diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1002_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1002_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..adb48b8fd7b40c81782b8b29c8092fe6a12b77f2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1002_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 41-year-old female that presented with swelling in the right preauricular region that had persisted for the past two years. The patient was diagnosed as having a small lymphocytic NHL. She initially underwent chemo-radiation but reported relapse. The tumor was excised and again the patient underwent chemotherapy. The patient remained symptomatic and developed a second primary squamous cell carcinoma in the right retromolar trigone.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1003_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1003_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f46912ee23f6d51d02b74f394dec306bb583daab
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1003_en_sum.txt
@@ -0,0 +1 @@
+We present a 26-year-old man with a known history of Behcet's disease who developed decreasing vision and severe ocular hypotony that was refractory to multiple treatment modalities including subtenon triamcinolone acetonide, ibopamine, pars plana vitrectomy, and silicone oil injection. We decided to try high-dose topical latanoprost for the management of ocular hypotony based on recent reports. After six months, intraocular pressure (IOP) increased by 5 mm Hg, became stable at 7 mm Hg, and remained unchanged at month 24.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1021_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1021_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2bea68809550464510985d4db02cec7eaec9b19a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1021_en_sum.txt
@@ -0,0 +1 @@
+A 14-year-old girl developed hemophagocytic lymphohistiocytosis (HLH) after cord blood transplantation (CBT) for relapsed precursor B-cell acute lymphoblastic leukemia (B-ALL). Twenty-one months after CBT, she was diagnosed with combined second relapse in the bone marrow and central nervous system. The patient was treated with CD19-targeted CAR-T cell therapy for the relapse. After CAR-T cell therapy, the patient remained in remission and continued to receive TMP/SMX for PJP prophylaxis. Seven months after CAR-T cell therapy, CD4+ T cells recovered and TMP/SMX was discontinued. The B-cell aplasia persisted. Ten months after CAR-T cell therapy, the patient developed PJP. The patient was also considered to have macrophage hyperactivation at the onset of PJP. Treatment with immunoglobulin, TMP/SMX, and prednisolone was initiated, and the patient's symptoms rapidly ameliorated.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1048_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1048_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3abcd91643a44b7a85fa89a0e8156524657767e8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1048_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 54-year old patient diagnosed with pancreatic adenocarcinoma in February 2012. Analysis of a tumor biopsy revealed an activating KRAS mutation (G12D) and the patient was started on first-line treatment with Reolysin in combination with gemcitabine in March 2012. Stable disease was achieved with significant improvement in cancer-related pain. Following 25 cycles of treatment over 23 months, a second biopsy was collected and immunohistochemical analyses revealed the presence of reovirus replication and induction of the ER stress-related gene GRP78/BIP and the pro-apoptotic protein NOXA. Importantly, co-localization of reoviral protein and active caspase-3 was also observed in the biopsy specimen.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1054_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1054_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d8677becc24ad34203f2d736a4cbd03bfae65752
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1054_en_sum.txt
@@ -0,0 +1 @@
+A 10-year-old white girl presented with brain metastases due to primary pulmonary adenocarcinoma. Next generation sequencing analysis with "Comprehensive Cancer Panel" highlighted the presence of multiple non-targetable mutations in the FLT4, UBR5, ATM, TAF1, and GUCY1A2 genes. She was treated aggressively with chemotherapy, surgery, and radiation therapy for local and distant recurrence. Eventually, therapy with nivolumab was started compassionately, and she died 23 months after diagnosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1056_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1056_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f88bff679fea849b98006ed48dcf333421cd3dc5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1056_en_sum.txt
@@ -0,0 +1 @@
+We present a case report of a 69-year-old female patient who was diagnosed with undifferentiated spindle cell soft tissue sarcoma on her left thigh. Surgical excision was initially performed, but the patient experienced a local recurrence following multiple surgeries and radioactive particle implantations. High-intensity focused ultrasound (HIFU) was subsequently administered, resulting in complete ablation of the sarcoma without any significant complications other than bone damage at the treated site. However, approximately four months later, the patient experienced a broken lesion at the original location. After further diagnostic workup, the patient underwent additional surgery and is currently stable with a good quality of life.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1066_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1066_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..99c891b1172f04f81b4aa95638a64f28691a8410
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1066_en_sum.txt
@@ -0,0 +1 @@
+We present our experience with a biopsy-proven case of IgG4-RD presenting with an intracranial extradural tumor-like mass infiltrating the temporal lobe. The patient was treated with high doses of corticosteroids followed by slow tapering. The neurological manifestations gradually improved and resolved after 2 months with a cerebral MRI showing a significant reduction in the tumoral size.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1067_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1067_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2348571d4cddbc878f5f05775936ade08649ce59
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1067_en_sum.txt
@@ -0,0 +1 @@
+Two women each had a mass located on the lower vaginal-rectal space as determined by transvaginal ultrasound (TV-US), pelvis MR imaging, and colonoscopy. The patients successfully underwent transvaginal excision. The spindle-shaped cells were found in pathological test. The immunohistochemical analysis showed that CD117 and Dog-1 were stained positively. These results confirmed the masses as GISTs. The postoperative period was uneventful without anal dysfunction. Two patients were received adjuvant treatment with imatinib after surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1087_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1087_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..03b6f3849f13f55f2b4085aaafb2cf3db884950b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1087_en_sum.txt
@@ -0,0 +1 @@
+A 62-year-old man with SIT and intestinal malrotation was diagnosed with T3N0M0 Stage IIA EGJ cancer. Three-dimensional reconstruction of a computed tomography angiogram showed that the common hepatic artery was absent, the proper hepatic artery was derived from the superior mesenteric artery through the gastroduodenal artery, and an accessary left hepatic artery arose from the left gastric artery. The patient underwent robot-assisted transhiatal lower esophagectomy and proximal gastrectomy with D2 lymph node dissection, including lower mediastinal lymphadenectomy. Intraoperative examination revealed minor vascular abnormalities, including three branches of the left gastric artery and two left gastric veins, that had not been recognized preoperatively. The surgery was performed safely, and the patient had an uneventful postoperative course.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1095_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1095_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f290da61b875c3d6cac2378328528b0f50009b37
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1095_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old male on oral anticoagulation presented to the emergency department with epigastric pain, nausea, and left upper quadrant tenderness. There was no history of trauma. Contrast-enhanced CT imaging revealed a large subcapsular haematoma of the spleen. Oral anticoagulation was antagonised with vitamin K and the patient was discharged in good condition after 3 days of clinical observation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1117_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1117_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1dffb60c074a7b6b6ad0dfbccc1cf5643818786b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1117_en_sum.txt
@@ -0,0 +1 @@
