diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1016_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1016_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a6546ea6e3bdb5b73f300992912b9af075daffd1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1016_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a woman in her thirties who took acetaminophen after contracting COVID-19. After 3 d of fever relief, she experienced high fever and presented with SJS/TEN symptoms, accompanied by intrahepatic cholestasis. Three days of corticosteroid treatment did not alleviate the skin damage; therefore, double plasma molecular adsorption system (DPMAS) therapy was initiated, with treatment intervals of 48 h. Her skin symptoms improved gradually and were resolved after seven DPMAS treatments.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1025_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1025_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e2d1316861525d4dcf030306698f5b65a3c20104
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1025_en_sum.txt
@@ -0,0 +1 @@
+A 34-year-old woman, (gravida 2, para 1) suffering from lower abdominal pain and slight vaginal bleeding was transferred to our hospital. A transabdominal ultrasound and magnetic resonance imaging were performed. The diagnosis of primary abdominal pregnancy was confirmed according to Studdiford's criteria. A laparatomy was carried out. The placenta was attached to the mesentery of sigmoid colon and to the left abdominal sidewall. The placenta was dissected away completely and safely. No postoperative complications were observed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1036_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1036_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..157a4fe3dc54381cea75a50ae06b217dec867344
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1036_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 46-year-old male who presented with the chief complaints of nasal bleeding and nasal obstruction since 4 months. Radiological imaging was suggestive of a large heterogeneous mass in the left superior nasal cavity with extensions into bilateral maxillary, ethmoidal, and sphenoidal sinuses, as well as into the anterior cranial fossa. Bifrontal osteoplastic craniotomy and excision of the intracranial part of the tumor from above and transnasal endoscopic removal of the mass in the nasal cavities and paranasal sinuses from below was done. Postoperative radiological imaging was suggestive of gross complete excision of the mass. Histopathological diagnosis was "mixed olfactory neuroblastoma-carcinoma (squamous and glandular differentiation) Hyams grade IV." On immunohistochemistry, the tumor cells were positive for neuron specific enolase (NSE), synaptophysin, chromogranin, and CD56 and peripherally for S100. Because of personal reasons, the patient did not take adjuvant radiotherapy. He presented again after 2 months with a full blown recurrence of esthesioneuroblastoma with similar extensions as before. The patient is now planned for salvage surgery followed by adjuvant chemoradiation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1043_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1043_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f436b7dc7745eb45798a36fb5e491b7710e7896d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1043_en_sum.txt
@@ -0,0 +1 @@
+A 73-year-old Caucasian woman presented with a 2-week history of fever and profound fatigue. The only other symptom she endorsed was a transient history of left knee pain, initially thought to be unrelated. There was no clear cause on initial examination and routine investigations, but her C-reactive protein was significantly elevated at 207 mg/L. Blood cultures and a urine culture were drawn. She was admitted to hospital for further investigation and placed on empiric antibiotics. Her blood cultures were negative, but she had one further fever in hospital. Computed tomography scans did not yield a cause of her fever. No vegetations were seen on echocardiography. Antibiotics were stopped as she did not seem to have an acute infectious cause of her fever. No new symptoms developed. She felt well enough to proceed with out-patient follow up and was discharged after 8 days in hospital. At 1-month post-discharge: no resolution of symptoms, but she endorsed a recurrence of her left knee pain. Ultrasound and magnetic resonance imaging revealed a 4.5 × 6.8 × 11.6 cm soft tissue mass, identified as a sarcoma on biopsy. She subsequently underwent a distal femur resection. Final staging was pT2bN0M0. She underwent adjuvant radiation therapy, but was found to have developed metastatic disease.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1044_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1044_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a47e4a725fdfe173c7f76243bd666eb9f546ec90
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1044_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 37-year-old male who first experienced weakness in the distal muscles of his hand, which eventually spread to the lower limbs and proximal muscles. Serum creatine kinase levels were moderately elevated. Obvious neuropathic changes in the electromyographic exam and edema changes in lower distal limb magnetic resonance imaging were observed. Histopathological examination revealed the presence of abnormal protein aggregates and angular atrophy in some muscle fibers. Ultrastructural analysis showed inordinate myofibrillar structures and dissolved myofilaments. DNA sequencing analysis detected a heterozygous missense mutation (c.7123G > A, p.V2375I) in the immunoglobulin (Ig)-like domain 21 of FLNC.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1085_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1085_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..72b0c2762285b7bb150a2528d9529443e436cbb2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1085_en_sum.txt
@@ -0,0 +1 @@
+This is the case report of a 43-year-old primiparous black woman from a rural area, who was admitted to the surgical emergency department for acute intestinal obstruction. At examination on admittance, our patient had a bad general condition with clinical anemia. She had an occlusive syndrome that had been evolving for 3 days. A physical examination of her abdomen showed a widespread distension with an irregular and polylobed solid mass occupying the whole of the lower-umbilical and hypogastric area. A rectal examination found an empty rectum, and the mass was perceptible in Douglas's pouch. At the vaginal examination, we found the same mass and a finger holster was clean. The diagnosis of intestinal occlusion by a tumor was retained. The laparotomy revealed a distended intestine, a ruptured right tubal ectopic pregnancy and a polymyomatous uterus. The most massive previa leiomyoma was adhering and compressing the rectal and sigmoidal hinge. A total hysterectomy was performed and histopathological examination of specimens confirmed myoma and ectopic pregnancy. The surgical follow-up was uneventful, and our patient was discharged on postoperative day 12.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_108_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_108_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d3e69ece08d914ca5938b6a14a7675e941bf649c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_108_en_sum.txt
@@ -0,0 +1 @@
+We describe an asymptomatic 41-year-old man with hypertension in whom aortic dilatation was accidentally discovered 39 years after TOF repair. He underwent ambulatory follow-up without any difficulty for 21 years after the repair. Contrast-enhanced computed tomography revealed significant aortic dilatation (maximum diameter of 88 mm at the sinus of Valsalva), and echocardiography revealed severe aortic regurgitation, which seemed to progress during the last 18 years without any evaluation or follow-up. The Bentall procedure was successfully performed using a valved graft, under deep hypothermic circulatory arrest with antegrade cerebral perfusion, and his postoperative course was uneventful. Histopathological examination of ascending aorta specimens revealed severe cystic medial degeneration.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1093_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1093_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4bc18c8b0cf051f721467134968cc13e668eb8c3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1093_en_sum.txt
@@ -0,0 +1 @@
+Our patient, a 53-year-old Caucasian woman, non-smoker, presented with progressive pain and blackening of the distal right third finger over the preceding five weeks. No sclerodactyly was evident. She was anticentromere antibody positive at greater than 100 U/mL. Angiography revealed diffuse distal vasculopathy in both upper extremities. Other investigations were unremarkable.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1116_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1116_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16880e99f8fea1378f3b66dec7e1872fe7636368
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1116_en_sum.txt
@@ -0,0 +1 @@
+A 91-year-old woman presented to our institution with ST-segment elevation myocardial infarction (STEMI). The right radial access was chosen for the performance of percutaneous coronary intervention. After the introduction of 6 F sheath, there was difficulty in the advancement of 0.035 J wire that was exchanged with a Terumo hydrophilic wire. After the procedure and before sheath removal, radial arteriography was done and revealed perforation. Protamine sulfate was administered and prolonged balloon inflation was attempted but failed to seal the perforation, so a 7-F-long vascular sheath was inserted to internally tamponade the vessel, and the patient was sent to the coronary care unit for monitoring. Over the next 3 days, serial radial angiographies were done revealing the persistence of the perforation, and on the fourth day, angiography revealed multiple thrombi. Thrombus aspiration was done using Pronto V4 extraction catheter (Vascular Solutions, USA) and was followed by the deployment of a covered stent. The stent was dislodged and successfully snared. Finally, the perforation was sealed spontaneously and there were no signs of intra-arterial thrombi.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1120_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1120_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5aae5bf75e7de2824df0e34389955025eca46952
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1120_en_sum.txt
@@ -0,0 +1 @@
+In this case, a 44-year-old male famer with pulmonary tuberculosis and a history of working in coal transportation was admitted to the hospital because of respiratory symptoms accompanied by fever, headache, and skin rashes on his body. Biochemical and urinalysis revealed the hepatic and renal injury. The subsequent molecular testing confirmed he suffered from HFRS and scrub typhus simultaneously that the serological and clinical diagnosis could not identify the cause of infection before. Such case has not been reported in Yunnan Province before.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1122_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1122_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8c8516b49628fc8676ca044a1eb2ddf48b4932af
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1122_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 40-year-old female with postpartum HLH. The patient attended the postpartum care center for 3 wk after giving birth and underwent needle aspiration due to thyroid gland enlargement 11 d before an emergency department visit precipitated by fever and abdominal pain. Since no abnormal emergency room findings were noted, the patient was discharged with a prescription for broad-spectrum antibiotics. Three days later, she returned to the emergency room in a hemodynamically unstable state and was admitted to the intensive care unit with suspected sepsis or hematologic disease. The patient was treated, without effect, for sepsis using broad-spectrum antibiotics, and for suspected hematologic disease with steroid therapy. However, she died due to rapidly worsening symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1129_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1129_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6aff99dd457e40bd02b6d608026bae5371980f08
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1129_en_sum.txt
@@ -0,0 +1 @@
+On her return to the USA, a traveller to Colombia, South America developed an illness consistent with Zika, Chikungunya and/or Dengue. RT-PCR of her samples was positive only for ZIKV. However, arthralgias persisted for months, raising concerns about co-infection with CHIKV or Mayaro viruses. Cell cultures inoculated with her original clinical samples demonstrated two types of cytopathic effects, and both ZIKV and CHIKV were identified in the supernatants. On phylogenetic analyses, both viruses were found to be related to strains found in Colombia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_112_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_112_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff5efb4c0d55a228028cfd71f10c779c4e8b06db
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_112_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 55-year-old woman with a transglottic squamous cell carcinoma of the T3N0M0 stage and PCF development following total laryngectomy surgery with total thyroidectomy and bilateral elective cervical lymph node dissection level I-IV. In spite of conservative treatment, the fistula was not recovered after 3 weeks. It was decided to perform fibrin glue injection into the fistula tract via the endoscopic approach. One month after the fibrin glue injection, no evidence of contrast extravasation was observed on barium swallow test, and the fistula was completely closed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1134_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1134_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9c1303472ac0cd693eca77e231ab3d3e299a9cb3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1134_en_sum.txt
@@ -0,0 +1 @@
+We report on 2 female siblings (aged 74 and 76 years) presenting with gradual progression of rotational vertigo, gait ataxia and vertical diplopia, continuously progressing for 6 months and 6 years, respectively. Autoimmune laboratory examinations showed remarkably increased serum and CSF GAD-ab levels. Their medical histories revealed late-onset type 1 diabetes mellitus (T1DM) and other concomitant autoimmune disorders (Grave's disease, Hashimoto's thyroiditis). Cerebral MRI and laboratory examinations were unremarkable. The diagnosis of GAD-ab-associated cerebellar ataxia with particular brainstem involvement was established in both women. After the exclusion of an underlying malignancy, immunosuppressive therapy has been initiated in both patients, which resulted in stabilization in one and in clinical improvement in the other patient.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1138_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1138_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7fb0fdc13ce9dd4aecd4f93ce82906903dada52f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1138_en_sum.txt
@@ -0,0 +1 @@
+We report on a clinical case of a 3-months-old baby girl of non-consanguineous parents. Multiple long bone swellings were the motive of referral to our department for clinical evaluation. Radiographic documentation was consistent with infantile cortical hyperostosis (Caffey disease). Interestingly, skull base sclerosis associated with excessive thickening was the most unusual malformation. We report a baby with mixed endochondral and intramembraneous ossification defects.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1166_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1166_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f5655a2543e458920af449577c68af54441d33bd
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1166_en_sum.txt
@@ -0,0 +1 @@
+We report herein the case of a boy with Down syndrome and moyamoya syndrome. Exome sequencing identified a heterozygous RNF213 R4810K variant. After ischemic stroke occurred at 9 years old, indirect surgical revascularization was performed for the left cerebral hemisphere and improved ischemic symptoms and cerebral hypoperfusion, while the left choroidal anastomosis remained. At 13 years old, he presented with left thalamic hemorrhage attributed to the anterior choroidal artery, with rebleeding observed four days after the initial hemorrhage under strict blood pressure control. The patient was discharged without neurological deficits 20 days after the hemorrhagic stroke.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1190_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1190_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..983861386d5400277c5fc677056182cc72bd8e5d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1190_en_sum.txt
@@ -0,0 +1 @@
+The present family has two affected males (aged 6.5 and 17 years) with unsteady gait apparent since learning to walk at 2.5 and 3 years, respectively. The younger patient showed gait ataxia and normal reflexes. The older patient had saccadic eye movement, dysarthria, mild upper and lower limb and gait ataxia (on tandem walking), and enhanced reflexes in the lower limbs. Cognitive abilities were mildly impaired in the younger sibling (IQ 67) and borderline in the older patient (IQ 72). Nerve conduction studies were normal in both patients. MRI was normal at 2.5 years in the younger sibling. Brain MRI showed normal cerebellar volume and folia in the older sibling at the age of 6 years, and revealed minimal superior vermian atrophy at the age of 16 years. Autozygome and exome analysis showed both affected have previously reported homoallelic mutation in RUBCN (NM_014687:exon18:c.2624delC:p.A875fs), whereas the parents are carriers. Autozygosity mapping focused on smallest haplotype on chromosome 3 and mutation age analysis revealed the mutation occurred approximately 1550 years ago spanning about 62 generations.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_119_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_119_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e4346ed6ada4526c47e66ed378585fec95f1399b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_119_en_sum.txt
@@ -0,0 +1 @@
+A 64-year-old man was referred to our hospital with lumbar back pain and an elevated serum PSA level of 2036 ng/mL. Computed tomography, bone scintigraphy, and magnetic resonance imaging showed systemic lymph node and osteoblastic bone metastases. Digital rectal examination revealed a small, soft prostate without nodules. Ten-core transrectal prostate biopsy yielded negative results. Androgen deprivation therapy (ADT) was started because of the patient's severe symptoms. Twelve-core repeat transrectal prostate biopsy performed 2 months later, and transurethral resection biopsy performed 5 months later, both yielded negative results. The patient refused further cancer screening because ADT effectively relieved his symptoms. His PSA level initially decreased to 4.8 ng/mL, but he developed castration-resistant prostate cancer 7 months after starting ADT. He died 21 months after the initial prostate biopsy from disseminated intravascular coagulation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1235_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1235_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ca98505b4035fe307b143604b0fb378f84cde0bb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1235_en_sum.txt
@@ -0,0 +1 @@
+In this case, we report a prepubertal Caucasian obese girl admitted for two episodes of combined HHS/DKA in order to elucidate her clinical course taking into account the current pediatric recommendations based on adult guidelines for HHS.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_124_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_124_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4c1a787398c43e3e55db448fb4891e9b005d74e1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_124_en_sum.txt
@@ -0,0 +1 @@
+A treatment plan study was performed based on a 4D cardiac-gated computed tomography scan of a 55 year-old male patient suffering from refractory ventricular tachycardia who underwent cardiac radioablation. A proton therapy treatment plan was generated for the actual treatment target in presence of an ultrasound probe on the chest of this patient. The clinical acceptability of the generated plan was confirmed by evaluating standard target dose-volume metrics, dose to organs-at-risk and target dose conformity and homogeneity.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1251_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1251_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..66d540d322651263da58a1412f0e05dd19359bdb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1251_en_sum.txt
@@ -0,0 +1 @@
+A 67-year-old man with a near-fatal asthma attack deteriorated under non-invasive ventilation conditions. Beside pharmacological treatment, the intensivists decided to use an extracorporeal carbon dioxide removal system (ECCO2R) to avoid sedation and intubation. Within only a few hours, there was a breakthrough and the patient's status improved continuously. One and a half days later, weaning from ECCO2R was already completed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_125_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_125_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0be270ef0a27395ea788dfdf86ad5fbb1fdd7130
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_125_en_sum.txt
@@ -0,0 +1 @@
+A 25-year old female with infertility was diagnosed with an isolated left ovarian tumor in a context of PMP. Histological examination revealed an ovarian teratoma containing an appendiceal-like structure with mucocele and LAMN, without any associated lesion of the appendix on full histological analysis. Molecular characterization of the ovarian lesion showed co-KRAS and GNAS mutations, as described in PMP of appendiceal origin, while only KRAS mutations are reported in primitive ovarian mucinous tumor.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1265_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1265_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..497aa5da6f609f694e3468a27a9ef942a402bb05
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1265_en_sum.txt
@@ -0,0 +1 @@
+Here, we report on the case of an 81-year-old woman with recurrent metastatic squamous cell carcinoma of the lung with mediastinal tumor bulk, lymph node and bone metastases. The patient refused to undergo systemic treatment, and palliative stereotactic radiotherapy of the mediastinal tumor was performed. At restaging with FDG-PET/CT, the patient presented with a decrease in size and FDG-avidity both of the irradiated site and of the lymph node and bone metastases (which did not receive radiotherapy). At 25 months after radiotherapy, the patient is still in remission at all sites.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1270_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1270_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1a65be0fe7200a5acd04c51d51d8e4ed1bc38819
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1270_en_sum.txt
@@ -0,0 +1 @@
+We report a rare case of nephrotic syndrome due to membranous nephropathy in a patient with celiac disease. A 77-years-old male patient presented with uncontrolled hypertension, anemia and acute renal failure. He was diagnosed with celiac disease and membranous nephropathy confirmed by small bowel and renal biopsy. Patient was treated with gluten free diet and immuno-suppressive therapy; however, he died within 2 to 3 months due to myocardial infarction.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1279_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1279_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c6b99bf267dbd3485f2187df8dc01b5384f34d83
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1279_en_sum.txt
@@ -0,0 +1 @@
+We reported the case of a 43-year-old man with M. hominis and P. aeruginosa co-infection after a traffic accident. The patient developed a fever and severe infection despite postoperative antimicrobial therapies. The blood culture of wound tissues was positive for P. aeruginosa. Meanwhile, culturing of blood and wound samples showed pinpoint-sized colonies on blood agar plates and fried-egg-type colonies on mycoplasma medium, which were identified as M. hominis by matrix-assisted laser desorption ionization time-of-flight mass spectrometry (MALDI-TOF MS) and 16S rRNA sequencing. Based on antibiotic susceptibility and symptoms, ceftazidime-avibactam and moxifloxacin were administered for P. aeruginosa infection. Meanwhile, after the failure of a series of anti-infective agents, M. hominis and P. aeruginosa co-infection was successfully treated with a minocycline-based regimen and polymyxin B.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1287_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1287_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..396d068100560906e211d2090ebed287bc6d3395
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1287_en_sum.txt
@@ -0,0 +1 @@
+A 4-year-old boy with bronchial rupture and traumatic wet lung complicated by cardiac arrest after chest trauma was admitted to an adult ECMO centre. He experienced two cardiac arrests, one before and one during the operation. The total duration of cardiac arrest was 30 min. V-V ECMO was initiated because of severe hypoxia and hypercapnia during the operation. ECMO was performed for 6 days, and mechanical ventilation lasted 11 days. On the 31st day after surgery, he had recovered completely and was discharged without neurological deficit.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1288_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1288_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..878c1d0b31f664a6244c9429192f9c1cb00bbb29
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1288_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old man was referred to our hospital with a diagnosis of advanced right kidney cancer with multiple lung metastases (cT3aN0M1). The size of the primary tumor was so huge that it exceeded 20 cm in diameter, pushing the liver and intestines to the left. After administration of lenvatinib and pembrolizumab combination as first-line treatment, all the metastatic lung lesions disappeared, and the primary lesion shrank significantly. Robot-assisted radical nephrectomy was successfully performed, resulting in complete surgical remission.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1314_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1314_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a43578c37e7e529a7d531f8de61bf66d7e49bb1b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1314_en_sum.txt
@@ -0,0 +1 @@
+We present an unusual long term disease free survival of a 60 year-old man who was diagnosed with SCBC two and a half years ago. He underwent four cycles of cisplatin/etoposide chemotherapy as well as a prophylactic whole-brain radiotherapy followed by a radical cystoprostatectomy and ileal neobladder with extended pelvic lymphadenectomy. Since 33 months the patient is now recurrence-free.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1317_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1317_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..30e44cb8d44934210f727c2b6a7c52c74606e879
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1317_en_sum.txt
@@ -0,0 +1 @@
+A 25-year-old right-handed male complained of unpainful swelling of the dorsal aspect of his right wrist for 3 years. He was at that time diagnosed with synovitis and radiocarpal arthritis. The patient underwent a partial Four-Corner Arthrodesis and Synoviectomy to preserve motor function. Over the next 2 months, his right wrist also developed painful redness, with progressive swelling and stiffness. Rheumatoid arthritis, tuberculosis arthritis, and infectious diseases were ruled out in this case. Magnetic resonance imaging (MRI) indicated that he had Chiari II syringomyelia so the patient was eventually diagnosed with destructive neuropathic arthropathy (syringomyelia). After 2 months of conservative treatment, the patient's right wrist spontaneously and completely fused and the pain disappeared.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_131_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_131_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fa6b5addeba15b38fa91a7c84bf8e42cfdbae6e6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_131_en_sum.txt
@@ -0,0 +1 @@
+We present a unique case of a 59-year-old male patient with acute cholecystitis. After removal of the gallbladder, thorough inspection of the hepatic bed was made and a little bile leak was identified from a duct of Luschka 1 cm away from the gallbladder hilum. We report on the use of endoscopic QuickClip Pro® clips (Olympus Medical Systems Corp., Tokyo, Japan) to avoid further more invasive treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1327_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1327_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a0125a5af9e93b2ec2495c87c8bac7fc9c78512d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1327_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old woman was admitted to the hospital with weakness of the limb for more than 3 d. Additional symptoms included neck pain, progressive numbness in the distal extremities, urinary and fecal retention, and reduced perception of temperature. She was diagnosed with an anti-sulfatide antibody-positive GBS variant and discharged after treatment with methylprednisolone and intravenous human immunoglobulin pulse therapy. Unlike common cases of anti-sulfatide antibody-positive GBS, this patient had atypical clinical symptoms of spinal cord involvement. No similar cases have previously been reported in China.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1342_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1342_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fbcd13fb6af259a2c0d69b1bbbd3814c996c12c1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1342_en_sum.txt
