bowel lumen, confirmed by the presence of bowel gas in the ascending, transverse, and descending colon, consistent with normal gastrointestinal anatomy on CT imaging. | 7 | 5 | 1 | 6 | 0.3259 | [
{
"bbox": [
194,
179,
821,
520
],
"bbox_consistency": 0.47,
"clip_score": 0.3293,
"consistency": 0.67,
"delta_conf": 0.0508,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "bowel gas",
"radlex_category": "finding",
"radlex_i... | [{"name": "bowel gas", "raw_name": "bowel gas", "radlex_id": "RID2121", "radlex_category": "finding", "consistency": 0.67, "match_score": 1.0, "is_pathology": true, "bbox": [194, 179, 821, 520], "valid": true, "clip_score": 0.3293, "bbox_consistency": 0.47, "layer": "Causal", "delta_conf": 0.0508}, {"name": "liver", "r... | 0.751 | true | [{"name": "bowel gas", "layer": "Causal", "delta_conf": 0.0508, "bbox": [194, 179, 821, 520], "radlex_id": "RID2121", "clip_score": 0.3293}, {"name": "liver", "layer": "Context", "delta_conf": 0.0355, "bbox": [238, 200, 400, 388], "radlex_id": "RID2001", "clip_score": 0.2979}, {"name": "ascending colon", "layer": "Cont... | [{"src": "bowel gas", "dst": "liver", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "bowel gas", "dst": "transverse colon", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "bowel gas", "dst": "descending colon", "edge_type": "spatial_containment", "weight": 0.986}, {"src": "ascending colon", "... | transverse colon | ["bowel gas", "ascending colon", "descending colon", "transverse colon", "liver"] | 5 | 8 | 4 | 11 | 0 |
0 | is there air in the bowel? | yes | CT | Modality: CT
[Causal]
small bowel [185, 195, 813, 545]
large bowel [248, 185, 780, 500]
[Context]
portal vein [238, 195, 774, 472]
[Perception]
colonic wall [238, 200, 444, 395]
Pneumatosis intestinalis [188, 146, 816, 506]
[Unlocalized]
mesenteric fat
mesenteric vessels
[Conclusion]
Pneumatosis intestinalis, iden... | Pneumatosis intestinalis, identified as gas within the bowel wall on CT, confirms the presence of air in the bowel, supported by findings in the small and large bowel and consistent with portal venous gas. | 7 | 5 | 2 | 4 | 0.35 | [
{
"bbox": [
185,
195,
813,
545
],
"bbox_consistency": 0.46,
"clip_score": 0.3523,
"consistency": 1,
"delta_conf": 0.0097,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "small bowel",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "small bowel", "raw_name": "Small bowel", "radlex_id": "RID2026", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [185, 195, 813, 545], "valid": true, "clip_score": 0.3523, "bbox_consistency": 0.46, "layer": "Causal", "delta_conf": 0.0097}, {"name": "portal... | 0.6013 | true | [{"name": "small bowel", "layer": "Causal", "delta_conf": 0.0097, "bbox": [185, 195, 813, 545], "radlex_id": "RID2026", "clip_score": 0.3523}, {"name": "portal vein", "layer": "Context", "delta_conf": -0.0051, "bbox": [238, 195, 774, 472], "radlex_id": "RID2022", "clip_score": 0.3388}, {"name": "colonic wall", "layer":... | [{"src": "small bowel", "dst": "portal vein", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "small bowel", "dst": "colonic wall", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "small bowel", "dst": "large bowel", "edge_type": "spatial_containment", "weight": 0.968}, {"src": "portal vein", "d... | colonic wall | ["Pneumatosis intestinalis", "small bowel", "portal vein", "large bowel", "colonic wall"] | 5 | 10 | 5 | 11 | 0 |
0 | what do the two bright dots represent? | nipple location | X-ray | Modality: X-ray
[Causal]
Nipple location [105, 200, 155, 240]
[Context]
ribs [14, 172, 984, 335]
lung apex [380, 104, 618, 624]
mediastinum [448, 180, 708, 588]
clavicles [444, 105, 550, 998]
[Unlocalized]
cardiac silhouette
sternum
[Conclusion]
The bilateral symmetric bright dots correspond to nipple locations, co... | The bilateral symmetric bright dots correspond to nipple locations, confirmed by their consistent positioning relative to the clavicles and rib cage, and their absence of pathological features. | 7 | 5 | 1 | 6 | 0.3261 | [
{
"bbox": [
105,
200,
155,
240
],
"bbox_consistency": 0.24,
"clip_score": 0.2991,
"consistency": 1,
"delta_conf": -0.0032,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Nipple location",
"radlex_category": "unverified",
"... | [{"name": "Nipple location", "raw_name": "Nipple location", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [105, 200, 155, 240], "valid": true, "clip_score": 0.2991, "bbox_consistency": 0.24, "layer": "Causal", "delta_conf": -0.0032}, {"name": ... | 0.8338 | true | [{"name": "Nipple location", "layer": "Causal", "delta_conf": -0.0032, "bbox": [105, 200, 155, 240], "radlex_id": null, "clip_score": 0.2991}, {"name": "ribs", "layer": "Context", "delta_conf": -0.0188, "bbox": [14, 172, 984, 335], "radlex_id": "RID1348", "clip_score": 0.3535}, {"name": "lung apex", "layer": "Context",... | [{"src": "Nipple location", "dst": "mediastinum", "edge_type": "causal", "weight": 0.0243}, {"src": "Nipple location", "dst": "lung apex", "edge_type": "causal", "weight": 0.03}, {"src": "ribs", "dst": "Nipple location", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "ribs", "dst": "lung apex", "edge_type"... | Nipple location | ["ribs", "Nipple location", "lung apex", "mediastinum", "clavicles"] | 5 | 8 | 2 | 6 | 0 |
0 | are structures associated with the midbrain located in this image? | yes | MRI | Modality: MRI
[Causal]
midbrain [388, 350, 610, 500]
[Context]
pons [400, 380, 600, 500]
cerebellum [388, 350, 606, 500]
[Perception]
cerebral peduncles [367, 447, 632, 572]
superior colliculi [200, 120, 800, 800]
[Unlocalized]
inferior colliculi
midbrain aqueduct
[Conclusion]
Midbrain structures including cerebra... | Midbrain structures including cerebral peduncles and superior colliculi are clearly visualized in the axial MRI, confirming their presence in the imaged region. | 7 | 5 | 2 | 3 | 0.33 | [
{
"bbox": [
388,
350,
610,
500
],
"bbox_consistency": 0.4,
"clip_score": 0.3023,
"consistency": 1,
"delta_conf": 0.005,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "midbrain",
"radlex_category": "anatomy",
"radlex_id": "... | [{"name": "midbrain", "raw_name": "midbrain", "radlex_id": "RID3014", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [388, 350, 610, 500], "valid": true, "clip_score": 0.3023, "bbox_consistency": 0.4, "layer": "Causal", "delta_conf": 0.005}, {"name": "cerebral pedun... | 0.7314 | true | [{"name": "midbrain", "layer": "Causal", "delta_conf": 0.005, "bbox": [388, 350, 610, 500], "radlex_id": "RID3014", "clip_score": 0.3023}, {"name": "cerebral peduncles", "layer": "Perception", "delta_conf": -0.0012, "bbox": [367, 447, 632, 572], "radlex_id": null, "clip_score": 0.3907}, {"name": "superior colliculi", "... | [{"src": "midbrain", "dst": "pons", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "midbrain", "dst": "cerebellum", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral peduncles", "dst": "pons", "edge_type": "spatial_overlap", "weight": 0.228}, {"src": "cerebral peduncles", "dst": "cerebe... | superior colliculi | ["superior colliculi", "cerebral peduncles", "midbrain", "cerebellum", "pons"] | 5 | 9 | 1 | 12 | 0 |
0 | what are the two hyperlucent inferior dots? | nipple location | X-ray | Modality: X-ray
[Causal]
Nipple location [124, 212, 874, 228]
[Context]
ribs [10, 580, 998, 998]
lung base [0, 181, 1000, 312]
diaphragm [0, 175, 1000, 275]
[Perception]
Pectoralis major [383, 181, 610, 998]
[Unlocalized]
mediastinum
clavicles
[Conclusion]
The hyperlucent inferior dots correspond to nipple locatio... | The hyperlucent inferior dots correspond to nipple locations, confirmed by their symmetric positioning, consistent with normal anatomical landmarks and verified by comparison to known chest wall structures. | 7 | 5 | 1 | 5 | 0.3072 | [
{
"bbox": [
124,
212,
874,
228
],
"bbox_consistency": 0.02,
"clip_score": 0.3001,
"consistency": 1,
"delta_conf": -0.0133,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Nipple location",
"radlex_category": "unverified",
"... | [{"name": "Nipple location", "raw_name": "Nipple location", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [124, 212, 874, 228], "valid": true, "clip_score": 0.3001, "bbox_consistency": 0.02, "layer": "Causal", "delta_conf": -0.0133}, {"name": ... | 0.7853 | true | [{"name": "Nipple location", "layer": "Causal", "delta_conf": -0.0133, "bbox": [124, 212, 874, 228], "radlex_id": null, "clip_score": 0.3001}, {"name": "ribs", "layer": "Context", "delta_conf": -0.0197, "bbox": [10, 580, 998, 998], "radlex_id": "RID1348", "clip_score": 0.2996}, {"name": "lung base", "layer": "Context",... | [{"src": "ribs", "dst": "Pectoralis major", "edge_type": "spatial_overlap", "weight": 0.188}, {"src": "lung base", "dst": "Nipple location", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "lung base", "dst": "diaphragm", "edge_type": "spatial_containment", "weight": 0.94}, {"src": "Pectoralis major", "dst"... | Pectoralis major | ["ribs", "lung base", "Pectoralis major", "diaphragm", "Nipple location"] | 5 | 6 | 3 | 5 | 0 |
0 | what are the locations of the hyperintensities? | bilateral frontal lobes and body of corpus callosum | CT | Modality: CT
[Causal]
Bilateral frontal lobes [195, 183, 803, 605]
Hyperintensities [140, 138, 858, 858]
[Context]
cerebral cortex [130, 119, 868, 879]
white matter [175, 148, 823, 849]
[Perception]
Body of corpus callosum [185, 150, 813, 848]
[Unlocalized]
cerebral hemispheres
White matter hyperintensities
[Concl... | Hyperintensities are located in the bilateral frontal lobes and body of the corpus callosum, consistent with white matter changes affecting the cerebral cortex and subcortical structures. | 7 | 5 | 3 | 3 | 0.3409 | [
{
"bbox": [
195,
183,
803,
605
],
"bbox_consistency": 0.56,
"clip_score": 0.3015,
"consistency": 1,
"delta_conf": -0.0352,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Bilateral frontal lobes",
"radlex_category": "unverified... | [{"name": "Bilateral frontal lobes", "raw_name": "Bilateral frontal lobes", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [195, 183, 803, 605], "valid": true, "clip_score": 0.3015, "bbox_consistency": 0.56, "layer": "Causal", "delta_conf": -0.... | 0.8273 | true | [{"name": "Bilateral frontal lobes", "layer": "Causal", "delta_conf": -0.0352, "bbox": [195, 183, 803, 605], "radlex_id": null, "clip_score": 0.3015}, {"name": "Body of corpus callosum", "layer": "Perception", "delta_conf": -0.0094, "bbox": [185, 150, 813, 848], "radlex_id": null, "clip_score": 0.3073}, {"name": "Hyper... | [{"src": "Body of corpus callosum", "dst": "Bilateral frontal lobes", "edge_type": "causal", "weight": 0.0258}, {"src": "Body of corpus callosum", "dst": "cerebral cortex", "edge_type": "spatial_containment", "weight": 0.782}, {"src": "Hyperintensities", "dst": "Bilateral frontal lobes", "edge_type": "causal", "weight"... | cerebral cortex | ["Hyperintensities", "white matter", "Body of corpus callosum", "cerebral cortex", "Bilateral frontal lobes"] | 5 | 10 | 7 | 9 | 0 |
0 | where are the hyperintensities located? | bilateral frontal lobes and body of corpus callosum | CT | Modality: CT
[Causal]
Body of corpus callosum [380, 179, 622, 815]
Hyperintensities [184, 155, 816, 845]
[Context]
white matter [140, 125, 858, 873]
cerebral cortex [175, 175, 823, 823]
[Perception]
Bilateral frontal lobes [138, 125, 860, 873]
[Unlocalized]
gray matter
Bilateral frontal lobe hyperintensities
[Conc... | Hyperintensities are located in the bilateral frontal lobes and body of the corpus callosum, consistent with white matter changes involving the cerebral cortex and subcortical structures. | 7 | 5 | 3 | 3 | 0.3416 | [
{
"bbox": [
380,
179,
622,
815
],
"bbox_consistency": 0.64,
"clip_score": 0.2837,
"consistency": 1,
"delta_conf": -0.0257,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Body of corpus callosum",
"radlex_category": "unverified... | [{"name": "Body of corpus callosum", "raw_name": "Body of corpus callosum", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [380, 179, 622, 815], "valid": true, "clip_score": 0.2837, "bbox_consistency": 0.64, "layer": "Causal", "delta_conf": -0.... | 0.675 | true | [{"name": "Body of corpus callosum", "layer": "Causal", "delta_conf": -0.0257, "bbox": [380, 179, 622, 815], "radlex_id": null, "clip_score": 0.2837}, {"name": "Hyperintensities", "layer": "Causal", "delta_conf": -0.0741, "bbox": [184, 155, 816, 845], "radlex_id": null, "clip_score": 0.3718}, {"name": "Bilateral fronta... | [{"src": "Hyperintensities", "dst": "Body of corpus callosum", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "Hyperintensities", "dst": "cerebral cortex", "edge_type": "spatial_containment", "weight": 0.975}, {"src": "Bilateral frontal lobes", "dst": "Body of corpus callosum", "edge_type": "spatial_contai... | Body of corpus callosum | ["Bilateral frontal lobes", "white matter", "Hyperintensities", "cerebral cortex", "Body of corpus callosum"] | 5 | 10 | 4 | 16 | 0 |
0 | are the kidneys visualized? | yes | X-ray | Modality: X-ray
[Causal]
renal mass [214, 444, 355, 575]
[Context]
right kidney [214, 444, 356, 573]