+A 2 year old Tunisian child presented with chronic thrombopenic purpura which failed to respond to corticosteroids. Hemolytic anemia with schistocytes, occurred ten months later, with no previous history of diarrhea or any neurological abnormality. Renal function and coagulation screening tests were normal. The count of platelet improved after fresh frozen infusion (FFP). Extensive investigations revealed a severe deficiency of ADAMTS 13 activity (level< 5%). Gene sequencing identified mutation in exon 18 of ADAMTS 13 gene. Prophylactic regimen with regular infusions of FFP was associated to favorable outcome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1119_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1119_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..012333779978466cec684e532a83974a2102231f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1119_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old man was diagnosed with gastric cancer and referred to our department. Upper endoscopy demonstrated a 5-cm circumferential ulcerated lesion at the cardia. Biopsy findings showed a poorly differentiated tubular adenocarcinoma. He underwent laparoscopic total gastrectomy with lymph node dissection, and pathologic examination revealed a moderately differentiated tubular adenocarcinoma stage T4aN1M0 and IIIA according to the UICC (Union for International Cancer Control) classification. He refused adjuvant chemotherapy and was only carefully observed. Twenty-three months after the primary gastrectomy, computed tomography (CT) revealed an irregular mass near the port site wounds. Then the patient underwent mass resection, and the pathological diagnosis was consistent with metastatic adenocarcinoma, located in the subcutaneous tissue at the port site wounds. Thirteen months after the second surgery, CT revealed an enhanced mass in the abdominal wall. Positron emission tomography (PET) CT showed an elevated uptake in the rectus abdominis muscle and a standardized uptake value (SUV) of 3.1. The patient underwent another mass resection, and the pathological diagnosis was consistent with metastatic adenocarcinoma in the rectus abdominis muscle. Thirty-five months after the third surgery, CT revealed a mass in the left gluteal subcutaneous region. Furthermore, PET-CT revealed a 35-mm mass with an elevated SUV of 9.6. Another mass resection procedure was performed, and the pathological diagnosis was consistent with metastatic adenocarcinoma in the subcutaneous tissue. Since tumor cells were present at the resection margin, additional radiation therapy was performed. The patient has survived 78 months after primary gastrectomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1130_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1130_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb149504ad0c6dcdf843f779c06a44c04502c5fb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1130_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 43-year-old Chinese female diagnosed with WD 12 years ago. She had suffered from night blindness since childhood and faced diminution of bilateral vision within 10 years, for which she was referred to our Eye Center during hospitalization for routine copper excretion treatment. The ceruloplasmin, skull magnetic resonance imaging (MRI), and abdominal ultrasound results accorded with hepatolenticular degeneration. Ocular examinations revealed corneal Kayser-Fleischer (K-F) ring, sunflower-like cataract, retinal osteocyte-like pigmentation, bilateral atrophy of outer retina, cystoid macular edema (CME), and tubular vision in both eyes. Phacoemulsification combined with intraocular lens implantation was performed in the right and left eye, but there was limited improvement in her visual acuity. Whole exome sequencing (WES) detected a deleterious homozygous mutation in the ATP7B gene related to WD, and a homozygous mutation in the CNGA1 gene very likely to cause RP.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_114_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_114_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..32f5ae2e425d91e65475ef43adc3de01adc07dff
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_114_en_sum.txt
@@ -0,0 +1 @@
+A 50-year-old man was diagnosed with rectal cancer located 5 cm from the anal verge, with a clinical stage of cT3N0M0. He denied any medical or surgical history, and physical examination revealed no perianal disease. He underwent preoperative chemoradiation therapy (CRT) consisting of a tegafur/gimeracil/oteracil potassium (S-1)-based regimen with 45 Gy of radiation. After completion of CRT, computed tomography (CT) revealed the primary tumor's partial response, but a liver mass highly suggestive of metastasis was detected. This mass was later diagnosed as cavernous hemangioma 3 months after CRT initiation. He then underwent and completed six cycles of consolidation chemotherapy with a capecitabine-based regimen. Subsequent colonoscopy revealed the complete response of the primary tumor, but CT showed thickening of the edematous rectal wall. Therefore, we planned to perform low anterior resection as a radical surgery. However, he presented with persistent anal pain after the last chemotherapy, and magnetic resonance imaging revealed a high-intensity mass behind the anus, suggestive of an anal fistula. We considered the differential diagnosis of a benign anal fistula or implantation metastasis into the anal fistula. Fistulectomy was performed, and a pathological diagnosis of tubular adenocarcinoma, suggestive of implantation metastasis, was made. Thereafter, we performed laparoscopic abdominoperineal resection. Histopathological examination revealed well-differentiated adenocarcinoma, ypT2N0, with a grade 2 therapeutic effect. Subsequent immunohistochemistry of the resected anal fistula showed a CDX-2-positive, CK20-positive, CK7-negative, and GCDFP-15 negative tumor, with implantation metastasis. There was no cancer recurrence 21 months after the radical surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1155_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1155_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..acc336e89ed3e5ecd93580d1688c6d5df09c194a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1155_en_sum.txt
@@ -0,0 +1 @@
+We present a treatment flow of a 9-year-old patient, diagnosed with an obstructive hydrocephalus due to tectal glioma that was successfully treated with an ETV. We review the important factors influencing the success rate such as age, aetiology, shunt history, preoperative planning and visualisation of the basilar artery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1162_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1162_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..82686805408f53c0ce1628920266e83c9e7a9f9e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1162_en_sum.txt
@@ -0,0 +1 @@
+A 20-year-old Greek man presented with high fever, appetite loss, nausea and vomiting, headache and significant malaise. He had an erythema of the palms and strikingly red lips and conjunctiva. As he did not respond to broad-spectrum antibiotics and after having excluded other possible diagnoses, the diagnosis of Kawasaki disease was set. He was treated with intravenous immunoglobulin and oral aspirin on the 10th day since the onset of the illness. His clinico-laboratory response was excellent and no coronary artery aneurysms were detected in coronary artery computed tomography performed 1 month later.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1163_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1163_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d322ac1070853667e5baade152e4ca047eea7360
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1163_en_sum.txt
@@ -0,0 +1 @@
+A sixty eight year old female presented with intestinal obstruction four years after transphenoidal pituitary resection for pituitary adenoma. During surgical exploration and lysis of adhesions, we accidentally discovered an intestinal carcinoid tumour. Resection of the involved small bowel segment and the draining lymph nodes was undertaken. Postoperative follow up showed no biochemical or radiological evidence of residual tumor.Neuroendocrine tumors (NETs) may occur as part of familial endocrine cancer syndromes including MEN-1. It is recommended that clinicians search thoroughly for MEN-1 in patients presented with NETs, however, there is no current consensus for screening patients suspected to have MEN-1 to rule out NET.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_117_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_117_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae790b245aeee6fdeae138316d2de2e43b5a8c6f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_117_en_sum.txt
@@ -0,0 +1 @@
+A 70-year-old man, presented with a 48h evolving abdominal pain, important abdominal distension, nausea, vomiting, and a last bowel movement reported 2 days ago, The abdomino-pelvic CT-scan objectified a distension of the terminal ileum measured at 30mm, The exploration revealed a sharp foreign body,at the 15 proximal centimeters of the terminal ileum, which penetrated through the wall of the ileum. The foreign body was removed and we noticed that it is a fish bone. The patient recovered well.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1194_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1194_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c70479464130ee00b31c9abe88250a56b1e27a24
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1194_en_sum.txt
@@ -0,0 +1 @@
+A 36-year-old patient, who has been suffering from generalized lipoatrophy since the first months of life and myopathy and gastrointestinal dysmotility since early childhood, developed dysmenorrhea and diabetes mellitus at the age of 19, bilateral cataracts when she was only 22 y.o., osteoporosis with vitamin D deficiency and hypocalcemia at the age of 28, diabetic foot syndrome and hyperuricemia when she was 35 y.o. Sequencing of lipodystrophy candidate genes detected a novel pathogenic homozygous variant p.631G < T: p.E211X in the CAVIN1 gene, confirming the diagnosis of CGL type 4.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1201_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1201_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f6d99415168020d781ce19cede10d82a6ee7895d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1201_en_sum.txt