@@ -0,0 +1 @@
+A 25-year-old woman, gravida 1 para 0, was scheduled for an elective cesarean delivery at 39+ 1 weeks of gestation. Sudden high fever and decreased blood pressure occurred a short time after the operation. Ralstonia mannitolilytica was identified in her blood culture 5 days after the operation. Based on the presence of sepsis and septic shock, massive fluid replacement, blood transfusion, vasoactive agents, imipenem/cilastatin and cefoperazone sulbactam sodium were applied. She was discharged after intensive care without complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1346_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1346_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aae2015afb30689d8d00d095008065612eabf665
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1346_en_sum.txt
@@ -0,0 +1 @@
+A 32-year-old Chinese man was diagnosed with ST-segment elevation myocardial infarction (STEMI). Coronary angiography revealed that the distal end of a tortuous left circumflex was completely occluded by a large amount of thrombus. Cutted balloon-directed intracoronary artery retrograde thrombolysis (ICART) with urokinase led to the restoration of coronary blood flow. Because there was no obvious plaque rupture or artery stenosis in the coronary artery, it was only dilated, and no stent was implanted.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1389_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1389_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8b1632d64508cbce6200e0e5067f0f3dea4a738d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1389_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 15-year-old female with normal psychomotor development. She was initially admitted to our neurological intensive care unit with seizures. She received anti-epilepsy treatment, and the seizures disappeared. However, 2 wk later, she developed behavioral problems and speech impairment. Then, she developed severe laryngospasms, which were treated with intubation and a tracheotomy. Antibodies against the NMDAR were detected in the patient's cerebrospinal fluid. Therefore, she was diagnosed with anti-NMDAR encephalitis. In addition, she received intravenously administered immunoglobulins, and methylprednisolone was administered. The patient's symptoms gradually improved, and she was discharged from our hospital. Approximately 9 mo later, the patient could speak sentences, walk independently, and carry out activities of daily living independently. Through our case report, we highlighted laryngospasm as an uncommon presentation in patients with anti-NMDAR encephalitis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1399_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1399_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a1bd6454f706966ff0c7ed756ebdc1048bdcd2b0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1399_en_sum.txt
@@ -0,0 +1 @@
+A 62-year-old female with MFS was referred to our hospital after being diagnosed with severe aortic regurgitation and paroxysmal atrial fibrillation with a history of cerebral thromboembolism. The aortic valve showed severe insufficiency due to cusp prolapse, whereas the aortic root was moderately dilated (42 mm). Echocardiography revealed severe regurgitation with reduced left ventricular ejection function (32%) and massive left ventricular diastolic dimension (88 mm). Moreover, combined aortic valve replacement and left atrial appendage closure was indicated. However, the patient had chest deformity due to severe scoliosis. Thus, conventional full sternotomy or thoracotomy was considered an inappropriate surgical approach. Lower hemisternotomy was selected on the basis of three-dimensional reconstruction imaging of the aorta, left atrial appendage, sternum, and rib. Sternal elevation and rib retraction with the costal arch folded back provided enough surgical field for the combined procedures to be safely conducted. The postoperative course was uneventful, except for predicted prolonged mechanical ventilation with the assistance of intraaortic balloon pumping. Thereafter, the patient has been free from any cardiac and cerebrovascular event.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_13_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_13_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c08fdfd7e1434b298e91193d2ba666617e4ba9d8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_13_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old male patient was admitted to our hospital after a pancreatic cyst was identified by abdominal ultrasonography on a comprehensive medical examination. Endoscopic ultrasound revealed a cystic mass measuring 13 mm in size in the pancreatic head and a low-density mass measuring 16 mm in size in the pancreatic tail, which was partially enhanced on contrast-enhanced ultrasound. Contrast-enhanced computed tomography (CT) revealed a branch duct type intraductal papillary mucinous neoplasm in the pancreatic head and an early enhanced nodule measuring approximately 10 mm in size in the pancreatic tail. Endoscopic ultrasound-guided fine-needle aspiration of the hypervascular tumor was performed. The hypervascular tumor was suspected to be a solid pseudopapillary neoplasm. Laparoscopic spleen-preserving distal pancreatectomy was performed. Histology was identical to hepatocellular carcinoma of the liver. Immunohistochemically, the tumor cells were positive for hepatocyte paraffin 1, and a canalicular pattern was confirmed on the polyclonal carcinoembryonic antigen staining. The patient was diagnosed with a moderately differentiated pancreatic HC. The patient was followed up without adjuvant chemotherapy, and there was no evidence of recurrence at 6 months post-operatively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1431_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1431_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c796aca23b48b6c4bca0bf12e6c59e4502bdddff
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1431_en_sum.txt
@@ -0,0 +1 @@
+The authors report a case of chondroblastoma involving the diaphyseal area of radius in a seven year old female child. She presented with pain and swelling around the left distal third forearm for eight months. Wide excision of tumor was performed and the defect was bridged with avascular fibular auto graft, secured to host bone with k-wires and dynamic compression plate to achieve osteosynthesis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1435_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1435_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9b6b75697099fd4e923b1d4ab666b50250b52eec
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1435_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a fusiform pseudoaneurysm in a 36-year-old female, which arose from a branch of the middle cerebral artery following VP shunt insertion. Parenchymal and intraventricular hemorrhage at the catheter insertion site developed 15 days postoperatively. The VP shunt was removed, and the aneurysmal segment was coagulated and occluded. Use of a limited dural opening during ventricular catheter placement may have been a factor in pseudoaneurysm formation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1453_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1453_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6ca1a27d83914db7d22f99483c0c8e6b25a41846
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1453_en_sum.txt
@@ -0,0 +1 @@
+An 18-year-old girl with type 1 diabetes mellitus presented with galactorrhoea. Apparently galactorrhoea was preceded by seeing the baby, hearing her cries or when remembering her memories. Her menstrual cycles were normal and did not complain of any headache or visual disturbances. She was only on metformin and insulin. Symptoms have rapidly resolved after the newborn was shifted to another location. Examination revealed scanty nipple discharge with gentle pressure. Investigations revealed an elevated serum prolactin of 62.5 ng/mL (2717.4 pmol/L) and fasting plasma glucose of 142 mg/dL (7.9 mmol/L) and HbA1c of 7.6%. Her thyroid function was normal and MRI at the time of galactorrhoea was not available. At 3 months prolactin was normal and MRI revealed only a slight asymmetry of the pituitary without evidence of microadenoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1471_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1471_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..351493be43e4ab9b3eb20bd4d256559bf6a5bf4a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1471_en_sum.txt
@@ -0,0 +1 @@
+A 30-year-old Japanese man was referred to our clinic complaining of painful swelling of the left side of his palate. The swelling was diffuse and his pain increased with palpation of his palate. He had no noteworthy medical or family history, and was not aware of any history of trauma or inflammation in his head or neck area. We administered antibiotics and non-steroidal anti-inflammatory drugs because we suspected that his symptoms were the result of inflammation caused by an infection. However, his symptoms did not change. An incisional biopsy was performed, and histopathologic examination indicated that the lesion was a traumatic neuroma. Under general anesthesia the lesion was resected with a 5-mm margin using an electric scalpel because of the diffuse expansion and indistinct borders of the mass. Some tumor cells were observed within the surgical margins of the resected specimen, but there has been no recurrence of either the pain or mass in the 3 years since the surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1482_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1482_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1d02561610b68928caa5c967a677ff9b238b76f2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1482_en_sum.txt
@@ -0,0 +1 @@
+Our patient was a 48-year-old woman with two previous cervical surgeries with fixation of C4-C5 and C5-C6, the last one in 2003. Two years after surgery, she presented with arthralgia, arthritis, chills, and fluctuating rash. In 2007, she presented with dysphagia, halitosis, and sputum production. She was diagnosed with a pharyngoesophageal diverticulum with a fistula to C6 vertebra and secondary spondylitis. She was taken for open surgery with removal of screws and plates, cricopharyngeal myotomy, and esophageal repair. Streptococcus milleri grew in tissue and osteosynthetic material. She received 4 months of amoxicillin and probenecid and had a complete recovery. Since 1991, 19 similar cases have been reported with one fatality. To our knowledge, this is the first reported case of diverticulum complicated with fistula and secondary spondylitis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_150_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_150_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..baf0e21b6ea82a9a6df500fbe48f219fa72c71c8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_150_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a patient with M-ED and elevated intrabolus pressure (IBP), which did not meet the criteria for esophageal motility disorders according to the Chicago classification. A 71-year-old man presented with gradually worsening dysphagia for two years and was diagnosed as having an 8-cm-long M-ED and multiple small diverticula in lower esophagus. HRM revealed a median integrated relaxation pressure of 14.6 mmHg, a distal latency of 6.4 s, and an average maximum IBP of 35.7 mmHg. He underwent thoracoscopic resection of the M-ED and myotomy, which successfully alleviated the symptoms and reduced the intrabolus pressure to normal levels.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1518_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1518_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..40bb623a128f916031af61e0d1923a34bd668028
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1518_en_sum.txt
@@ -0,0 +1 @@
+A 62-year-old man underwent 25G+ pars plana vitrectomy for proliferative diabetic retinopathy. At the beginning of the operation, we used a trocar with a cannula to perform the sclerotomy. After the trocar was pulled out, the cannula was not seen on the surface of the sclera. Thus the inside and outside of the eye were carefully searched. The broken cannula tip was found in the ciliary body corresponding to the superonasal sclerotomy site and was subsequently removed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1530_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1530_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c6989f982d1340448de6fe990ac7396fb27f260d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1530_en_sum.txt
@@ -0,0 +1 @@
+A 61-year-old man with a history of craniotomy for the left putaminal hemorrhage at the age of 50 fell from a bed, bruised his head, and lost consciousness. Computed tomography of the head showed AISDH of 2.5cm in thickness, which was removed through a parietal parasagittal craniotomy under the microscope. Intraoperatively, the bleeding source was revealed to be a damaged dural branch from ACA to the cerebral falx. There was no rebleeding during his stay in our hospital.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1531_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1531_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..034ae60442440cc8c5cc418a49f70028514a4ea0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1531_en_sum.txt
@@ -0,0 +1 @@
+A 36-year-old African American female with significant medical history of obesity and hypertension presented to the emergency department with headache, altered level of consciousness, fever, and neck stiffness. Previously, the patient was diagnosed with chronic allergic sinusitis by multiple providers. Physical exam findings and laboratory tests were consistent with bacterial meningitis. The patient was admitted and started on appropriate antibiotic therapy. The patient continued to complain of persistent unilateral clear nasal drainage. The initial report from the computerized tomography scan of the sinuses indicated findings consistent with chronic sinusitis. Magnetic resonance imaging of the orbits revealed findings consistent with CSF rhinorrhea. Otolaryngology was consulted for surgical intervention.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_153_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_153_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..696cf815b3e628eb51d46036a4cf31e7868dc5c1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_153_en_sum.txt
@@ -0,0 +1 @@
+A 72-year-old woman with bilateral glaucoma underwent phacoemulsification in the dominant eye (left eye) with implantation of an asymmetrical multifocal IOL. Postoperative uncorrected distance visual acuity (UDVA) was 0.0 logMAR (20/20 Snellen) and uncorrected near visual acuity (UNVA) was 0.1 logMAR (20/25 Snellen). Two weeks later, the patient presented to our clinic with decreased vision due to migration of lens epithelial cells to IOL anterior surface and edema of corneal endothelial cells. Anterior capsule polishing and superotemporal placement of near segment
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1548_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1548_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6157ce71f9358517c5c931c91b96f063d18284f9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1548_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 26-year-old man with a central nervous system (CNS) infection caused by M. houstonense. The patient was transferred to our hospital because of headaches and muscle strength changes. One month prior to presentation at our hospital, the patient was diagnosed with tuberculous meningitis at the other two hospitals, but his condition did not improve after anti-tuberculous treatment, antibiotics, and anti-viral treatment before admission to our hospital. Lumbar puncture was performed at both previous hospitals, as well as at our hospital; the results consistently indicated high cerebrospinal fluid (CSF) opening pressure. M. houstonense was detected in the CSF of the second hospital's lumbar puncture by metagenomic next-generation sequencing (mNGS) but was not identified at our hospital. The patient was discharged from our hospital after receiving non-tuberculous mycobacterium (NTM) treatment for 1 month according to the Chinese NTM guidelines. However, the patient died 20 days after discharge.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1565_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1565_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dca6ad1570e5ee7075e005be25f53ce9a3d1fe86
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1565_en_sum.txt
@@ -0,0 +1 @@
+A 1-year-old Chinese male infant was diagnosed with WAS. WAS gene sequencing identified the mutation c.777 + 1G>A (IVS8). On August 8, 2017, he was admitted to our hospital for HSCT. We selected an unrelated Human leukocyte antigen 6/10-matched donor for UCBT. After HSCT, the immune reconstitution process was atypical, the lymphocytes reached 0.5 × 109/L on day 23, and the neutrophils reached 0.5 × 109/L on day 34. The patient's recovery throughout the year was good.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1576_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1576_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8244b8c0cbf1d6552fd5225c582b10350179b98d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1576_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 25-years old Afghani male presenting with acute pancreatitis due to severe hypertriglyceridemia up to 29.8 mmol/L caused by homozygosity in APOA5 (c.427delC, p.Arg143Alafs*57). A low-fat diet enriched with medium-chain TG (MCT) oil and fibrate therapy did not prevent recurrent relapses, and volanesorsen was initiated. Volanesorsen resulted in almost normalized triglyceride levels. No further relapses of acute pancreatitis occurred. Patient reported an improve life quality due to alleviated chronic abdominal pain and headaches.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1584_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1584_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..762b9401228c7696c4e1c34b678b223ec3b40058
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1584_en_sum.txt
@@ -0,0 +1 @@
+We report a pediatric case of anti-HMGCR myopathy accompanied by skin rash. Motor function and serum creatine kinase level normalized after combinational treatment including early intravenous immunoglobulin, methotrexate, and corticosteroid.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1589_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1589_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1e8ceba360a383ded22c660a4b919a263e40f31e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1589_en_sum.txt
@@ -0,0 +1 @@
+We report a case of using HAL in a postoperative patient with cerebral palsy. A 15-year-old boy was diagnosed with spastic diplegia cerebral palsy Gross Motor Function Classification System level IV, with knee flection contracture, equinus foot, and paralysis of the right upper extremity with adduction contracture. He underwent tendon lengthening of the bilateral hamstrings and Achilles tendons. Although the flexion contractures of the bilateral knees and equinus foot improved, muscle strength decreased after the soft tissue surgery. HAL intervention was performed twice during postoperative months 10 and 11. Walking speed, stride, and cadence were increased after HAL intervention. Post HAL intervention, extension angles of the knee in stance phase and hip in the pre-swing phase were improved. In the gait cycle, the proportion of terminal stance in the stance and swing phase was increased.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1590_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1590_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d2fc748057189bfd3c126751c7a9136699fb4f30
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1590_en_sum.txt
@@ -0,0 +1 @@
+A 35-year-old woman was found to have a few shadows with ground glass opacities on chest computed tomography (CT) in 2012. A shadow in right S10 that was initially very small increased in size over time, and was 14 × 8 mm in 2015. Other shadows also appeared. Because lung adenocarcinoma was suspected, the patient underwent video-assisted thoracoscopic surgery with a right wedge resection of the lower lobe that included the largest nodule in S10 and other nodules. Histopathological examination of the right S10 and other lesions revealed small- or medium-sized lymphocyte-like cells that were located in the alveolar interseptal spaces. The alveolar walls remained intact. Immunohistochemical staining showed that tumor cells were positive for CD20, CD79a, and BCL2 expression. The lesions were diagnosed as extranodal marginal zone B-cell lymphoma of MALT.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1592_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1592_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..17a212bee256944c6f36db1245a87dd688c14db8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1592_en_sum.txt
@@ -0,0 +1 @@
+We report a case of an isolated intracranial RDD in a 53-year-old man. The patient had an episode of generalized seizures. Imaging studies of the brain were compatible with a meningioma en plaque. The mass was exposed by a right frontotemporal craniotomy. The tumor was adhered tightly to the adjacent cerebral cortex and was permeated by pial arteries of the brain surface. The sacrificing of these arteries was inevitable in order to achieve the total removal of the tumor. The patient had incomplete left hemiparesis after the surgery. Brain computed tomography (CT) imaging revealed a postoperative hemorrhage and a low-density lesion in the right frontal lobe. The patient was postoperatively diagnosed with isolated central nervous system RDD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1593_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1593_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..15de67ed84740ac31d2c8a6edfacabfe9064030c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1593_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a six-year-old girl who was diagnosed with pericarditis and a fistula between the pericardial and the intra-luminal space of the left ventricle of the heart. She was successfully treated with antibiotics and cardio-thoracic surgery. We found 23 published cases (21 with follow-up) of infectious pseudo-aneurysm of the heart, of which 19 underwent surgery, 5 had fatal outcome, and 2 who refused surgery survived. The majority of cases were associated with Staphylococcus aureus. The exact mechanisms of this rare complication remain unknown.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1606_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1606_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae45410f4a6491e39b802cbeedaced1ea969d99c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1606_en_sum.txt
@@ -0,0 +1 @@
+A 7-year-old boy was referred for short stature and proved to be partially growth-hormone deficient. Magnetic resonance imaging (MRI) revealed a lipoma in the paramedian hypothalamus. Growth hormone treatment resulted in swift and uncomplicated catch-up growth.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1608_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1608_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e6d34090e479f83821ef077bb4db428233a54254
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1608_en_sum.txt
@@ -0,0 +1 @@
+A 62-year-old woman was confirmed with a small liver nodule in the left lobe 2 years after a sustained virological response of hepatitis C virus. The size of the nodule was 11.9 × 6.1 mm, and 6 months later, the size increased to 12.5 × 7.8 mm. The doubling time of this tumor was 285 days. The tumor revealed peripheral early enhancement and delayed internal staining in dynamic computed tomography images and marked high intensity in diffusion-weighted magnetic resonance imaging scans. These imaging findings resembled those of cholangiocellular carcinoma (CCC). The tumor was removed by laparoscopic lateral sectionectomy. Pathological findings revealed that the tumor was composed of small cuboidal cells and showed irregular anastomosis small grand. Immunohistochemical findings showed that the tumor cells were negative for Hep-par 1 and positive for cytokeratin 19. Epithelial membrane antigen staining was positive for the membranous side of the lumen. According to these pathological findings, the tumor was diagnosed as CoCC.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1610_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1610_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..111250f4a6a037f4f4d933e9b6a5aad2755cefc5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1610_en_sum.txt
@@ -0,0 +1 @@
+This is a 20-year-old female with past medical history significant for sickle cell anemia, cardiomyopathy secondary to a ventricular septal defect and multiple occurrences of osteomyelitis who underwent gracilis free flap transfer to reconstruct soft tissue loss around the ankle after surgical fixation of a left pathological tibia fracture.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1626_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1626_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..489d6b730048d1af74dcf09a6601b922f2ed1b7b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1626_en_sum.txt
@@ -0,0 +1 @@
+A 64-years-old postmenopausal woman with pain, abdominal distension, and an altered intestinal transit and with partially platinum-sensitive recurrent ovarian cancer, was successfully treated with a second line of trabectedin chemotherapy in combination with PLD, followed by trabectedin in monotherapy. This case proves the effectiveness of the combination of trabectedin and PLD and demonstrates how the administration of trabectedin, even in monotherapy, allows to maintain an adequate clinical response with good tolerance to the treatment during more than two years of drug administration.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1661_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1661_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b73dafe9523ef3a61f1ac08556b1826c119a4e5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1661_en_sum.txt
@@ -0,0 +1 @@
+A four-year-old female patient presented to the emergency department with an epinephrine auto-injector that had unintentionally discharged into her mandible. There was difficulty removing the auto-injector at bedside. Images we acquired noted needle curvature not present in an off-the-shelf model. She was sedated, and the auto-injector was removed by retracing the angle of discharge, with care taken not to inject epinephrine into the patient.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1686_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1686_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..70d33dc057084d6cb1a088eea23b1c1283c2130d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1686_en_sum.txt
@@ -0,0 +1 @@
+A healthy, nonimmunocompromised 43-year-old female presented with bilateral lower extremity radiculopathy. She underwent a fluoroscopically guided percutaneous ozone treatment for degenerated disc disease at the L4-L5 level. She was symptom free for 3 months duration. She then presented with severe low back pain, bilateral lower extremity radiculopathy, and spondylodiscitis at the L4-L5 level. This was treated with a L4-L5 transforaminal lumbar interbody fusion. MA was cultured from the epidural purulent material collected during the surgery. The patient was discharged on oral clarithromycin 500 mg twice daily and intravenous amikacin 500 mg twice daily for 6 weeks. The plan was to then continue oral clarithromycin for another 6 weeks till resolution of primary infection.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1696_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1696_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3736a2f52418990bbbf145d3054e0cecc98482cd
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1696_en_sum.txt
@@ -0,0 +1 @@
+A 52-year-old woman, previously diagnosed with schizophrenia, and with no history of movement disorders and no sensory paresthesia, had taken lurasidone, initiate dose 40 mg daily then up titration to 120 mg daily, since March 2021, and developed mandibular sensory (pain) paresthesia after 3 mo of administration. After switching from lurasidone to quetiapine, she reported obvious impr-ovement in her mandibular pain.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1708_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1708_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e93b78f474fd3e5fe7ecea3e8a8c124b73c6c6e0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1708_en_sum.txt
@@ -0,0 +1 @@
+A 20-year-old man found to have a large brain mass with midline shift underwent resection. He was diagnosed with "GBM" and treated with radiation and temozolomide with subsequent disease recurrence. Review of histology showed malignant PXA with BRAF V600E mutation. Treatment with Dabrafenib and Trametinib was started, and tumor size increased in size after 14 months of treatment. Given studies showing that resistance to BRAF inhibition can be overcome by autophagy inhibition, chloroquine was added. Patient has been on "triple" therapy for 15 months and has radiographically Stable Disease. At MCC, 3% of patients with gliomas have BRAF mutations who could potentially benefit from this combination therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1712_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1712_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..459dc7bab6dc765996b4c935878bdc964c214fe2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1712_en_sum.txt