left kidney [214, 444, 355, 575]
renal cortex [223, 439, 367, 573]
renal pelvis [210, 440, 358, 570]
[Unlocalized]
kidneys
renal cortices
[Conclusion]
Both kidneys are clearly visualized, with a renal mass identifie... | Both kidneys are clearly visualized, with a renal mass identified in the right kidney, and normal-appearing renal cortex and renal pelvis noted bilaterally, confirming adequate visualization of both kidneys. | 7 | 5 | 2 | 6 | 0.2804 | [
{
"bbox": [
214,
444,
355,
575
],
"bbox_consistency": 0.84,
"clip_score": 0.2602,
"consistency": 0.67,
"delta_conf": -0.0022,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "renal mass",
"radlex_category": "pathology",
"radl... | [{"name": "renal mass", "raw_name": "renal mass", "radlex_id": "RID2105", "radlex_category": "pathology", "consistency": 0.67, "match_score": 1.0, "is_pathology": true, "bbox": [214, 444, 355, 575], "valid": true, "clip_score": 0.2602, "bbox_consistency": 0.84, "layer": "Causal", "delta_conf": -0.0022}, {"name": "right... | 0.87 | true | [{"name": "renal mass", "layer": "Causal", "delta_conf": -0.0022, "bbox": [214, 444, 355, 575], "radlex_id": "RID2105", "clip_score": 0.2602}, {"name": "right kidney", "layer": "Context", "delta_conf": -0.0032, "bbox": [214, 444, 356, 573], "radlex_id": "RID2012", "clip_score": 0.3168}, {"name": "left kidney", "layer":... | [{"src": "renal mass", "dst": "right kidney", "edge_type": "spatial_containment", "weight": 0.993}, {"src": "left kidney", "dst": "renal mass", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "left kidney", "dst": "right kidney", "edge_type": "spatial_containment", "weight": 0.993}, {"src": "renal cortex", ... | renal cortex | ["renal cortex", "renal pelvis", "left kidney", "renal mass", "right kidney"] | 5 | 10 | 0 | 20 | 0 |
0 | can you see the kidneys | yes | X-ray | Modality: X-ray
[Causal]
renal mass [225, 444, 355, 570]
[Context]
right kidney [225, 440, 355, 570]
left kidney [428, 454, 566, 508]
abdominal aorta [432, 500, 572, 628]
[Unlocalized]
inferior vena cava
lumbar spine
[Conclusion]
Yes, bilateral kidneys are clearly visualized, with a renal mass identified in the rig... | Yes, bilateral kidneys are clearly visualized, with a renal mass identified in the right kidney, confirming their presence and highlighting a pathological finding. | 6 | 4 | 1 | 6 | 0.2397 | [
{
"bbox": [
225,
444,
355,
570
],
"bbox_consistency": 0.82,
"clip_score": 0.2134,
"consistency": 1,
"delta_conf": -0.0066,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "renal mass",
"radlex_category": "pathology",
"radlex_... | [{"name": "renal mass", "raw_name": "Renal mass", "radlex_id": "RID2105", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [225, 444, 355, 570], "valid": true, "clip_score": 0.2134, "bbox_consistency": 0.82, "layer": "Causal", "delta_conf": -0.0066}, {"name": "right ... | 0.845 | true | [{"name": "renal mass", "layer": "Causal", "delta_conf": -0.0066, "bbox": [225, 444, 355, 570], "radlex_id": "RID2105", "clip_score": 0.2134}, {"name": "right kidney", "layer": "Context", "delta_conf": -0.007, "bbox": [225, 440, 355, 570], "radlex_id": "RID2012", "clip_score": 0.2457}, {"name": "left kidney", "layer": ... | [{"src": "right kidney", "dst": "renal mass", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "left kidney", "dst": "renal mass", "edge_type": "anatomical", "weight": 1.0}, {"src": "abdominal aorta", "dst": "left kidney", "edge_type": "causal", "weight": 0.0228}, {"src": "abdominal aorta", "dst": "renal mas... | abdominal aorta | ["abdominal aorta", "left kidney", "right kidney", "renal mass"] | 4 | 5 | 3 | 2 | 1 |
0 | is this a pa or ap film? | pa | X-ray | Modality: X-ray
[Causal]
aortic arch [355, 105, 500, 185]
[Context]
diaphragm [105, 238, 885, 344]
clavicles [280, 400, 708, 897]
cardiac silhouette [103, 170, 893, 605]
scapulae [105, 115, 893, 315]
[Unlocalized]
ribs
lung apex
[Conclusion]
The absence of cardiac and diaphragmatic elevation, along with clear visua... | The absence of cardiac and diaphragmatic elevation, along with clear visualization of the aortic arch and scapulae posterior to the ribs, supports a PA projection, as the heart is not magnified and the diaphragm is in a normal position. | 7 | 5 | 1 | 7 | 0.3829 | [
{
"bbox": [
355,
105,
500,
185
],
"bbox_consistency": 0.23,
"clip_score": 0.3521,
"consistency": 1,
"delta_conf": 0.0136,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "aortic arch", "raw_name": "aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [355, 105, 500, 185], "valid": true, "clip_score": 0.3521, "bbox_consistency": 0.23, "layer": "Causal", "delta_conf": 0.0136}, {"name": "diaphr... | 0.915 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": 0.0136, "bbox": [355, 105, 500, 185], "radlex_id": "RID1309", "clip_score": 0.3521}, {"name": "diaphragm", "layer": "Context", "delta_conf": 0.0093, "bbox": [105, 238, 885, 344], "radlex_id": "RID2049", "clip_score": 0.3363}, {"name": "clavicles", "layer": "Cont... | [{"src": "cardiac silhouette", "dst": "scapulae", "edge_type": "causal", "weight": 0.0428}, {"src": "cardiac silhouette", "dst": "clavicles", "edge_type": "causal", "weight": 0.0654}, {"src": "cardiac silhouette", "dst": "aortic arch", "edge_type": "causal", "weight": 0.0784}, {"src": "cardiac silhouette", "dst": "diap... | cardiac silhouette | ["cardiac silhouette", "scapulae", "clavicles", "aortic arch", "diaphragm"] | 5 | 7 | 7 | 0 | 0 |
0 | what laterality is this film? | pa | X-ray | Modality: X-ray
[Causal]
lung base [105, 580, 885, 915]
[Context]
aortic arch [385, 101, 525, 488]
trachea [264, 448, 712, 897]
cardiac silhouette [148, 585, 448, 907]
right hemidiaphragm [105, 105, 385, 305]
[Unlocalized]
left hemidiaphragm
lung apex
[Conclusion]
The absence of the aortic arch and tracheal deviati... | The absence of the aortic arch and tracheal deviation to the right confirm the film is a posteroanterior (PA) projection, with the right hemidiaphragm elevated due to normal anatomical positioning. | 7 | 5 | 1 | 7 | 0.3539 | [
{
"bbox": [
105,
580,
885,
915
],
"bbox_consistency": 0.45,
"clip_score": 0.3851,
"consistency": 1,
"delta_conf": 0.0236,
"is_pathology": false,
"layer": "Causal",
"match_score": 0.95,
"name": "lung base",
"radlex_category": "anatomy",
"radlex_... | [{"name": "lung base", "raw_name": "costophrenic angles", "radlex_id": "RID1332", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 0.95, "is_pathology": false, "bbox": [105, 580, 885, 915], "valid": true, "clip_score": 0.3851, "bbox_consistency": 0.45, "layer": "Causal", "delta_conf": 0.0236}, {"name": ... | 0.6853 | true | [{"name": "lung base", "layer": "Causal", "delta_conf": 0.0236, "bbox": [105, 580, 885, 915], "radlex_id": "RID1332", "clip_score": 0.3851}, {"name": "aortic arch", "layer": "Context", "delta_conf": 0.0142, "bbox": [385, 101, 525, 488], "radlex_id": "RID1309", "clip_score": 0.4082}, {"name": "trachea", "layer": "Contex... | [{"src": "lung base", "dst": "right hemidiaphragm", "edge_type": "causal", "weight": 0.0233}, {"src": "lung base", "dst": "cardiac silhouette", "edge_type": "causal", "weight": 0.026}, {"src": "lung base", "dst": "trachea", "edge_type": "spatial_containment", "weight": 0.706}, {"src": "trachea", "dst": "right hemidiaph... | trachea | ["lung base", "aortic arch", "trachea", "right hemidiaphragm", "cardiac silhouette"] | 5 | 5 | 4 | 1 | 0 |
0 | what artery is the embolus from? | distal basilar artery | MRI | Modality: MRI
[Causal]
Distal basilar artery [458, 115, 540, 183]
Internal carotid artery [444, 144, 554, 200]
Anterior cerebral artery [458, 185, 540, 283]
Posterior cerebral artery [408, 484, 590, 584]
[Unlocalized]
Middle cerebral artery
Basilar artery
Cerebral peduncle
[Conclusion]
The presence of acute infarcts... | The presence of acute infarcts in territories supplied by the distal basilar, internal carotid, anterior, and posterior cerebral arteries, with no other apparent source, strongly supports a distal basilar artery origin for the embolus. | 7 | 4 | 6 | 0 | 0.3308 | [
{
"bbox": [
458,
115,
540,
183
],
"bbox_consistency": 0.74,
"clip_score": 0.3322,
"consistency": 1,
"delta_conf": -0.0065,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Distal basilar artery",
"radlex_category": "unverified",... | [{"name": "Distal basilar artery", "raw_name": "Distal basilar artery", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [458, 115, 540, 183], "valid": true, "clip_score": 0.3322, "bbox_consistency": 0.74, "layer": "Causal", "delta_conf": -0.0065... | 0.7149 | true | [{"name": "Distal basilar artery", "layer": "Causal", "delta_conf": -0.0065, "bbox": [458, 115, 540, 183], "radlex_id": null, "clip_score": 0.3322}, {"name": "Internal carotid artery", "layer": "Causal", "delta_conf": 0.0251, "bbox": [444, 144, 554, 200], "radlex_id": null, "clip_score": 0.3388}, {"name": "Anterior cer... | [{"src": "Internal carotid artery", "dst": "Distal basilar artery", "edge_type": "causal", "weight": 0.0316}, {"src": "Posterior cerebral artery", "dst": "Anterior cerebral artery", "edge_type": "causal", "weight": 0.022}, {"src": "Posterior cerebral artery", "dst": "Distal basilar artery", "edge_type": "causal", "weig... | Posterior cerebral artery | ["Internal carotid artery", "Posterior cerebral artery", "Anterior cerebral artery", "Distal basilar artery"] | 4 | 3 | 3 | 0 | 0 |
0 | where is the embolus located? | distal basilar artery | MRI | Modality: MRI
[Causal]
distal basilar artery [458, 145, 540, 200]
[Perception]
anterior cerebral artery [442, 179, 556, 238]
middle cerebral artery [484, 185, 516, 217]
[Unlocalized]
posterior cerebral artery
internal carotid artery
vertebral artery
cerebral hemispheres
[Conclusion]
The embolus is located in the di... | The embolus is located in the distal basilar artery, supported by the presence of acute ischemic changes in the territory supplied by the posterior cerebral arteries, consistent with basilar artery occlusion, with no significant involvement of anterior or middle cerebral artery territories. | 7 | 3 | 1 | 1 | 0.3035 | [
{
"bbox": [
458,
145,
540,
200
],
"bbox_consistency": 0.34,
"clip_score": 0.3206,
"consistency": 1,
"delta_conf": -0.0046,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "distal basilar artery",
"radlex_category": "unverified",... | [{"name": "distal basilar artery", "raw_name": "distal basilar artery", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [458, 145, 540, 200], "valid": true, "clip_score": 0.3206, "bbox_consistency": 0.34, "layer": "Causal", "delta_conf": -0.0046... | 0.6264 | true | [{"name": "distal basilar artery", "layer": "Causal", "delta_conf": -0.0046, "bbox": [458, 145, 540, 200], "radlex_id": null, "clip_score": 0.3206}, {"name": "anterior cerebral artery", "layer": "Perception", "delta_conf": -0.0134, "bbox": [442, 179, 556, 238], "radlex_id": null, "clip_score": 0.3302}, {"name": "middle... | [{"src": "anterior cerebral artery", "dst": "distal basilar artery", "edge_type": "spatial_overlap", "weight": 0.181}, {"src": "anterior cerebral artery", "dst": "middle cerebral artery", "edge_type": "spatial_containment", "weight": 1.0}] | middle cerebral artery | ["anterior cerebral artery", "distal basilar artery", "middle cerebral artery"] | 3 | 2 | 0 | 2 | 0 |
0 | the mass is located in what region? | suprasellar | CT | Modality: CT
[Causal]
suprasellar mass [430, 348, 568, 450]
[Context]
optic nerve [450, 350, 550, 450]
pituitary gland [444, 365, 555, 468]
third ventricle [447, 355, 553, 460]
[Unlocalized]
cerebral hemispheres
anterior cerebral artery
[Conclusion]
The suprasellar mass is identified in the region superior to the s... | The suprasellar mass is identified in the region superior to the sella turcica, displacing the third ventricle and affecting the optic chiasm and pituitary gland, consistent with a suprasellar location. | 6 | 4 | 1 | 4 | 0.3489 | [
{
"bbox": [
430,
348,
568,
450
],
"bbox_consistency": 0.75,
"clip_score": 0.2871,
"consistency": 1,
"delta_conf": 0.0087,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "suprasellar mass",
"radlex_category": "unverified",
"... | [{"name": "suprasellar mass", "raw_name": "suprasellar mass", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [430, 348, 568, 450], "valid": true, "clip_score": 0.2871, "bbox_consistency": 0.75, "layer": "Causal", "delta_conf": 0.0087}, {"name":... | 0.8481 | true | [{"name": "suprasellar mass", "layer": "Causal", "delta_conf": 0.0087, "bbox": [430, 348, 568, 450], "radlex_id": null, "clip_score": 0.2871}, {"name": "optic nerve", "layer": "Context", "delta_conf": 0.0086, "bbox": [450, 350, 550, 450], "radlex_id": "RID3033", "clip_score": 0.397}, {"name": "pituitary gland", "layer"... | [{"src": "suprasellar mass", "dst": "optic nerve", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "suprasellar mass", "dst": "pituitary gland", "edge_type": "spatial_containment", "weight": 0.825}, {"src": "suprasellar mass", "dst": "third ventricle", "edge_type": "spatial_containment", "weight": 0.905}, {... | pituitary gland | ["suprasellar mass", "pituitary gland", "third ventricle", "optic nerve"] | 4 | 6 | 0 | 11 | 0 |