@@ -0,0 +1 @@
+Our patient was a 64-year-old Malay woman with a background history of epilepsy but no other comorbidities. She was a lifelong non-smoker. She presented to our facility with a six-month history of productive cough and three episodes of hemoptysis. An initial chest radiograph showed bilateral pleural effusion with bibasal consolidation. Bronchoscopy revealed a white-coated endobronchial tree and bronchoalveolar lavage culture grew Aspergillus niger. A diagnosis of chronic necrotizing pulmonary aspergillosis was made based on the clinical presentation and microbiological results. She responded well to treatment with oral itraconazole.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1208_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1208_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..27ea6327054068caabb34024d84a3bbd44018aec
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1208_en_sum.txt
@@ -0,0 +1 @@
+We present a case of COVID-19 infection in a non-vaccinated male patient, who presented to our clinic with no symptoms of respiratory involvement but with severe muscle aches. Cardiac markers and procalcitonin levels were high, and concentric hypertrophy of the left ventricle, severe hypokinesia of the interventricular septum and of the antero-lateral wall, hypokinesia of the inferior and posterior wall and an ejection fraction of the left ventricle being around 34% was noted. Coronary angiography showed no lesions. Corticosteroids and antibiotics were instituted which showed improvement. A possible link to an autoimmune process was suspected, due to the presence of anti-PL-7 antibody, suggesting an antisynthetase syndrome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1247_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1247_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..32e4b2ec4ae39fe59d0fef23bb15f0be845a77e0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1247_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old male patient of sacral chordoma was treated by surgery and radiotherapy. He developed later bilateral inguinal lymph node metastasis and metachronous clivus chordoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1249_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1249_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..84ee40243aab5a4a65b65c66c299a19cfba27e59
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1249_en_sum.txt
@@ -0,0 +1 @@
+A case report of an emancipated 15-year-old male experiencing Takotsubo cardiomyopathy after using the synthetic cannabinoid "Spice" is presented here.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1283_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1283_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16ebdfd17039e903c013fc28a0aac60b92495482
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1283_en_sum.txt
@@ -0,0 +1 @@
+A 79-year-old male with a history of papillary urothelial carcinoma of the bladder and metastasis to the rectum presented with a painful and pruritic rash in the right inguinal region. Physical examination revealed firm papulonodules forming confluent, hyperpigmented to violaceous plaques. A punch biopsy confirmed the diagnosis of cutaneous metastasis of urothelial carcinoma based on histopathological and immunohistochemical findings.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1294_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1294_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d76ff1a13cb2c5e0356e7fd4eecd7cb6c9b4e2c8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1294_en_sum.txt
@@ -0,0 +1 @@
+In this instance, we present the case of a 7-year-old girl who exhibited abnormal behaviors following hematopoietic stem cell transplantation (HSCT). She received a diagnosis of anti-mGluR5 AE, and her Electroencephalogram (EEG) displayed an increased number of generalized slow waves during wakefulness. Treatment involved intravenous administration of gamma globulin and methylprednisolone, followed by oral prednisone tablets. Levetiracetam was introduced as an antiepileptic therapy during the pulse steroid therapy. Notably, the abnormal behaviors exhibited significant improvement after treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1299_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1299_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bca965b79315ec1a1845f490076a5bf98e6bad2c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1299_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 45-year-old who suffered from a cough for more than one week which did not subside after taking medications. This symptom was followed by dyspnoea for which an X-ray was done which showed left-sided pleural effusion, a complication of pleural hydatidosis. Computed tomography showed multiple cysts in the pleural cavity which confirmed the diagnosis of primary pleural hydatidosis as the cysts were not present in any other sites. Blood work revealed eosinophilia which is significant in parasitic diseases. A left posterolateral thoracotomy was performed, and the cysts were surgically removed. Additionally, empyemectomy and pleurectomy were done. The patient was then treated with anti-parasitic therapy and was advised to get X-rays during the follow-up visits. The X-rays were normal and indicated that there was no disease recurrence.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1301_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1301_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f87a5f79497b6faa354843f9a0e2abe35989f866
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1301_en_sum.txt
@@ -0,0 +1 @@
+Our patient is a 73-year-old male with a history of polymyositis, who presented with acute hypercapnic respiratory failure secondary to a suspected polymyositis flare. Despite initial management, the patient experienced complications, including dysphagia, thrombocytopenia, and altered mental status. Neurological consultations revealed conflicting opinions regarding the primary diagnosis, suggesting inclusion body myositis. The patient's condition continued to deteriorate, prompting discussions about prognosis and palliative care options. This case highlights the challenges in managing respiratory failure in patients with late-onset nemaline myopathy and the importance of multidisciplinary care in addressing complex medical needs.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1303_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1303_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..639553d286804faebfaca0bf29a7a004557df1c2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1303_en_sum.txt
@@ -0,0 +1 @@
+This case report describes a previously apparently well 36-year-old Sri Lankan Sinhalese man who presented with an acute febrile illness with myalgia, with liver involvement in the form of transaminitis, cardiac involvement in the form of myocarditis, acute kidney injury, and pulmonary involvement. He was initially managed as severe leptospirosis with multiorgan dysfunction with antibiotics, steroids, and N-acetyl cysteine. A diagnosis of acute hantavirus infection was made subsequently. He made an uneventful recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1323_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1323_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..28feb8705f6411df5cc0d94418fc106a5fcb8287
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1323_en_sum.txt
@@ -0,0 +1 @@
+In this study, we describe an unusual case of a child with juvenile idiopathic arthritis with an initial presentation of sternoclavicular mass. The patient (age, 14 years 10 months) presented with an insidious onset atraumatic swelling of the left SCJ and complained of right hip and bilateral ankle tenderness without an apparent cause. Initial ultrasonography indicated a heterogeneous mass in the left SCJ, while computed tomography identified mild swelling of the left SCJ with a thickened synovial lining, mild bone erosion, and some turbid fluid. The patient ultimately underwent left SCJ arthrotomy, during which tapping of the SCJ revealed 2 cc of yellowish fluid, inflammation and necrosis of tissues within the SCJ. A clear yellow joint fluid was aspirated, and testing revealed a negative culture result. The patient was diagnosed with JIA. The joint tenderness improved and erythrocyte sedimentation rate decreased after administering anti-tumor necrosis factor etanercept. An additional ultrasonography demonstrated that the initial imaging findings have been resolved. At the end of a 2-year follow-up period, the patient was completely symptom-free.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1326_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1326_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..57fb35fa151bc3c5bfc69a2d784589873f83a5fc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1326_en_sum.txt
@@ -0,0 +1 @@
+A 13-year-old boy with clinical signs of acute abdomen, left-sided abdominal pain, and hemodynamic instability was admitted to the PICU in critical condition. His parents denied any trauma had occurred. In addition to imaging tests, a nasopharyngeal swab was taken for COVID-19 testing, which was positive. The thoracic CT scan was normal, whereas the abdominal CT scan revealed hemoperitoneum, splenic rupture, and free fluid in the abdomen.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_132_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_132_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9bba9d04b312f125d60f307141569978f2095708