@@ -0,0 +1 @@
+An 81-year-old woman presented with a large swelling on the parietal scalp 12 years after resection of spiradenoma from the same site. The tumor showed intracranial invasion with involvement of the superior sagittal sinus and repeated recurrences after four surgeries with preservation of the sinus. The histopathological diagnosis was eccrine SC. Adjuvant high-precision external beam radiotherapy (EBRT) proved effective after the third surgery, achieving remission of the residual tumor. The patient died 7 years after the first surgery for SC.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1731_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1731_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..09597dc8a6047d2c94da7a03698a11949584456a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1731_en_sum.txt
@@ -0,0 +1 @@
+A 50-year-old female with well-controlled temporal epilepsy and a 20-year seizure-free period presented to her neurologist with abrupt onset of sudden drop attacks thought to be ictal events with potential underlying ictal bradyarrhythmia and was initially treated with escalation of anticonvulsant therapy. However, her workup was consistent with a diagnosis of cardiac syncope. She subsequently underwent successful insertion of a pacemaker, with no recurrence of her presenting episodes at a 13-month follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1738_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1738_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8df0d559797b2863e99f6bd71af96db5a8917b07
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1738_en_sum.txt
@@ -0,0 +1 @@
+A 40-year-old man presented with 1 week history of left hypochondriac pain associated with abdominal distention. There was no history of preceding trauma or fever. Clinical examination revealed signs of tachycardia, pallor and splenomegaly. He had no evidence of peripheral stigmata of chronic liver disease. In addition, haematological investigation showed anemia with leucocytosis and raised levels of lactate dehydrogenase enzyme. However, peripheral blood film revealed no evidence of any blast or atypical cells. In view of these findings, imaging via ultrasound and computed tomography of the abdomen was performed. The results of these imaging tests showed splenic collections that was suggestive of splenic rupture and hematoma. Patient underwent emergency splenectomy and the histopathological report confirmed the diagnosis as DLBCL.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1741_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1741_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..280f2ecd92de54988e41d341bd42b509e63807a0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1741_en_sum.txt
@@ -0,0 +1 @@
+A 72-year-old male with temporary dysarthria and consciousness disorder was diagnosed to suffer from multiple cerebral infarctions due to Eagle's syndrome. A cerebral blood flow (CBF) study revealed decreased blood flow and a CAS was performed 15 days after admission to preserve antegrade blood flow, resulting in full recovery of the affected CBF.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1751_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1751_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b6c4cc37320ccf5e2d7b391b2ef40927eb97fda8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1751_en_sum.txt
@@ -0,0 +1 @@
+A 43-year-old female with end-stage liver disease underwent LDLT with extended left with caudate lobe graft from her donor who was her 41-year-old brother (graft volume/standard liver volume (GV/SLV), 35.7%; graft to recipient weight ratio (GRWR), 0.67%). During the surgery, splenectomy could not be performed owing to severe peri-splenic adhesions to avoid the ruined bleedings. The splenic artery ligation was not also completely done because it was dorsal to the pancreas and difficult to be approached. Finally, adequate portal vein (PV) inflow was confirmed after portal venous thrombectomy. As having post-transplant optional procedures that are accessible for PV flow modulation, any other procedures for PV modulation during LDLT were not done until the postoperative assessment of the graft function and PV flow for possible postoperative modulation of the portal flow accordingly. Postoperative PV flow kept as high as 30 cm/s. By the end of the 1st week, there was a progressive deterioration of the total bilirubin profile (peak as 19.4 mg/dL) and ascitic fluid amount exceeded 1000 mL/day. Therefore, splenic artery embolization was done effectively and safely on the 10th postoperative day (POD) to reverse early allograft dysfunction as PV flow significantly decreased to keep within 20 cm/s and serum total bilirubin levels gradually declined with decreased amounts of ascites below 500 mL on POD 11 and thereafter. The patient was discharged on POD 28 with good condition.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1760_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1760_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..27332967638685de757900d2a2967fd4cabd64d5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1760_en_sum.txt
@@ -0,0 +1 @@
+A 55-year-old man was admitted to hospital with sudden onset left-sided cheek, arm and hand sensory loss, blurred vision, and worsening headache, with a National Institutes of Health Stroke Scale (NIHSS) score of 3. An acute CT head scan showed no contraindications, and therefore the decision was made to give intravenous thrombolysis. Post-thrombolysis, he showed rapid deterioration with visual disturbances, headache and confusion, and a repeat CT head scan confirmed several areas of intracerebral haemorrhage. No benefit from surgical intervention was expected, and the patient died four days after the first presentation. Neuropathological examination found acute ischemic infarcts of three to five days duration in the basal ganglia, insular cortex and occipital lobe, correlating with the initial clinical symptoms. There were also extensive recent intracerebral haemorrhages most likely secondary to thrombolysis. Furthermore, the histological examination revealed severe cerebral amyloid angiopathy associated with granulomatous inflammatory reaction, consistent with ABRA.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1782_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1782_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b8848053517091511e297149a7de7f73c75ca3dc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1782_en_sum.txt
@@ -0,0 +1 @@
+We report an interesting case of a 38-year-old man with new onset psychosis who was found to have a lacunar infarct of the putamen region in the left basal ganglia on a computed tomography scan of his brain.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1785_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1785_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..96cb23686f96d42df30ea7cfca456e08a250b8d8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1785_en_sum.txt
@@ -0,0 +1 @@
+A 16-year-old male with acute lymphoblastic leukemia (ALL) was admitted to our hospital after an echocardiographic examination revealed a ring-like structure in the right atrium that was still present after 6 months' anticoagulation treatment with aspirin. The boy had had a PICC inserted 2 years previously for chemotherapy; the PICC was intact and successfully removed 18 months after insertion when chemotherapy is finished. Subsequent computer tomography and radiography differentiated right atrial ring-shaped mass with a diameter of approximately 15 mm. Cardiac surgery was performed to remove the mass which was found to be a calcified thrombus.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1799_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1799_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4b0b86b47c12f3a2c8e073735e25784a77f14b93
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1799_en_sum.txt
@@ -0,0 +1 @@
+A 23-year-old-woman received pIOL implantation followed secondary intraocular intervention to lower intraocular pressure. The patient presented with severe pain and decreased visual acuity and was managed with intravitreal and intracameral antibiotic injection with topical applications of fortified antibiotics. Culture of aqueous humor was positive for S. mitis/oralis, which was sensitive to the empiric antibiotic regimen. Clinical features started to improve 5 days after treatment and the pIOL was left in place. The uncorrected distant visual acuity and endothelial cell count were 20/32 and 3143 cells/mm2 four weeks after treatment, respectively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_17_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_17_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b42494c2090fac58922501e19855504280f5642a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_17_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old Caucasian male was referred to our outpatient nephrology clinic with acute kidney injury and proteinuria. He had received three cycles of ipilimumab and nivolumab for recurrent melanoma positive for the BRAF V600E mutation with metastasis to the lungs. Immunotherapy had been discontinued in the setting of severe adverse effects including dermatitis, colitis, and hepatitis. Because of persistent bilateral lung metastases and left pleural metastases, the patient had been initiated on dabrafenib and trametinib until his presentation to our clinic 6 months later. On presentation, his blood pressure was 172/89 mm/Hg and had 2+ edema bilaterally. His creatinine level was 2.4 mg/dL from a previous normal baseline with a urinary protein-to-creatinine ratio of 2 g/g. His urinalysis showed dysmorphic erythrocytes and red blood cell casts. Serologic testing was negative for antineutrophilic cytoplasmic antibodies, proteinase 3 antigen, myeloperoxidase, and anti-glomerular basement membrane antibody. Complement levels were normal. A renal biopsy showed focal crescentic (2 of 15 glomeruli with cellular crescents), proliferative, and sclerosing glomerulonephritis with diffuse linear staining of glomerular capillary loops dominant for IgG (3+), IgA (2+), kappa (2+), and lambda (1+) minimal changes. He was initiated on oral cyclophosphamide and pulse intravenous methylprednisolone followed by oral prednisone for 6 months, which stabilized his renal function until reinitiation of immunotherapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1811_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1811_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..afece37c3c63f18c47e2f268de54a84493ea4e89
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1811_en_sum.txt
@@ -0,0 +1 @@
+This study involved a 62-year-old male who had undergone scleral buckling surgery 40 or more years ago at another hospital for rhegmatogenous retinal detachment, as well as trabeculectomy 20 years ago for primary open-angle glaucoma, in his left eye at the same hospital. However, he recently became aware of blurred vision in that eye. Upon examination, iritis was observed in the anterior portion of his left eye, as well as a great number of pigment cell keratoprecipitates on the posterior surface of the cornea. In the ocular fundus, extensive atrophy of the retinal pigment epithelium and partial hyperpigmentation was observed, accompanied by subretinal strands, yet the retina remained attached. Around the entire peripheral area of the retina we observed a ring-shaped protrusion, but we also saw a shiny, filamentous material in the vitreous cavity that penetrated the sclera and choroid, completely extending from the 4- to 8-o'clock position of the scleral buckle protrusion. To treat the iritis in the patient's left eye, we began to administrate low-concentration steroid eye drops, after which the inflammation disappeared.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_181_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_181_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7296dc3968b99ac955d5915b57418c22cf35b957
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_181_en_sum.txt
@@ -0,0 +1 @@
+35 year old male presented to emergency department with history fall by tripping on a stone (fall on outstretched hand). He complained of pain and difficulty in moving both the shoulders. On clinical examination, patient's both upper limbs were abducted and externally rotated. Bilaterally shoulder contour was lost with flattening. Other classical signs of shoulder dislocation viz, Bryants test, Callway sign, Hamilton's ruler test were positive. Diagnosis was confirmed on X rays. Both shoulders were reduced in emergency operation theater under general anaesthesia by Kocher's method and were immobilised in sling.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1823_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1823_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e5bf6e2ab27a092ce5461ff37dc8a7d1596e276c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1823_en_sum.txt
@@ -0,0 +1 @@
+The present case reports a successful heart transplantation after prolonged donor cardiac arrest (total lowflow time of 95 minutes) due to anaphylactic shock necessitating extracorporeal life support. We further provide an overview of the current evidence and outcomes of heart transplantation in cases of donor cardiac arrest.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1838_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1838_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..572653cbe201d3eeca518ef59abec3571fe9c592
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1838_en_sum.txt
@@ -0,0 +1 @@
+A 29-year-old man underwent a clipping surgery for a ruptured Acom aneurysm with an Acom fenestration and an accessory ACA. By reasons of the complicated Acom structure and a posteriorly-projecting aneurysm, the patient was operated via an interhemispheric approach, which is generally reported to provide the best operative view for all types of Acom aneurysms. However, we could not help applying a clip in the narrow working space and the limited operative view, due to the poor mobilization of Acom complex and the interruption by an accessory ACA.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1912_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1912_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..794cb8e7c9defcdd7aecc21d426228a0baede171
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1912_en_sum.txt
@@ -0,0 +1 @@
+A 22-year-old woman presented with severe allergic conjunctivitis for one and a half year. She failed to respond to conventional topical anti-allergic medications, topical corticosteroid, as well as topical cyclosporine A. Therefore, oral corticosteroids had to be prescribed to control the exacerbation for 1 year. Due to refractory AKC and to avoid long-term corticosteroid use, we referred her to an allergy clinic for considering the role of SCIT. Allergology investigations showed positive skin prick test and strongly elevated serum-specific IgE to Dermatophagoides farinae (Der f) and Dermatophagoides pteronyssinus (Der p). She received a conventional protocol of SCIT using Der f and Der p allergen extracts.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1962_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1962_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..390c77f46e669f97b25fda499577a54809955f8b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1962_en_sum.txt
@@ -0,0 +1 @@
+An 80-year-old woman with triple-negative breast cancer was admitted to our hospital with progressive dyspnea and lower back pain. Breast cancer treatment included mastectomy, neoadjuvant and adjuvant chemotherapy as well as adjuvant radiotherapy, receiving her last cycle of radiotherapy 8 days before death. At admission, D-dimers were strongly elevated and platelets were low. NT-pro-BNP was moderately elevated. A CT scan of the chest did not show pulmonary embolism but revealed interlobular septal thickening, centrilobular consolidation, and distension of the pulmonary arteries. Moreover, new skeletal and most likely lymphatic metastasis was described. Treatment with oxygen and oral glucocorticoids was initiated, assuming radiotherapy-induced pneumonitis. Due to low expression of PD-L1 and her markedly bad performance status, tumor-specific therapy was not possible, and the treatment regimen was changed to best supportive care. The patient died 8 days after admission. Autopsy revealed numerous events consistent with tumor emboli in the pulmonary vessels, suggesting PTTM.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1970_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1970_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f390f02febc75f01e61d489676ce098c6cba024e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1970_en_sum.txt
@@ -0,0 +1 @@
+We report on a case of a 10-year-old Ethiopian boy with hepatitis B infection presenting with paraplegia and incontinence of 10 days' duration. A diagnosis of hepatocellular carcinoma with vertebral metastases was confirmed with serum α-fetoprotein, fine-needle aspirate cytology, and abdominal imaging.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1983_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1983_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7bd5a0bdb1a6e90ab326bb105178a982483717e7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1983_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of 13-year-old boy with aneurysm of left middle cerebral artery, planned for aneurysmal clipping, and previously treated for ruptured aneurysm of right middle cerebral artery. As he was tested and proved allergic to most of the anesthetic drugs, and stable hemodynamic conditions were of most importance during planned neurosurgery, general anesthesia was maintained with etomidate infusion. He was prepared with metilprednisolon, antihistaminic, and ranitidine before the surgery. Cortisol and adrenocorticotropic hormone levels were measured on three consecutive postoperative days. Only cortisol value, in the morning the day after the surgery, was below reference range, with the values back to normal until that evening. He was dismissed from the intensive care unit with Glasgow Coma Score 15.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2004_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2004_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..82d0dee2808048a42399394453439c63c229b50f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2004_en_sum.txt
@@ -0,0 +1 @@
+In this case report we present the unique, as far as the literature is concerned, unprovoked woman's injury to the abdomen by a swordfish. There are only four cases of swordfish attacks on humans in the literature - one resulted to thoracic trauma, two to head trauma and one to knee trauma, one of which was fatal - none of which were unprovoked. Three victims were professional or amateur fishermen whereas in the last reported case the victim was a bather as in our case. Our case is the only case where organic debris of animal's origin remained in the spinal canal after penetrating trauma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2006_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2006_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f0dd088b7c6ed77ae255333b1158291aa503100d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2006_en_sum.txt
@@ -0,0 +1 @@
+The patient's main complaint was mandibular anterior crowding. The treatment plan included expansion of the mandibular arch concurrent with maxillary expansion, using a MARPE appliance in combination with a full-fixed appliance to align and level the crowded mandibular teeth, along with miniscrews as anchorage for the maxillary teeth and for distalization of the molars and premolars. A successful non-extraction orthodontic treatment was accomplished after 28 months, and the occlusion and teeth alignment, as well as facial goals, were resolved in a clinically satisfactory manner.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2017_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2017_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..61192eb9c403212e3e6f35e3c023f09999dc4639
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2017_en_sum.txt
@@ -0,0 +1 @@
+A nine-month-old male infant, was admitted with an 8-day history of watery, non-bloody diarrhea, vomiting and decreased oral intake. Physical exam revealed normal blood pressure, pallor and generalized edema. Laboratory findings were significant for microangiopathic hemolytic anemia, thrombocytopenia and azotemia. Stool studies with Multiplex Qualitative reverse transcriptase PCR were positive for Norovirus GI/G II. His clinical course was unusually severe, complicated by oligoanuria and worsening uremia requiring peritoneal dialysis but with eventual complete recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2033_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2033_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bdc2227e3f358c38c52aac3b5fb2f15095ee7fe5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2033_en_sum.txt
@@ -0,0 +1 @@
+A 66-year-old female presented with persistent pain in the right gluteal region. Physical examination coupled with CT/MRI scans identified a firm mass extending into the right pelvic side via the sciatic foramen. It measured approximately 18.9 cm × 13 cm × 22.8 cm. The tumor was resected via transgluteal approach. Immunohistochemical and microscopic features were consistent with well-differentiated liposarcoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2034_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2034_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff0b51adf05100d71f43d924c93a97bbf3ccb4f1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2034_en_sum.txt
@@ -0,0 +1 @@
+A 38-year-old female suffered from progressive lower abdominal pain, diarrhea and weight loss. Terminal ileal chronic perforation with intra-abdominal abscess, peritoneal space to rectal and vaginal fistulas were noted. The patient received surgical resection of the cecum and terminal ileum, and then vedolizumab treatment. Three months later, she had complete fistula closure, and her body mass index had increased from 13 to 22.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2047_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2047_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..06b192a8ee567fd9dd635b99827ae5d53821b2d6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2047_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of hemorrhagic MS presenting as acute chest pain mimicking myocardial infarction, a presentation which has not yet been described in the literature. Neurologic examination did not reveal any abnormalities. Myocardial infarction was ruled out in the ER, and a chest CT angiogram was ordered for evaluation of PE or aortic dissection which revealed an intradural extramedullary dumbbell-shaped mass extending through the left vertebral foramen at the level of T8. MRI revealed a heterogenous mass that was hyperintense with T2 and hypointense with T1-weighted imaging. The patient underwent an open laminectomy of the left T8 and T9 vertebrae and gross total resection (GTR) of a hemorrhagic black tumor. Microscopic examination showed fascicles and nests of plump spindle cells with variable intracellular melanin. Immunohistochemistry showed the cells to be positive for S100, SOX10, HMB-45, and MART-1, confirming diagnosis of MS. Two months after the operation, the patient was doing well and is free of recurrence.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2049_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2049_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ad31919b5b014c05aad43e3ef7b728408161873e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2049_en_sum.txt
@@ -0,0 +1 @@
+In this report, we describe our experience with a case of off-pump coronary artery bypass (OPCABG) concomitant with the retrieval of a broken guide wire stuck in the brachial artery: a 56-year-old male patient was referred to our hospital because of tri-vessel disease and a broken guide wire stuck in the right brachial artery. He received OPCABG concomitant with the retrieval of the broken guide wire stuck in the brachial artery under general anesthesia. The patient was discharged uneventfully, and 12 months follow-up showed an excellent surgical outcome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2053_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2053_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..596e4de343c7e766774308e25051f785eff80d88
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2053_en_sum.txt
@@ -0,0 +1 @@
+Our patient presented with an episode of decompensated heart failure. Trans-thoracic echocardiography demonstrated excessive trabeculation with inter-trabecular recesses in the left ventricle typical of noncompaction of the left ventricle. The patient's admission was complicated by a cardiac arrest precipitated by ventricular tachycardia for which she subsequently underwent implantation of an automatic implantable cardioverter defibrillator.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2057_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2057_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..45d3d06c1181d24b8a0435f2a924da74282bfac5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2057_en_sum.txt
@@ -0,0 +1 @@
+Herein we present the case of a 30-year-old male who self-inflicted, twice in a six-month-period, intra-urethral liquid paraffin and tied up his penis with a cord in order to achieve both enlargement and elongation. He arrived in our emergency department suffering from suprapubic pain; physical examination revealed a rather unique deformity of the penis. He finally refused any treatment and absconded.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2070_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2070_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1c4e753a8bb4db65e666abd77284ed132bc2bb24
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2070_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 45-year-old Caucasian woman with a uterine fibroid and typical fibroid-related symptoms who came to our department to get treated with fibroid embolization. During the procedure, angiography revealed a partial or segmental duplicated left uterine artery. This exceptionally rare anatomic variant proved to be beneficial for the safety of the embolization in our case; however, it is far more likely that such a variant would be unfavorable in some types of gynecological operative and minimally invasive techniques.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2088_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2088_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bc2f225519631b94406d0198ca7422ff4064d701
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2088_en_sum.txt
@@ -0,0 +1 @@
+A 21-year-old male was referred to our hospital due to pain in his right shoulder. Plain radiograph and MRI showed a solitary well-marginated lytic lesion on the distal third of the clavicle. Together with a clear history and physical exam, the benign bone cyst was suspected and we performed an open biopsy simultaneously with curettage followed by internal fixation using a bone graft. Pathology and immunohistochemistry dismissed our suspicion and confirmed LCH as the main diagnosis. At six months post-surgery, no signs of recurrence were seen on the fixated site nor complained by the patient.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2094_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2094_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..827f15b4ae88e69df3788d91676c2c72098d0548
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2094_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 28-year-old lady of Southern Chinese origin with a known history of Behcet's disease with oral ulcers and ocular findings for which she was on mycophenolate mofetil and adalimumab. She presented with a headache and bilateral disc swelling associated with an intracranial pressure (ICP) of > 40cmH20. There were no structural lesions or cerebral venous thrombosis (CVT) on imaging. Initial lumbar puncture had raised leucocytes and protein. We discuss diagnostic challenges given persistently elevated ICP despite subsequent non-inflammatory cerebrospinal fluid (CSF) profiles and non-response to acetazolamide. She eventually showed a response to immunosuppressant therapy in the form of pulsed methylprednisolone, cyclophosphamide and subsequently subcutaneous tocilizumab, supporting the diagnosis of NBrIHwCVT. Complete normalization of ICP remains challenging. Her disease course was severe, unusual for her ethnicity.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2095_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2095_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..632656fa2bd90083eec0643c861c4c1a940a7a96
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2095_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 74-year-old male with a prior significant history of heart transplantation and on maintenance immunosuppression with tacrolimus. He contracted COVID-19 and was prescribed antiviral therapy with Paxlovid by an outside provider prior to admission. The patient complained of severe headaches, dehydration, and tremors. After eliminating acute intracranial processes with imaging, laboratory investigation revealed a severely elevated tacrolimus level with acute renal injury. The patient was taken off tacrolimus and treated conservatively with intravenous hydration. The symptoms improved, particularly the headaches. He was discharged with instructions to resume his home dosing of tacrolimus and return to clinic in 1 week with a repeat trough level. The subsequent trough level was no longer supra-therapeutic.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2138_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2138_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa4fb4bd799af9d1a29c7b94cd4df1dc2ff2cc9e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2138_en_sum.txt