0 | is the midbrain identified in this section? | yes | MRI | Modality: MRI
[Causal]
midbrain [355, 388, 639, 658]
[Context]
pons [400, 200, 600, 300]
cerebellum [400, 200, 600, 300]
[Perception]
cerebral peduncles [444, 185, 555, 244]
superior colliculi [388, 350, 610, 500]
[Unlocalized]
quadrigeminal cistern
quadrigeminal plate
[Conclusion]
Midbrain structures including ce... | Midbrain structures including cerebral peduncles and superior colliculi are clearly visualized in the axial MRI, confirming midbrain identification in this section. | 7 | 5 | 1 | 3 | 0.3067 | [
{
"bbox": [
355,
388,
639,
658
],
"bbox_consistency": 0.26,
"clip_score": 0.3695,
"consistency": 1,
"delta_conf": 0.0193,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "midbrain",
"radlex_category": "anatomy",
"radlex_id":... | [{"name": "midbrain", "raw_name": "midbrain", "radlex_id": "RID3014", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [355, 388, 639, 658], "valid": true, "clip_score": 0.3695, "bbox_consistency": 0.26, "layer": "Causal", "delta_conf": 0.0193}, {"name": "cerebral ped... | 0.7798 | true | [{"name": "midbrain", "layer": "Causal", "delta_conf": 0.0193, "bbox": [355, 388, 639, 658], "radlex_id": "RID3014", "clip_score": 0.3695}, {"name": "cerebral peduncles", "layer": "Perception", "delta_conf": -0.0013, "bbox": [444, 185, 555, 244], "radlex_id": null, "clip_score": 0.3082}, {"name": "superior colliculi", ... | [{"src": "midbrain", "dst": "cerebral peduncles", "edge_type": "causal", "weight": 0.0206}, {"src": "midbrain", "dst": "superior colliculi", "edge_type": "causal", "weight": 0.0232}, {"src": "midbrain", "dst": "pons", "edge_type": "causal", "weight": 0.0421}, {"src": "midbrain", "dst": "cerebellum", "edge_type": "causa... | midbrain | ["midbrain", "superior colliculi", "cerebellum", "pons", "cerebral peduncles"] | 5 | 7 | 6 | 4 | 0 |
0 | where is the mass located? | suprasellar | CT | Modality: CT
[Causal]
suprasellar mass [444, 344, 554, 444]
[Context]
optic nerve [450, 378, 548, 454]
pituitary gland [444, 364, 555, 468]
third ventricle [250, 75, 750, 889]
cerebral hemispheres [444, 450, 554, 500]
[Unlocalized]
skull
cerebral peduncles
[Conclusion]
The suprasellar mass is identified by its loca... | The suprasellar mass is identified by its location above the sella turcica, compressing the third ventricle and displacing the optic chiasm, with normal appearance of the cerebral hemispheres and pituitary gland, confirming the suprasellar origin. | 7 | 5 | 1 | 5 | 0.3198 | [
{
"bbox": [
444,
344,
554,
444
],
"bbox_consistency": 0.62,
"clip_score": 0.2894,
"consistency": 1,
"delta_conf": 0.03,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "suprasellar mass",
"radlex_category": "unverified",
"ra... | [{"name": "suprasellar mass", "raw_name": "suprasellar mass", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [444, 344, 554, 444], "valid": true, "clip_score": 0.2894, "bbox_consistency": 0.62, "layer": "Causal", "delta_conf": 0.03}, {"name": "... | 0.5953 | true | [{"name": "suprasellar mass", "layer": "Causal", "delta_conf": 0.03, "bbox": [444, 344, 554, 444], "radlex_id": null, "clip_score": 0.2894}, {"name": "optic nerve", "layer": "Context", "delta_conf": 0.0176, "bbox": [450, 378, 548, 454], "radlex_id": "RID3033", "clip_score": 0.3592}, {"name": "pituitary gland", "layer":... | [{"src": "suprasellar mass", "dst": "optic nerve", "edge_type": "spatial_containment", "weight": 0.868}, {"src": "pituitary gland", "dst": "suprasellar mass", "edge_type": "spatial_containment", "weight": 0.8}, {"src": "pituitary gland", "dst": "optic nerve", "edge_type": "spatial_containment", "weight": 1.0}, {"src": ... | pituitary gland | ["third ventricle", "pituitary gland", "cerebral hemispheres", "suprasellar mass", "optic nerve"] | 5 | 7 | 6 | 8 | 0 |
0 | the imaging modality is...? | mri/flair | CT | Modality: CT
[Causal]
lateral ventricles [357, 189, 643, 838]
[Context]
corpus callosum [143, 122, 857, 878]
white matter [140, 125, 858, 873]
gray matter [119, 123, 879, 879]
cerebral hemispheres [115, 115, 883, 883]
[Unlocalized]
cerebral cortex
subarachnoid space
[Conclusion]
The presence of high signal intensit... | The presence of high signal intensity in the white matter and normal gray matter differentiation, along with clear visualization of the corpus callosum and lateral ventricles, is characteristic of an MRI FLAIR sequence. | 7 | 5 | 1 | 7 | 0.3492 | [
{
"bbox": [
357,
189,
643,
838
],
"bbox_consistency": 0.42,
"clip_score": 0.3425,
"consistency": 1,
"delta_conf": -0.115,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"r... | [{"name": "lateral ventricles", "raw_name": "lateral ventricles", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [357, 189, 643, 838], "valid": true, "clip_score": 0.3425, "bbox_consistency": 0.42, "layer": "Causal", "delta_conf": -0.115}, {"... | 0.4894 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.115, "bbox": [357, 189, 643, 838], "radlex_id": "RID3007", "clip_score": 0.3425}, {"name": "corpus callosum", "layer": "Context", "delta_conf": -0.1182, "bbox": [143, 122, 857, 878], "radlex_id": "RID3023", "clip_score": 0.3029}, {"name": "white matter... | [{"src": "corpus callosum", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "corpus callosum", "dst": "white matter", "edge_type": "spatial_containment", "weight": 0.994}, {"src": "white matter", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 1.0}, {"... | lateral ventricles | ["cerebral hemispheres", "gray matter", "corpus callosum", "white matter", "lateral ventricles"] | 5 | 10 | 4 | 15 | 0 |
0 | what is the image modality? | mri/flair | CT | Modality: CT
[Causal]
cerebral cortex [140, 158, 858, 858]
[Context]
lateral ventricles [148, 150, 850, 850]
gray matter [370, 208, 630, 306]
corpus callosum [117, 117, 881, 881]
[Perception]
white matter hyperintensities [140, 120, 858, 878]
[Unlocalized]
subarachnoid space
brain parenchyma
[Conclusion]
The image... | The image shows high-contrast differentiation of gray and white matter, with visible hyperintensities in the white matter, characteristic of FLAIR MRI sequences, not CT. | 7 | 5 | 1 | 5 | 0.3251 | [
{
"bbox": [
140,
158,
858,
858
],
"bbox_consistency": 0.67,
"clip_score": 0.3532,
"consistency": 1,
"delta_conf": -0.2189,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cerebral cortex",
"radlex_category": "anatomy",
"rad... | [{"name": "cerebral cortex", "raw_name": "cerebral cortex", "radlex_id": "RID3037", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [140, 158, 858, 858], "valid": true, "clip_score": 0.3532, "bbox_consistency": 0.67, "layer": "Causal", "delta_conf": -0.2189}, {"name"... | 0.3574 | true | [{"name": "cerebral cortex", "layer": "Causal", "delta_conf": -0.2189, "bbox": [140, 158, 858, 858], "radlex_id": "RID3037", "clip_score": 0.3532}, {"name": "lateral ventricles", "layer": "Context", "delta_conf": -0.2252, "bbox": [148, 150, 850, 850], "radlex_id": "RID3007", "clip_score": 0.3178}, {"name": "gray matter... | [{"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 0.989}, {"src": "cerebral cortex", "dst": "gray matter", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral cortex", "dst": "corpus callosum", "edge_type": "spatial_containment", "weight": 0.861}, {... | gray matter | ["cerebral cortex", "lateral ventricles", "corpus callosum", "white matter hyperintensities", "gray matter"] | 5 | 10 | 8 | 12 | 0 |
0 | is there fluid in the lungs? | no | X-ray | Modality: X-ray
[Causal]
lung parenchyma [77, 114, 934, 706]
[Context]
pleural space [110, 645, 998, 998]
diaphragm [320, 141, 835, 629]
cardiac silhouette [104, 625, 908, 998]
[Unlocalized]
ribs
lung base
[Conclusion]
Lung parenchyma appears clear without infiltrates or consolidation, pleural spaces are free of ef... | Lung parenchyma appears clear without infiltrates or consolidation, pleural spaces are free of effusion, diaphragm is intact and elevated, and cardiac silhouette is normal, all supporting absence of pulmonary fluid. | 6 | 4 | 1 | 6 | 0.3124 | [
{
"bbox": [
77,
114,
934,
706
],
"bbox_consistency": 0.87,
"clip_score": 0.3791,
"consistency": 1,
"delta_conf": 0.038,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lung parenchyma",
"radlex_category": "anatomy",
"radlex... | [{"name": "lung parenchyma", "raw_name": "Lung parenchyma", "radlex_id": "RID1325", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [77, 114, 934, 706], "valid": true, "clip_score": 0.3791, "bbox_consistency": 0.87, "layer": "Causal", "delta_conf": 0.038}, {"name": "... | 0.6693 | true | [{"name": "lung parenchyma", "layer": "Causal", "delta_conf": 0.038, "bbox": [77, 114, 934, 706], "radlex_id": "RID1325", "clip_score": 0.3791}, {"name": "pleural space", "layer": "Context", "delta_conf": 0.0818, "bbox": [110, 645, 998, 998], "radlex_id": "RID1340", "clip_score": 0.2776}, {"name": "diaphragm", "layer":... | [{"src": "lung parenchyma", "dst": "diaphragm", "edge_type": "causal", "weight": 0.0295}, {"src": "pleural space", "dst": "lung parenchyma", "edge_type": "causal", "weight": 0.0438}, {"src": "pleural space", "dst": "diaphragm", "edge_type": "causal", "weight": 0.0733}, {"src": "pleural space", "dst": "cardiac silhouett... | pleural space | ["pleural space", "cardiac silhouette", "lung parenchyma", "diaphragm"] | 4 | 6 | 5 | 2 | 0 |
0 | is a pleural effusion present? | no | X-ray | Modality: X-ray
[Causal]
lung base [127, 595, 998, 998]
pleural space [348, 185, 808, 685]
[Context]
diaphragm [100, 100, 900, 900]
cardiac silhouette [42, 113, 998, 741]
[Unlocalized]
lung parenchyma
[Conclusion]
No pleural effusion is present, as the costophrenic angles are sharp, the diaphragm is clearly visible... | No pleural effusion is present, as the costophrenic angles are sharp, the diaphragm is clearly visible, and there is no blunting of the lung bases or fluid density in the pleural space. | 5 | 4 | 2 | 5 | 0.356 | [
{
"bbox": [
127,
595,
998,
998
],
"bbox_consistency": 0.86,
"clip_score": 0.3062,
"consistency": 1,
"delta_conf": 0.0632,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lung base",
"radlex_category": "anatomy",
"radlex_id"... | [{"name": "lung base", "raw_name": "Costophrenic angle", "radlex_id": "RID1332", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [127, 595, 998, 998], "valid": true, "clip_score": 0.3062, "bbox_consistency": 0.86, "layer": "Causal", "delta_conf": 0.0632}, {"name": "d... | 0.8086 | true | [{"name": "lung base", "layer": "Causal", "delta_conf": 0.0632, "bbox": [127, 595, 998, 998], "radlex_id": "RID1332", "clip_score": 0.3062}, {"name": "diaphragm", "layer": "Context", "delta_conf": 0.0597, "bbox": [100, 100, 900, 900], "radlex_id": "RID2049", "clip_score": 0.3685}, {"name": "pleural space", "layer": "Ca... | [{"src": "diaphragm", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.312}, {"src": "diaphragm", "dst": "pleural space", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cardiac silhouette", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.154}, {"src": "cardiac silhouette", "... | lung base | ["cardiac silhouette", "diaphragm", "lung base", "pleural space"] | 4 | 5 | 3 | 5 | 0 |
0 | is this an axial cut? | yes | CT | Modality: CT
[Causal]
aortic arch [44, 210, 500, 604]
[Context]
liver [202, 575, 410, 710]
kidneys [250, 250, 880, 600]
[Perception]
intestines [300, 565, 500, 785]
peritoneal fat [300, 565, 500, 785]
[Unlocalized]
spine
vertebral body
[Conclusion]
Yes, the image is an axial cut, as evidenced by the transverse sec... | Yes, the image is an axial cut, as evidenced by the transverse section of the abdominal cavity, showing bilateral kidneys, vertebral body, and bowel loops in a horizontal plane relative to the patient's long axis. | 7 | 5 | 1 | 5 | 0.2902 | [
{
"bbox": [
44,
210,
500,
604
],
"bbox_consistency": 0.5,
"clip_score": 0.1679,
"consistency": 1,
"delta_conf": 0.0485,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_id"... | [{"name": "aortic arch", "raw_name": "aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [44, 210, 500, 604], "valid": true, "clip_score": 0.1679, "bbox_consistency": 0.5, "layer": "Causal", "delta_conf": 0.0485}, {"name": "liver", ... | 0.8283 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": 0.0485, "bbox": [44, 210, 500, 604], "radlex_id": "RID1309", "clip_score": 0.1679}, {"name": "liver", "layer": "Context", "delta_conf": 0.0288, "bbox": [202, 575, 410, 710], "radlex_id": "RID2001", "clip_score": 0.3655}, {"name": "kidneys", "layer": "Context", "... | [{"src": "kidneys", "dst": "intestines", "edge_type": "causal", "weight": 0.0227}, {"src": "kidneys", "dst": "peritoneal fat", "edge_type": "causal", "weight": 0.0227}, {"src": "kidneys", "dst": "aortic arch", "edge_type": "causal", "weight": 0.0242}, {"src": "kidneys", "dst": "liver", "edge_type": "causal", "weight": ... | kidneys | ["kidneys", "peritoneal fat", "aortic arch", "intestines", "liver"] | 5 | 7 | 6 | 2 | 0 |
0 | is the trachea deviated? | yes | X-ray | Modality: X-ray
[Causal]
tracheal deviation [458, 105, 540, 998]
[Context]
aortic arch [0, 169, 1000, 270]