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_132_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old man presented with numbness and pain of both lower limbs for 2 wk and dysuria for 1 wk. Syphilis serology and cerebrospinal fluid (CSF) analysis supported the diagnosis of neurosyphilis and the patient was treated with intravenous ceftriaxone at first, but symptoms still progressed. Then, magnetic resonance images revealed multiple lesions along the cervicothoracic junction, and chest computed tomography showed a typical TB lesion. MTB DNA was detected in the CSF sample by metagenomic next-generation sequencing. Eventually the patient was diagnosed with tuberculous myelitis combined with asymptomatic neurosyphilis. Subsequently, quadruple anti-TB drug standardized therapy was empirically used and his neurological symptoms improved gradually.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1331_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1331_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2391ebe702fcf6f0532af9299242c515a89e1619
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1331_en_sum.txt
@@ -0,0 +1 @@
+A 55-year-old male patient with confirmed COVID-19 infection presented by progressive decrease in visual acuity and oculomotor nerve palsy. His medical history is notable for diabetes mellitus, hypertension, and pituitary macroadenoma resection 11 years ago. He was on hormonal replacement therapy for panhypopituitarism that complicated the surgery. Previous magnetic resonance (MR) imaging studies were consistent with enlarging residual pituitary adenoma. During the current hospitalization, computed tomography revealed hyperdensity of the sellar and suprasellar areas. MR imaging revealed PA in a recurrent large adenoma. Endoscopic endonasal transsphenoidal resection was uneventfully undertaken with near total excision of the adenoma and partial improvement of visual loss and oculomotor palsy. Histopathological examination demonstrated classic features of PA. However, his chest condition progressed and he had to be transferred to COVID-19 intensive care unit in the referring hospital where he was intubated and put on mechanical ventilation. One week later, the patient unfortunately passed away due to complications of severe COVID-19 pneumonia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1332_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1332_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2b579f469b3710a9e8a75d80e59452acdecbe879
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1332_en_sum.txt
@@ -0,0 +1 @@
+We describe a 21-year old man of Caucasian origin who had metastatic non-seminomatous germ cell tumor of the testis, and underwent retroperitoneal lymph node dissection, nephrectomy and partial inferior vena cava excision for a residual mass. The patient subsequently developed persistent lymphatic drainage causing foot drop that eventually responded to conservative medical and surgical measures.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1337_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1337_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1ba7770b441d1b3080598c316d954f433af7648
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1337_en_sum.txt
@@ -0,0 +1 @@
+A 24-year-old male was admitted to hospital with presenting complaint of left-sided chest pain, gradual in onset, 6/10 in intensity, sharp in character, increased by deep breathing and improved by leaning forward. Patient also gave a history of insomnia, unintentional weight loss despite a good appetite, heat intolerance, and anxiety. On clinical examination, the patient had features of thyrotoxicosis, i.e., tachycardia, high volume pulse, and sweaty palms with fine tremors. There was no associated pericardial rub. Neck examination shows diffuse, non-tender goitre. Electrocardiogram findings were consistent with acute pericarditis. His thyroid function tests demonstrated hyperthyroidism and anti-thyroglobulin antibodies were also significantly elevated. Echocardiogram showed preserved left ventricular systolic function and a small global pericardial effusion without any signs of tamponade. He was diagnosed with Graves' disease revealing itself as pericarditis and was started on ibuprofen, beta-blockers, and carbimazole. Patient had marked clinical and biochemical improvement on 3 monthly follow-ups.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1339_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1339_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..be2fdb2ed0aa55518182d7d9db84a6672ecbd919
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1339_en_sum.txt
@@ -0,0 +1 @@
+A 77-year-old Japanese man presented to our hospital with complaints of loss of appetite for 2 mo and a 10-d history of palpable purpura. On physical examination, the patient was afebrile but had bilateral multiple palpable purpuric lesions over the lower extremities, lower abdomen, and part of the upper extremities. Moreover, lymphadenopathy of the bilateral inguinal, cervical, and supraclavicular nodes was noted. Laboratory and imaging studies and skin biopsy were conducted but were inconclusive. Based on inguinal lymph node excisional biopsy, we diagnosed the patient with AITL. Subsequently, the patient developed progressive normocytic normochromic anemia that necessitated almost daily blood transfusion. The clinical presentations and results of bone marrow assessment were consistent with those of PRCA, which is associated with AITL. Chemotherapy was initiated but was not effective. The patient refused further chemotherapy and opted to continue receiving best supportive care.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1347_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1347_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..664e559c4ede0ccde9f7ab7bace4714843e17fc0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1347_en_sum.txt
@@ -0,0 +1 @@
+A 53-year-old Japanese man had normal ocular findings at his regularly scheduled appointment. He had been diagnosed as having incomplete-type Behçet's disease 11 years before. Three years after the diagnosis he was given systemic infusions of 5 mg/kg infliximab every 8 weeks and he had not experienced a uveitis attack for 8 years with no treatment other than infliximab. Two days after the eye examination, he received intracutaneous botulinum toxin injections to treat axillary hyperhidrosis on both sides. Three hours after the injections, he noted rapidly increasing floaters in his right eye. Four days after the injections, his right eye showed severe acute anterior uveitis with deteriorated aqueous flare and anterior vitreous opacity. He received his scheduled infliximab injection, and the right acute anterior uveitis immediately attenuated.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_136_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_136_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..46e9b3aab17379991ca5ccda65034621e9221765
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_136_en_sum.txt
@@ -0,0 +1 @@
+A 3-year-old girl was transferred to our center for severe cough, shortness of breath, fatigue and fever. Physical examination revealed facial deformities and growth retardation. Echocardiography showed a small atrial septal defect (ASD), and right heart catheterization indicated a significant increase in pulmonary vascular pressure and resistance. The genetic test suggested that she had a KMT2D gene mutation. The patient was finally diagnosed with KS. She was given targeted drugs to reduce pulmonary vascular pressure, but the effect was unsatisfactory.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1387_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1387_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3fb69860512da79850e892525ca7d12d0501b3fc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1387_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 4-year-old boy who underwent 5-ALA-guided resection of a fourth ventricle anaplastic ependymoma. Although complete resection was achieved and the patient awoke from surgery well with no neurological deficits, the patient developed acute transaminitis, anaemia, thrombocytopaenia and coagulopathy postoperatively. The patient had a sudden neurological deterioration on postoperative day 2; imaging revealed that he had suffered a spontaneous right frontal intracerebral haemorrhage. The patient returned to theatre for surgical decompression and evacuation of the haematoma, and ultimately went on to make a full recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1388_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1388_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..be7799eb25a195b7d0f93b15d3e082a09ff49320
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1388_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 66-year-old male who presented to us with exertional chest tightness, shortness of breath, and right leg weakness for two weeks. He was diagnosed with a cardiac mass two months ago in another hospital. The physical examination was unremarkable. Abdominal ultrasound showed a cyst in the liver and left kidney. Echocardiography showed a mass-occupying lesion of a cystic nature in the mitral valve with moderate mitral regurgitation. Based on echocardiography findings and computed tomography report, the preliminary diagnosis of mitral valve cystic tumor was made. The patient underwent minimally invasive resection of the cyst. The posterior mitral cusp was repaired and a mitral annuloplasty ring was placed. The postoperative recovery was uneventful. The histopathology report confirmed the diagnosis of a cardiac blood cyst. The patient was followed up for six months without any complications. This case is presented to enrich the medical literature on the cardiac blood cyst.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1394_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1394_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d9d54edc2ba01e8bcdcfbc3d9e602b6a1591b50b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1394_en_sum.txt