@@ -0,0 +1 @@
+In this article, we describe a case of a-69-year-old female with a painful mass in her left breast. Based on intraoperative pathology consult, neoplastic tissue mostly floating in mucinous lakes with invasion to surrounding stroma was seen. Immunohistochemistry profile showed positive estrogen and progesterone receptors and negative for HER2.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2193_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2193_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dfa13dfbd59dba1d1fd88a12e1b1396dc444b35f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2193_en_sum.txt
@@ -0,0 +1 @@
+In this case report, we present a 32-year-old Mongoloid woman admitted with progressive headache, impaired consciousness, and right limb weakness, diagnosed with cerebral venous sinus thrombosis caused by hyperthyroidism. A cerebrovascular intervention with local thrombolytic infusion was performed at the site of thrombosis, followed by dilatation with balloon and thrombus aspiration in venous sinus, with partial recanalization observed and anticoagulation given as a next step. After cerebrovascular intervention, the patient's condition improved rapidly and she was discharged with her National Institute of Health Stroke Scale score being decreased from 17 to 2.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_220_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_220_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a84afbb748a017b686cfa9cd890b831404a65f14
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_220_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of a 60-year-old patient who was on oral bisphosphonate therapy for osteoporosis and developed ONJ, AFF, recurrent ONJ, and subsequent mandible fracture with delayed AFF union - this is a very unique and extremely rare case. For the same, she underwent multiple surgeries - sequestrectomy in the mandible, proximal femoral nailing for femur fracture and plate fixation for her jaw. The delayed union needed teriparatide administration. At 1 year follow-up, the patient had a complete radiological union for AFF and on recent follow-up the patient is asymptomatic as regards the femur as well as the jaw. This unique sequence of events has not been described previously.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_221_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_221_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b44fb45b4460d8048fef8e193bb2cd66ed7a0659
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_221_en_sum.txt
@@ -0,0 +1 @@
+We report a case of 65-year-old Moroccan man, presented with macroscopic hematuria, pollakiuria and painful urination. Histological analysis showed a biphasic epithelial and mesenchymal proliferation, with invasion of lamina propria and muscularis, compatible with diagnosis of bladder carcinosarcoma. The patient was treated with cystectomy and adjuvant chemotherapy based on gemcitabin-cisplatin, 18 months after treatment, patient still free of recurrence.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2262_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2262_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..36cf97cb04fb1c121413ec74e96223438c179567
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2262_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old man with hypertension and iliac aortic stent implantation was admitted for unexplained renal failure with signs of nephritic syndrome, congestive heart failure, moderate anemia and livedoid change in the left sole with pain. His past history included chronic brucellosis and he just underwent the recurrence and completed the 6 weeks of antibiotics treatment. He demonstrated positive cytoplasmic/proteinase 3 ANCA, mixed type cryoglobulinemia and decreased C3. The kidney biopsy revealed endocapillary proliferative glomerulonephritis with a small amount of crescent formation. Immunofluorescence staining revealed only C3-positive staining. In accordance with clinical and laboratory findings, post-infective acute glomerulonephritis superimposed with AAV was diagnosed. The patient was treated with corticosteroids and antibiotics and sustained alleviation of renal function and brucellosis was achieved during the course of a 3-month follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2263_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2263_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b8be5e9ef73d4ce637d5a65a91722fe78b246bc2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2263_en_sum.txt
@@ -0,0 +1 @@
+A previously healthy 14-day-old male presented with an uncontrollable bleeding following a circumcision. Physical examination was normal. Investigations showed hemoglobin 15.5 g/dl, platelets 409000, Prothrombin Time 57 seconds, Partial-Thromboplastin-Time 120 seconds. Mixing study corrected the coagulation profile, and the factor assay showed factor V activity of 11%. Genetic testing showed a pathogenic frameshift mutation in the F5 gene p.(P927Lfs*7) causing premature termination after 7 codons thus the diagnosis of Factor V deficiency was made.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2280_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2280_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aeceb6d90f0798cb693751fca161f450eae28213
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2280_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 7-year-old Caucasian girl who presented with abdominal pain, labial swelling, and a large abdominal ecchymosis two weeks after having been diagnosed with Henoch-Schönlein purpura. A computed tomography scan revealed abdominal wall edema extending to the groin, without any intra-abdominal pathology. She was successfully treated with intravenous steroids.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2291_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2291_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16dc84eac1fa56d7c88b096a778a35cfa49a936f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2291_en_sum.txt
@@ -0,0 +1 @@
+This is a case of a 78-year-old male with severe back and leg pain. Advanced imaging demonstrated the destruction of L2-L3 with an extensive fluid collection in the remaining intervertebral space, paravertebral myositis, and multiple abscesses. A decompression of L2 and L3 and a posterior spondylodesis from T12 to L5 was performed. Intraoperative cultures showed P. micra. The postoperative treatment consisted of intravenous penicillin for 2 weeks and subsequent oral clindamycin for 4 weeks. At 1-year follow-up, the patient was in good health and reported only occasional back pain.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2323_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2323_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5a488ec64da53a945d391d8ade0b5e2919b8fdb8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2323_en_sum.txt
@@ -0,0 +1 @@
+We describe a 55-year-old lady who presented to the emergency department with epigastric pain and symptoms of anaemia for one day duration. She was normotensive but tachycardic. Blood investigations revealed haemoglobin level of 6.5 g/dL and serum alpha-fetoprotein of 3136 g/dL. Contrast enhanced computed tomography scan revealed ruptured HCC of segment 2 and 3. She underwent emergency laparoscopic resection of the ruptured HCC. The postoperative recovery was uneventful and she was discharged well on postoperative day 7. Histology confirmed a 10 cm ruptured HCC with 3 mm tumour-free resection margin.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2324_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2324_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d49096887a2723620c0b91d075d530de393518e6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2324_en_sum.txt
@@ -0,0 +1 @@
+A previously healthy 34-year-old Korean female presented with fever, myalgia and severe headache. Brain MRI showed a high T2 signal intensity change and diffuse swelling of the right temporal lobe. Polymerase chain reaction testing of the cerebrospinal fluid confirmed the presence of herpes simplex virus 1. The patient was admitted for close observation and intravenous acyclovir. On hospital day 3, she had a sudden onset of vomiting and severe headache. Brain CT showed frank temporal lobe hemorrhage. Despite aggressive medical treatment, she became increasingly drowsy. Ultimately, she underwent emergency right decompressive craniectomy, expansile duraplasty and intracranial pressure monitor insertion. The patient recovered fully without any neurological deficits or neuropsychological problems. She was discharged after completion of 2 weeks of acyclovir and returned 2 months later for cranioplasty.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2342_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2342_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5798e057e591bfc52adfd5e5fc5c1ffdaf1ad48f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2342_en_sum.txt
@@ -0,0 +1 @@
+We present a challenging case of a young male with combined abdominal and head trauma. Repeated episodes of vomiting dominated on clinical presentation that in the presence of a deep scalp laceration and facial bruising shifted differential diagnosis towards a traumatic brain injury. However, a computed tomography scan of the brain ruled out any intracranial pathology. Finally, a more meticulous investigation with additional imaging studies confirmed the presence of diaphragmatic rupture that justified the clinical symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2356_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2356_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1e19ca7f9c2f12c882ba7950338b8417c128276a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2356_en_sum.txt
@@ -0,0 +1 @@
+A 27-year-old woman underwent extensive resection of the primary tumor and partial lung resection after chemotherapy for left femoral synovial sarcoma and multiple lung metastases 4 years prior. During the follow-up, a 35-mm tumor was noted in the pancreatic tail on abdominal computed tomography (CT), and no other distant metastases were detected via positron emission tomography CT. Laparoscopic distal pancreatectomy was scheduled for pancreatic metastasis of synovial sarcoma. However, before the scheduled pancreatectomy could be conducted, the patient visited the emergency department because of abdominal pain that occurred after consuming a small amount of alcohol, and CT showed ascites with high CT values and leakage of contrast media. She was diagnosed with intra-abdominal hemorrhage due to a ruptured metastatic pancreatic tumor, and an emergency operation was performed. In total, 1500 mL of blood was evacuated from the abdomen, and the bleeding pancreatic tail tumor was resected. Histopathological findings revealed synovial sarcoma metastasis and a ruptured tumor capsule, and tumor cells were observed in the hematoma. After discharge on postoperative day 18, the patient was carefully monitored and confirmed to be in relapse-free survival, without chemotherapy, at 6 months post-surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2364_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2364_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..95a2eb7c5d9539f2211d5d815fb42122a04e80a7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2364_en_sum.txt
@@ -0,0 +1 @@
+Japanese one-month-old infant had only fever and rash on admission (day 1), and he was transferred to the intensive care unit for severe pneumonia on day 2. Although pneumonia improved following intensive care, he was diagnosed with KD on day 14 because of emerging typical clinical manifestations such as fever, bulbar nonexudative conjunctival injection, desquamation of the fingers, and coronary artery aneurysm. KD symptoms improved after three doses of intravenous immunoglobulin plus cyclosporine. However, small coronary aneurysms were present at the time of discharge. In a retrospective analysis, no pathogens were detected by multiplex real-time PCR in samples collected at admission, and the serum cytokine profile demonstrated prominent elevation of IL-6 as well as elevation of neopterin, sTNF-RI, and sTNF-RII, which suggested KD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_236_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_236_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e1b31b45ce21ba477aed3a67bcd90f746f2aef83
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_236_en_sum.txt
@@ -0,0 +1 @@
+We report on a 3 year-old female patient with delayed motor and mental milestones, MIC and facial dysmorphism. She is a child of non-consanguineous parents and no similarly affected family members. CT brain showed abnormal gyral patterns, hypogenesis of corpus callosum and bilateral deep Sylvian fissure. Electroencephalogram showed frontotemporal epileptogenic focus. Her karyotype was revealed as 46,XX,add(1)(q44). Fluorescence in situ hybridization (FISH) using whole chromosome paint (WCP1) and subtelomere 1q revealed that the add segment was not derived from chromosome 1 and there was the deletion of subtelomere 1q. Multiple ligation probe amplification (MLPA) subtelomere kit revealed the deletion of 1q and duplication of 4q. Array CGH demonstrated the 6.5 Mb deletion of 1q and 31 Mb duplication of chromosome 4q.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2378_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2378_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d38031bb651a9884cf50a07449355655005a3f89
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2378_en_sum.txt
@@ -0,0 +1 @@
+A 78-year-old male with a history of PR3-ANCA vasculitis, chronic kidney disease and heart failure with reduced ejection fraction presented to our tertiary care hospital with a two-week history of confusion and non-productive cough. Background immunosuppression with rituximab was completed every six months. The patient was found to have hypercalcemia and new infiltrates and ground glass opacities on cross-sectional imaging. Bronchoscopy was performed that was positive for Pneumocystis jirovecii. He was treated with 21 days of trimethoprim-sulfamethoxazole and prednisone with resolution of symptoms and hypercalcemia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2392_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2392_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..51a7d7835b8ce7a615367b637fb2287ce743249a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2392_en_sum.txt
@@ -0,0 +1 @@
+A 13-year-old female patient presented with mild pain in the maxillary right lateral incisor (#7) for 10-15 d. On examination, the tooth was slightly rotated, with slight tenderness on percussion and grade I mobility but with no caries, pockets or restorations and non-vital pulp (via vitality tests). Radiographic examination revealed unusual configuration of the tooth's root canals, with an enamel-lined invagination extending to the apex, suggesting the possibility of DI Oehler's type IIIB and a periapical radiolucency. Widening the access cavity lingually revealed one distinct buccal orifice and two distinct palatal orifices; under higher magnification of a dental operating microscope (DOM), the mesio-palatal and disto-palatal orifices were observed as connected by a C-shaped groove. The root canals were prepared with hand K-files following a step-back technique, and obturated using a combination technique of lateral condensation and vertical compaction. At the 6-year follow-up, the patient was asymptomatic, and the periapical radiography displayed significant healing around the apical end of the root.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2403_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2403_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..634c0a6723e25ad05b3c8e2b49670535dfdb04ed
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2403_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a patient with a history of multiple diseases and 2 tumor-like lesions with internal lytic areas detected in the fourth right costal arch and in the eighth left costal arc; we describe his clinical manifestations, radiological and laboratory findings as well as the pathological results and outcome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2408_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2408_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..643c4cc0254f166f6fb88d5ef48f6b9eecc55976
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2408_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of E. rhusiopathiae prosthetic joint infection in a woman with a history of exposure to wild animals in the Canadian Arctic. Patient management involved a 1-stage surgical revision exchange with an antibiotic impregnated cement spacer and 6 weeks of intravenous penicillin G followed by 6 weeks of oral amoxicillin. Ten previously reported cases of E. rhusiopathiae joint infection are reviewed. Recent increases in mortality due to infection with this organism among host animal populations in the Canadian Arctic have generated concern regarding a potential increase in human infections. However, whole genome sequencing (WGS) of the organism was unable to identify a zoonotic origin for this case.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2414_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2414_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a397057946b1ccda10b70d4bdbfca318a2228366
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2414_en_sum.txt
@@ -0,0 +1 @@
+A 28 year's old man with normal body mass index (BMI) who had a history of right-side reducible linguino-scrotal swelling for 8 years, was admitted for elective right inguinal hernia repair. Two weeks back before admission, he noticed that swelling was slightly painful. Ultrasound of the abdomen reported normal findings. There was no history of abdominal pain and vomiting. Laboratory parameters were within normal limit. So, with a diagnosis of right sided partially reducible, incomplete, and indirect inguinal hernia, patient was operated for open hernia repair surgery, intra operatively we found dense adhesions within the sac, adhesions were released which revealed herniation of appendix into the inguinal canal. Appendix was mildly congested without gross evidence of inflammation. Hence, in view of noninflamed appendix, preperitoneal mesh (polypropylene) hernioplasty from Lichtenstein tension-free mesh repair was performed with appendicectomy. Postoperative period was uneventful, patient discharged at second day.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2434_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2434_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7eaeeb5cd61a28e9397ca17961ee756b186370ff
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2434_en_sum.txt
@@ -0,0 +1 @@
+We report a case of gallbladder ascariasis that was diagnosed incidentally in a 70-year-old man, with negative ova and parasite test and no eosinophilia. We also compared echography and computerizied tomograph as diagnostic tools for gallbladder ascariasis. The patient was managed conservatively, but he underwent cholecyctectomy later because of developing cholecystitis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2443_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2443_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8cea5df42daf7a47431f4e41eb915877efbd93c4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2443_en_sum.txt
@@ -0,0 +1 @@
+We report a 51-year-old female patient in which an ultrasonography examination showed a solid mass close to the right renal pelvis with hypoechoic and hyperechoic areas. A differential diagnosis of atypical sinus lipomatosis, lipoma and a transitional cell carcinoma was postulated whereas in a subsequent computed tomography a classic angiomyolipoma was postulated. A re-examination by contrast enhanced ultrasound revealed a striking perfusion difference of the hypoechoic and hyperechoic areas. The hypoechoic area showed homogenous and prolonged enhancement whereas the hypoechoic area displayed a marked slower contrast material flooding and a relatively rapid wash out. The histological analysis from the biopsy of the hyperechoic area showed a classic angiomyolipoma, whereas the sample of the hypoechoic central portion revealed an epithelioid angiomyolipoma. A nephrectomy was performed because of the malignant potential of the epithelioid variant of the angiomyolipoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2448_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2448_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8c7fd34d0058ef104e8003f55b976dc9ede5592b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2448_en_sum.txt
@@ -0,0 +1 @@
+A 12-year-old boy presented with bilateral decreased visual acuity and central scotomata after blue laser pointer exposure. He was treated with a Medrol Dosepak and topical nonsteroidal anti-inflammatory drug (NSAID), with gradual visual acuity improved from 20/40 OU to 20/20 OU over 22 weeks, but with persistent evidence of outer retinal layer disruption from the external limiting membrane to the interdigitation zone.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2453_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2453_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f6e8c3f5392379c95752748b38ad860a8577516d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2453_en_sum.txt
@@ -0,0 +1 @@
+A 44 year old female presented with abdominal distension, weight loss and low grade fever. Her CA125 level was 909 U/ml. Imaging studies revealed an adnexal lesion and ascites. The lungs appeared normal and a Mantoux test was negative. Ovarian malignancy was highly suspected. Cytology of ascites was negative for malignant cells. The patient subsequently developed a large pleural effusion which was drained and negative for malignant cells and acid fast bacilli. Repeat imaging revealed a 'tree in bud' appearance of the lung parenchyma and dense ascites. Histology from diagnostic laparotomy revealed caseating granulomas with epithelioid cells and Langhan's type giant cells. The patient responded well to antituberculosis therapy with normalization of CA125 levels, confirming the diagnosis of peritoneal tuberculosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2455_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2455_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..18b42e644fb65f1f11b9f4e4c40d1d76998b7770
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2455_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old female patient with a medical history of diabetes and hypertension presented with sudden-onset flaccid paraparesis for 1 day. Neurological examination revealed grade 2-3 weakness in both legs, decreased deep tendon reflex, loss of anal tone, and numbness below T4. Leg weakness deteriorated to G1 before surgery. Preoperative magnetic resonance imaging (MRI) and 18F-fluorodeoxyglucose positron emission tomography/computed tomography (FDG-PET/CT) showed an intramedullary mass lesion at T2-T4 with no systemic lesion, which was heterogeneous enhancement pattern with cord swelling and edema from C7 to T6. Gross total removal was achieved for the white-gray-colored and soft-natured intramedullary mass lesion with an ill-defined boundary. Histological finding revealed benign histiocytic proliferation with foamy histiocytes and uniform nuclei. We concluded it as an isolated intramedullary ECD. The patient showed self-standing and walkable at 18-month with no evidence of recurrence and new lesion on spine MRI and whole-body FDG-PET/CT until sudden occurrence of unknown originated thoracic cord infarction.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2476_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2476_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90ef784454e6383c4ffd65f541d251566da99a7d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2476_en_sum.txt
@@ -0,0 +1 @@
+A 28-year-old mestizo man with a 3-year history of inflammatory arthritis was admitted to our hospital. An overlap of rheumatoid arthritis with systemic lupus erythematosus was suspected; therefore methotrexate was initiated, and later changed to leflunomide because of liver toxicity. Prothrombin time, international normalized ratio and activated partial thromboplastin times were normal (11/10.4 seconds; 1.2; 31.1/26.9 seconds, respectively), von Willebrand factor activity was observed with low ristocetin cofactor at 33.6UI/dL, high von Willebrand factor antigen >200UI/dL, and a low von Willebrand factor: ristocetin cofactor to von Willebrand factor antigen ratio. He was admitted to the emergency room with a 24-hour evolution of progressive dyspnea, cough, thoracic pain, and palpitations, 104 beats/min, 60/40 mmHg, temperature of 38°C, pulse oximetric saturation 88% and 30 breaths/minute. Cold, pale and mottled skin was also observed. He was then transferred to the intensive care unit. The placement of a pulmonary artery catheter was made. The initial patterns showed a precapillary pulmonary hypertension; acute pulmonary embolism was the first choice for diagnosis. Pulmonary angiography was conducted, and when no clot was discovered, pulmonary artery hypertension associated with connective tissue disease was considered. Serum protein electrophoresis confirmed the presence of a massive polyclonal hypergammaglobulinemia, and no paraproteinemia or monoclonal cell population was found from the electrophoretic pattern of the patient's plasma. Hypergammaglobulinemia was the cause of hyperviscosity syndrome associated with autoantibodies. Three sessions of plasma exchange therapy were made, and clinical improvement was observed. He was then discharged from the intensive care unit and hospital, respectively. He is now attended by an external consult and has no respiratory symptomatology.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2483_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2483_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c5489af66e456126233406ab924542d1ced25af8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2483_en_sum.txt
@@ -0,0 +1 @@
+A 50-year-old female presented with three years of metatarsophalangeal joint pain and deformity. MRI showed bursitis and synovial proliferation around the joint. Synovectomy reduced pain and foot deformity. After surgery, the patient was administered methotrexate.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2485_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2485_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..db11be54843ea6e07e4e15ffa7915d288d30d2c4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2485_en_sum.txt
@@ -0,0 +1 @@
+A 45-year-old man presented with painful exudative lesions on the right foot after working with ethylene oxide solution in a chemical plant. The patient stated that the solution had percolated through his shoe and he had not washed the solution off for 5 hours. Symptoms, including pain and erythema, appeared after a delay of more than 12 hours from the time of initial exposure. The skin of his right foot was irrigated with saline and covered with a wet dressing and topical antibiotics in the emergency department. The patient was followed up for 4 weeks at an outpatient clinic.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2490_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2490_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7ebf4410453ec2f10cfdd3b8206b8ad28e4cca2b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2490_en_sum.txt
@@ -0,0 +1 @@
+A 46-year-old man with traumatic C7 AIS B tetraplegia was administered PAS three times per week. After 24 weeks, PAS was combined with concomitant motor training of the remaining weak hand muscles. Outcome measures included the manual muscle test (MMT), motor-evoked potentials (MEPs), F-responses, hand functional tests, and the spinal cord independence measure (SCIM).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2517_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2517_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fad31aa90ede9bf76ea88c1f3248d0148804102e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2517_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old Caucasian man with glaucoma presented with endophthalmitis characterized by pain, redness and impaired vision in the left eye fifteen days after combined cataract and filtering surgery. He subsequently underwent a pars plana vitrectomy, with vitreous sampling, silicone oil placement and intra-vitreal injection of antibiotics, but only after a second vitrectomy we identified Acremonium falciforme as the causative agent for the endophthalmitis. An antifungal systemic and topical therapy was started, but meanwhile the infection extended to orbital and peri-orbital tissues. Following these procedures, even if the eye went slowly in phthisis, we were able to limit the further extension and circumscribe the orbital and extra-orbital involvement.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2525_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2525_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b8a03b3a83164b134d6e793663a7db99f188caa
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2525_en_sum.txt
@@ -0,0 +1 @@