clavicles [0, 150, 1000, 788]
[Perception]
mediastinal shift [484, 129, 621, 293]
right hilar mass [454, 105, 544, 145]
[Unlocalized]
chest wall
ribs
[Conclusion]
Tracheal deviation to the left is evident, su... | Tracheal deviation to the left is evident, supported by mediastinal shift and a right hilar mass, likely causing compression and displacement of central structures. | 7 | 5 | 1 | 4 | 0.2619 | [
{
"bbox": [
458,
105,
540,
998
],
"bbox_consistency": 0.73,
"clip_score": 0.2165,
"consistency": 1,
"delta_conf": 0.0099,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "tracheal deviation",
"radlex_category": "unverified",
... | [{"name": "tracheal deviation", "raw_name": "tracheal deviation", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [458, 105, 540, 998], "valid": true, "clip_score": 0.2165, "bbox_consistency": 0.73, "layer": "Causal", "delta_conf": 0.0099}, {"na... | 0.8035 | true | [{"name": "tracheal deviation", "layer": "Causal", "delta_conf": 0.0099, "bbox": [458, 105, 540, 998], "radlex_id": null, "clip_score": 0.2165}, {"name": "mediastinal shift", "layer": "Perception", "delta_conf": 0.007, "bbox": [484, 129, 621, 293], "radlex_id": null, "clip_score": 0.2939}, {"name": "right hilar mass", ... | [{"src": "tracheal deviation", "dst": "right hilar mass", "edge_type": "spatial_containment", "weight": 0.911}, {"src": "clavicles", "dst": "tracheal deviation", "edge_type": "causal", "weight": 0.1082}, {"src": "clavicles", "dst": "mediastinal shift", "edge_type": "causal", "weight": 0.1111}, {"src": "clavicles", "dst... | clavicles | ["clavicles", "tracheal deviation", "mediastinal shift", "aortic arch", "right hilar mass"] | 5 | 5 | 4 | 1 | 0 |
0 | is tracheal deviation present? | yes | X-ray | Modality: X-ray
[Causal]
Tracheal deviation [484, 125, 552, 334]
[Context]
aortic arch [355, 157, 643, 998]
[Perception]
Retrosternal space [105, 105, 355, 355]
Right lung apex [0, 160, 1000, 788]
[Unlocalized]
Mediastinal shift
Left lung apex
ribs
[Conclusion]
Tracheal deviation is present, indicated by displacem... | Tracheal deviation is present, indicated by displacement toward the right, likely due to a mass or structural abnormality in the right upper mediastinum, with the aortic arch and retrosternal space providing anatomical context for the observed shift. | 7 | 4 | 1 | 2 | 0.3022 | [
{
"bbox": [
484,
125,
552,
334
],
"bbox_consistency": 0.24,
"clip_score": 0.1955,
"consistency": 1,
"delta_conf": 0.0236,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Tracheal deviation",
"radlex_category": "unverified",
... | [{"name": "Tracheal deviation", "raw_name": "Tracheal deviation", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [484, 125, 552, 334], "valid": true, "clip_score": 0.1955, "bbox_consistency": 0.24, "layer": "Causal", "delta_conf": 0.0236}, {"na... | 0.679 | true | [{"name": "Tracheal deviation", "layer": "Causal", "delta_conf": 0.0236, "bbox": [484, 125, 552, 334], "radlex_id": null, "clip_score": 0.1955}, {"name": "aortic arch", "layer": "Context", "delta_conf": 0.0164, "bbox": [355, 157, 643, 998], "radlex_id": "RID1309", "clip_score": 0.3412}, {"name": "Retrosternal space", "... | [{"src": "Tracheal deviation", "dst": "Retrosternal space", "edge_type": "causal", "weight": 0.0454}, {"src": "aortic arch", "dst": "Retrosternal space", "edge_type": "causal", "weight": 0.0382}, {"src": "aortic arch", "dst": "Tracheal deviation", "edge_type": "spatial_containment", "weight": 0.847}, {"src": "Right lun... | Right lung apex | ["Right lung apex", "aortic arch", "Tracheal deviation", "Retrosternal space"] | 4 | 6 | 5 | 1 | 0 |
0 | what image modality is this? | ct | CT | Modality: CT
[Causal]
aorta [475, 400, 544, 500]
[Context]
liver [382, 505, 588, 775]
kidneys [520, 541, 680, 781]
vertebral body [484, 450, 544, 518]
[Perception]
renal arteries [355, 380, 555, 550]
[Unlocalized]
abdominal aorta
pancreas
[Conclusion]
This is a CT scan, evidenced by the axial cross-sectional imagi... | This is a CT scan, evidenced by the axial cross-sectional imaging, high-resolution soft tissue and bony detail, and the presence of contrast-enhanced vascular structures such as the aorta and renal arteries. | 7 | 5 | 1 | 6 | 0.333 | [
{
"bbox": [
475,
400,
544,
500
],
"bbox_consistency": 0.09,
"clip_score": 0.3314,
"consistency": 1,
"delta_conf": 0.0128,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aorta",
"radlex_category": "anatomy",
"radlex_id": "R... | [{"name": "aorta", "raw_name": "aorta", "radlex_id": "RID1308", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [475, 400, 544, 500], "valid": true, "clip_score": 0.3314, "bbox_consistency": 0.09, "layer": "Causal", "delta_conf": 0.0128}, {"name": "liver", "raw_name"... | 0.2031 | true | [{"name": "aorta", "layer": "Causal", "delta_conf": 0.0128, "bbox": [475, 400, 544, 500], "radlex_id": "RID1308", "clip_score": 0.3314}, {"name": "liver", "layer": "Context", "delta_conf": 0.0312, "bbox": [382, 505, 588, 775], "radlex_id": "RID2001", "clip_score": 0.3199}, {"name": "kidneys", "layer": "Context", "delta... | [{"src": "aorta", "dst": "vertebral body", "edge_type": "spatial_containment", "weight": 0.735}, {"src": "liver", "dst": "vertebral body", "edge_type": "causal", "weight": 0.0307}, {"src": "liver", "dst": "kidneys", "edge_type": "spatial_overlap", "weight": 0.204}, {"src": "renal arteries", "dst": "aorta", "edge_type":... | liver | ["liver", "renal arteries", "kidneys", "aorta", "vertebral body"] | 5 | 5 | 1 | 4 | 0 |
0 | what imaging modality was used | ct | CT | Modality: CT
[Causal]
aortic arch [156, 284, 448, 647]
[Context]
liver [444, 484, 608, 680]
kidneys [508, 467, 579, 559]
abdominal aorta [362, 374, 584, 560]
vertebral body [500, 541, 650, 800]
[Unlocalized]
pancreas
spine
[Conclusion]
CT imaging demonstrates high-resolution cross-sectional anatomy of the aortic ar... | CT imaging demonstrates high-resolution cross-sectional anatomy of the aortic arch, liver, kidneys, abdominal aorta, and vertebral body, consistent with the modality's ability to delineate soft tissue and vascular structures in axial planes. | 7 | 5 | 1 | 7 | 0.2957 | [
{
"bbox": [
156,
284,
448,
647
],
"bbox_consistency": 0.5,
"clip_score": 0.3103,
"consistency": 1,
"delta_conf": -0.0596,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "aortic arch", "raw_name": "aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [156, 284, 448, 647], "valid": true, "clip_score": 0.3103, "bbox_consistency": 0.5, "layer": "Causal", "delta_conf": -0.0596}, {"name": "liver"... | 0.6486 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": -0.0596, "bbox": [156, 284, 448, 647], "radlex_id": "RID1309", "clip_score": 0.3103}, {"name": "liver", "layer": "Context", "delta_conf": -0.0401, "bbox": [444, 484, 608, 680], "radlex_id": "RID2001", "clip_score": 0.274}, {"name": "kidneys", "layer": "Context",... | [{"src": "liver", "dst": "kidneys", "edge_type": "spatial_containment", "weight": 0.815}, {"src": "kidneys", "dst": "aortic arch", "edge_type": "causal", "weight": 0.0315}, {"src": "abdominal aorta", "dst": "liver", "edge_type": "causal", "weight": 0.022}, {"src": "abdominal aorta", "dst": "aortic arch", "edge_type": "... | abdominal aorta | ["abdominal aorta", "vertebral body", "liver", "kidneys", "aortic arch"] | 5 | 7 | 4 | 3 | 0 |
0 | are there more than 5 enlarged (>1 cm) lymph nodes around the stomach | yes | CT | Modality: CT
[Causal]
enlarged lymph nodes around the stomach [238, 344, 756, 640]
lesser curvature of the stomach [496, 527, 558, 638]
[Context]
aorta [355, 355, 500, 400]
[Perception]
gastric wall [150, 286, 844, 784]
perigastric fat [181, 355, 488, 555]
[Unlocalized]
superior mesenteric artery
splenic artery
[C... | Multiple lymph nodes >1 cm are present around the stomach, particularly along the lesser curvature, with associated gastric wall thickening and perigastric fat stranding, confirming extensive nodal enlargement. | 7 | 5 | 2 | 2 | 0.332 | [
{
"bbox": [
238,
344,
756,
640
],
"bbox_consistency": 0.56,
"clip_score": 0.4036,
"consistency": 1,
"delta_conf": 0.0421,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "enlarged lymph nodes around the stomach",
"radlex_categor... | [{"name": "enlarged lymph nodes around the stomach", "raw_name": "enlarged lymph nodes around the stomach", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [238, 344, 756, 640], "valid": true, "clip_score": 0.4036, "bbox_consistency": 0.56, "lay... | 0.8292 | true | [{"name": "enlarged lymph nodes around the stomach", "layer": "Causal", "delta_conf": 0.0421, "bbox": [238, 344, 756, 640], "radlex_id": null, "clip_score": 0.4036}, {"name": "gastric wall", "layer": "Perception", "delta_conf": 0.0481, "bbox": [150, 286, 844, 784], "radlex_id": null, "clip_score": 0.3866}, {"name": "pe... | [{"src": "enlarged lymph nodes around the stomach", "dst": "perigastric fat", "edge_type": "causal", "weight": 0.0228}, {"src": "enlarged lymph nodes around the stomach", "dst": "lesser curvature of the stomach", "edge_type": "causal", "weight": 0.0318}, {"src": "enlarged lymph nodes around the stomach", "dst": "aorta"... | gastric wall | ["gastric wall", "enlarged lymph nodes around the stomach", "perigastric fat", "lesser curvature of the stomach", "aorta"] | 5 | 8 | 6 | 2 | 0 |
0 | are patchy infiltrates depicted? | yes | X-ray | Modality: X-ray
[Causal]
interstitial markings [110, 107, 884, 833]
patchy infiltrates [130, 110, 878, 668]
[Perception]
bilateral lung fields [320, 0, 680, 998]
[Unlocalized]
lung parenchyma
mediastinum
chest wall
pleural space
[Conclusion]
Patchy infiltrates are depicted bilaterally in the lung fields, evidenced ... | Patchy infiltrates are depicted bilaterally in the lung fields, evidenced by irregular opacities superimposed on interstitial markings, consistent with an inflammatory or infectious process. | 7 | 3 | 2 | 5 | 0.3189 | [
{
"bbox": [
110,
107,
884,
833
],
"bbox_consistency": 0.63,
"clip_score": 0.321,
"consistency": 1,
"delta_conf": 0.0562,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "interstitial markings",
"radlex_category": "finding",
"... | [{"name": "interstitial markings", "raw_name": "interstitial markings", "radlex_id": "RID1423", "radlex_category": "finding", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [110, 107, 884, 833], "valid": true, "clip_score": 0.321, "bbox_consistency": 0.63, "layer": "Causal", "delta_conf": 0.0562}... | 0.8216 | true | [{"name": "interstitial markings", "layer": "Causal", "delta_conf": 0.0562, "bbox": [110, 107, 884, 833], "radlex_id": "RID1423", "clip_score": 0.321}, {"name": "patchy infiltrates", "layer": "Causal", "delta_conf": 0.0299, "bbox": [130, 110, 878, 668], "radlex_id": null, "clip_score": 0.4078}, {"name": "bilateral lung... | [{"src": "interstitial markings", "dst": "bilateral lung fields", "edge_type": "causal", "weight": 0.03}, {"src": "patchy infiltrates", "dst": "interstitial markings", "edge_type": "spatial_containment", "weight": 0.743}, {"src": "patchy infiltrates", "dst": "bilateral lung fields", "edge_type": "spatial_overlap", "wei... | interstitial markings | ["patchy infiltrates", "interstitial markings", "bilateral lung fields"] | 3 | 3 | 2 | 2 | 0 |
0 | are there patchy infiltrates present? | yes | X-ray | Modality: X-ray
[Causal]
patchy infiltrates [138, 132, 856, 654]
[Context]
mediastinum [10, 144, 998, 288]
[Unlocalized]
interstitial markings
bilateral lung fields
lung parenchyma
pleural space
clavicles
[Conclusion]
Patchy infiltrates are evident bilaterally in the lung fields, consistent with an infectious or in... | Patchy infiltrates are evident bilaterally in the lung fields, consistent with an infectious or inflammatory process, supporting the presence of pulmonary involvement. | 7 | 2 | 2 | 5 | 0.3786 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.82,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "interstitial markings",
"radlex_category": "finding",
"radlex_id": "R... | [{"name": "interstitial markings", "raw_name": "interstitial markings", "radlex_id": "RID1423", "radlex_category": "finding", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.82, "layer": "Causal", "delta_conf": null}, {"name": ... | 0.652 | true | [{"name": "patchy infiltrates", "layer": "Causal", "delta_conf": 0.0295, "bbox": [138, 132, 856, 654], "radlex_id": null, "clip_score": 0.3805}, {"name": "mediastinum", "layer": "Context", "delta_conf": 0.0009, "bbox": [10, 144, 998, 288], "radlex_id": "RID1341", "clip_score": 0.3767}] | [{"src": "patchy infiltrates", "dst": "mediastinum", "edge_type": "causal", "weight": 0.0286}] | patchy infiltrates | ["patchy infiltrates", "mediastinum"] | 2 | 1 | 1 | 0 | 0 |
0 | are the margins of the cardiac silhouette normal? | no | X-ray | Modality: X-ray
[Causal]
cardiac silhouette [279, 398, 708, 897]
[Context]
left hemidiaphragm [200, 585, 550, 895]
right hemidiaphragm [180, 555, 818, 918]
lung base [208, 150, 790, 899]
[Unlocalized]
Mediastinal contour
[Conclusion]
Cardiac silhouette margins are abnormal due to cardiomegaly, with loss of the norm... | Cardiac silhouette margins are abnormal due to cardiomegaly, with loss of the normal cardiac borders and increased cardiothoracic ratio, indicating an enlarged heart. | 5 | 4 | 1 | 4 | 0.3988 | [