@@ -0,0 +1 @@
+We present here a 62-year-old man diagnosed with giant coronary artery fistula complicated with gross coronary artery aneurysm and acute myocardial infarction. He underwent intravenous thrombolysis treatment at a local hospital, coronary angiography at a regional hospital and complex surgery at a national centre for cardiovascular disease. The patient had no major adverse cardiac events during the 3-year follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1404_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1404_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fe1ffab9795c054c215d3061e53af73e5ef64077
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1404_en_sum.txt
@@ -0,0 +1 @@
+The patient is a 58-year-old male with heart failure with preserved ejection fraction, renal insufficiency, hypertension, obesity, and smoking history, who presented with a three-to-four-day history of persistent back pain, worsening exertional dyspnea, and orthopnea, as well as a two-to-three month history of dyspnea, lower extremity edema, and intermittent angina. He was diagnosed with an acute type A aortic dissection and anti-impulse control was initiated. However, repair was delayed in order to allow apixaban to metabolize and decrease the risk of bleeding, as the patient was approximately six days post-dissection, without malperfusion, with a well-controlled blood pressure on anti-impulse therapy, and had received five days of anticoagulation. During this time, coronary computed tomography angiography was performed to assess the need for concomitant revascularization and showed coronary artery disease. Ascending aorta hemiarch replacement with aortic valve resuspension, two-vessel coronary artery bypass grafting, and left atrial appendage clipping were performed successfully.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1447_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1447_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b7d5b6f8d7ff3a8af66afbd5ac011ef38007dba3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1447_en_sum.txt
@@ -0,0 +1 @@
+A 77-year-old female presented to the hospital with progressive swelling in the right hemiabdomen, a loss of appetite, and weight loss. MRI highlighted a giant abdominal tumor located in the right hypochondrium and right abdominal flank with liver invasion (segment V). Preoperatively, a gallbladder 25 × 17 cm in size was noted, and the patient underwent radical cholecystectomy. It was surprising to find such a giant malignant gallbladder tumor, diagnosed as invasive poorly cohesive carcinoma associated with ICPN.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1481_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1481_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..89f1d6239d8be331dd738ca55edacdd5dc108b52
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1481_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 68-year-old woman previously diagnosed with multiple sclerosis (MS) since the 1980s who suffered a rapidly progressive severe sensorimotor paraparesis with loss of bladder and bowel control due to an acute longitudinal extensive transverse myelitis (LETM) after immunization with the mRNA Pfizer-BioNTech COVID-19 vaccine. Detection of Aquaporin-4-antibodies (AQP4) in both serum and CSF led to diagnosis of AQP4-antibody positive neuromyelitis optica spectrum disorder (NMOSD). Treatment with intravenous corticosteroids and plasmapheresis led to a slight improvement of 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_148_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_148_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..880095a4f39c41ca872efe6cb99c199e79665f8d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_148_en_sum.txt
@@ -0,0 +1 @@
+A 45-year-old woman presented with hematochezia and abdominal pain. Abdominal ultrasound and Contrast enhanced computed tomography abdomen, both showed features of ileocolic intussusception. Intraoperatively, an intraluminal pedunculated polypoid growth extending up to the hepatic flexure of the colon was discovered. A right hemicolectomy was performed, removing the polypoid growth as well. After histopathological evaluation, a final diagnosis of colonic polypoid vascular ectasia was made.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_151_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_151_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..66b6fa79fff2e2e0f678f5d1d776cfd6426b7dcf
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_151_en_sum.txt
@@ -0,0 +1 @@
+Here, we present a rare case of systemic lupus erythematosus patient with a fungal infection that developed MDS-like adverse reactions after treatment with voriconazole. The patient was admitted to the hospital because of 3 days of chest tightness and dyspnea. After the admission, the patient's sputum culture showed Candida albicans infection, and voriconazole was prescribed to be taken orally. After using voriconazole, drug-related adverse reactions such as visual impairment, nausea, vomiting, hiccup, middle and lower abdominal pain, disorders of consciousness, delirium, hallucination, slow response, and subcutaneous ecchymosis appeared, as well as the gradually increased serum creatinine, oliguria, and aggravated lower limb edema. In addition, there was a decrease in peripheral blood cells, and MDS-like changes in bone marrow were indicated by bone marrow biopsy. After discontinuing voriconazole, drug-related adverse symptoms disappeared, and hematocytopenia and the changes in MDS were significantly improved, which was confirmed by a subsequent bone marrow puncture at a 6 months interval.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1532_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1532_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a2386c6441f76293825017290a0be39435a70832
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1532_en_sum.txt
@@ -0,0 +1 @@
+An elderly diabetic and hypertensive male presented with acute renal failure and rhabdomyolysis. He experienced cardiac arrest with moderate hyperkalemia despite medical treatment and hemodialysis. Telemetry changes were retrospectively studied and found to have significant rhythm changes that occurred just less than 10 minutes prior to the cardiac arrest.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1533_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1533_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..66b65f8b8d59c65fc0d97f18668f64bee003f58e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1533_en_sum.txt
@@ -0,0 +1 @@
+A 5-year-old Asian boy presented with decreased visual acuity in his right eye. Physical examination revealed no abnormal findings except CL/P, which was surgically corrected at the age of 9 months. Best-corrected visual acuity was 20/60 in the right eye and 20/25 in the left eye. Anterior segment examination revealed iris coloboma in the inferior quadrant of his right eye as well as a large inferonasal optic disc and chorioretinal coloboma in the same eye. He was prescribed glasses based on his cycloplegic refractive errors and part-time occlusion of the left eye was recommended. After 3 months, best-corrected visual acuity improved to 20/30 in the right eye.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1541_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1541_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3989ba341b0eceec97e54ebd1b08b1be59f785b2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1541_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of two months old infant present with an incarcerated left inguinal hernia and history of early banana diet that performed herniotomy procedure. During the operation, we found left-side incarcerated Amyand's hernia with appendicitis, excoriation caecum, and sticky banana mass.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1550_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1550_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4b3aacc2d0d97dbc3bb6aaa0c88c8c28534baee7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1550_en_sum.txt
@@ -0,0 +1 @@
+A 42-year-old man with abnormal chest findings was referred to us and a diagnosis of SPAS was established based on the CT findings showing a blood flow regurgitation from the dilated left 4th intercostal artery to the Lt. A6. The patient was asymptomatic but we decided to treat him to prevent a risk of future hemoptysis. Transcatheter arterial embolization (TAE) of systemic arteries followed by S6 segmentectomy was successfully performed with minimal blood loss and complete removal of the dilated intra-pulmonary blood vessels. Histological analysis confirmed the diagnosis of SPAS.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1567_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1567_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ec46a276b0c8a95281b29982987a334b865ea11d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1567_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 29-year-old White man, who presented with an acute bowel obstruction. He had a history of a 2 months non-bloody diarrhea. An abdominal computed tomography (CT) and a MR enterography showed a multifocal extensive ileitis. White blood cell and eosinophilic polynuclei count was elevated (700/mm3). Ileo-colonoscopy showed normal ileum and segmental petechial colitis. Pathology showed a high eosinophilic infiltration in the colon. The patient was treated with steroids, with a clinical, biological and radiological recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1598_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1598_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f19658dc464303ee759fe6dcc7d1273087c3f8f6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1598_en_sum.txt