+Herein we presented a 39-year-old female who presented with cardiac arrest after hysteroscopic myomectomy because of acute water intoxication and survived after extracorporeal membrane oxygenation, continuous venous-venous hemofiltration, and aggressive high sodium fluid resuscitation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2530_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2530_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..14fb429d1e92defc7b32cbac2f13973c00fd31e4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2530_en_sum.txt
@@ -0,0 +1 @@
+Two days after the event of a right basal ganglia hemorrhage, a 78-year-old male reported a phantom arm protruding from his left shoulder. He could not see or touch the phantom arm but he felt the presence of an addition arm lateral to his paretic arm. Pain or sensory discomfort were absent in either the paretic arm or the phantom arm. He stated that he could intentionally move the phantom arm independent of his paretic arm. The examination showed that the passive movement of his paretic arm did not elicit any movement of his phantom arm. We diagnosed the SPL as a complication of the hypertensive basal ganglia hemorrhage and treated him with anti-hypertensive medications. His phantom arm persisted for 3 weeks, and it gradually faded away.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2533_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2533_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa641911b759e1b6e65f4efe63cfbda30c3833c8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2533_en_sum.txt
@@ -0,0 +1 @@
+A 20-year-old male presented to the casualty with a history of an injury to the back of the head as a result of a fall. He had severe pain in the neck and shoulder region and experienced difficulty in raising both arms and gripping objects. On examination, he had weakness of both arms, more on the right, involving the C5 to T1 distribution and brisk reflexes. There was no sensory deficit. Radiograph and a computed tomography (CT) scan of the cervical spine showed a type III undisplaced odontoid fracture. MRI showed a signal abnormality in the spinal cord at the level of the cervicomedullary junction extending up to the body of C2 vertebra. The patient was treated with traction in Gardner Wells tongs for six weeks and a sterno-occipital-mandibular immobilizer immobilizer (SOMI) brace thereafter. At three-month follow-up, he had attained complete neurological recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2596_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2596_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..84d336679a1df302882e258fa2e4c1e4fbbafd33
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2596_en_sum.txt
@@ -0,0 +1 @@
+We reported a case of a 67 years-old man diagnosed as right ventricular metastasis from esophageal squamous cell with the help of echocardiography and pathological biopsy. Moreover, the patient survival period reached an astonishing 6 months, which far exceeded 4 weeks reported in previous literature.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2598_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2598_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e3b55bca8b05e46a3646e77e2433e6e66ce01b6b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2598_en_sum.txt
@@ -0,0 +1 @@
+A 73-year-old man was admitted to our hospital after complaining of left lateral abdominal pain. Enhanced computed tomography revealed a left retroperitoneal hematoma and a large, ruptured Crawford type IV TAAA. We first performed emergency resuscitative surgery to close the lacerated foramen. A graft replacement was performed 1 month after the initial surgery when the patient had stabilized. At 5 years postoperatively, neither occlusion nor anastomotic pseudoaneurysm was noted on computed tomography.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2612_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2612_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10315a40709773ac5b063139378b53309f69be7b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2612_en_sum.txt
@@ -0,0 +1 @@
+A 26-year-old female presented with a growing neck mass, hoarseness, and dysphagia over four months. Ultrasonography revealed that the entire left lobe and the isthmus of the thyroid were replaced with a hypoechoic mass. Moreover, it revealed two hypoechoic nodules in the right thyroid. The patient underwent a total thyroidectomy and paratracheal lymph node dissection. Histopathological examinations revealed the coexistence of ITTC and PTC in the same thyroid. In immunohistochemical analyses, the ITTC was positive for CD5, P63, CD117, and CK 5/6 and negative for thyroglobulin, calcitonin, and TTF 1. At the same time, PTC was positive for TTF 1 and thyroglobulin and negative for CD5, P63, and CK 5/6. The patient received postoperative radiotherapy and remained well with no evidence of recurrence during one month follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2629_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2629_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..be57fbe08f41f984e3ef27ffc59e9b83ac8ac115
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2629_en_sum.txt
@@ -0,0 +1 @@
+Our patient developed severe ITP one week after the second dose of COVID-19 mRNA vaccine. Medical management was not effective, requiring splenectomy to obtain sustained remission.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2639_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2639_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eeb5b0755e7d351d2e2daa696894eceb6b317900
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2639_en_sum.txt
@@ -0,0 +1 @@
+We report a 24-year-old Sudanese female with a history of emergency Caesarean section two years before the admission presented with abdominal distension and absolute constipation, which was diagnosed as intestinal obstruction with a retained gauzed found within the small intestine. Moreover, a review of recent African-reported cases was done to find relatively similar cases.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2655_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2655_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62f36c14a18bdfd7b02f1c72c3e21c81d8f9295b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2655_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old woman was admitted to hospital with fever, headache for 21 days and left limb weakness for 2 days. The blood cell counts (11.73 × 109/L), neutrophil counts (9.22 × 109/L) and high-sensitivity C-reactive protein levels (> 5.00 mg/L) were elevated. The brain computerized tomography (CT) scanning indicated the new right thalamus infarct. The brain cranial-enhanced magnetic resonance imaging (MRI) showed the right lateral paraventricular and right thalamic infarct, and abnormal signal in occipital horns of bilateral lateral ventricles were increased. In addition, the brain enhanced nuclear magnetic resonance (NMR) scanning suggested that meninges were thickened and enhanced at the base of the brain, with meningitis changes. The neck CT angiography (CTA) revealed arteriosclerotic changes. The metagenomic next-generation sequencing (mNGS) revealed Eubacterium brachy, Porphyromonas gingivalis, Fusobacterium nucleatum and Torque teno virus in her cerebrospinal fluid (CSF). The patient was diagnosed with purulent meningitis caused by infection of oral anaerobes, and treated with mannitol, ceftriaxone and vancomycin. Her symptoms alleviated. Subsequently, she was transferred to the infectious department and treated with ceftriaxone plus metronidazole (anti-anaerobes) and mannitol (reduce intracranial pressure). Her symptoms improved and currently received rehabilitation treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2669_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2669_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..75dcdc66db2cb645b49c12bb99ec340054ad1ecb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2669_en_sum.txt
@@ -0,0 +1 @@
+A 28-year-old Caucasian woman was diagnosed with a transperitoneal sarcoma during pregnancy. Morphological, immunohistochemical, chromosomal and mutational analyses pointed towards a high-grade endometrial stromal sarcoma. Although surgery and chemotherapy are possible during pregnancy, we were unable to perform these in this case.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2686_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2686_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..30633cc3795dd17a2d51eeedc0344c11abcc8eb7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2686_en_sum.txt
@@ -0,0 +1 @@
+A 55-year-old man with background of alcoholic liver cirrhosis presented with per-rectal bleeding due to caecal varices. Grade 2-3 oesophageal varices were identified on oesophago-gastro-duodenoscopy, and computed tomography showed multiple right para-colic portosystemic collaterals around the hepatic flexure and ascending colon. Colonoscopy confirmed fresh blood in the colon up to the caecum, with a submucosal varix deemed the most likely source of haemorrhage. As transjugular intrahepatic portosystemic shunt insertion was potentially technically difficult, due to left portal vein thrombosis and a small right portal venous system, he underwent BRTO, which successfully embolised and thrombosed the colonic varices without complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2690_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2690_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..74157a61c144559c492498c4820548a887e19ce1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2690_en_sum.txt
@@ -0,0 +1 @@
+We report a patient with recurrent MG-C3G in a renal allograft that was successfully treated with eculizumab in addition to standard immunosuppression. He had early recurrence of MG-C3G 2 months after transplantation. His graft function successively declined despite high dose steroids and plasmapheresis. Only after therapy with three cycles of bortezomib and continuous therapy with eculizumab, his graft function stabilized. He was still in clinical remission after 28 months of follow-up without having experienced major infectious complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2692_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2692_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..204d4de0d41b5c3b6fc54d5d68b5898d28b50d92
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2692_en_sum.txt
@@ -0,0 +1 @@
+A 63-year-old Japanese woman was transferred to our medical facility for the evaluation of bilateral adrenal hypertrophy, which was incidentally discovered during an abdominal examination after cholecystectomy. The patient had hypokalemia and a high aldosterone/renin ratio. Her medical history included hypertension and right intracerebral capsular hemorrhage at the age of 30 years. Additional testing revealed low cortisol, high adrenocorticotropic hormone, and low testosterone and dehydroepiandrosterone sulfate, indicating congenital adrenal hyperplasia. Genetic analysis revealed a mutation in the CYP17A1 gene and a karyotype of 46, XY; hence, she was diagnosed with 17OHD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2700_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2700_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ee238199ed2a91ce9e7b1a12766580eb12c28dd1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2700_en_sum.txt
@@ -0,0 +1 @@
+A 19-year-old Caucasian male presented with exertional dyspnoea. Physical examination revealed a Grade III/VI systolic diamond murmur at the heart base and a Grade IV/VI systolic murmur at the apex. Electrocardiogram showed signs of left ventricular hypertrophy (LVH). Trans-thoracic echocardiography (TTE) and trans-oesophageal echocardiography (TEE) demonstrated moderate LVH, severe aortic valve stenosis, severe supra-valvular aortic stenosis, and moderate mitral stenosis with severe degenerative mitral valve regurgitation. Bone marrow biopsy and aspiration confirmed the presence of characteristic Gaucher's cells. The patient underwent the Bentall procedure and mitral valve replacement and was discharged in good condition.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2702_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2702_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..77b9df32d31be9bc7e48dfd9de3bb6c70fa620f5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2702_en_sum.txt
@@ -0,0 +1 @@
+We present a case of Chagas disease in a 75-year-old patient originally from El Salvador who presented to our Canadian tertiary centre with heart failure and atrial fibrillation/flutter. The patient had dilated cardiomyopathy with severely reduced systolic function, which was thought to be early Chagas cardiomyopathy after confirmatory positive serologies for T. cruzi. The patient demonstrated significant clinical improvement and recovery of systolic function with benznidazole therapy that was sustained up to 12 months on follow up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2704_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2704_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..302ad5837ed08e7913a6db4f4685470d322b1c8b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2704_en_sum.txt
@@ -0,0 +1 @@
+A 46-year-old man developed hypertensive encephalopathy associated with venlafaxine as single therapy. Magnetic resonance imaging of the brain, pre and post gadolinium, carried out on day 2, displayed an increased T2 signal in the cortex on both the T2 and FLAIR images throughout the frontal and temporal lobes and in the cerebellum. Venlafaxine therapy was stopped. The patient gradually improved and he became seizure free and the blood pressure successively became normal. A magnetic resonance imaging after six weeks displayed marked regression of the abnormalities. On follow-up after 3 months, his blood pressure had been normal and he had not had any symptoms. The prescribed antiepileptic drug was discontinued as well as antihypertensive treatment. He had not experienced any new symptoms at follow-up after one year.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2710_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2710_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..51615aac2af6755baf0731be792b616a586b0b39
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2710_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 59-year-old man with a huge HCC as well as multiple intrahepatic foci and portal vein tumor thrombosis at his right hemi-liver. Genomic and pathologic analyses of HCC tissue revealed a TMB-high, TPS, and CPS-high cancer, with mutated DNA damage repair gene FANCC. These results suggested that this patient may benefit from chemotherapy and immunotherapy. Thus, he received combined HAIC, lenvatinib, and PD-1 antibody treatment and showed a quick and durable response. After successful downstaging, this patient was evaluated as not suitable for salvage hepatectomy due to the low FLV. He then received simultaneous transcatheter arterial chemoembolization (TACE) and portal vein embolization (PVE). The FLV increased to meet the criteria of salvage hepatectomy. Finally, this patient underwent right hemi-hepatectomy without any severe perioperative complications. In addition, no tumor recurrence occurred during the 9-month follow-up period after surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2733_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2733_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ed408019ae9a8fe1b2eef18e6ce7d44a32b6b1f1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2733_en_sum.txt
@@ -0,0 +1 @@
+A 40-year-old European woman underwent total thyroidectomy and neck dissection for papillary thyroid carcinoma. Postoperatively she developed dyspnoea and pleural effusion. A chylothorax was found and the initial conservative therapy was not successful. She had to be operated on again and the thoracic duct was legated.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2747_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2747_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..367269caf0365a7aceddb74028b2bde3cdaaa1c3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2747_en_sum.txt
@@ -0,0 +1 @@
+A 40-year-old female patient with food allergy symptoms was polysensitized to almost all vegetable food since the age of 36; the onset of symptoms was during pregnancy. The allergological study demonstrated positive skin prick tests (SPT) to nuts, legumes, cereals, spices, several fresh fruits including peach, and other groups of vegetable foods however, it was negative to common aeroallergens. Serum specific IgE levels were negative (<0.35 kU/L) to profilin and carbohydrate determinants, but positive to Pru p 3 (3.5 kU/L). Positive double-blind placebo-controlled food challenge to peach confirmed the allergic disease. She received specific sublingual immunotherapy with native Pru p 3 at a concentration of 40 mug/ml with 5 administrations per week and a cumulative dose of 200 mug of nPru p 3 per month. After an ultra-rush build-up phase concluded in one day she continued therapy during a year with 5 administrations per week. The clinical evolution and laboratory studies demonstrated an early reduction on SPT reactions with no relevant changes on serum specific IgE, IgG, IgG(1) and IgG(4) to Pru p 3 during the immunotherapy period. The challenge test was negative 4 months after the beginning of the SLIT. Regarding clinical response she markedly improved after the first month of treatment, and by the 3th month she had no major vegetable dietary restrictions, except for nuts and pepper.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2765_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2765_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5f1dc4d994b2e07fd5b82ecbdb5fd360556687c7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2765_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 75-year-old North African woman with a small bowel melanoma. The diagnosis was made by histological examination and immunohistochemical profile matching after a segmental small bowel resection. Postoperative investigations looking for cutaneous, gastrointestinal or ocular primary lesions found no abnormalities.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2776_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2776_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62f7cbdd9c331d3134482468a5f3be049a2142de
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2776_en_sum.txt
@@ -0,0 +1 @@
+Here, we describe the case of a 56-year-old woman of Algerian origin. She is the first case of a patient with multidrug-resistant antisynthetase syndrome featuring pulmonary involvement and arthropathy, and chronic secondary immune deficiency with recurrent infections, after anti-CD20 treatment, in which her primary antisynthetase syndrome-related symptoms and secondary immune deficiency were treated successfully with subcutaneous administration of immunoglobulin. The administration of immunoglobulin subcutaneously was introduced at a dose of 2 g/kg per month and was well tolerated. Clinical improvement was observed within 3 months of initiation of subcutaneous administration of immunoglobulin. After 22 months of treatment, she showed a significant improvement in terms of muscle strength, pulmonary involvement, arthralgia, and immunodeficiency. Her serum creatine phosphokinase and C-reactive protein levels remained normal. Finally, she was compliant and entirely satisfied with the treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_27_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_27_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..09038111f40bd1938020111bf59a0947db5ae96b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_27_en_sum.txt
@@ -0,0 +1 @@
+A 63-year-old Caucasian male presented with dyspnea and recurring thoracic pain. Initial X-ray and computed tomography scans showed disseminated intrathoracic and intraabdominal lesions. Consequently, thoracoabdominal mesothelioma or a polytopically metastasized cancer of unknown origin was suspected. A thorough examination of the patient's medical history and contrast-enhanced ultrasound by a skilled examiner revealed the diagnosis of extensive abdominal and thoracic splenosis as a consequence of an abdominal gunshot wound with a ruptured diaphragm several decades earlier. Timely diagnosis by noninvasive measures prevented the patient from potential complications of harmful diagnostic procedures, including nuclear imaging and biopsies. The patient is currently treated for hepatitis C and chronic obstructive lung disease, whereas no specific treatment for splenosis is required.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2808_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2808_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..707d62d326cc104172ddb44c7dde1c7a483f8f9a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2808_en_sum.txt
@@ -0,0 +1 @@
+A 32-year-old woman complained of a mass inside the rectovaginal space for 9 years, which became enlarged within 1 year. A rectal SEL detected by endoscopy was suspected to be a gastrointestinal stromal tumor or exophytic uterine fibroid. Pathological diagnosis was difficult because of unsuccessful transabdominal core needle biopsy with insufficient tissues, as well as vaginal hemorrhage. A second biopsy was suggested after multiple disciplinary treatment discussion, which referred to a transperineal core needle biopsy (CNB) guided by ERUS combined with CEUS. Adequate samples were procured and rectal gastrointestinal stromal tumor was proved to be the pathological diagnosis. Imatinib was recommended for first-line therapy by multiple disciplinary treatment discussion. After the tumor shrunk, resection of the rectal gastrointestinal stromal tumor was performed through the posterior vaginal wall. Adjuvant therapy was applied and no recurrence or metastasis has been found by the last follow-up on December 13, 2019.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2811_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2811_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ec1ef6a569c29637d69db3e0c5e0b7cece178deb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2811_en_sum.txt
@@ -0,0 +1 @@
+An 81-year-old female patient was acutely admitted to our hospital due to hematemesis and melena. She had a history of metastatic gastrointestinal stromal tumor, for which she was receiving second line treatment with sunitinib. She had also undergone a Merendino procedure 4 years prior to presentation. The patient underwent emergency gastroscopy, which revealed a bleeding ulcer in the jejunal interposition. Despite initial endoscopic control of the bleeding and transfusion of blood products, the hemoglobin level continued to drop, and the patient was treated for an assumed hemolytic transfusion reaction. The patient died 3 days following admission, and the results of blood cultures later confirmed a Clostridium perfringens septicemia. The postmortem examination revealed a diffuse spread of Clostridium perfringens to multiple organs.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2829_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2829_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e4a26d8cb03b14ef027991d0201e582eefbbe5af
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2829_en_sum.txt
@@ -0,0 +1 @@
+A 48-year-old healthy gentleman sustained simultaneous bilateral thumb injuries after a fall from mountain bike which was initially missed in the emergency department. Both injuries were later treated operatively with an excellent outcome at the end of six months. A peculiar mechanism explained simultaneous injury to both the thumbs.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2834_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2834_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f0aa823de04f8c952cef4c1cdc1dae0d18444183
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2834_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old-woman presented to our clinic with a 4-month history of a lump in her right breast. On examination, a firm non-tender mass measuring 2×2 cm was noted in the right upper outer quadrant. It was not attached to the underlying structures. Mammography revealed a dense irregular mass in the axillary tail and a circumscribed nodule in the 6 O'clock periareolar region. This was a new development compared to the patient's most recent screening mammogram performed 2 years and 6 months previously. Ultrasound demonstrated a lobulated solid mass in the axillary tail and a simple cyst in the 6 O'clock periareolar region. Biopsy of the areolar region of the right breast revealed atypical duct hyperplasia. Fine needle aspiration cytology of the right breast axillary tail revealed a poorly differentiated invasive carcinoma consistent with mammary duct origin. On histopathological examination, it was an infiltrating ductal carcinoma with metaplastic features of chondroid differentiation. The tumor was estrogen receptor, progesterone receptor, and HER-2 negative with 0% nuclear staining. Ki-67 index was 52% with strong nuclear staining. The overall ELSTON grade of invasive carcinoma was grade 3. The patient received adjuvant chemotherapy with AC-T (adriamycin, cytoxan, and taxol) and is currently undergoing surveillance for recurrent disease.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2866_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2866_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6fe115a9e6a86be7175d6f2d8f503f061100d9c5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2866_en_sum.txt
@@ -0,0 +1 @@
+Our patient, a 16-year-old boy with Kawasaki disease, presented with cardiac arrest during exercise. Coronary angiography showed that a proximal left anterior descending artery stent implanted at the age of 8 years had occluded some time ago and his right coronary artery was also chronically occluded. He has discussed in several Heart Team meetings and with international colleagues and a consensus reached to revascularize him surgically.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_289_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_289_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b74186d539783fa7bbd43db10a8fdd56bb7c296d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_289_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 58-year-old woman diagnosed initially with primary hyperparathyroidism. Preoperatively, the suspected mass adjoining the upper pole of the left lobe of the thyroid gland was found via ultrasonography and confirmed by 99mTc scintigraphy and biopsy as the parathyroid gland. The patient underwent parathyroidectomy (a histopathology report revealed parathyroid adenoma), which led to normocalcaemia. After 10 months, vitamin D supplementation was introduced due to deficiency, and the calcium level remained within the reference range. Two years later, biochemical tests showed recurrence of hypercalcaemia with suppressed parathyroid hormone levels and elevated 1,25(OH)2D3 concentrations. Further investigation excluded the most common causes of PTH-independent hypercalcaemia, such as granulomatous disease, malignancy, and vitamin D intoxication. Subsequently, vitamin D metabolites were measured using LC-MS/MS, which revealed high levels of 25(OH)D3, low levels of 24,25(OH)2D3 and elevated 25(OH)2D3/24,25(OH)2D3 ratios, suggesting a defect in vitamin D catabolism. Molecular analysis of the CYP24A1 gene using the NGS technique revealed two pathogenic variants: p.(Arg396Trp) and p.(Glu143del) (rs114368325 and rs777676129, respectively).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2915_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2915_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c6cd6aba7b21b2e9f433b78a54607ed8060cd37d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2915_en_sum.txt
@@ -0,0 +1 @@
+A 73-year-old male patient presented with a nodular mass on the lateral third of his right upper eyelid, which had slowly enlarged over 10 years. Radiologic features were of an extra-conical mass, with no invasion of adjacent structures. An excisional biopsy of the lesion was performed. The histopathological examination revealed a biphasic tumor, composed of tubules with a double layer of epithelial cells arranged in a chondromyxoid stroma. The inner epithelial cells were positive for pancytokeratins AE1/AE3 and carcinoembryonic antigen. The outer epithelial cells and stromal component expressed vimentin and S100 protein. These pathologic findings were consistent with a palpebral pleomorphic adenoma, with an apocrine gland origin.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_292_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_292_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5d5c3c3401d8a10e82e15f2ecb80e7259312f1ad
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_292_en_sum.txt
@@ -0,0 +1 @@
+Here case report, a 24-year-old patient from an endemic region of Somalia presented with fever, headache, abdominal pain, nausea, vomiting, and weight loss for two months. Initially, the patient received symptomatic treatment and a blood transfusion but showed no improvement. Physical examination revealed fever, pallor, and hepatosplenomegaly. Laboratory tests showed pancytopenia and positive rapid diagnostic test for plasmodium parasite antigen. Despite three days of anti-malarial treatment, the symptoms persisted, and hepatosplenomegaly worsened. Further investigations, including infectious disease tests, were conducted, ruling out HIV, viral hepatitis, Brucella, and Leishmania antibodies. Peripheral blood smear showed pancytopenia and bone marrow aspiration revealed no evidence of infection or malignancy. A tru-cut biopsy of the spleen was performed, confirming the diagnosis of visceral leishmaniasis. The patient received a combination therapy of sodium stibogluconate and paromomycin, leading to significant improvement. After completing treatment, the patient was discharged with normal spleen biopsy results.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2931_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2931_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa62085a0c23eb88045553ec01f7725aaf9e16a8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2931_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old male sustained a peri-implant proximal humerus fracture after undergoing ORIF. We present a stacked plating method for fixation of this injury. This construct allows for decreased operative time, less soft-tissue dissection, and the ability to leave previous intact hardware in place.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2933_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2933_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dade1b07bb34afafc753d92eac3858b978870615