{
"bbox": [
279,
398,
708,
897
],
"bbox_consistency": 0.71,
"clip_score": 0.3794,
"consistency": 1,
"delta_conf": -0.0257,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cardiac silhouette",
"radlex_category": "anatomy",
"... | [{"name": "cardiac silhouette", "raw_name": "Cardiac silhouette", "radlex_id": "RID1306", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [279, 398, 708, 897], "valid": true, "clip_score": 0.3794, "bbox_consistency": 0.71, "layer": "Causal", "delta_conf": -0.0257}, {... | 0.7796 | true | [{"name": "cardiac silhouette", "layer": "Causal", "delta_conf": -0.0257, "bbox": [279, 398, 708, 897], "radlex_id": "RID1306", "clip_score": 0.3794}, {"name": "left hemidiaphragm", "layer": "Context", "delta_conf": -0.0012, "bbox": [200, 585, 550, 895], "radlex_id": "RID1345", "clip_score": 0.408}, {"name": "right hem... | [{"src": "cardiac silhouette", "dst": "left hemidiaphragm", "edge_type": "spatial_containment", "weight": 0.774}, {"src": "right hemidiaphragm", "dst": "cardiac silhouette", "edge_type": "causal", "weight": 0.0244}, {"src": "right hemidiaphragm", "dst": "left hemidiaphragm", "edge_type": "spatial_containment", "weight"... | lung base | ["lung base", "right hemidiaphragm", "cardiac silhouette", "left hemidiaphragm"] | 4 | 6 | 5 | 2 | 0 |
0 | is the heart border normal? | no | X-ray | Modality: X-ray
[Causal]
cardiac silhouette [250, 476, 738, 888]
[Context]
left hemidiaphragm [246, 585, 552, 677]
right hemidiaphragm [150, 580, 850, 914]
lung base [250, 100, 750, 908]
[Unlocalized]
Lung fields
mediastinum
[Conclusion]
The heart border is abnormal due to cardiomegaly, with the left cardiac silhou... | The heart border is abnormal due to cardiomegaly, with the left cardiac silhouette encroaching on the left lung base and obscuring the left hemidiaphragm, indicating an enlarged cardiac silhouette. | 6 | 4 | 1 | 5 | 0.3514 | [
{
"bbox": [
250,
476,
738,
888
],
"bbox_consistency": 0.56,
"clip_score": 0.3913,
"consistency": 1,
"delta_conf": -0.0021,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cardiac silhouette",
"radlex_category": "anatomy",
"... | [{"name": "cardiac silhouette", "raw_name": "Cardiac silhouette", "radlex_id": "RID1306", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [250, 476, 738, 888], "valid": true, "clip_score": 0.3913, "bbox_consistency": 0.56, "layer": "Causal", "delta_conf": -0.0021}, {... | 0.6858 | true | [{"name": "cardiac silhouette", "layer": "Causal", "delta_conf": -0.0021, "bbox": [250, 476, 738, 888], "radlex_id": "RID1306", "clip_score": 0.3913}, {"name": "left hemidiaphragm", "layer": "Context", "delta_conf": 0.0149, "bbox": [246, 585, 552, 677], "radlex_id": "RID1345", "clip_score": 0.2584}, {"name": "right hem... | [{"src": "cardiac silhouette", "dst": "left hemidiaphragm", "edge_type": "spatial_containment", "weight": 0.987}, {"src": "right hemidiaphragm", "dst": "cardiac silhouette", "edge_type": "causal", "weight": 0.0232}, {"src": "right hemidiaphragm", "dst": "left hemidiaphragm", "edge_type": "spatial_containment", "weight"... | lung base | ["lung base", "right hemidiaphragm", "cardiac silhouette", "left hemidiaphragm"] | 4 | 6 | 4 | 2 | 0 |
0 | is this an axial plane | yes | CT | Modality: CT
[Causal]
Iliac bones [105, 430, 905, 725]
[Context]
spleen [158, 300, 840, 588]
[Perception]
No pathological finding [144, 300, 854, 600]
[Unlocalized]
aortic arch
liver
transverse colon
Small bowel loops
[Conclusion]
Axial plane confirmed by transverse section through the pelvis, showing bilateral il... | Axial plane confirmed by transverse section through the pelvis, showing bilateral iliac bones and cross-sectional view of the spleen, with no pathological findings noted. | 7 | 3 | 1 | 4 | 0.2751 | [
{
"bbox": [
105,
430,
905,
725
],
"bbox_consistency": 0.91,
"clip_score": 0.2393,
"consistency": 1,
"delta_conf": 0.0314,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Iliac bones",
"radlex_category": "unverified",
"radle... | [{"name": "Iliac bones", "raw_name": "Iliac bones", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [105, 430, 905, 725], "valid": true, "clip_score": 0.2393, "bbox_consistency": 0.91, "layer": "Causal", "delta_conf": 0.0314}, {"name": "aortic a... | 0.9157 | true | [{"name": "Iliac bones", "layer": "Causal", "delta_conf": 0.0314, "bbox": [105, 430, 905, 725], "radlex_id": null, "clip_score": 0.2393}, {"name": "spleen", "layer": "Context", "delta_conf": 0.0381, "bbox": [158, 300, 840, 588], "radlex_id": "RID2006", "clip_score": 0.2664}, {"name": "No pathological finding", "layer":... | [{"src": "Iliac bones", "dst": "spleen", "edge_type": "spatial_overlap", "weight": 0.332}, {"src": "Iliac bones", "dst": "No pathological finding", "edge_type": "spatial_overlap", "weight": 0.368}, {"src": "No pathological finding", "dst": "spleen", "edge_type": "spatial_containment", "weight": 1.0}] | spleen | ["Iliac bones", "No pathological finding", "spleen"] | 3 | 3 | 0 | 4 | 0 |
0 | is there intrahepatic ductal dilatation? | yes | CT | Modality: CT
[Causal]
Intrahepatic bile duct dilatation [315, 210, 537, 300]
[Context]
portal vein [105, 210, 885, 675]
liver [351, 288, 500, 400]
right kidney [105, 208, 895, 790]
[Perception]
Hepatic ducts [248, 555, 425, 684]
[Unlocalized]
left kidney
Liver segments
[Conclusion]
Intrahepatic bile duct dilatatio... | Intrahepatic bile duct dilatation is evident on CT, with dilated hepatic ducts and a normal-appearing portal vein and liver, supporting biliary obstruction as the likely cause. | 7 | 5 | 1 | 4 | 0.2946 | [
{
"bbox": [
315,
210,
537,
300
],
"bbox_consistency": 0.12,
"clip_score": 0.2137,
"consistency": 1,
"delta_conf": 0.0027,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Intrahepatic bile duct dilatation",
"radlex_category": "u... | [{"name": "Intrahepatic bile duct dilatation", "raw_name": "Intrahepatic bile duct dilatation", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [315, 210, 537, 300], "valid": true, "clip_score": 0.2137, "bbox_consistency": 0.12, "layer": "Causal... | 0.7327 | true | [{"name": "Intrahepatic bile duct dilatation", "layer": "Causal", "delta_conf": 0.0027, "bbox": [315, 210, 537, 300], "radlex_id": null, "clip_score": 0.2137}, {"name": "portal vein", "layer": "Context", "delta_conf": 0.0488, "bbox": [105, 210, 885, 675], "radlex_id": "RID2022", "clip_score": 0.3894}, {"name": "liver",... | [{"src": "portal vein", "dst": "Intrahepatic bile duct dilatation", "edge_type": "causal", "weight": 0.0461}, {"src": "portal vein", "dst": "Hepatic ducts", "edge_type": "causal", "weight": 0.0511}, {"src": "portal vein", "dst": "liver", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "liver", "dst": "Intra... | right kidney | ["right kidney", "portal vein", "liver", "Intrahepatic bile duct dilatation", "Hepatic ducts"] | 5 | 9 | 7 | 3 | 0 |
0 | is intrahepatic ductal dilatation present? | yes | CT | Modality: CT
[Causal]
liver [108, 235, 877, 654]
Intrahepatic ductal dilatation [348, 200, 500, 300]
intrahepatic bile duct dilatation [340, 200, 448, 256]
[Context]
portal vein [344, 185, 555, 305]
[Perception]
Hepatic ducts [387, 185, 577, 307]
[Unlocalized]
right hepatic duct
left hepatic duct
[Conclusion]
Intr... | Intrahepatic ductal dilatation is present, evidenced by prominent, dilated hepatic ducts within the liver parenchyma, consistent with obstructive or inflammatory processes affecting the intrahepatic bile ducts. | 7 | 5 | 3 | 2 | 0.2408 | [
{
"bbox": [
108,
235,
877,
654
],
"bbox_consistency": 0.49,
"clip_score": 0.3621,
"consistency": 1,
"delta_conf": 0.006,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "liver",
"radlex_category": "anatomy",
"radlex_id": "RI... | [{"name": "liver", "raw_name": "liver", "radlex_id": "RID2001", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [108, 235, 877, 654], "valid": true, "clip_score": 0.3621, "bbox_consistency": 0.49, "layer": "Causal", "delta_conf": 0.006}, {"name": "portal vein", "raw_... | 0.7905 | true | [{"name": "liver", "layer": "Causal", "delta_conf": 0.006, "bbox": [108, 235, 877, 654], "radlex_id": "RID2001", "clip_score": 0.3621}, {"name": "portal vein", "layer": "Context", "delta_conf": 0.0041, "bbox": [344, 185, 555, 305], "radlex_id": "RID2022", "clip_score": 0.2031}, {"name": "Intrahepatic ductal dilatation"... | [{"src": "liver", "dst": "portal vein", "edge_type": "anatomical", "weight": 1.0}, {"src": "portal vein", "dst": "Intrahepatic ductal dilatation", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "portal vein", "dst": "Hepatic ducts", "edge_type": "spatial_containment", "weight": 0.87}, {"src": "portal vein"... | intrahepatic bile duct dilatation | ["liver", "portal vein", "Hepatic ducts", "Intrahepatic ductal dilatation", "intrahepatic bile duct dilatation"] | 5 | 6 | 0 | 6 | 1 |
0 | what imaging modality was used? | x-ray | X-ray | Modality: X-ray
[Causal]
clavicles [10, 100, 998, 240]
[Context]
diaphragm [100, 786, 948, 998]
chest wall [380, 0, 600, 998]
[Perception]
lungs [380, 10, 500, 100]
[Unlocalized]
spine
scapulae
aortic arch
[Conclusion]
The presence of bony structures, diaphragm, and lung fields with appropriate contrast and projec... | The presence of bony structures, diaphragm, and lung fields with appropriate contrast and projection confirms the use of a standard chest X-ray, consistent with the provided modality. | 7 | 4 | 1 | 6 | 0.3643 | [
{
"bbox": [
10,
100,
998,
240
],
"bbox_consistency": 0.44,
"clip_score": 0.4279,
"consistency": 1,
"delta_conf": -0.0433,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "clavicles",
"radlex_category": "anatomy",
"radlex_id"... | [{"name": "clavicles", "raw_name": "clavicles", "radlex_id": "RID1350", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [10, 100, 998, 240], "valid": true, "clip_score": 0.4279, "bbox_consistency": 0.44, "layer": "Causal", "delta_conf": -0.0433}, {"name": "diaphragm"... | 0.4848 | true | [{"name": "clavicles", "layer": "Causal", "delta_conf": -0.0433, "bbox": [10, 100, 998, 240], "radlex_id": "RID1350", "clip_score": 0.4279}, {"name": "diaphragm", "layer": "Context", "delta_conf": 0.0425, "bbox": [100, 786, 948, 998], "radlex_id": "RID2049", "clip_score": 0.2929}, {"name": "chest wall", "layer": "Conte... | [{"src": "diaphragm", "dst": "lungs", "edge_type": "causal", "weight": 0.0309}, {"src": "diaphragm", "dst": "chest wall", "edge_type": "causal", "weight": 0.0626}, {"src": "diaphragm", "dst": "clavicles", "edge_type": "causal", "weight": 0.0858}, {"src": "chest wall", "dst": "clavicles", "edge_type": "causal", "weight"... | diaphragm | ["diaphragm", "chest wall", "lungs", "clavicles"] | 4 | 6 | 6 | 1 | 0 |
0 | what type of image is this? | x-ray | X-ray | Modality: X-ray
[Causal]
spine [21, 102, 979, 216]
[Context]
clavicles [100, 766, 926, 998]
[Unlocalized]
lungs
diaphragm
heart
ribs
chest wall
[Conclusion]
This is an x-ray, evidenced by the high-contrast, two-dimensional projection of bony structures including the spine and clavicles, with visible rib shadows and... | This is an x-ray, evidenced by the high-contrast, two-dimensional projection of bony structures including the spine and clavicles, with visible rib shadows and soft tissue outlines typical of radiographic imaging. | 7 | 2 | 2 | 6 | 0.3426 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.61,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "lungs",
"radlex_category": "unverified",
"radlex_id": null,
"raw... | [{"name": "lungs", "raw_name": "lungs", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.61, "layer": "Causal", "delta_conf": null}, {"name": "spine", "raw_name": "spine", "ra... | 0.2964 | true | [{"name": "spine", "layer": "Causal", "delta_conf": -0.0121, "bbox": [21, 102, 979, 216], "radlex_id": "RID4001", "clip_score": 0.3516}, {"name": "clavicles", "layer": "Context", "delta_conf": 0.0319, "bbox": [100, 766, 926, 998], "radlex_id": "RID1350", "clip_score": 0.3336}] | [{"src": "clavicles", "dst": "spine", "edge_type": "causal", "weight": 0.044}] | clavicles | ["clavicles", "spine"] | 2 | 1 | 1 | 0 | 0 |
0 | are air fluid levels depicted in this image? | yes | X-ray | Modality: X-ray
[Causal]
air fluid level [105, 250, 885, 545]
[Context]
large bowel [100, 175, 900, 805]
mesenteric fat [350, 575, 650, 785]
abdominal wall [105, 225, 905, 585]
[Perception]
small bowel loop [758, 385, 925, 545]
[Unlocalized]
lumbar spine
dilated bowel loops
[Conclusion]
Air fluid levels are presen... | Air fluid levels are present, indicated by fluid-filled loops of small bowel with air-fluid interfaces, consistent with bowel obstruction or ileus, supported by dilated loops and surrounding mesenteric fat. | 7 | 5 | 2 | 5 | 0.2083 | [
{
"bbox": [
105,
250,
885,
545
],
"bbox_consistency": 0.39,
"clip_score": 0.1626,
"consistency": 1,
"delta_conf": 0.0228,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "air fluid level",
"radlex_category": "unverified",