@@ -0,0 +1 @@
+A 76-year-old woman presented with hearing loss due to polycystic VS on the left side. Five years later, the patient was presented with facial palsy caused by hemorrhage in the VS. The patient had an eventful medical history that necessitated the use of anti-coagulants. The patient suffered from three subsequent hemorrhages preoperatively and one hemorrhage 36 h postoperatively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_15_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_15_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..04d5940385a127dc1f2848542d17f3f30fd28702
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_15_en_sum.txt
@@ -0,0 +1 @@
+A 51-year-old man presented with a 6-month history of worsening dyspnoea on a background of sepsis 9 years prior. His initial echocardiogram showed moderate systolic dysfunction and a mildly dilated left ventricle. Cardiac computed tomography showed signs of mild coronary artery disease without significant stenosis, but the diffuse extensive left ventricular (LV) mid-myocardial calcification was visible. Cardiac magnetic resonance imaging showed diffuse extensive LV mid-myocardial late gadolinium enhancement in keeping with the calcification. He was diagnosed with non-ischaemic cardiomyopathy. He was commenced on appropriate anti-failure medical therapy, maintains New York Heart Association functional class II functional status, and has received a prophylactic implantable cardioverter-defibrillator.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_160_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_160_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5e7dc505f374888666fe42e193ed281a11a7b0f7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_160_en_sum.txt
@@ -0,0 +1 @@
+A 55-year-old woman presented to our hospital with an intermittent cramp in the lateral aspect of the right leg. The patient underwent Doppler US examination on bilateral lower extremity arteries and veins to examine potential vascular abnormality. Incidentally, US discovered the duplicated left SFA and CTA of bilateral lower extremities revealed the anatomic orientation, course, length, diameter and distance of the duplicated left SFA. It was revealed to be divided into two trunks with similar luminal diameter and courses parallel. They reunited at distal thigh level. The findings of US and CTA examination did not correspond with the symptom of the patient, and the patient was discharged.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1617_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1617_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..43f11f3606b1e9fa556738416788a399a7ee5aa9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1617_en_sum.txt
@@ -0,0 +1 @@
+We report a case of blue rubber bleb nevus syndrome combined with disseminated intravascular coagulation and efficacy of treatment with argon plasma coagulation under enteroscopy and sirolimus. A 56-year-old female patient was admitted to the hospital with 3-year history of fatigue and dizziness that had aggravated over the past 10 d with melena. The patient had a history of repeated melena and multiple venous hemangiomas from childhood. After treatment with argon plasma coagulation combined with sirolimus for nearly 8 wk, the patient's serum hemoglobin increased to 100 g/L. At the 12-mo follow-up, the patient was well with stable hemoglobin (102 g/L) and no recurrent intestinal bleeding.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1627_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1627_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90fc26a45eb1fe2901a443282edb80c3cc140eef
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1627_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old male patient presented with anemia, and his fecal occult blood test was positive. An endoscopic examination was conducted which revealed a hemorrhagic, irregular, protruding lesion in the stomach. The lesion was diagnosed as an adenocarcinoma by histopathological examination of the biopsy specimen, and a segmental gastrectomy was performed. A 41 × 29 × 18 mm3 protruding lesion was observed in the resection specimen, and histologically confirmed to be a gastric carcinosarcoma with mixed adenocarcinomatous and sarcomatous composition. Tumor invasion was limited to the submucosa. Besides the adenocarcinomatous portion, neuroendocrine differentiation and AFP-positive gastric carcinoma were present in the carcinomatous portion of the tumor; in the sarcomatous portion, chondrosarcomatous, leiomyosarcomatous, and rhabdomyosarcomatous components were observed in addition to the undifferentiated sarcomatous component. Furthermore, the tumor included SALL4-positive germ cell-like cells. Despite early-stage detection, the cancer recurred locally 14 months after tumor resection, which necessitated a total gastrectomy. At the 2-month follow-up after the total gastrectomy, the patient was alive. This patient had developed an esophageal squamous cell carcinoma and primary lung adenosquamous carcinoma, both of which were resected.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1677_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1677_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5b10d6a060c22b568865a210cfee445227990fce
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1677_en_sum.txt
@@ -0,0 +1 @@
+We describe a 34-year-old patient with a cutaneous immunodeficiency characterized by recurrent crusted scabies infestation, diffuse tinea, and recurrent staphylococcal cellulitis, who we suspected had an undiagnosed syndrome. The patient also suffered from mental retardation, renal failure, and premature senescence. A cytogenetic fluorescence in situ hybridization analysis revealed a 9.34 Mb duplication within the short (p) arm of chromosome 1, precisely from 1p36.11 to 1p36.21, with an adjacent 193 kb copy gain entirely within 1p36.11. In addition, chromosome 4 had a 906 kb gain in 4p16.1 and chromosome 9 had a 81 kb copy gain in 9p24.3. Over 100 genes localized within these duplicated regions. Gene expression array revealed 82 genes whose expression changed >1.5-fold compared to a healthy age-matched skin control, but among them only the lipolytic enzyme arylacetamide deacetylase-like 3 was found within the duplicated 1p36 region of chromosome 1.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1698_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1698_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1387ef64484b96546808ea9fd4e0e174d093d7d9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1698_en_sum.txt
@@ -0,0 +1 @@
+A 38-year-old woman from Hunan Province, China presented with stiffness of the left hip in abduction, flexion, and external rotation after falling from a 2-meter-tall tree onto her left knee 1.5 mo prior. Pelvic radiograph and computed tomography revealed obturator dislocation of the left hip accompanied by impaction fracture at the superolateral aspect of the left femoral head without associated acetabulum fracture. Open reduction was performed, resulting in restoration of the concentric alignment of the left hip. After surgery, 6-wk skin traction was applied and the patient was kept in bed for an additional 2 wk. At 3 mo after surgery, the patient reported experiencing some pain, which did not affect the function of the affected limb, and some movement restriction but no abduction deformity or claudication was present. An X-ray showed that the left hip was homocentric, and there was no sign of posttraumatic arthritis or avascular necrosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1706_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1706_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e5eb4da711f3a9d76941dea346ecd2e482dfa857
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1706_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 26-year-old patient with BBS and clinical signs of hyperestrogenism who presented with abnormal uterine bleeding and was diagnosed with endometrioid adenocarcinoma. She ultimately underwent definitive surgical treatment with hysterectomy and bilateral salpingectomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1723_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1723_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f4fd911ec433c2679a56696436478bdf8f0d7cf
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1723_en_sum.txt
@@ -0,0 +1 @@
+A 70-year-old male patient was affected by encephalitis caused by scrub typhus that occurred 23 years ago. He had poor cognition and his clinical examination findings were as follows: Mini-Mental Status Examination score, 14; and handgrip strength (right/left, kg), 32.3/31.3. DTT revealed serious injuries of the left thalamocingulate tract and right mammillothalamic tract in the Papez circuit, and a partial injury of the anterior part of the fornix.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1734_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1734_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2361ddc68c5897a15e55618ea73d8c7c92219587
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1734_en_sum.txt
@@ -0,0 +1 @@