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2933_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a middle-aged man transferred to our hospital after an out-of-hospital cardiac arrest. The coronary angiography revealed non-obstructive coronary arteries and an image of probable aortic dissection was observed. Given the persistent asystole despite a prolonged advance cardiopulmonary resuscitation and the possibility of aortic dissection, a prompt in-room heart team discussion was performed. It was decided to stop and withdraw potentially life-sustaining treatment due to futility. The necropsy study revealed the aorta with some mild atherosclerotic plaques but without either aneurysm or thrombosis. The coronary arteries were reported as with patency, but in the proximal left anterior descending artery (LAD), the intima layer presented a thickness that decreased 50 % of the luminal area without signs of complicated acute plaques.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2939_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2939_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..017d75360d6ab5a971d28df1c73264c348462de4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2939_en_sum.txt
@@ -0,0 +1 @@
+A 72-year-old Japanese man underwent a pancreaticoduodenectomy due to a diagnosis of middle bile duct cancer. We had a complication of an isolated posterior segmental biliary obstruction when pancreaticoduodenectomy was performed. We conducted a drip infusion cholecystocholangiography-computed tomography test to determine the positional relationship between his bile duct and elevated jejunum. To secure the bile duct we punctured the bile duct under computed tomography guidance, and the hepaticojejunal anastomosis site was visualized by inserting an endoscope. We vibrated the bile duct wall by inserting a guide wire through a puncture needle and verified the vibrations with the endoscope. We observed a partially compressed elevated jejunal wall upon guide wire insertion; therefore, we could verify a puncture needle penetration into the elevated jejunum by endoscope on insertion. We also successfully inserted an 8.5-Fr pigtail catheter into the elevated jejunum. We removed all drains after percutaneously inserting an uncovered metallic stent. Our patient's subsequent clinical course was unremarkable. He visits our institution as an out-patient and has had no stent occlusion even after 6 months.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2964_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2964_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f65a325069c43b65fd35d571da27da2a3d1afed
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2964_en_sum.txt
@@ -0,0 +1 @@
+We have described the first case of septicemia and endocarditis due to nontoxigenic C. diphtheriae biotype gravis in Poland. The patient has not belonged to any group of risk such infection.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2995_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2995_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aee626e4e0a6d5b1191db633dbbeb39feec4abd8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2995_en_sum.txt
@@ -0,0 +1 @@
+A 41-year-old male presented with intermittent discharge of turbid fluid from his scrotum. A pinhole was noted in his left scrotum, and an infectious sinus or fistula was impressed. After serial studies, computed tomography revealed agenesis of his left kidney and a cystic lesion over his left scrotum. He underwent resection of the infectious sinus. Near the tail of the sinus, a connection was found to a channel-like structure. Contrast medium was injected which showed a blind end of this channel-like structure. The tube was ligated, and the cut end was sent for surgical pathology, which confirmed a left ureteric bud remnant.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3006_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3006_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f4f4d5fa9d074df0eb78507e03233093749ffa0a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3006_en_sum.txt
@@ -0,0 +1 @@
+The patient, a 73-year-old Japanese male, had a history of right nephrectomy due to trauma. At 2 years prior, he underwent bypass surgery connecting the subclavian artery to the bilateral femoral arteries to treat lower limb arteriosclerotic occlusive disease. In this case, he presented to another hospital with sudden right lower limb pain and was referred to our hospital with a diagnosis of acute occlusion of the right lower extremity artery. After emergency endovascular thrombectomy, hemodiafiltration was initiated on the second day due to rhabdomyolysis and hypermyoglobinemia. The patient developed compartment syndrome in the affected limb and underwent an emergency fasciotomy. Despite a further increase in myoglobin levels, his urine output remained stable, and creatinine levels stayed within the normal range. On the 6th day of admission, he was successfully weaned off hemodiafiltration. Following negative pressure wound treatment for compartment syndrome, a skin graft was performed, and the wound was closed. The patient was transferred for rehabilitation on the 35th day.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3009_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3009_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b2a687ddd2800a97f13dbbc870b98b374aaaa9d8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3009_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 54-year-old woman who presented with chronic abdominal pain without any impact on the general condition. The radiological findings were in favour of a benign mesenteric cystic formation that could be compatible with a cystic lymphangioma. A complete surgical excision of the cystic mass after puncture-aspiration was performed by median laparotomy, the postoperative course was simple. The histological examination of the tumour resection confirmed the diagnosis of a LK of the mesocolon. After 12 months, the patient was asymptomatic and no recurrence was observed.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3012_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3012_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d7c75bbdacadc7828aa576d9ebcd1834e227d2e9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3012_en_sum.txt
@@ -0,0 +1 @@
+A 25-year-old female patient with no relevant history presented with a clinical picture of a one-month-old acneiform lesion on her face, neck and chest, facial oedema and blurred vision, which was accompanied by delirium, incoherent speech and suicidal ideation. Hypertensive, hypokalaemic, hyperglycaemic and metabolic alkalosis were also observed. The clinical picture was interpreted as a severe Cushing's syndrome with a significant impact on the general condition and a rapid onset. The syndrome and its dependence on ACTH were confirmed by biochemical tests. A computed tomography scan showed multiple lesions in the liver and spine suggestive of secondary involvement. After reporting a history of postcoital bleeding, speculoscopy was performed and a biopsy of the cervix and liver lesions was taken. In both cases, the pathological study was compatible with a neuroendocrine carcinoma of small cells, and chemotherapy with cisplatin and etoposide was initiated.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3019_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3019_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb5806c091a0523c38246824ea64eef2a1fdfca9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3019_en_sum.txt
@@ -0,0 +1 @@
+A 57-year-old man with end-stage renal disease and an implantable cardioverter-defibrillator (ICD) for secondary prevention developed persistent Stenotrophomonas maltophilia bacteremia despite intravenous antibiotics and elimination of alternative infection sources. He had no pocket infection or echocardiographic evidence of endocarditis. Serial fluorine-18 fluorodeoxyglucose positron emission tomography combined with-computed tomography (18F-FDG PET/CT) demonstrated ICD seeding. The device was extracted, and the patient was treated with trimethoprim-sulfamethoxazole and levofloxacin, with bacteremia resolution. Results of intraoperative cultures confirmed device infection with S. maltophilia, a multidrug-resistant, biofilm-forming, gram-negative pathogen. The ICD was later reimplanted subcutaneously to lower the infection risk.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3021_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3021_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8a6deda31438441c0b8a8d2b82c809836bd557aa
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3021_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a patient from Chuuk, a state of the Federated States of Micronesia with a sepsis-like illness and worsening painful rash immediately postpartum. Antepartum, the patient noted a pruritic rash on her legs. Four hours after delivery, the patient became febrile and later developed systemic inflammatory response syndrome (SIRS). The rash rapidly spread to other areas of her body and became painful and edematous. Eight weeks after delivery, a skin biopsy revealed tuberculoid granulomatous dermatitis consistent with HD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3032_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3032_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf3bbc912c01479d8314fe9c08d12784c9f392f2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3032_en_sum.txt
@@ -0,0 +1,3 @@
+A 17-year-old female presented with complaints of experiencing floaters in the left eye for a duration of 1 day. Small patchy hemorrhage was observed in the left optic disc. The patients underwent the color fundus photograph (CFP), fundus autofluorescence (FAF), spectral-domain optical coherence tomography (SD-OCT), optical coherence tomography angiography (OCTA), and Minimum intensity projection (Min-IP) images.
+
+Small patchy hemorrhage was observed in the left optic disc and FAF showed hypofluorescence. PHOMS on SD-OCT of the left eye showed an ovoid shape and manifested as peripapillary hyperreflective bright regions on en-face Min-IP image, the active blood flow signal of PHOMS was detected on SD-OCT/OCTA. C/D in the right eye was 0.4.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3037_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3037_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f701217cfd86e5d8bf228c5822beb001ae46e34c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3037_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of Preiser's disease in a 70-year-old female, with worsening pain and loss of range of motion in her right wrist over a two-year period. Past medical history was significant for Sjogren's disease, fibromyalgia, and dystonia. Pain began several months following traumatic right dorsal wrist injury. Diagnosis of traumatic scaphoid fracture was originally suspected. Conservative treatment was unsuccessful. Radiographs did not demonstrate evidence of primary fracture. CT scan and MRI demonstrated osteonecrosis of the proximal pole of the scaphoid, but no evidence of fracture, either residual or healing, was found. Proximal row carpectomy was performed for avascular necrosis of the scaphoid. Histology confirmed diagnosis and verified absence of fracture. Postoperatively, the patient's pain and range of motion improved.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3047_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3047_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e86f27c4244b5a95af2adfa73a5f64cf0038bdc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3047_en_sum.txt
@@ -0,0 +1 @@
+Here is a case of a 27-year-old woman with no relevant history, including SARS-CoV-2 infection, who developed inflammation of the BCG scar eight days after the first administration of anti-SARS-CoV-2 mRNA vaccine.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_305_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_305_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1774358b98f4c43fcd46a81737c3148e6aebd391
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_305_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 73 years old Italian caucasian male who came to our attention with a tongue lesion. The clinical manifestation was macroglossia and bleeding, probably deriving from the tongue-bite injuries. The patient had been complaining of dyspnea for 48 hours.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3065_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3065_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa141a64dd1b5e72069d301636a342c8593d4291
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3065_en_sum.txt
@@ -0,0 +1 @@
+A 92-year-old female with a history of asthma and chronic heart failure presented with left lumber back pain. Physical examination revealed knocking tenderness at the left costal-vertebral angle. Laboratory test results were within normal limits. Abdominal CT showed a left hydroureteronephrosis and an obstruction in the left distal ureter with herniation into the sciatic foramen. A ureteral stent was inserted into the left ureter and was removed after 2 months. She has not complained of pain or showed symptoms since the removal.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3075_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3075_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e06cec01241f223e783f0c29ab210a9522442d48
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3075_en_sum.txt
@@ -0,0 +1,7 @@
+Patient concerns: In this report, we discuss the case of a 15-year-old male patient. The patient started with epilepsy and dystonia and was treated with antiepileptic seizure medication, then he was admitted to our hospital for recurrent seizures of epilepsy and dystonia, and the diagnosis of NEDAMSS was confirmed by whole exome genetic testing.
+
+Diagnoses: Exome-wide genetic testing confirmed the diagnosis of NEADMSS due to IRF2BPL.
+
+Interventions: Exome-wide genetic testing reveals mutations in the IFR2BPL gene.
+
+Outcomes: Symptoms improved from before after antiepileptic seizure medication combined with drugs to improve dystonia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3077_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3077_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6c09bf287c9aabd3ebc3127d5656d68bbf9c0e79
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3077_en_sum.txt
@@ -0,0 +1 @@
+A 29-year-old right-handed Ethiopian male patient presented with progressive exercise intolerance for 10 years. He had had bilateral ptosis since childhood and experienced gait difficulty with intermittent balance problems, particularly at night. In 2018, he was diagnosed with a third-degree atrioventricular block with a resting electrocardiogram, and a permanent pacemaker was placed. Despite marked improvement in shortness of breath following pacemaker placement, the patient's progressive ptosis and gait ataxia prompted further workup, ultimately leading to the diagnosis of Kearns-Sayre syndrome. This case highlights the importance of comprehensive assessment in patients presenting with isolated organ manifestations, as exemplified by the delayed diagnosis of Kearns-Sayre syndrome following the initial recognition of a complete heart block.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_307_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_307_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2e4cb138643dcaf8c107adedcc65c61cf7dbf7b4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_307_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 14-year-old male sportsman, who presented in the emergency room with headache, dizziness, and tinnitus. The clinical exam revealed blood pressure differences between the upper and lower limbs of up to 50 mmHg. Based on the clinical and paraclinical data, we established the diagnosis of coarctation of the aorta and severe secondary arterial hypertension. The case was discussed by a multidisciplinary team and accepted for covered stent implantation. The 24 h blood pressure Holter monitoring after the procedure indicated the persistence of stage I arterial hypertension.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3080_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3080_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10da35be9d52d28bc6fa678c35fe7d68c5d093b8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3080_en_sum.txt
@@ -0,0 +1 @@
+A patient presented with a pruritic, scaly eruption on her palms and soles unresponsive to topical steroids for 1 month. Histopathological examination revealed compact orthokeratosis, mild lymphocytic infiltrate with focal exocytosis, and atypical lymphocytes. Immunophenotyping demonstrated a predominance of CD3+ T cells with a 1:1 CD4/CD8 ratio and reduced CD7 expression. The clinical presentation, histopathology, and immunophenotype supported a diagnosis of statin-induced CTCD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3132_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3132_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8475c7097d064d8c68c0425b79830d2d95f31e10
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3132_en_sum.txt
@@ -0,0 +1,7 @@
+Patient concerns: A 60-year-old female presented with low-grade fever and purulent discharge from an abdominal incision 1 year after antibiotic therapy had failed to resolve the infection. She had a history of aortofemoral dacron graft bypass 6 years prior, complicated by a rectal hematoma due to trauma.
+
+Diagnoses: The patient was diagnosed with a rectal fistula, AVGI, and perivascular sinus formation. Diagnostic workup revealed the presence of Escherichia coli infection.
+
+Interventions: The patient underwent graft excision and debridement. No vascular reconstruction was necessary due to the presence of sufficient collateral circulation. This intervention was performed following the failure of conservative antibiotic therapy.
+
+Outcomes: Postoperative recovery was uneventful, with normalization of inflammatory markers and no signs of limb ischemia upon follow-up. The patient's symptoms resolved without complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3138_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3138_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d51fdc38ffffc6cc563ac1abb8cbef012f46407e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3138_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 6-year-old Caucasian female. In the family history there was no intellectual disability or genetic conditions. Auxological parameters at birth were adequate for gestational age. Clinical evaluation at 6 months revealed hypotonia and, successively, delay in the acquisition of the stages of psychomotor development. Auditory, visual, somatosensory, and motor-evoked potentials were normal. A brain MRI, performed at 9 months, showed minimal gliotic changes in bilateral occipital periventricular white matter. Neuropsychiatric control, performed at 5 years, established a definitive diagnosis of childhood autism and developmental delay. Molecular analysis of the exome revealed a novel KMT2C missense variant: c.9244C > T (p.Pro3082Ser) at a heterozygous state, giving her a diagnosis of Kleefstra syndrome 2. Parents did not show the variant.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3139_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3139_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6640469bf484504437569d914d96ce44ec9dc8d7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3139_en_sum.txt
@@ -0,0 +1 @@
+A 10-year-old female schoolchild with no consanguineous or family history of neurological disease presented with gait disturbance and focal onset dystonia progressing to a generalized form that affected her orofacial and bulbar muscles with significant impairment of speech and swallowing. Metabolic and systemic studies, including neuroimaging, revealed no abnormalities. A full genome sequencing was performed and a new, likely heterozygous pathogenic variant in the KMT2B gene, c.1205delC, p. (Pro402Hisfs*5), causing frameshift was identified. This finding explains the patient's phenotype and the early onset autosomal dominant dystonia.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3146_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3146_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2d71df44e312709804aa00778d5d997ac74fac71
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3146_en_sum.txt
@@ -0,0 +1 @@
+6-year-old girl with restrictive cardiomyopathy and hypertracheal in which, due to early onset of the disease, a full exome sequencing was performed, revealing the presence of a new heterozygous missense variant in the FLNC gene. The same genetic variant was also identified in her father, who, as an adult, had normal imaging results and no symptoms.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3147_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3147_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f9a23cbe9c99e7c48c0778c5394a9d7da2b230e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3147_en_sum.txt
@@ -0,0 +1 @@
+In this report, we present the case of an RSV-associated death of a child who was born at full-term and developed normally up to the age of 2 years old. Cardiopulmonary arrest occurred within 3 days after the onset of symptoms, which included cough and high fever. Complete brain edema was prominent, and encephalopathy was developing. Viral antigen detection and microbiome analyses of oral swab and nasopharyngeal aspirate specimens verified an RSV infection, while bacterial culture of blood specimens yielded negative results. The RSV strain detected in this patient was subtyped as RSVB9, and no mutation was found in the six antigenic sites for targeted drugs or vaccines.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3159_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3159_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dbae528edfe6725ef66cdf32ccede6b5e069d325
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3159_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old man was referred for sudden onset of right-side weakness and aphasia for almost 55 min. AIS was considered after no bleeding was observed on emergency head computed tomography. Digital subtraction angiography was performed, and bilateral ACAs were found to originate from the anterior communicating branch of the left internal carotid artery and were occluded in their A2 segment. After immediate emergency MT with a stent retriever, the symptoms obviously improved.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3165_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3165_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ee28f90b987423115dacac534943087a529bdf14
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3165_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a newborn with severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) infection with predominantly vomiting. The patient also presented with colic, difficulty in breast feeding, loose stools and mild rhinorrhea, without fever. There was evidence of coagulation disorders, increased interleukin 10 and moderate dehydration, which justified admission to the intensive care unit. Simultaneously, the patient was diagnosed with Clostridioides difficile infection, which may have facilitated the persistence of SARS-CoV-2 in the faeces for more than 27 days, even after a negative nasopharyngeal test. This co-infection may have exacerbated the gastrointestinal signs and symptoms and increased the possibility of transmission of SARS-CoV-2 and Clostridioides . The patient was kept on breast feeding and formula milk, received intravenous hydration and was discharged from hospital without complications after 4 days of admission.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3184_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3184_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b06c42a5746c7f42f4521f81517136b9116a8210
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3184_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old man presented with stable angina and worsening exertional chest pain. Diagnostic work-up, including coronary angiography, intravascular ultrasound, and computed tomography angiography, confirmed LMCA MB with significant flow obstruction. A tailored pharmacologic regimen involving beta-blockers and calcium antagonists led to complete symptom resolution over 6 months.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3202_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3202_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4386986ffe42a8a9ad82841e1c4d83db541bca20
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3202_en_sum.txt
@@ -0,0 +1,13 @@
+Patient: Male, 85
+
+Final Diagnosis: Spontaneous bacterial peritonitis
+
+Symptoms: Abdomen distension • confusion • lethargy
+
+Medication: —
+
+Clinical Procedure: Paracentesis
+
+Specialty: Gastroenterology and Hepatology
+
+Here we present a unique case of a patient who was admitted for advanced cardiorenal syndrome in the setting of a viral colitis that likely promoted a bacterial translocation resulting in spontaneous bacterial peritonitis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3219_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3219_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b87bc013b157839074a8aa8cb84713a6ef503954
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3219_en_sum.txt
@@ -0,0 +1 @@
+A 67-year-old woman underwent a thoracic computed tomography scan after left PV stenting for stenosis after PVI. The scan revealed the stent missing in the left inferior PV and worsening high-grade stenosis. An abdominal computed tomography scan identified the displaced stent in the aorta, just above the aortoiliac bifurcation. Digital subtraction angiography also revealed moderate stenosis in the right common iliac artery. A double stenting procedure of the aortoiliac bifurcation using the kissing stents technique was performed, securing the PV stent and treating the common iliac artery stenosis. Follow-up on the displaced stent was favorable.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3226_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3226_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..325a17c4b9931cf6cc867b39140c9ed4fb05b3f0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3226_en_sum.txt
@@ -0,0 +1 @@
+n this case study, we present a 19-year-old woman who presented with acute vaginal bleeding and pelvic discomfort. Transabdominal ultrasound revealed fetal heart rate and identified the fetus at 24 weeks gestation. A large heterogeneous and complex cystic mass was found in the fundus, which was diagnosed as an abnormal placenta with a strong suspicion of molar pregnancy. The cervix was dilated by 4 cm at the time of hospital admission and four hours later, she gave birth to a healthy female fetus. The placenta emerged along with the membrane and abundant grape-like cystic tissue.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3251_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3251_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eb53c60e9de8c9165eb28f69779ecb117324225c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3251_en_sum.txt
@@ -0,0 +1 @@
+A patient with malaria was reported to have cyanosis and hypoxaemia as a manifestation of methaemoglobinaemia caused by the consumption of primaquine. The patient recovered after discontinuation of the antimalarial and administration of ascorbic acid.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3257_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3257_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..52db93a03152c567e9023715e6736d0802fc8fc2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3257_en_sum.txt
@@ -0,0 +1 @@
+A 39 years old female patient was admitted to ICU with a diagnosis of severe COVID-19 and newly diagnosed diabetes mellitus (DM) with DKA based on HgbA1c of 13.8% and positive RT-PCR. The patient was treated with dexamethasone in line with evidence in the RECOVERY trial and developed right facial and orbital swelling on her second hospital day. Brain MRI showed characteristic peri-sinonasal invasion with central nervous system (CNS) involvement, features suggestive of invasive fungal infection. Despite all medical and surgical treatments including liposomal amphotericin B and debridement, the patient died within 7 days of symptom onset.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3266_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3266_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e38d9faa805a5d526df12d894f703afd09506e2a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3266_en_sum.txt
@@ -0,0 +1 @@