"r... | [{"name": "air fluid level", "raw_name": "air fluid level", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [105, 250, 885, 545], "valid": true, "clip_score": 0.1626, "bbox_consistency": 0.39, "layer": "Causal", "delta_conf": 0.0228}, {"name": "... | 0.8347 | true | [{"name": "air fluid level", "layer": "Causal", "delta_conf": 0.0228, "bbox": [105, 250, 885, 545], "radlex_id": null, "clip_score": 0.1626}, {"name": "small bowel loop", "layer": "Perception", "delta_conf": 0.0125, "bbox": [758, 385, 925, 545], "radlex_id": null, "clip_score": 0.215}, {"name": "large bowel", "layer": ... | [{"src": "air fluid level", "dst": "small bowel loop", "edge_type": "spatial_containment", "weight": 0.76}, {"src": "large bowel", "dst": "mesenteric fat", "edge_type": "causal", "weight": 0.0716}, {"src": "large bowel", "dst": "abdominal wall", "edge_type": "causal", "weight": 0.1122}, {"src": "large bowel", "dst": "a... | large bowel | ["large bowel", "mesenteric fat", "abdominal wall", "air fluid level", "small bowel loop"] | 5 | 10 | 8 | 3 | 0 |
0 | are there >5 lymph nodes located near the stomach? | yes | CT | Modality: CT
[Causal]
gastric wall [172, 288, 858, 552]
lymphadenopathy near stomach [580, 430, 888, 600]
stomach [104, 337, 900, 870]
lesser curvature of stomach [300, 185, 500, 300]
[Perception]
perigastric fat [187, 228, 809, 785]
[Unlocalized]
retroperitoneum
pathologically enlarged lymph nodes near stomach
[Co... | Multiple enlarged lymph nodes are identified in the perigastric region, with several clearly visible near the lesser curvature, confirming the presence of more than five lymph nodes in proximity to the stomach. | 7 | 5 | 5 | 2 | 0.3212 | [
{
"bbox": [
172,
288,
858,
552
],
"bbox_consistency": 0.64,
"clip_score": 0.3868,
"consistency": 1,
"delta_conf": 0.0075,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "gastric wall",
"radlex_category": "unverified",
"radl... | [{"name": "gastric wall", "raw_name": "gastric wall", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [172, 288, 858, 552], "valid": true, "clip_score": 0.3868, "bbox_consistency": 0.64, "layer": "Causal", "delta_conf": 0.0075}, {"name": "periga... | 0.7453 | true | [{"name": "gastric wall", "layer": "Causal", "delta_conf": 0.0075, "bbox": [172, 288, 858, 552], "radlex_id": null, "clip_score": 0.3868}, {"name": "perigastric fat", "layer": "Perception", "delta_conf": 0.0503, "bbox": [187, 228, 809, 785], "radlex_id": null, "clip_score": 0.3698}, {"name": "lymphadenopathy near stoma... | [{"src": "gastric wall", "dst": "lymphadenopathy near stomach", "edge_type": "spatial_overlap", "weight": 0.17}, {"src": "perigastric fat", "dst": "lymphadenopathy near stomach", "edge_type": "causal", "weight": 0.0426}, {"src": "perigastric fat", "dst": "gastric wall", "edge_type": "causal", "weight": 0.0428}, {"src":... | stomach | ["stomach", "perigastric fat", "gastric wall", "lesser curvature of stomach", "lymphadenopathy near stomach"] | 5 | 8 | 7 | 1 | 0 |
0 | is there an air fluid level present? | yes | X-ray | Modality: X-ray
[Causal]
air fluid level [114, 368, 275, 498]
[Context]
large bowel [350, 565, 650, 725]
[Perception]
small bowel loops [758, 393, 914, 539]
[Unlocalized]
lumbar spine
mesenteric fat
abdominal wall
abdominal cavity
[Conclusion]
Air fluid levels are evident in dilated small bowel loops, consistent w... | Air fluid levels are evident in dilated small bowel loops, consistent with mechanical bowel obstruction, supported by the presence of distended bowel segments and gas patterns in the large bowel. | 7 | 3 | 1 | 4 | 0.1822 | [
{
"bbox": [
114,
368,
275,
498
],
"bbox_consistency": 0.39,
"clip_score": 0.1893,
"consistency": 1,
"delta_conf": -0.0031,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "air fluid level",
"radlex_category": "unverified",
"... | [{"name": "air fluid level", "raw_name": "air fluid level", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [114, 368, 275, 498], "valid": true, "clip_score": 0.1893, "bbox_consistency": 0.39, "layer": "Causal", "delta_conf": -0.0031}, {"name": ... | 0.5555 | true | [{"name": "air fluid level", "layer": "Causal", "delta_conf": -0.0031, "bbox": [114, 368, 275, 498], "radlex_id": null, "clip_score": 0.1893}, {"name": "small bowel loops", "layer": "Perception", "delta_conf": 0.0202, "bbox": [758, 393, 914, 539], "radlex_id": null, "clip_score": 0.16}, {"name": "large bowel", "layer":... | [{"src": "small bowel loops", "dst": "air fluid level", "edge_type": "causal", "weight": 0.0233}, {"src": "large bowel", "dst": "small bowel loops", "edge_type": "causal", "weight": 0.0244}, {"src": "large bowel", "dst": "air fluid level", "edge_type": "causal", "weight": 0.0477}] | large bowel | ["large bowel", "small bowel loops", "air fluid level"] | 3 | 3 | 3 | 0 | 0 |
0 | where is the pathology located? | anterior cerebrum | MRI | Modality: MRI
[Causal]
lateral ventricles [378, 242, 620, 378]
[Context]
cerebral cortex [350, 110, 650, 250]
[Unlocalized]
cerebral hemispheres
corpus callosum
frontal lobe
anterior cerebral artery
anterior cerebrum
[Conclusion]
The enlarged lateral ventricles and cortical atrophy are consistent with anterior cere... | The enlarged lateral ventricles and cortical atrophy are consistent with anterior cerebrum pathology, as these structures are located in the frontal lobes, where ventricular dilation and cortical thinning are most prominent. | 7 | 2 | 2 | 5 | 0.3251 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.53,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0.95,
"name": "cerebral hemispheres",
"radlex_category": "anatomy",
"radlex_id":... | [{"name": "cerebral hemispheres", "raw_name": "cerebral hemisphere", "radlex_id": "RID3001", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 0.95, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.53, "layer": "Causal", "delta_conf": null}, {"name": "... | 0.6343 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": 0.0053, "bbox": [378, 242, 620, 378], "radlex_id": "RID3007", "clip_score": 0.3228}, {"name": "cerebral cortex", "layer": "Context", "delta_conf": 0.007, "bbox": [350, 110, 650, 250], "radlex_id": "RID3037", "clip_score": 0.3274}] | [] | cerebral cortex | ["lateral ventricles", "cerebral cortex"] | 2 | 0 | 0 | 0 | 0 |
0 | which region of the brain is impacted? | anterior surface | MRI | Modality: MRI
[Causal]
brain parenchyma [244, 244, 756, 756]
[Context]
cerebral cortex [348, 258, 650, 576]
corpus callosum [320, 284, 650, 552]
lateral ventricles [352, 140, 648, 312]
[Unlocalized]
frontal lobe
Anterior cerebral artery
basal ganglia
[Conclusion]
Findings of abnormal signal in the cerebral cortex a... | Findings of abnormal signal in the cerebral cortex and brain parenchyma adjacent to the anterior surface, with involvement of the corpus callosum and lateral ventricles, support the conclusion that the anterior surface is the impacted region. | 7 | 4 | 2 | 5 | 0.2825 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.98,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "frontal lobe",
"radlex_category": "anatomy",
"radlex_id": "RID3002",... | [{"name": "frontal lobe", "raw_name": "Frontal lobe", "radlex_id": "RID3002", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.98, "layer": "Causal", "delta_conf": null}, {"name": "cerebral cortex"... | 0.8291 | true | [{"name": "cerebral cortex", "layer": "Context", "delta_conf": -0.0104, "bbox": [348, 258, 650, 576], "radlex_id": "RID3037", "clip_score": 0.245}, {"name": "corpus callosum", "layer": "Context", "delta_conf": -0.0225, "bbox": [320, 284, 650, 552], "radlex_id": "RID3023", "clip_score": 0.3042}, {"name": "lateral ventri... | [{"src": "cerebral cortex", "dst": "corpus callosum", "edge_type": "spatial_containment", "weight": 0.915}, {"src": "lateral ventricles", "dst": "corpus callosum", "edge_type": "causal", "weight": 0.0267}, {"src": "lateral ventricles", "dst": "brain parenchyma", "edge_type": "causal", "weight": 0.027}, {"src": "brain p... | lateral ventricles | ["lateral ventricles", "brain parenchyma", "cerebral cortex", "corpus callosum"] | 4 | 5 | 2 | 4 | 0 |
0 | is there air in the bowel? | yes | CT | Modality: CT
[Causal]
large bowel [258, 258, 900, 614]
Air in bowel [244, 250, 900, 600]
small bowel [185, 248, 857, 708]
[Context]
mesenteric fat [400, 478, 500, 528]
[Perception]
Abdominal cavity [248, 258, 905, 618]
[Unlocalized]
portal vein
Small bowel loops
[Conclusion]
Air is present within the bowel lumen, ... | Air is present within the bowel lumen, confirmed by visualization of gas-filled loops of both large and small bowel, with surrounding mesenteric fat and abdominal cavity providing anatomical context. | 7 | 5 | 4 | 4 | 0.3502 | [
{
"bbox": [
258,
258,
900,
614
],
"bbox_consistency": 0.97,
"clip_score": 0.3836,
"consistency": 1,
"delta_conf": 0.0188,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "large bowel",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "large bowel", "raw_name": "Large bowel", "radlex_id": "RID2027", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [258, 258, 900, 614], "valid": true, "clip_score": 0.3836, "bbox_consistency": 0.97, "layer": "Causal", "delta_conf": 0.0188}, {"name": "Air in... | 0.5828 | true | [{"name": "large bowel", "layer": "Causal", "delta_conf": 0.0188, "bbox": [258, 258, 900, 614], "radlex_id": "RID2027", "clip_score": 0.3836}, {"name": "Air in bowel", "layer": "Causal", "delta_conf": 0.0179, "bbox": [244, 250, 900, 600], "radlex_id": null, "clip_score": 0.3995}, {"name": "small bowel", "layer": "Causa... | [{"src": "large bowel", "dst": "mesenteric fat", "edge_type": "causal", "weight": 0.0203}, {"src": "Air in bowel", "dst": "large bowel", "edge_type": "spatial_containment", "weight": 0.961}, {"src": "Air in bowel", "dst": "mesenteric fat", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "small bowel", "dst"... | Abdominal cavity | ["small bowel", "Abdominal cavity", "Air in bowel", "large bowel", "mesenteric fat"] | 5 | 10 | 3 | 11 | 0 |
0 | is air present in the bowel? | yes | CT | Modality: CT
[Causal]
small bowel [258, 258, 900, 600]
large bowel [189, 253, 878, 745]
Air in bowel [258, 258, 900, 588]
[Context]
mesenteric fat [38, 182, 910, 825]
liver [206, 555, 418, 696]
[Unlocalized]
kidneys
Air in the bowel
[Conclusion]
Air is present in the bowel, evidenced by visible gas within the small... | Air is present in the bowel, evidenced by visible gas within the small and large bowel loops, with associated mesenteric fat stranding, consistent with bowel wall inflammation or ischemia. | 7 | 5 | 4 | 5 | 0.369 | [
{
"bbox": [
258,
258,
900,
600
],
"bbox_consistency": 0.94,
"clip_score": 0.3863,
"consistency": 1,
"delta_conf": 0.042,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "small bowel",
"radlex_category": "anatomy",
"radlex_id... | [{"name": "small bowel", "raw_name": "Small bowel", "radlex_id": "RID2026", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [258, 258, 900, 600], "valid": true, "clip_score": 0.3863, "bbox_consistency": 0.94, "layer": "Causal", "delta_conf": 0.042}, {"name": "large b... | 0.655 | true | [{"name": "small bowel", "layer": "Causal", "delta_conf": 0.042, "bbox": [258, 258, 900, 600], "radlex_id": "RID2026", "clip_score": 0.3863}, {"name": "large bowel", "layer": "Causal", "delta_conf": 0.0216, "bbox": [189, 253, 878, 745], "radlex_id": "RID2027", "clip_score": 0.3365}, {"name": "mesenteric fat", "layer": ... | [{"src": "small bowel", "dst": "liver", "edge_type": "causal", "weight": 0.0349}, {"src": "small bowel", "dst": "Air in bowel", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "large bowel", "dst": "small bowel", "edge_type": "spatial_containment", "weight": 0.966}, {"src": "large bowel", "dst": "liver", "e... | mesenteric fat | ["mesenteric fat", "large bowel", "small bowel", "Air in bowel", "liver"] | 5 | 10 | 7 | 5 | 0 |
0 | what is behind the liver? | ascites | CT | Modality: CT
[Causal]
ascites [111, 103, 897, 853]
liver [100, 100, 900, 850]
[Context]
right kidney [120, 122, 892, 839]
vertebral body [100, 100, 900, 850]
[Perception]
peritoneal cavity [280, 500, 450, 748]
[Unlocalized]
liver capsule
posterior aspect of liver
[Conclusion]
Ascites is identified as fluid in the ... | Ascites is identified as fluid in the peritoneal cavity behind the liver, confirmed by CT showing fluid accumulation surrounding the liver and displacing adjacent structures, consistent with a causal relationship. | 7 | 5 | 4 | 4 | 0.2611 | [
{
"bbox": [
111,
103,
897,
853
],
"bbox_consistency": 0.9,
"clip_score": 0.3557,
"consistency": 1,
"delta_conf": 0.0892,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "ascites",
"radlex_category": "pathology",