+We report a very seldom case of a simultaneous myelolipoma of the adrenal gland in association with an extra-adrenal myelolipoma in an 75-year-old man. With a review of the literature we describe and discuss the aetiology, differential diagnosis and treatment of patients with respect to adrenal and extra-adrenal lesions.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1754_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1754_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0957191dbc13f3c1ec333b3cab9011025a5674e1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1754_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old woman with systemic lupus erythematosus (SLE) and epilepsy presented with catatonic stupor. Despite stable treatment, she experienced an acute deterioration in consciousness, requiring hospitalization. Her condition improved markedly following a benzodiazepine challenge, as documented on EEG. This improvement was short-lived, but a second benzodiazepine challenge restored her from E1V1M1 (stupor) to E4V5M6 within minutes, as documented by a video recording. The patient was treated with lorazepam 1.5 mg/day orally and did not experience further relapses.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1822_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1822_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4ec8df3eb4d45977e983d54d576011ec11b1a839
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1822_en_sum.txt
@@ -0,0 +1 @@
+In this study, a 4-year-old patient with a severe phenotype of osteoporosis, hypotonia, joint laxity, fractures, scoliosis, biscuspid aortic valve and myopia was referred for next generation sequencing after extensive negative clinical testing. Whole exome sequencing was performed on the proband and his unaffected parents to identify the molecular basis of his disease. Sequencing revealed compound heterozygous variants in B3GAT3: c.1A > G (p.Met1?) and c.671 T > A (p.L224Q). Clinical and in vitro functional studies were then completed to verify the pathogenicity of the genotype and further characterize the functional basis of the patient's disease demonstrating the patient had a decrease both in the protein level of B3GAT3 and in the glucuronyltransferase activity when compared to control samples. Independent in vitro assessment of each variant confirmed the B3GAT3: c.1A > G (p.Met1?) variant is functionally null and the c.671 T > A (p.L224Q) missense variant has significantly reduced glucuronyltransferase activity (~3% of control).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1824_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1824_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c574e86f8775dafbb0ffe64daa680829dd52fc76
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1824_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 21-year-old man. During a rugby tackle, his forehead collided with the forehead of an opponent. He did not have a headache or disturbance of consciousness immediately after the SRHI. On the 2nd day of illness, he had transient weakness of the left lower limb several times. On the 3rd day of illness, he visited our hospital. MRI revealed occlusion of the right ACA and acute infarction of the right medial frontal lobe. T1-VISTA revealed intramural hematoma of the occluded artery. He was diagnosed with acute cerebral infarction due to dissection of the ACA and was followed up for vascular changes with T1-VISTA. The vessel had recanalized and the size of the intramural hematoma had decreased 1 and 3 months after the SRHI, respectively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1840_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1840_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..88b35d5a2d71644a03ddca53f0e9b796b5e723db
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1840_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 67-year-old female patient who was operated on due to dumping syndrome symptoms and hiatal hernia. There was a drainage of bile from the left side of the liver which was placed under the cardioesophageal junction. MRCP found bile esophageal in the left triangular ligament of the liver. Aberrant bile ducts were found in the left triangular ligament and ligated. The patient was discharged on the 7th day after operation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1849_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1849_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c07a324f819b7eb457f8b1cc69331ca4c8ed2e35
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1849_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 56-year-old woman with a 2-year history of neck pain. No obvious abnormalities were detected on neurological or physical examination, and laboratory findings were all within normal limits. An imaging examination suggested a C7 vertebral bone tumor. The patient refused to continue conservative observation treatment and requested surgery. Open VP of the C7 vertebral body was carried out, and her postoperative neck pain was completely relieved. The postoperative pathological results supported the diagnosis of fibrous dysplasia, and the patient was ultimately diagnosed with MFD. At the 12-month follow-up visit, the patient reported no clinical symptoms, and no signs of tumor recurrence were detected.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1853_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1853_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2821a8575da833e747dbb6daf081522552b00f1d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1853_en_sum.txt
@@ -0,0 +1 @@
+The authors present a case of a newly diagnosed partial duplex collecting system of the left kidney and left intravesical ureterocele, which was diagnosed for the first time at the age of 47 years, along with a history of symptoms suggestive of recurrent urinary tract infection and a urethral calculus which was surgically managed 5 years ago.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_187_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_187_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..328943723cebe10d6b369a9a75571065cda09e29
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_187_en_sum.txt
@@ -0,0 +1 @@
+A 53/F patient consumed OP 38 days prior to MECT. Since existing literature recommend a delay of 4 weeks and a subminimal dose of suxamethonium to prevent prolonged apnea, both these points were taken into consideration. Despite 38 days post exposure to OP, and a dose of succinylcholine of < 0.3 mg/kg, the patient remained apneic for 3 h. Suxamethionum apnea was managed with elective ventilation. After recovery, patient had no residual effect. Subsequently her pseudocholinesterase levels were done which were found to be very low.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1884_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1884_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4e44865561dc88199b2e234c38320993565ce3cc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1884_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of a 76-year-old female with past medical history of chronic kidney disease (baseline serum creatinine was 1.5-2.5 mg/dL), hypertension, gout and psoriatic arthritis, who was admitted for evaluation of elevated creatinine, peaking at 5.40 mg/dL. She was started on orlistat 120 mg three times a day six weeks earlier. Initial serologic work-up remained unremarkable. Percutaneous kidney biopsy revealed massive calcium oxalate crystal depositions with acute tubular necrosis and interstitial inflammation. Serum oxalate level returned elevated at 45 mm/l (normal <27). Timed 24-hour urine collection documented increased oxalate excretion repeatedly (54-96 mg/24 hour). After five renal dialysis sessions in eighth days she gradually regained her former baseline kidney function with creatinine around 2 mg/dL. Given coexisting proton-pump inhibitor therapy, only per os calcium-citrate provided effective intestinal oxalate chelation to control hyperoxaluria.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_188_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_188_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..705d00dc88d71092009dfb3f8b151c62ca3ae054
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_188_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of prosthetic valve endocarditis with Candida lusitaniae in an immunocompetent 62-year-old woman following aortic valve replacement. In vitro testing demonstrated that our isolate was sensitive to amphotericin B, caspofungin and fluconazole.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1895_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1895_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f0854d4e38acd9811820cf8b6443a7ec69c878d5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1895_en_sum.txt
@@ -0,0 +1 @@
+We report a case of chondrosarcoma, mimicking a trigeminal schwannoma treated with upfront radio surgery. Relatively lower dose was administered in view of proximity to the brainstem. The patient was asymptomatic and the size of the lesion remained static for over a decade. This was misinterpreted as effectiveness of GKRS. The lesion grew after a decade necessitating surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1902_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1902_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..64cd613fbd1fbd87aa6e0c619d1df5412282a15d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1902_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old man who was receiving pembrolizumab presented with limb weakness. Three years prior, he had noticed slowly progressive limb weakness, but he received no diagnosis. After the first infusion of pembrolizumab, his creatine kinase (CK) levels had increased. The neurological examination and muscle biopsy findings confirmed the diagnosis of sIBM and suggested exacerbation of sIBM induced by pembrolizumab. After the patient's CK levels decreased, pembrolizumab was restarted. The tumor progressed after its treatment with pembrolizumab. The patient died after 15 months of follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1911_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1911_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0bd8e3b63cbe34dc0b0bab20ef101dbf559a5127