+80-year-old female patient presented at clinic with right shoulder pain. Clinical features and radiological investigations were suggestive of rotator cuff arthropathy. Following the diagnosis, the patient underwent right shoulder reverse arthroplasty. Two days post operation, the patient exhibited confusion and a decline in consciousness level also decrease in oxygen saturation levels. Clinical features and investigations pointed towards acute pulmonary embolism as the cause of the symptoms. Prompt intervention was initiated, and the patient was started on anticoagulant therapy to manage the condition. With appropriate management, the patient stabilized and was discharged from the hospital.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3275_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3275_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..527ce174614fafda7579587822a64a24fd5f61bb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3275_en_sum.txt
@@ -0,0 +1 @@
+An 86-year-old male was admitted to our hospital with congestive heart failure due to low-flow low-gradient severe AS, a membranous VSD, a sub-aortic band, and a double-chambered right ventricle (RV). The patient was not deemed to be a surgical candidate because of advanced age and frailty even though surgical aortic valve replacement, VSD closure, sub-aortic band resection, and myectomy of RV would be considered as definitive treatment. Instead, we performed TAVI and VSD orifice closure using the skirt part of the self-expanding valve (26 mm Evolut Pro Plus™) because VSD occluder is not approved and thus not available in our country. The trans-catheter procedure resulted in a reduction of the mean aortic valve pressure gradient improved from 33 to 2 mmHg and a decrease in the shunt flow (Qp/Qs) from 1.9 to 1.2. The patient’s heart failure improved, and he was discharged to home 7 days after the procedure. He remained well and had not been admitted to hospital since discharge.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3291_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3291_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0d19d75584b18816c9996904a45eedeffbc395ff
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3291_en_sum.txt
@@ -0,0 +1 @@
+Premature newborn with antenatal diagnosis of omphalocele. At birth, a giant omphalocele with an intact amnion containing the entire liver and loops, vesicoureteral atresia with an open bladder and exposed urethral orifices, a uterine didelphia, epispadias, no gonads were palpated, and soft tissue extrusion of the pelvis, left diaphragmatic hernia (Bochdalek), bone malformations, myelomeningocele and myelocystocele were detected by imaging. Based on these findings, a complex OEIS was proposed with the simultaneous presentation of Cantrell's pentalogia or deletion 1p36. Chromosome disorders were ruled out in the genetic study, but a more specific study could not be completed. A colostomy, cloaca closure and midline vesical plaque were performed with adequate postoperative evolution. Given respiratory stability, surgical correction of diaphragmatic hernia was deferred. She was discharged after a long hospital stay and died of acute respiratory intercurrent pathology.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3337_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3337_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..927420f64a55907f6c7e859478ac410391dbe00a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3337_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 78-year-old man with synchronously diagnosed locally advanced pulmonary adenocarcinoma of the left lower lobe and localized right lower lobe PEAC. These malignancies exhibited distinct tumor molecular profiles and differed in their kinetic response to chemoimmunotherapy. We describe plausible mechanisms by which two distinct pulmonary malignancies are present in the contralateral lobes.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3345_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3345_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0cad9f52d7e3350cf076463838b30429e20e65d6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3345_en_sum.txt
@@ -0,0 +1 @@
+A case of C.X. Z, male aged 39 years old, who presented to our department with sudden onset of symptoms of subacute right heart failure due localized CP. In January, 2018 C.X.Z presented to the county hospital with complaints of 10-day history of transient mild bilateral pedal edema. He was managed on diuretic therapy and symptoms resolved completely. 10 months later, he suddenly presented to the local facility with symptoms of subacute right heart failure. 7 days after on-set of symptoms, his condition shifted from NYHA I to III-IV. Although wake-up chest radiography appeared normal, standard medical therapy yielded no positives results. He was referred to our hospital, upon which after echocardiography and computed tomography investigations, aforementioned diagnosis was made. We performed off-pump partial pericardiectomy with no complications. After operation, he received analgesics and diuretics for pain and edema(ascites) respectively. He was discharged 7-days after operation on analgesics only, with no symptoms of right heart failure.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3347_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3347_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..959c4a84d68f1f8799fd46ebb388792d2b8ac901
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3347_en_sum.txt
@@ -0,0 +1 @@
+This case report describes a 24-year-old male with recurrent diffuse TGCT of the knee, predominantly involving the posterior compartment, along with a large Baker's cyst and synovial thickening adjacent to the medial femoral condyle. Magnetic resonance imaging (MRI) revealed extensive synovial proliferation with characteristic low T2 signal intensity, confirming the diagnosis and guiding surgical planning. The patient underwent arthroscopic-assisted synovectomy to address both the suprapatellar and posterior compartments while preserving critical neurovascular structures. Postoperatively, the patient had improved knee function and was referred for adjuvant therapy to minimize recurrence risk.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3351_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3351_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62b2947a2a0afbc893f45c0239a3d836f4e12b74
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3351_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a young pregnant woman with abdominal pain and a feeling of a mass in the left hypochondrium. The ultrasound study revealed a multi-tabic cystic image in the left half of the abdomen with a viable foetus. A caesarean section was performed, followed by an exploratory laparotomy and a giant tumour of the spleen was found, which, according to the anatomopathological study, corresponds to a multi-cystic splenic hydatid disease. Also, intrauterine growth restriction occurred as a foetal complication. The patient had a favourable evolution without recurrence of hydatid foci, while the newborn showed an adequate growth pattern.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_335_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_335_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e8c2d2cbf0a890c7eaa10eb555ec68297fb10b2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_335_en_sum.txt
@@ -0,0 +1 @@
+We report a patient with three post-surgical recurrences of fibromatosis of the breast over a seven year period. The fibromatosis was found to be involving the chest wall musculature and causing persistent and worsening pain. An aggressive operative strategy was undertaken, consisting of mastectomy with en bloc resection of the underlying chest wall musculature, ribs, and parietal pleura.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3362_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3362_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92b6656a97b4d106374fe923aa1a1ca4268a3313
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3362_en_sum.txt
@@ -0,0 +1 @@
+We report the case of an 82-year-old patient who was immunosuppressed by prolonged corticosteroid therapy and dupilumab treatment. She was referred to our department for a diagnostic assessment of atypical liver and lung lesions, initially suspected of tuberculosis or IgG4-associated disease. The hypothesis of an alveolar echinococcosis with E. multilocularis could be raised on a set of arguments and then confirmed by molecular diagnosis. We discuss the role of dupilumab in the systemic evolution and atypical presentation of the disease, by the induction of a specific immunosuppression.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3372_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3372_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..efa419968cb1ee5b9bb4e09ed759d34d27757cff
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3372_en_sum.txt
@@ -0,0 +1 @@
+71-year-old male patient who developed a urinary fistula six months following a robot-assisted partial nephrectomy. Initial efforts to address the fistula through the placement of a double pigtail ureteral stent proved ineffective. Subsequent interventional radiology procedures successfully achieved fistula closure by administering adhesive fibrin directly within the fistulous tract.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3388_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3388_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f86f037793db31ee1aacbb951450bb89ef277315
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3388_en_sum.txt
@@ -0,0 +1 @@
+A 13-year-old male presented with an open left humeral shaft fracture with intramuscular distal biceps rupture after being struck by a car. He underwent washout, humerus fixation, and open biceps repair. Immediate postoperative course was complicated by deep infection and failure of biceps repair. He subsequently required two additional surgeries. One year later, he exhibited full, painless elbow range of motion and biceps strength.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3392_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3392_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0c2d9dd73a41620ccffc3ac97f4a3b095adaf873
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3392_en_sum.txt
@@ -0,0 +1 @@
+This report presents a case of herpes zoster in a fully vaccinated 17-year-old white American female, highlighting the importance of considering herpes zoster in immunocompetent, vaccinated children. The patient presented with a rash along multiple dermatomes, which spread despite antiviral treatment. After completion of the antiviral treatment, the rash eventually receded, and she was left with no residual symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_342_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_342_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8a651402745546b96d0db31e3c6cfcaf3f7fa8d2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_342_en_sum.txt
@@ -0,0 +1 @@
+A 66-year-old man was diagnosed with lung metastasis eight years after radical nephrectomy for a clear cell renal cell carcinoma. He firstly received an anti-angiogenic agent combination, and then received anti-programmed death 1 (PD1) nivolumab as second-line treatment. Nivolumab led to prolonged disease control, but after four years of exposure the patient developed skin lesions consistent with bullous pemphigoid. After seven years of nivolumab administration and perfect disease stability, nivolumab was discontinued and surveillance was proposed. Despite nivolumab discontinuation, the patient continued to develop bullous pemphigoid exacerbations. Metastatic renal cell carcinoma was still perfectly stable more than two years after immune checkpoint discontinuation with no further anti-cancer therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_384_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_384_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b31ed900a697cab0be76a35786f375a89013b94d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_384_en_sum.txt
@@ -0,0 +1 @@
+We describe an unusual case of a 79-year-old female who collapsed in her garden and lay there for several days before presenting to her local hospital Accident and Emergency department with an infestation of larvae in her vagina labia, identified as those from the Protophormia species northern blowfly. After complete removal of the larvae using tweezers followed by cleansing of the affected area and a course of antibiotics, the patient's condition improved. A follow-up review by the local gynaecology team revealed no evidence of further infestation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_393_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_393_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cbde1728c1f8152d9b6720098acc06837d161c3c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_393_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old woman presented with right-sided abdominal pain. Computed tomography revealed an 86 mm tumor in the right retroperitoneal space that extended into the inferior vena cava and reached superiorly to the right atrium. Percutaneous needle biopsy confirmed leiomyosarcoma. Cine magnetic resonance imaging demonstrated no adhesions between the tumor and the upper segment of inferior vena cava wall, nor with the right atrial wall, indicating resectability. Radical tumor resection was successfully performed without requiring thoracotomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_394_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_394_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7b581a2128b5b670c470349bb33dc508f59db274
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_394_en_sum.txt
@@ -0,0 +1 @@
+A 41-year-old Asian man was transferred to the Center of Trauma Surgery of our hospital for the closure of an open infected wound with a large skin defect in his right lower limb caused by an accidental explosion of 100 pieces of blasting cap. The wounds located in his right gluteal were approximately 40 cm × 35 cm. On admission, the wounds had hemorrhaged, exhibiting a darkened appearance, and included scattered metallic foreign bodies. Debridement of his right gluteal area was conducted 6 hours after injury. Subsequently, a skin-stretching device combined with vacuum sealing drainage was applied to reduce the skin defect. This treatment proved to be valuable for the closure of the skin defect and to attain successful functional rehabilitation without sciatic nerve entrapment or amputation in this case.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_397_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_397_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ccec2c178de6096b1bca66a506f30a73d30c15f7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_397_en_sum.txt
@@ -0,0 +1 @@
+Concurrent retroperitoneal liposarcoma and renal cell carcinoma were found in a 34-year-old Japanese man. The renal tumor was first detected by ultrasonography, it was confirmed by computed tomography, which also identified a presumptive retroperitoneal liposarcoma, and the tumors were further assessed with magnetic resonance imaging. The patient was treated by surgical resection of retroperitoneal liposarcoma and left nephrectomy and has been disease-free for 10 years.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_410_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_410_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..50513695f729a765a72326379fca693a55133d43
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_410_en_sum.txt
@@ -0,0 +1 @@
+The patient was referred to our hospital with a 1-month history of disorientation and magnetic resonance imaging showed hydrocephalus with an enhancing lesion in the tectum. Preoperative blood tests showed a high serum soluble interleukin-2 receptor level of 624 U/ml. Through a single burr hole, endoscopic third ventriculostomy and biopsy of the lesion were simultaneously performed with a flexible endoscope. The histological examination confirmed diffuse large B-cell lymphoma. The patient underwent chemotherapy and radiotherapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_417_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_417_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6b3f9a540ce776c1efafa0dd25a9ae19912650b2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_417_en_sum.txt
@@ -0,0 +1 @@
+A 42-year-old female with long standing cutaneous lupus underwent renal biopsy for evaluation of nephrotic range proteinuria. She was on high dose prednisolone complicated with steroid induced hyperglycaemia. Eight weeks after the biopsy she presented with left flank pain, malaise and fever. There was a tender subcutaneous induration over the biopsy site. Contrast CT abdomen showed a retroperitoneal abscess with subcutaneous extension along the path of the biopsy needle. This was successfully treated with surgical drainage and broad-spectrum antibiotics.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_425_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_425_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2c4cb56ee5643b8b375c5990bbd2f9bd76f9a405
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_425_en_sum.txt
@@ -0,0 +1 @@
+A 70-year-old man was admitted to our department with an asymptomatic type III TAAA in previous open repair for abdominal aortic aneurysm. The patient complained of buttock and thigh claudication in the absence of defects in the pelvic perfusion; a spinal magnetic resonance angiography (MRA) showed a severe narrowing of the lumbar canal.. After 24 h from first-step procedure (TEVAR) paraplegia was detected. A cerebrospinal fluid (CSF) drainage was then placed with incomplete recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_427_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_427_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b2575abbe69588699a1bb74bf405253c3fd59e1f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_427_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old man was admitted due to abdominal pain. Endoscopy showed a round, smooth, elevated mass in the second portion of the duodenum with central ulceration. Abdominal contrast computed tomography showed a hypervascular tumor measuring 26 mm in diameter in the second portion of the duodenum, and pancreatic invasion was suspected. Endoscopic ultrasonography of the lesion confirmed a hypoechoic mass arising from the fourth layer of the duodenal wall. A biopsy was performed for central ulceration, and immunochemical studies showed positive results for smooth muscle actin (SMA) and negative results for S100, C-Kit, and CD34. Leiomyoma or gastrointestinal stromal tumor was suspected and pancreatoduodenectomy was performed. The specimen exhibited a vascular-rich tumor, 24 × 24 × 19 mm in size, with deep ulceration in the duodenum. Histological examination showed uniform small round cells with central nuclei and a pale cytoplasm (glomus cell) with perivascular proliferation. Immunochemical studies showed that the tumor was positive for SMA and collagen type IV, and negative for C-Kit, CD34, desmin, and S100. We diagnosed the tumor as a GT of the duodenum.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_437_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_437_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..01b7be300a4128a2017c10231b6f28576cff965c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_437_en_sum.txt
@@ -0,0 +1 @@
+We report a case of complex revascularization in a diabetic patient with aggressive right foot lesions evolution after COVID-19 infection. The patient presenting a Peripheral arterial ischemic involving the infrarenal aorta, iliac, femoral. The simultaneous intervention consisted of an endovascular aortic stent-graft placement and angioplasty of femoral artery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_444_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_444_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5c45b567fa458fa2760bea843c32b18f298b965a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_444_en_sum.txt
@@ -0,0 +1 @@
+A 40-year-old female developed an acute cauda equina syndrome (CES) attributed to an acute lumbar disc herniation and to marked canal stenosis due to OYL. As the patient underwent a 9 h delayed removal of the ossified ligament and discectomy, she sustained only minimal recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_447_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_447_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a49b5b2f3d6c78f8a8f281f479191ebbbf49ed86
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_447_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old man presented with fever and right chest pain. He was suspected of a giant primary diaphragmatic tumor of extrahepatic origin by imaging studies. The preoperative differential diagnosis included benign masses such as myxoid sarcoma and schwannoma, and we planned a diaphragmatic resection. Intraoperatively, however, dissection of the tumor from the liver was not possible, requiring an extended right posterior segmentectomy with combined resection of the diaphragm. The patient had a good postoperative course and 1 year has passed since the surgery with no recurrence. The pathology showed that the mass was located just below the hepatic capsule/parenchymal region and was adherent to the diaphragm, but there was no continuity. The morphology suggested a low-grade mesenchymal tumor such as a solitary fibrous tumor and perivascular epithelioid cell tumor, but immunostaining was negative, making the diagnosis difficult. Although some areas of high proliferative activity were observed, finally, the diagnosis of primary spindle cell tumor of the liver with smooth muscle differentiation was made based on the positive results of muscle markers such as αSMA, desmin, and h-caldesmon.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_451_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_451_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..235bdcd46f6cf7d6960f140f6c8eab4b2859d515
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_451_en_sum.txt
@@ -0,0 +1 @@
+This report documents an uncommon case of synovial sarcoma occurring in the hand-wrist of a 69-year-old Caucasian woman. She was subsequently treated with surgical excision and radiotherapy without recurrence after follow up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_458_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_458_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7c7a6d3f48a90beb490a45e2883bb39d268139ef
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_458_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 15-years-old boy with clinical and radiological characteristics of SWS. Genetic examination identified a pathogenic heterozygous variant in the COG4 gene. Magnetic resonance imaging revealed a critical stenosis of the cranio-cervical junction (CCJ) which required surgical treatment to attempt sufficient neurological decompression. The patient underwent decompression of CCJ under general anesthesia. There was no significant radiological and clinical improvement during the postoperative period.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_46_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_46_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..974538a74144efec2bffb34f79f2e026b853a2f1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_46_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old female presented with graft rejection 1 year following a DSAEK procedure. The episode started when she tapered down her loteprednol to once a day. Slit-lamp examination showed a mildly injected conjunctiva with 1+ corneal oedema. On the posterior surface of the cornea, there was an endothelial rejection line (Khodadoust line) with keratic precipitates and multiple areas of anterior synechia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_474_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_474_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d4116eb4340e00be2cf6b2a22a099420d5680df6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_474_en_sum.txt
@@ -0,0 +1 @@
+A 54-year-old female patient with a history of metastatic breast cancer and bevacizumab use presented with a dental infection. Dental extraction followed immediately by dental implant placement was planned after suspension of the bevacizumab treatment. The patient presented with pain, drainage of purulent secretion, and bone exposure 5 weeks post-surgery. Complete healing was achieved at postoperative 7 months.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_47_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_47_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fe693bf79813ada8a8d04a894d54ffdb4639f447
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_47_en_sum.txt
@@ -0,0 +1 @@
+Herein, we report the case of a giant azygos vein aneurysm in a 78-year-old man that was treated with a reversed L-shaped incision. A 56 × 77 mm saccular azygos vein aneurysm was incidentally detected on computed tomography. Subsequently, surgical resection with interventional radiology and reversed L-shaped thoracotomy was performed. First, we performed coil embolization of the azygos vein aneurysm inflow. Next, a cardiopulmonary bypass was established through a reversed L-shaped sternotomy, and the aneurysm was excised.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_505_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_505_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9ceda2ee2880d0ea196f750373e84c062f68be74
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_505_en_sum.txt
@@ -0,0 +1 @@
+We present a case of left sided PAPVC with no atrial septal defect (ASD), who presented with effort intolerance and an unremarkable physical examination. Computed tomography pulmonary angiography (CTPA) confirmed the primary diagnosis as suggested by an initial 2-D echocardiography, and aided in better understanding of the anatomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_507_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_507_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..91ec3bc26b186d6dc786d98ff812460a3298532b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_507_en_sum.txt
@@ -0,0 +1 @@
+We identified a 49-year-old patient who presented with dyspnoea, with Marfan syndrome (MFS) and a previously unreported variant in the fibrillin-1 gene (FBN1), designated c.7016G>C. Prior to identifying the new gene variant, this patient did not meet the revised Ghent criteria for MFS diagnosis. We present clinical and molecular evidence supporting the likely pathogenic nature of this variant, leading to earlier therapy and intervention.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_531_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_531_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..21115547e6d24e2bcf2bc1cd6fbfe084fb1b221d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_531_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 25-year-old man with a history of enucleation for a retinoblastoma of the right eye who presented with difficulty in fitting his eye prothesis. On his past medical records, there was no reference to the placement of any orbital implant at the time of the surgery. Biomicroscopy of the right eye revealed a thickened bulbar conjunctiva, an inferior symblepharon, and a translucid central area with vascularization. Imaging was remarkable for a cystic cavity filling the whole right orbit. Biopsy revealed the diagnosis of a conjunctival cyst, and drainage was performed, alleviating the patient's symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_547_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_547_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f5a81ad0338c0c2611dcabf075b5b1564da88938
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_547_en_sum.txt
@@ -0,0 +1 @@
+A 48-year-old male reported pain in the lateral part of his left lower leg and ankle during a badminton play. Physical examination revealed tenderness and swelling of the lateral aspects of the left ankle, as well as the proximal aspect of the fibula. Preoperative plain x-ray image, computed tomography, and magnetic resonance imaging revealed an avulsion fracture of the anterior tibia by the anterior inferior tibiofibular ligament without medial and posterior fracture, rupture of the deltoid ligament, or interosseous membrane. Nonoperative management was performed and successful recovery was observed at a 6-month follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_549_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_549_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..33104e8c6fb9e75910a16f32fe4eb5c011fc72bc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_549_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a supraventricular tachycardia that occurred within three hours of Infliximab infusion in a patient with rheumatoid arthritis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_575_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_575_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5de52156225d9d59f87f447bd793cf25ed0dc4cb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_575_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 71-year-old woman with refractory diabetes. She showed clinical symptoms of Cushing's syndrome during treatment for diabetes and ectopic ACTH production was suspected based on biochemical and imaging tests. Nodules were identified in the left lung apex and lingual segment. Examination of resected nodules revealed that the nodule in the apex was pulmonary cryptococcosis, while the nodule in the lingual segment represented typical carcinoid. After surgery, clinical symptoms, laboratory findings, and diabetes all improved.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_602_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_602_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bc98ec90f2c58c28ab677db2ec3ea24e37cc955c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_602_en_sum.txt