"radlex_id": ... | [{"name": "ascites", "raw_name": "ascites", "radlex_id": "RID2109", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [111, 103, 897, 853], "valid": true, "clip_score": 0.3557, "bbox_consistency": 0.9, "layer": "Causal", "delta_conf": 0.0892}, {"name": "liver", "raw_n... | 0.7597 | true | [{"name": "ascites", "layer": "Causal", "delta_conf": 0.0892, "bbox": [111, 103, 897, 853], "radlex_id": "RID2109", "clip_score": 0.3557}, {"name": "liver", "layer": "Causal", "delta_conf": 0.0966, "bbox": [100, 100, 900, 850], "radlex_id": "RID2001", "clip_score": 0.3272}, {"name": "peritoneal cavity", "layer": "Perce... | [{"src": "ascites", "dst": "peritoneal cavity", "edge_type": "causal", "weight": 0.1007}, {"src": "ascites", "dst": "right kidney", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "liver", "dst": "peritoneal cavity", "edge_type": "causal", "weight": 0.1081}, {"src": "liver", "dst": "ascites", "edge_type": "... | liver | ["vertebral body", "liver", "ascites", "right kidney", "peritoneal cavity"] | 5 | 10 | 4 | 12 | 0 |
0 | what finding is associated with liver? | ascites | CT | Modality: CT
[Causal]
ascites [118, 103, 888, 847]
liver [100, 100, 900, 858]
[Context]
abdominal wall [452, 554, 610, 716]
kidneys [100, 100, 900, 850]
[Unlocalized]
peritoneal cavity
spine
liver capsule
[Conclusion]
Ascites is associated with liver pathology, commonly due to portal hypertension from cirrhosis, an... | Ascites is associated with liver pathology, commonly due to portal hypertension from cirrhosis, and is evident in this CT as fluid accumulation in the peritoneal cavity, with the liver appearing abnormal in context. | 7 | 4 | 3 | 5 | 0.2965 | [
{
"bbox": [
118,
103,
888,
847
],
"bbox_consistency": 0.94,
"clip_score": 0.339,
"consistency": 1,
"delta_conf": -0.1542,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "ascites",
"radlex_category": "pathology",
"radlex_id":... | [{"name": "ascites", "raw_name": "ascites", "radlex_id": "RID2109", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [118, 103, 888, 847], "valid": true, "clip_score": 0.339, "bbox_consistency": 0.94, "layer": "Causal", "delta_conf": -0.1542}, {"name": "liver", "raw_... | 0.6024 | true | [{"name": "ascites", "layer": "Causal", "delta_conf": -0.1542, "bbox": [118, 103, 888, 847], "radlex_id": "RID2109", "clip_score": 0.339}, {"name": "liver", "layer": "Causal", "delta_conf": -0.143, "bbox": [100, 100, 900, 858], "radlex_id": "RID2001", "clip_score": 0.2969}, {"name": "abdominal wall", "layer": "Context"... | [{"src": "ascites", "dst": "abdominal wall", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "liver", "dst": "ascites", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "liver", "dst": "abdominal wall", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "liver", "dst": "kidneys", "edge_t... | abdominal wall | ["liver", "ascites", "kidneys", "abdominal wall"] | 4 | 5 | 4 | 8 | 0 |
0 | what imaging plane is depicted here? | axial | MRI | Modality: MRI
[Causal]
lateral ventricles [250, 124, 750, 734]
[Context]
cerebral hemispheres [366, 147, 634, 257]
cerebral cortex [185, 185, 813, 813]
basal ganglia [100, 100, 900, 900]
[Unlocalized]
corpus callosum
brainstem
sulci
[Conclusion]
The depiction of symmetrical lateral ventricles, cerebral hemispheres,... | The depiction of symmetrical lateral ventricles, cerebral hemispheres, and basal ganglia in a transverse orientation with the cerebellum posterior and the frontal lobes anterior confirms an axial imaging plane. | 7 | 4 | 1 | 7 | 0.3316 | [
{
"bbox": [
250,
124,
750,
734
],
"bbox_consistency": 0.45,
"clip_score": 0.3725,
"consistency": 1,
"delta_conf": -0.0164,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"... | [{"name": "lateral ventricles", "raw_name": "Lateral ventricles", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [250, 124, 750, 734], "valid": true, "clip_score": 0.3725, "bbox_consistency": 0.45, "layer": "Causal", "delta_conf": -0.0164}, {... | 0.798 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0164, "bbox": [250, 124, 750, 734], "radlex_id": "RID3007", "clip_score": 0.3725}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": -0.0253, "bbox": [366, 147, 634, 257], "radlex_id": "RID3001", "clip_score": 0.2071}, {"name": "cerebr... | [{"src": "lateral ventricles", "dst": "cerebral hemispheres", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral cortex", "dst": "cerebral hemispheres", "edge_type": "causal", "weight": 0.0221}, {"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 0.9}... | cerebral cortex | ["basal ganglia", "cerebral cortex", "lateral ventricles", "cerebral hemispheres"] | 4 | 6 | 2 | 4 | 0 |
0 | does the gallbladder appear distended? | yes | CT | Modality: CT
[Causal]
gallbladder distention [175, 140, 325, 280]
gallbladder wall [123, 112, 403, 550]
[Context]
liver [450, 180, 525, 238]
portal vein [500, 180, 538, 240]
[Unlocalized]
biliary tree
common bile duct
[Conclusion]
Gallbladder distention is evident with a markedly enlarged gallbladder, wall thickeni... | Gallbladder distention is evident with a markedly enlarged gallbladder, wall thickening, and surrounding pericholecystic fluid, consistent with acute cholecystitis, supported by adjacent liver and portal vein findings. | 6 | 4 | 2 | 3 | 0.3178 | [
{
"bbox": [
175,
140,
325,
280
],
"bbox_consistency": 0.67,
"clip_score": 0.2449,
"consistency": 1,
"delta_conf": -0.0083,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "gallbladder distention",
"radlex_category": "unverified"... | [{"name": "gallbladder distention", "raw_name": "gallbladder distention", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [175, 140, 325, 280], "valid": true, "clip_score": 0.2449, "bbox_consistency": 0.67, "layer": "Causal", "delta_conf": -0.00... | 0.9008 | true | [{"name": "gallbladder distention", "layer": "Causal", "delta_conf": -0.0083, "bbox": [175, 140, 325, 280], "radlex_id": null, "clip_score": 0.2449}, {"name": "gallbladder wall", "layer": "Causal", "delta_conf": -0.0161, "bbox": [123, 112, 403, 550], "radlex_id": null, "clip_score": 0.4551}, {"name": "liver", "layer": ... | [{"src": "gallbladder wall", "dst": "gallbladder distention", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "liver", "dst": "portal vein", "edge_type": "spatial_overlap", "weight": 0.28}] | portal vein | ["gallbladder wall", "liver", "gallbladder distention", "portal vein"] | 4 | 2 | 0 | 2 | 0 |
0 | what is the plane? | axial | MRI | Modality: MRI
[Causal]
lateral ventricles [280, 120, 720, 880]
[Context]
cerebral hemispheres [350, 115, 650, 225]
cerebellum [350, 180, 650, 820]
[Unlocalized]
corpus callosum
brainstem
gyri and sulci
thalamus
[Conclusion]
The axial plane is confirmed by the transverse section through the brain, showing symmetric ... | The axial plane is confirmed by the transverse section through the brain, showing symmetric lateral ventricles and cerebral hemispheres, with the cerebellum visible posteriorly, consistent with standard axial imaging orientation. | 7 | 3 | 1 | 6 | 0.275 | [
{
"bbox": [
280,
120,
720,
880
],
"bbox_consistency": 0.48,
"clip_score": 0.3652,
"consistency": 1,
"delta_conf": 0.0026,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"r... | [{"name": "lateral ventricles", "raw_name": "lateral ventricles", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [280, 120, 720, 880], "valid": true, "clip_score": 0.3652, "bbox_consistency": 0.48, "layer": "Causal", "delta_conf": 0.0026}, {"... | 0.6434 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": 0.0026, "bbox": [280, 120, 720, 880], "radlex_id": "RID3007", "clip_score": 0.3652}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": 0.0092, "bbox": [350, 115, 650, 225], "radlex_id": "RID3001", "clip_score": 0.2101}, {"name": "cerebell... | [{"src": "lateral ventricles", "dst": "cerebral hemispheres", "edge_type": "spatial_containment", "weight": 0.955}, {"src": "lateral ventricles", "dst": "cerebellum", "edge_type": "spatial_containment", "weight": 1.0}] | cerebral hemispheres | ["lateral ventricles", "cerebral hemispheres", "cerebellum"] | 3 | 2 | 0 | 2 | 0 |
0 | is cardiomegaly shown? | yes | X-ray | Modality: X-ray
[Causal]
cardiomegaly [258, 105, 788, 650]
[Context]
heart [144, 108, 858, 842]
mediastinum [100, 640, 998, 998]
lung apex [450, 185, 700, 500]
[Perception]
Cardiothoracic ratio > 0.5 [280, 0, 720, 777]
[Unlocalized]
diaphragm
right ventricle
[Conclusion]
Cardiomegaly is demonstrated by a cardiotho... | Cardiomegaly is demonstrated by a cardiothoracic ratio exceeding 0.5, with an enlarged cardiac silhouette extending beyond the normal limits of the thoracic cavity, confirmed on the chest X-ray. | 7 | 5 | 1 | 6 | 0.3673 | [
{
"bbox": [
258,
105,
788,
650
],
"bbox_consistency": 0.9,
"clip_score": 0.3825,
"consistency": 1,
"delta_conf": 0.0339,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "cardiomegaly",
"radlex_category": "pathology",
"radlex_... | [{"name": "cardiomegaly", "raw_name": "Cardiomegaly", "radlex_id": "RID1405", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [258, 105, 788, 650], "valid": true, "clip_score": 0.3825, "bbox_consistency": 0.9, "layer": "Causal", "delta_conf": 0.0339}, {"name": "hear... | 0.8729 | true | [{"name": "cardiomegaly", "layer": "Causal", "delta_conf": 0.0339, "bbox": [258, 105, 788, 650], "radlex_id": "RID1405", "clip_score": 0.3825}, {"name": "heart", "layer": "Context", "delta_conf": 0.0357, "bbox": [144, 108, 858, 842], "radlex_id": "RID1301", "clip_score": 0.4623}, {"name": "Cardiothoracic ratio > 0.5", ... | [{"src": "cardiomegaly", "dst": "lung apex", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "heart", "dst": "cardiomegaly", "edge_type": "spatial_containment", "weight": 0.994}, {"src": "heart", "dst": "Cardiothoracic ratio > 0.5", "edge_type": "spatial_containment", "weight": 0.861}, {"src": "heart", "dst... | mediastinum | ["heart", "mediastinum", "Cardiothoracic ratio > 0.5", "cardiomegaly", "lung apex"] | 5 | 8 | 1 | 8 | 0 |
0 | is the heart enlarged? | yes | X-ray | Modality: X-ray
[Causal]
cardiomegaly [275, 105, 750, 650]
heart [292, 165, 820, 675]
[Context]
right ventricle [350, 250, 584, 584]
left ventricle [298, 185, 779, 740]
[Perception]
Cardiothoracic ratio > 0.5 [300, 0, 700, 1000]
[Unlocalized]
cardiac silhouette
mediastinum
[Conclusion]
Cardiomegaly is confirmed by... | Cardiomegaly is confirmed by a cardiothoracic ratio exceeding 0.5, indicating an enlarged heart with increased dimensions of both the right and left ventricles. | 7 | 5 | 2 | 6 | 0.363 | [
{
"bbox": [
275,
105,
750,
650
],
"bbox_consistency": 0.77,
"clip_score": 0.3465,
"consistency": 1,
"delta_conf": 0.0304,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "cardiomegaly",
"radlex_category": "pathology",
"radlex... | [{"name": "cardiomegaly", "raw_name": "Cardiomegaly", "radlex_id": "RID1405", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [275, 105, 750, 650], "valid": true, "clip_score": 0.3465, "bbox_consistency": 0.77, "layer": "Causal", "delta_conf": 0.0304}, {"name": "hea... | 0.8666 | true | [{"name": "cardiomegaly", "layer": "Causal", "delta_conf": 0.0304, "bbox": [275, 105, 750, 650], "radlex_id": "RID1405", "clip_score": 0.3465}, {"name": "heart", "layer": "Causal", "delta_conf": 0.0395, "bbox": [292, 165, 820, 675], "radlex_id": "RID1301", "clip_score": 0.4139}, {"name": "right ventricle", "layer": "Co... | [{"src": "cardiomegaly", "dst": "right ventricle", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "heart", "dst": "cardiomegaly", "edge_type": "spatial_containment", "weight": 0.858}, {"src": "heart", "dst": "right ventricle", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "heart", "dst": "lef... | left ventricle | ["Cardiothoracic ratio > 0.5", "heart", "left ventricle", "cardiomegaly", "right ventricle"] | 5 | 10 | 4 | 13 | 0 |
0 | what is the location of the mass? | right kidney | CT | Modality: CT
[Causal]
right kidney [558, 484, 725, 666]
renal mass [418, 544, 558, 675]
[Context]
liver [534, 469, 603, 538]
renal pelvis [444, 500, 544, 644]
abdominal aorta [218, 220, 776, 750]
[Unlocalized]
abdominal cavity
spine
[Conclusion]
The mass is located in the right kidney, as evidenced by its anatomica... | The mass is located in the right kidney, as evidenced by its anatomical position adjacent to the right renal pelvis and within the renal parenchyma, confirmed by CT imaging. | 7 | 5 | 2 | 6 | 0.3084 | [
{
"bbox": [
558,
484,
725,
666
],
"bbox_consistency": 0.29,
"clip_score": 0.3381,
"consistency": 1,
"delta_conf": 0.0418,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "right kidney",
"radlex_category": "anatomy",
"radlex_... | [{"name": "right kidney", "raw_name": "right kidney", "radlex_id": "RID2012", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [558, 484, 725, 666], "valid": true, "clip_score": 0.3381, "bbox_consistency": 0.29, "layer": "Causal", "delta_conf": 0.0418}, {"name": "live... | 0.8734 | true | [{"name": "right kidney", "layer": "Causal", "delta_conf": 0.0418, "bbox": [558, 484, 725, 666], "radlex_id": "RID2012", "clip_score": 0.3381}, {"name": "liver", "layer": "Context", "delta_conf": -0.0033, "bbox": [534, 469, 603, 538], "radlex_id": "RID2001", "clip_score": 0.3076}, {"name": "renal pelvis", "layer": "Con... | [{"src": "right kidney", "dst": "renal mass", "edge_type": "causal", "weight": 0.0237}, {"src": "right kidney", "dst": "liver", "edge_type": "causal", "weight": 0.0451}, {"src": "right kidney", "dst": "renal pelvis", "edge_type": "anatomical", "weight": 1.0}, {"src": "renal pelvis", "dst": "liver", "edge_type": "causal... | abdominal aorta | ["abdominal aorta", "right kidney", "renal mass", "renal pelvis", "liver"] | 5 | 10 | 9 | 1 | 1 |