@@ -0,0 +1 @@
+In southwestern Germany we encountered a patient with a tick bite at the dorsal scalp that resulted in an eschar and nuchal lymphadenopathy. Additionally, fever, malaise as well as elevated inflammatory markers and transaminases occurred. The characteristic clinical picture along with positive antibody testing for rickettsiae of the tick-borne spotted fever group strongly suggest the diagnosis TIBOLA.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_60_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_60_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16b1bede7c6fd47b33ac2e20d907bd21ffbf9778
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_60_en_sum.txt
@@ -0,0 +1 @@
+Medical/surgical intensive care unit (ICU) of a university teaching hospital.A 62-year-old man presented to a local hospital with mucous and bloody stool persisting for 1 month and worsening abdominal pain for 2 weeks. He had thrombocytopenia and renal dysfunction and was admitted with a diagnosis of sepsis due to intraabdominal infection. However, he did not respond to antimicrobial therapy, and after 7 days he was transferred to the Chiba University Hospital ICU.Antimicrobial therapy was continued, and continuous hemodiafiltration was initiated on ICU day 3, but the patient's condition deteriorated and he became anuric. Plasma exchange (PE) was initiated on ICU day 11, but anuria and thrombocytopenia persisted. Intravenous eculizumab therapy was initiated on day 26 and resulted in quick recovery of urine output and platelet count and successful discontinuation of renal support.The diagnosis of thrombotic microangiopathy was established by the presence of schistocytes on the peripheral blood smear on ICU day 9. A plasma sample collected prior to initiation of PE showed a disintegrin-like and metalloproteinase with thrombospondin type 1 motifs member 13 (ADAMTS13) activity level of >10% (25.1%). The absence of both Shiga-toxin producing E coli in feces and anti-Shiga-toxin antibody in blood led to suspicion of atypical hemolytic uremic syndrome (aHUS). Genetic test identified a nonsynonymous mutation (p.Ala311Val) in the membrane cofactor protein gene (MCP).Although the pathological significance is currently unknown, this mutation may have been the cause of adult-onset aHUS in our patient. In this case, eculizumab was successfully introduced and discontinued, and the patient remained relapse-free after 1 year of follow-up. The duration of eculizumab therapy for patients with aHUS should be determined on a case-by-case basis and possibly according to the causative genetic mutation, even though discontinuation of eculizumab therapy once initiated is not generally recommended.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_627_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_627_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a03a376407f7df8c8d74ac6f1f3a4227b061fb6c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_627_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 45-year-old Khas male who presented with acute onset chest pain and shortness of breath who had elevated right hemidiaphragm, bilateral pleural effusion and pericardial effusion who was later diagnosed as GPA.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_664_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_664_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6626e15ef03bc5e326cf13399465429fbcdf6e70
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_664_en_sum.txt
@@ -0,0 +1 @@
+A 24-year-old man with history of rheumatoid arthritis presented with bilateral decreased vision since four years ago. Slit lamp examination revealed bilateral circumferential peripheral corneal thinning and bulging with vascularization and lipid deposition in addition to band-like lesions in descemet's membrane. Previous records revealed no gross corneal abnormalities up to 4 years ago. Corneal lesions were compatible with bilateral circumferential Terrien's marginal degeneration concomitant with posterior polymorphous dystrophy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_676_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_676_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e477c9cb99e582670b0305bf61e7daeae9a8f6f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_676_en_sum.txt
@@ -0,0 +1 @@
+We report an uncommon case of a patient who presented with primary pulmonary syndrome without renal involvement in the setting of MC, due to untreated chronic hepatitis B infection. Early diagnosis and consequent institution of glucocorticoids, B-cell-depleting monoclonal antibody and antiviral therapy led to a favorable outcome and prevented any fatal sequelae.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_683_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_683_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..594a2835ffe772d5df22c7f0590b4131d55c2a82
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_683_en_sum.txt
@@ -0,0 +1 @@
+To the best of our knowledge, we present the only reported case of a 34-year-old female with arrested hydrocephalus who sustained an acute epidural hematoma secondary to a fall and underwent a conservative management. She was asymptomatic except for mild headache that started on the 3rd day postinjury and was thus treated conservatively with favorable outcomes. A review of literature showed that adults with arrested hydrocephalus may develop intracranial hematomas after head injuries despite them manifesting with little or no symptoms. The hydrocephalus may have provided them with a form of internal decompression thus delaying symptomatology.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_68_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_68_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9ce0f4356da419e9494ffc0ab63c6aaf4c5e3e2e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_68_en_sum.txt
@@ -0,0 +1 @@
+This case report describes a 51-year old female diagnosed with acute lymphoblastic leukemia who donated both bone marrow and peripheral blood stem cells 8 yrs ago for her brother with severe aplastic anemia. Whole exome sequencing revealed leukemic genetic lesions (SF3B1 and BRAF mutation) only appeared in the donor sister, not the recipient, and an unusual type of hematopoietic stem cell transplantation with the recipient's peripheral blood stem cells was done. The patient remained in remission for 3 months before disease relapsed. CD19 CAR-T therapy followed by HLA-identical unrelated hematopoietic stem cell transplantation was applied and the patient remains in remission for 7 months till now.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_693_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_693_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0a5edb64f68b08c9d8a8140d9860a091acd13c45
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_693_en_sum.txt
@@ -0,0 +1 @@
+We identified a Chinese family with three persons carry MECP2 gene duplication: a boy, his mother and his grandmother. The duplication segment which was detected by multiplex ligation-dependent probe amplification (MLPA) included gene MECP2, interleukin-1 receptor-associated kinase 1 (IRAK1), filamin A (FLNA), and L1 cell adhesion molecule (L1CAM). Furthermore, array comparative genomic hybridization (aCGH) was performed on the mother, showed that MECP2 containing duplication was 510 Kb (153,113,885-153,624,154), including 16 other genes except MECP2. The boy showed most symptoms of MECP2 duplication syndrome. His mother and maternal grandmother were asymptomatic. Both female carriers had a skewed X chromosome inactivation (XCI), which were 80:20 and 74:26 respectively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_709_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_709_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dfa5dcfdb012378315527e1dd955d19bd0e1e2e6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_709_en_sum.txt
@@ -0,0 +1 @@
+A 47 years old woman is reported with a medical history of β -Thalassemia Major admitted to our hospital with atrial tachycardia of recent onset and successfully converted using a transesophageal overdrive atrial pacing.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_713_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_713_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa5299abd730525ec32258bfcca24454c5602ddb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_713_en_sum.txt
@@ -0,0 +1 @@
+A 71-year-old woman visited our hospital with left ophthalmalgia, ptosis, and diplopia. Neurological findings revealed left oculomotor, trochlear and abducent nerve palsies. Endocrine tests indicated partial hypopituitarism. Initial CT and MRI revealed that a mass in sphenoidal and cavernous sinuses had invaded the sella with osteolysis of the sphenoid bone. At around four weeks, almost all the symptoms of cranial nerve palsies were relieved. Seven weeks later, she had a high fever and cervical lymph node (CLN) swellings. CLN biopsy revealed CD20-positive B-cells. She was diagnosed with diffuse large B-cell lymphoma (DLBCL). 18F-fluorodeoxyglucose positron emission tomography/computed tomography (PET/CT) revealed elevated uptake at the erosion lesion of the sphenoidal bone, but not the pituitary gland. After chemotherapy, all the symptoms related to systemic lymphoma were relieved, but partial hypopituitarism remained. The mass in sphenoidal and cavernous sinuses and elevated uptake by PET/CT were dissolved.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_736_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_736_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..311e2a8471dc216eafbcf51a1c7652141aadc5e9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_736_en_sum.txt
@@ -0,0 +1 @@
+A 30-year-old Caucasian woman with a history of depression on regular fluvoxamine presented to the emergency department with right-sided facial and lower limb twitching. The patient had recently been prescribed sumatriptan for migraines and had taken her first ever dose shortly prior to the onset of symptoms. She was tachycardic, diaphoretic, and hypertonic on initial assessment with bilateral lower limb and ocular clonus. Electrocardiogram showed sinus tachycardia with QT interval under the treatment interval, and pathology and imaging findings were unremarkable. Her symptoms improved with supportive management and cyproheptadine.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_739_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_739_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1e1406d37e5cbc01cb59753859a5b52cec180f73
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_739_en_sum.txt
@@ -0,0 +1 @@
+A 54-year-old woman presented to the respiratory outpatient clinic with gradually worsening left sided chest discomfort, which was most marked during a recent flight. She had no significant dyspnoea or other symptoms. She had a remote 5-pack-year smoking history. Chest X-Ray revealed a large hyperlucent area in the left upper lobe. CT Thorax found this to be an isolated bulla occupying more than one-third of the hemithorax. The remaining lung parenchyma was normal. A diagnosis of Idiopathic Giant Bullous Emphysema was made. The patient was referred for VATS (Video-assisted thoracoscopic surgery) bullectomy which was carried out without complication. Her symptoms resolved completely following the operation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_753_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_753_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..22194e345b33bdbb649a78814d54215d9c9fd03d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_753_en_sum.txt
@@ -0,0 +1 @@
+A 32-year-old male who presented with chest discomfort and radiating pain to his back and left shoulder mimicking myocardial infarction with normal ECG and enzyme markers. A chest radiograph (taken 24 h apart) demonstrates the left lateral position of the heart and the bulging contour of the left heart border, a lucent area between the aorta and pulmonary artery. Subsequently, cardiac MRI reveals left pericardial agenesis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_757_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_757_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0484ca39b75cf525b1267ce7bd75011baf28ad19
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_757_en_sum.txt
@@ -0,0 +1 @@
+Patient with history of hypothyroidism presented with huge non-tender goiter, compression symptoms and choking, no lymphadenopathy. Ultrasound (US) showed large thyroid lobes. There was a small hypoechoic nodule, and nonspecific lymphadenopathy. Fine needle aspiration/cytology (FNAC) of right thyroid nodule showed scant follicular cells, abundant polymorphic lympocytes, epithelioid histiocytes, and tingible body macrophages, suggestive of De Quervain's (granulomatous) thyroiditis. Total thyroidectomy was decided due to compression symptoms and huge goiter.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_771_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_771_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3e3430b7e914d237b3681709494f890f6feb5cfb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_771_en_sum.txt
@@ -0,0 +1 @@
+A 53-year old man presented with epigastric pain on a background of excessive alcohol consumption. Contrast-enhanced computed tomography imaging of the liver revealed a central enhancing mass located at the bifurcation of right anterior and posterior portal veins. Magnetic resonance imaging demonstrated intrahepatic biliary duct dilatation distal to the mass. The patient underwent a right lobe hepatectomy and excision of the extrahepatic biliary tree with formation of a hepaticojejunostomy. Histopathological finding of the specimen revealed an intraductal tumour with predominant neuroendocrine immunohistochemical phenotype and infiltration into nearby tissue. An element of glandular differentiation on immunohistochemistry confirmed the lesion as MANEC.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_808_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_808_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a4035e8eb36cdf85535455b001957f938d7f2bb7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_808_en_sum.txt
@@ -0,0 +1 @@
+A 38-year-old gentleman presented with the complaints of progressive breathlessness, dry cough and fever for 7 days. Patient was diagnosed as a case of H1N1 pneumonia with severe ARDS. Patient was initially managed with invasive mechanical ventilation according to ARDS-Net protocol. Despite persistent hypoxia he was put on prone positioning for consecutive 4 days. Patient was extubated after 10 days of mechanical ventilation and put on HFNC in view of persistent high oxygen requirement. At this point of time, we attempted prone positioning in addition to HFNC. Patient was comfortable on prone position and put himself in the same condition for prolonged periods. His oxygenation showed a remarkable improvement from PaO2 of 63 (before prone positioning) to 136 mm Hg (after prone positioning). Oxygen supplementation was later tapered off and subsequently, he improved and was shifted to ward.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_832_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_832_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eb17f6897569900a57e62f7231c5dcdf8db151ce
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_832_en_sum.txt
@@ -0,0 +1 @@
+This case report describes an unintentional citalopram intoxication in a 4 week old infant due to a vitamin D drops 'look alike' error. The infant showed extreme jitteriness and opisthotonus at presentation, as well as prolonged signs of gastro-oesophageal reflux. No cardiac rhythm disturbances or convulsions were seen. The clinical course combined with Finnegan scores was correlated to and supported by pharmacokinetic and pharmacokinetic data of citalopram in the patient.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_84_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_84_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0d8304dcf1a219526a1edde8428db0aeb4d8f5b3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_84_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 9-year-old girl presenting with repeated loss of consciousness, concomitant with a pale face, palpitations, and convulsions, which had persisted for 2 years and had been aggravated during the previous 2 months. She was previously misdiagnosed with epilepsy in another hospital. We further examined her while she was hospitalized. By combining her medical history and imaging examination and lab test results, a diagnosis of insulinoma was confirmed. Sanger-directed sequencing on a peripheral blood sample revealed an MEN1 gene mutation, indicating pediatric insulinoma with MEN1 syndrome. The patient underwent minimally invasive insulinoma enucleation surgery under the Da Vinci robot-assisted system with intraoperative ultrasound (IOUS) connected. The surgery was successfully completed within 65 min, and the girl recovered well postoperatively and no longer experienced symptoms of hypoglycemia.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_866_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_866_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f50745af9dcef1d820a5fff2a3fbc19b4b18c664
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_866_en_sum.txt
@@ -0,0 +1 @@
+The newborn was diagnosed with microtia of the right ear, preauricular tag on the left side, absence of right depressor angular oris muscle, and imperforate anus. Infantogram showed dextrocardia, hemivertebrae in the thoracic region and cervical spina bifida occulta. The newborn was operated on for the imperforate anus and was discharged in good condition.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_867_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_867_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e4a3f2d5c1f35feef9d062278a8bf766e145f6ef
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_867_en_sum.txt
@@ -0,0 +1 @@
+A HIV-negative 56-year-old male was hospitalized for chest disease with main symptoms of chest tightness, chest pain, fatigue, anorexia, and weight loss. Heart rate 109 times/min, the computed tomography (CT) scans of the neck, chest, and abdomen revealed multiple nodules in the right pleura, right pleural encapsulated effusion, and limited, incomplete expansion of the middle and lower lobes of the right lung, enlarged lymph nodes in the right hilar and mediastinal and diaphragm groups, and multiple slightly low-density nodules in the liver, bone destruction in the 2nd thoracic vertebra, raising the possibility of multiple liver metastases of right lung cancer and malignant pleural fluid. The lymph nodes in the neck, mediastinum, abdomen, and pelvis were enlarged bilaterally. After comprehensive analysis, the patient was diagnosed with atypical systemic HDTB. After three months of conventional anti-TB treatment, the patient refused our hospital follow-up, and his symptoms improved significantly during the telephone follow-up.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_877_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_877_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5b8ce54e0830ecf1c9ed50d79e099594c33088b4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_877_en_sum.txt
@@ -0,0 +1 @@
+A 66-year-old female presented with one year history of painful swelling of right ankle and a draining sinus around lateral malleolus. Five months and three months ago, she had undergone arthroscopic synovectomy and bursectomy which revealed no causative organism. Open bursectomy with sinus tract excision was performed and intravenous antibiotic was administered. Two year after the surgery, the patient revisited the clinic for recurrent painful swelling with pus drainage at the same location. Multiple huge cystic lesions with osteolysis and sclerotic rim of talus were found and C. krusei was isolated from tissue culture. The patient received surgical debridement and prolonged antifungal treatment comprising caspofungin and voriconazole.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_885_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_885_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b4d1831a9025488defadd8066486dd4a83f6748c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_885_en_sum.txt
@@ -0,0 +1 @@
+A 44-year-old man was admitted due to weakness of his right limbs and unclear speech for 10 h. He had recurrent fevers for 1 month before admission. Transthoracic echocardiography showed a mix-echoic vegetation attached to the bicuspid aortic valve, moderate aortic regurgitation and a possible aortic annular abscess. Blood cultures were negative and empiric antibiotic therapy was begun. The patient did not have fever again and seem to be clinically improved. However, follow-up transesophageal echocardiography revealed a large periaortic abscess led to aortic sinus pseudoaneurysm. The patient underwent mechanical prosthetic valve replacement and annulus reconstruction successfully. Perivalvular abscess may be insidious deterioration in patients who seem to be clinically improved, which requires us to pay more attention.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_896_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_896_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1fdab1ecefa5fbe9071d7b2e7911a49530a5faf7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_896_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old male with hemophilia A presented with persistent gross hematuria of unknown cause. He was treated with recombinant factor VIII products, followed by several conservative therapies as follows: clot evacuation by vesicoclysis, continuous bladder irrigation with normal saline, and intravesical instillation of aluminum hydroxide/magnesium hydroxide (Maalox); however, these failed to resolve the hemorrhaging. The patient was offered and consented to cystectomy with an ileal conduit. Intraoperative clotting was normal with the infusion of adequate recombinant factor VIII products and transfusion of fresh-frozen plasma, and the procedure was performed safely. After surgery, the patient had blood in his stool several times. No bleeding site was demonstrated in the colon by colonoscopy and (99m)Technetium-human serum albumin-diethylenetriaminepenta-acetic acid scintigraphy demonstrated that the extravasation of radioactive isotope was detected at the anal side of terminal ileum but not at the oral side. These findings were suspected to be bleeding from the ileoileal anastomosis. However, the bleeding was managed with recombinant factor VIII products.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_89_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_89_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..00dd5844dc13833cd74ec22bf75d001bb642a3fa
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_89_en_sum.txt
@@ -0,0 +1 @@
+We report on a case of a 36-year-old woman with a history of atopy presenting with nausea, abdominal discomfort, weight loss, and ascites. Laboratorial analysis revealed peripheral eosinophilia and a slight elevation of inflammatory markers. The patient pursued medical assistance several times with a delay in the diagnosis. The pathway to the diagnosis of EoG with serosal infiltration and further management is presented.
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diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_911_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_911_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10fd841b4aa1b2af1f08fa28570e405e6c8c340c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_911_en_sum.txt
@@ -0,0 +1 @@
+A 36-year-old male patient was hospitalized at Zhongshan Hospital, Fudan University, due to a gradually aggravated pain on the lateral side of the left scapula for 6 months. Imaging examination showed neoplastic lesions on the left side of C7-T2 invading the vertebral body of T1, T2, and caput costae of the second rib and suspected metastasis in the left ilium. FDCS was diagnosed after performing a computed tomography (CT)-guided core needle biopsy, and the thoracic lesion was surgically resected. The body gamma knife was used as an adjuvant radiotherapy for the thoracic lesion and a primary therapy for the left ilium lesion. Iliac bone lesion resection was performed at Zhongshan Hospital, Fudan University, 10 weeks after RT. Compared with the biopsy report, the body gamma knife treatment resulted in a pathological complete response (PCR). The magnetic resonance imaging (MRI) examinations showed stable disease of the thoracic lesion after body gamma knife radiosurgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_924_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_924_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7adfd309fc2ba98e052847ea7b688cb45019dee1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_924_en_sum.txt
@@ -0,0 +1 @@
+A 66-year-old male was admitted to the hospital due to deep vein thrombosis of the right lower extremity. Upon contrast-enhanced computed tomography imaging, we found that this patient presented with a case of left-sided IVC draining into the hemiazygos vein, while his hepatic vein was directly draining into the atrium.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_944_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_944_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dbfc888933129ae12c13a1411c77080357b6556e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_944_en_sum.txt
@@ -0,0 +1 @@
+A venous access port was surgically placed for intravenous chemotherapy in a 19-year-old Caucasian woman who had been diagnosed with acute lymphoblastic leukemia. She developed a fever three and a half years after placement, and the venous access port was removed as it was seen as the only focus for her fever. In the year following its removal, a computed tomography scan was ordered due to a clinical suspicion of deep venous thrombosis of her left arm. The computed tomography scan revealed a hyperdense structure in the left innominate vein with thrombosis. It was concluded that this was a foreign body, a retained catheter fragment after removal of the catheter. After three-dimensional reconstructions were performed, it was determined that these hyperdense structures were calcifications in the left innominate vein that resembled a foreign body.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_947_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_947_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..60403bcc50f7465f88de67e1c932ae8a8d5274d7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_947_en_sum.txt
@@ -0,0 +1 @@
+A 57-year-old woman presented with intermittent gross hematuria for 2 years. Urinalysis displayed hematuria. The bladder ultrasound showed an avascular and homogeneous isoechoic polypoid mass with a maximum diameter of 6 mm at the right lateral wall of bladder. The bladder endoscopic examination showed a polypoid lesion, with a smooth surface, located in the right lateral wall. Then, a transurethral resection was performed, its histopathological features indicated a benign GT.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_978_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_978_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b6405722704bbd6349520be1fdf7b5710b2dd585
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_978_en_sum.txt
@@ -0,0 +1 @@
+A 78-year-old Chinese woman with type 2 DM presented with a mushroom-like lump in her right thigh. Histological findings revealed that the lesion was mainly composed of clear cells and signet-ring cells. The septa of vacuoles in cytoplasm displayed positivity for periodic acid schiff (PAS) and cytokeratins such as AE1/AE3, CK5/6, CK14, and CK19. Malignant cells did not express CK7, CK8, CK18, CK20, p16, p53, or c-erbB-2, and the Ki-67 index was less than 5 %. We further explored the etiology of clear cell/signet-ring cell cSCC using human papillomavirus (HPV) type-specific PCR and genotyping and confirmed that the patient was not infected with HPV. Nucleus positivity for p63 indicated the involvement of the p53 family in the lesion. Meanwhile, the expression of fibroblast growth factor receptor-2 (FGFR2), a downstream effector of p63, was upregulated in tumor cells.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_991_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_991_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1f22826ac44ff0062fbd230832ada76fd9eeccb8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_991_en_sum.txt
@@ -0,0 +1 @@
+A 27-year-old woman presented with obstructive jaundice, vomiting, pruritus, abdominal pain and an epigastric mass. A diagnosis of a pancreatic cyst causing a compression of the common bile buct was established by ultrasonography and CT scan before surgery. Hydatic serology was negative. The treatment consisted of the resection of the protruding dome with a drainage of the residual cavity and an omentoplasty. The recovery was uneventful and the patient has remained symptom free so far.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_9_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_9_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba3366713cdb8d260897e0472ffb1f88bcda2556
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_9_en_sum.txt
@@ -0,0 +1 @@
+Herein, a 75-year-old woman suffered an atypical periprosthetic femoral fracture 31 months after receiving denosumab. The fracture occurred transverse to the stem tip with lateral cortical thickening. The patient underwent revision surgery for conversion to a longer cemented stem. The fracture site healed 10 months after revision surgery.
\ No newline at end of file