0 | where is the mass located? | right kidney | CT | Modality: CT
[Causal]
right kidney [552, 500, 718, 675]
renal mass [444, 500, 544, 625]
[Context]
abdominal aorta [188, 228, 548, 737]
liver [444, 350, 650, 500]
vertebral body [418, 550, 558, 675]
[Unlocalized]
pancreas
spine
[Conclusion]
The mass is located in the right kidney, as evidenced by a well-defined lesi... | The mass is located in the right kidney, as evidenced by a well-defined lesion within the renal parenchyma, confirmed by CT imaging, with no involvement of adjacent structures such as the abdominal aorta, liver, or vertebral body. | 7 | 5 | 2 | 7 | 0.314 | [
{
"bbox": [
552,
500,
718,
675
],
"bbox_consistency": 0.4,
"clip_score": 0.3353,
"consistency": 1,
"delta_conf": 0.0498,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "right kidney",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "right kidney", "raw_name": "right kidney", "radlex_id": "RID2012", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [552, 500, 718, 675], "valid": true, "clip_score": 0.3353, "bbox_consistency": 0.4, "layer": "Causal", "delta_conf": 0.0498}, {"name": "renal... | 0.7779 | true | [{"name": "right kidney", "layer": "Causal", "delta_conf": 0.0498, "bbox": [552, 500, 718, 675], "radlex_id": "RID2012", "clip_score": 0.3353}, {"name": "renal mass", "layer": "Causal", "delta_conf": 0.0387, "bbox": [444, 500, 544, 625], "radlex_id": "RID2105", "clip_score": 0.2788}, {"name": "abdominal aorta", "layer"... | [{"src": "right kidney", "dst": "liver", "edge_type": "causal", "weight": 0.0279}, {"src": "right kidney", "dst": "vertebral body", "edge_type": "causal", "weight": 0.03}, {"src": "right kidney", "dst": "renal mass", "edge_type": "anatomical", "weight": 1.0}, {"src": "abdominal aorta", "dst": "right kidney", "edge_type... | abdominal aorta | ["abdominal aorta", "right kidney", "liver", "vertebral body", "renal mass"] | 5 | 8 | 6 | 1 | 1 |
0 | how was this image taken? | with contrast | X-ray | Modality: X-ray
[Causal]
mesenteric vessels [100, 214, 900, 687]
[Context]
kidneys [488, 458, 575, 500]
[Unlocalized]
aortic arch
bowel loops
liver
Contrast material in bowel lumen
portal vein
[Conclusion]
The presence of enhanced mesenteric vessels and clearly delineated kidneys indicates intravenous contrast admi... | The presence of enhanced mesenteric vessels and clearly delineated kidneys indicates intravenous contrast administration, confirming the image was acquired during a contrast-enhanced CT study. | 7 | 2 | 2 | 4 | 0.259 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.5,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_id": "RID1309",
... | [{"name": "aortic arch", "raw_name": "aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.5, "layer": "Causal", "delta_conf": null}, {"name": "mesenteric vessels"... | 0.6952 | true | [{"name": "mesenteric vessels", "layer": "Causal", "delta_conf": 0.0749, "bbox": [100, 214, 900, 687], "radlex_id": null, "clip_score": 0.2492}, {"name": "kidneys", "layer": "Context", "delta_conf": 0.0311, "bbox": [488, 458, 575, 500], "radlex_id": "RID2014", "clip_score": 0.2688}] | [{"src": "mesenteric vessels", "dst": "kidneys", "edge_type": "causal", "weight": 0.0438}] | mesenteric vessels | ["mesenteric vessels", "kidneys"] | 2 | 1 | 1 | 0 | 0 |
0 | what do the hyperintensities likely represent? | hemorrhage | CT | Modality: CT
[Causal]
Hyperintense foci in cerebral white matter [185, 148, 813, 848]
[Context]
cerebral cortex [129, 118, 870, 879]
white matter [250, 156, 748, 842]
subarachnoid space [120, 120, 880, 880]
[Perception]
Ventricular system [118, 118, 880, 880]
[Unlocalized]
brainstem
cerebral hemispheres
[Conclusio... | Hyperintensities in cerebral white matter, cortex, and subarachnoid space on CT are consistent with acute hemorrhage, particularly given their distribution and signal characteristics suggestive of blood products. | 7 | 5 | 1 | 5 | 0.328 | [
{
"bbox": [
185,
148,
813,
848
],
"bbox_consistency": 0.86,
"clip_score": 0.3959,
"consistency": 0.67,
"delta_conf": -0.2841,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Hyperintense foci in cerebral white matter",
"radlex_... | [{"name": "Hyperintense foci in cerebral white matter", "raw_name": "Hyperintense foci in cerebral white matter", "radlex_id": null, "radlex_category": "unverified", "consistency": 0.67, "match_score": 0.0, "is_pathology": false, "bbox": [185, 148, 813, 848], "valid": true, "clip_score": 0.3959, "bbox_consistency": 0.8... | 0.4576 | true | [{"name": "Hyperintense foci in cerebral white matter", "layer": "Causal", "delta_conf": -0.2841, "bbox": [185, 148, 813, 848], "radlex_id": null, "clip_score": 0.3959}, {"name": "cerebral cortex", "layer": "Context", "delta_conf": -0.3091, "bbox": [129, 118, 870, 879], "radlex_id": "RID3037", "clip_score": 0.3621}, {"... | [{"src": "Hyperintense foci in cerebral white matter", "dst": "white matter", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral cortex", "dst": "Hyperintense foci in cerebral white matter", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral cortex", "dst": "white matter", "edge_ty... | white matter | ["Ventricular system", "subarachnoid space", "cerebral cortex", "Hyperintense foci in cerebral white matter", "white matter"] | 5 | 10 | 6 | 14 | 0 |
0 | what are the hyperintensities signaling? | hemorrhage | CT | Modality: CT
[Causal]
cerebral cortex [130, 125, 870, 870]
hyperintensities [175, 144, 823, 854]
[Context]
lateral ventricles [380, 200, 618, 300]
corpus callosum [140, 117, 856, 883]
white matter [173, 146, 825, 853]
[Unlocalized]
subcortical regions
periventricular regions
[Conclusion]
Hyperintensities in the cer... | Hyperintensities in the cerebral cortex, white matter, and periventricular regions on CT suggest hemorrhage, with involvement of the corpus callosum and lateral ventricles indicating extensive intracranial bleeding. | 7 | 5 | 2 | 4 | 0.3399 | [
{
"bbox": [
130,
125,
870,
870
],
"bbox_consistency": 0.68,
"clip_score": 0.3612,
"consistency": 1,
"delta_conf": -0.0971,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cerebral cortex",
"radlex_category": "anatomy",
"rad... | [{"name": "cerebral cortex", "raw_name": "cerebral cortex", "radlex_id": "RID3037", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [130, 125, 870, 870], "valid": true, "clip_score": 0.3612, "bbox_consistency": 0.68, "layer": "Causal", "delta_conf": -0.0971}, {"name"... | 0.6282 | true | [{"name": "cerebral cortex", "layer": "Causal", "delta_conf": -0.0971, "bbox": [130, 125, 870, 870], "radlex_id": "RID3037", "clip_score": 0.3612}, {"name": "lateral ventricles", "layer": "Context", "delta_conf": -0.0503, "bbox": [380, 200, 618, 300], "radlex_id": "RID3007", "clip_score": 0.2965}, {"name": "corpus call... | [{"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "corpus callosum", "dst": "cerebral cortex", "edge_type": "spatial_containment", "weight": 0.968}, {"src": "corpus callosum", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 1.... | lateral ventricles | ["corpus callosum", "white matter", "hyperintensities", "cerebral cortex", "lateral ventricles"] | 5 | 10 | 8 | 12 | 0 |
0 | can you see kidneys in this image | yes | CT | Modality: CT
[Causal]
left kidney [244, 520, 408, 738]
renal cyst [484, 550, 550, 625]
renal mass [602, 190, 850, 500]
[Context]
right kidney [600, 500, 738, 648]
abdominal aorta [256, 180, 377, 317]
[Unlocalized]
liver mass
splenomegaly
[Conclusion]
Yes, both kidneys are visible, with the left kidney showing a ren... | Yes, both kidneys are visible, with the left kidney showing a renal cyst and a renal mass, confirming their presence and highlighting a pathological finding on the left side. | 7 | 5 | 5 | 7 | 0.2855 | [
{
"bbox": [
244,
520,
408,
738
],
"bbox_consistency": 0.82,
"clip_score": 0.3268,
"consistency": 1,
"delta_conf": 0.0145,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "left kidney",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "left kidney", "raw_name": "Left kidney", "radlex_id": "RID2013", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [244, 520, 408, 738], "valid": true, "clip_score": 0.3268, "bbox_consistency": 0.82, "layer": "Causal", "delta_conf": 0.0145}, {"name": "right ... | 0.7914 | true | [{"name": "left kidney", "layer": "Causal", "delta_conf": 0.0145, "bbox": [244, 520, 408, 738], "radlex_id": "RID2013", "clip_score": 0.3268}, {"name": "right kidney", "layer": "Context", "delta_conf": 0.0097, "bbox": [600, 500, 738, 648], "radlex_id": "RID2012", "clip_score": 0.2975}, {"name": "renal cyst", "layer": "... | [{"src": "left kidney", "dst": "renal mass", "edge_type": "anatomical", "weight": 1.0}, {"src": "right kidney", "dst": "renal mass", "edge_type": "anatomical", "weight": 1.0}, {"src": "renal mass", "dst": "renal cyst", "edge_type": "causal", "weight": 0.0286}, {"src": "renal mass", "dst": "abdominal aorta", "edge_type"... | renal mass | ["left kidney", "right kidney", "renal mass", "renal cyst", "abdominal aorta"] | 5 | 4 | 4 | 0 | 2 |
0 | how was this image taken? | with contrast | CT | Modality: CT
[Causal]
Contrast material in bowel lumen [158, 325, 444, 545]
[Perception]
Contrast material in mesenteric vessels [444, 420, 500, 460]
Contrast material in portal vein [344, 500, 500, 600]
Contrast material in hepatic vessels [333, 484, 525, 594]
Contrast material in urinary bladder [158, 308, 838, 598... | Contrast material is evident in the bowel lumen, mesenteric and hepatic vessels, portal vein, and urinary bladder, confirming the study was performed with intravenous and oral contrast administration. | 7 | 5 | 1 | 0 | 0.2744 | [
{
"bbox": [
158,
325,
444,
545
],
"bbox_consistency": 0.55,
"clip_score": 0.3478,
"consistency": 0.33,
"delta_conf": 0.0744,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Contrast material in bowel lumen",
"radlex_category": ... | [{"name": "Contrast material in bowel lumen", "raw_name": "Contrast material in bowel lumen", "radlex_id": null, "radlex_category": "unverified", "consistency": 0.33, "match_score": 0.0, "is_pathology": false, "bbox": [158, 325, 444, 545], "valid": true, "clip_score": 0.3478, "bbox_consistency": 0.55, "layer": "Causal"... | 0.771 | true | [{"name": "Contrast material in bowel lumen", "layer": "Causal", "delta_conf": 0.0744, "bbox": [158, 325, 444, 545], "radlex_id": null, "clip_score": 0.3478}, {"name": "Contrast material in mesenteric vessels", "layer": "Perception", "delta_conf": -0.003, "bbox": [444, 420, 500, 460], "radlex_id": null, "clip_score": 0... | [{"src": "Contrast material in bowel lumen", "dst": "Contrast material in hepatic vessels", "edge_type": "causal", "weight": 0.0321}, {"src": "Contrast material in bowel lumen", "dst": "Contrast material in mesenteric vessels", "edge_type": "causal", "weight": 0.0774}, {"src": "Contrast material in portal vein", "dst":... | Contrast material in urinary bladder | ["Contrast material in urinary bladder", "Contrast material in bowel lumen", "Contrast material in hepatic vessels", "Contrast material in portal vein", "Contrast material in mesenteric vessels"] | 5 | 9 | 9 | 1 | 0 |
0 | is the gallbladder enlarged? | yes | CT | Modality: CT
[Causal]
gallbladder wall [180, 100, 325, 270]
gallbladder distension [450, 200, 525, 250]
[Context]
liver [164, 101, 318, 297]
portal vein [175, 100, 345, 280]
common bile duct [184, 100, 345, 288]
[Unlocalized]
gallbladder distention
biliary tree
[Conclusion]
Gallbladder distension with wall thickeni... | Gallbladder distension with wall thickening and dilated common bile duct suggest obstructive cholangiopathy, confirming gallbladder enlargement secondary to biliary outflow obstruction. | 7 | 5 | 3 | 3 | 0.2939 | [
{
"bbox": [
180,
100,
325,
270
],
"bbox_consistency": 0.46,
"clip_score": 0.357,
"consistency": 1,
"delta_conf": -0.0263,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "gallbladder wall",
"radlex_category": "unverified",
"... | [{"name": "gallbladder wall", "raw_name": "gallbladder wall", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [180, 100, 325, 270], "valid": true, "clip_score": 0.357, "bbox_consistency": 0.46, "layer": "Causal", "delta_conf": -0.0263}, {"name":... | 0.8681 | true | [{"name": "gallbladder wall", "layer": "Causal", "delta_conf": -0.0263, "bbox": [180, 100, 325, 270], "radlex_id": null, "clip_score": 0.357}, {"name": "liver", "layer": "Context", "delta_conf": -0.0123, "bbox": [164, 101, 318, 297], "radlex_id": "RID2001", "clip_score": 0.3403}, {"name": "gallbladder distension", "lay... | [{"src": "liver", "dst": "gallbladder wall", "edge_type": "spatial_containment", "weight": 0.946}, {"src": "gallbladder distension", "dst": "gallbladder wall", "edge_type": "causal", "weight": 0.0247}, {"src": "portal vein", "dst": "gallbladder wall", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "portal ... | gallbladder distension | ["gallbladder distension", "portal vein", "common bile duct", "liver", "gallbladder wall"] | 5 | 7 | 1 | 12 | 0 |
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