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1911_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old Japanese woman with severe anemia complained of several episodes of black stool over the preceding 2 years. Abdominal computed tomography showed a 3.0-cm low-density tumor in the ileum, suggesting a diagnosis of intestinal lipoma. Examination of the tumor by endoscopic ultrasound with double-balloon endoscopy revealed a hypo-echoic layer corresponding to the muscularis propria, and a hyper-echoic layer corresponding to the fat tissue. These findings, which suggested that the tumor included areas outside the intestinal serosa, are not typical for a lipoma, despite the existence of a hyper-echoic layer corresponding to fatty tissue. We then considered a diagnosis of inverted Meckel's diverticulum.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1914_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1914_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a5c6840074cebae358432e387332395623098561
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1914_en_sum.txt
@@ -0,0 +1 @@
+We herein present the case of a 43-year old woman with the aforementioned association. As a part of the diagnostic evaluation, an ultrasound was performed, revealing both conditions simultaneously. The surgery took place with the aim of resecting both lesions during the same intervention. The patient was discharged without complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1922_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1922_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e6b6d4f6802fdb9482420d4975d1b058dce24a51
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1922_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 40-year-old Caucasian man who presented with chronic pain and tenderness over his right hip together with functional impairment in abduction and external rotation. Radiology identified a bony protuberance at the right anterior inferior iliac spine with fusion of the proximal bony nucleus to the adjacent bone. The pelvic digit was surgically removed and the patient was discharged free of symptoms and with complete range of motion in his right hip joint.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1926_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1926_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d16e56abb6c2b7b1d6cd2bc53b82b8f0f9cb8989
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1926_en_sum.txt
@@ -0,0 +1 @@
+A 71-year-old man presented with a history of benign prostatic hypertrophy. He was asymptomatic without any hematuria, pain, or other urinary symptoms. A computed tomography (CT) scan of the abdomen and pelvis showed a 1.8 cm left retroperitoneal lymph node. There was no evidence of renal pathology. A core biopsy was performed of the left para-aortic lymph node. Although the primary tumor site was unknown, the morphological and immunohistochemical features were most consistent with CCRCC. A RPLND was performed which revealed a single mass 5.5 cm in greatest dimension with extensive necrosis. The retroperitoneal lymph node was most compatible with CCRCC. A nephrectomy was not conducted as a renal mass had not been detected on any prior imaging studies. The patient did not receive any type of adjuvant therapy. The patient underwent surveillance with serial CT scans with contrast of the chest, abdomen, and pelvis for the next 5 years, all of which demonstrated no recurrent or metastatic disease and no evidence of retroperitoneal adenopathy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1936_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1936_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a65a3ada6233f1a74b25db2b18f74227d0b10835
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1936_en_sum.txt
@@ -0,0 +1 @@
+A 69 years old female evaluated for chronic headache was found to have a supra-sellar mass lesion that mimicked a pituitary tumor, with biochemical evidence of hypopituitarism. Cerebral angiogram confirmed the diagnosis of an aneurysm of the intracavernous internal carotid artery. She was successfully treated with coil embolization of the aneurysm and achieved resolution of symptoms and return of biochemistries to normal.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1948_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1948_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..875201261326fd4b6e08b91b8efd3fc61acbf5ea
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1948_en_sum.txt
@@ -0,0 +1 @@
+A 54-year-old male was admitted to hospital after experiencing acute onset of numbness and weakness on his left limb. Due to the initial consideration of intracranial tumor, surgical removal of the right parietal lesion was performed. However, the patient had a headache accompanied by diplopia, difficulty walking and a new lesion was found in the left occipital-parietal lobe two weeks after the first operation. High-throughput next-generation sequencing (NGS) detected the presence of high copy reads of the B. mandrillaris genome sequence in the patient's blood, cerebral spinal fluid (CSF), and brain tissue. Pathological investigation of the brain tissue showed granulomatous changes and amoebic trophozoite scattered around blood vessels under high magnification. The patient was re-operated due to developing progressive confusion caused by subfalcine herniation of the left cerebral hemisphere. The lesions of the right parietal lobe were obviously decreasing in size after the first surgery, and the lesions of the left occipital lobe and the sunfalcine herniation didn't ameliorate two months after the second surgery. The patient was transferred to local hospital for continuous treatment with sulfamethoxazole and azithromycin. After five months of the second surgery, the patient showed good recovery with mild headache.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1980_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1980_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b7a78959c373b03f6b8fabb2085118f60c90cc9a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1980_en_sum.txt
@@ -0,0 +1 @@
+We reported a case with atypical presentation of "takotsubo cardiomyopathy" without ST segment elevation, but with severe transient left ventricular dysfunction.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1995_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1995_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..be0d08102da27ebf50a613dc23222f48e5d3939d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1995_en_sum.txt
@@ -0,0 +1 @@
+We report a rare case of primary follicular non-Hodgkin lymphoma of the epididymis in a 90-year-old Caucasian man who presented with a left scrotal mass. Bone marrow biopsy was negative and computed tomography of the total body revealed no evidence of extratesticular involvement. Macroscopically, the epididymis was replaced completely by a uniform mass. Histologic studies revealed a dense lymphoid infiltrate predominantly composed of centrocytes with admixed centroblasts. Immunohistochemical analyses demonstrated that neoplastic cells strongly expressed CD45RB, CD20, CD79a, bcl-6 and CD10; bcl-2 immunostaining was negative. Molecular studies showed the presence of the monoclonal IgH gene rearrangement and the IgH/BCL2 rearrangement. The lymphoma was classified as follicular lymphoma, low grade, grade 1-2. The patient subsequently underwent radical orchiectomy, did not receive chemotherapy and post-operative follow-up showed absence of disease recurrence.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_200_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_200_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b853f2e394d4cc8bebea4927d0dc887d51bd41dc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_200_en_sum.txt
@@ -0,0 +1 @@
+We described a 17-year-old adolescent who was diagnosed with ALL and had renal involvement as the first manifestation, which was very rare in the existing studies. FISH analysis indicated a rearrangement of ZNF384 according to its probe. The patient had a typical characteristic immunophenotype of ZNF384 rearrangement, with CD10 negativity and CD13 and CD33 positivity. She had an unfavorable prognosis because she responded poorly to chemotherapy and developed a relapse shortly after reaching CR.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2019_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2019_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e6586270bceb9c692e387bc80147dfadc5d54b61
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2019_en_sum.txt
@@ -0,0 +1 @@
+A 74-year-old man presented with paroxysmal atrial tachycardia (AT) presenting as palpitations. He was evaluated by an electrophysiological examination using a high-density CARTO mapping system. The mapping results showed the AT with a cycle length of 184 ms was focused on his right atrial fossa ovalis (FO). In this small area, the high-density mapping demonstrated a significant micro-reentrant tachycardia. Radiofrequency ablation at the centre of the micro-reentrant circuit successfully terminated the AT. No recurrences were observed during a 12-month follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2039_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2039_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e2dfe0b4976bbbaee99b23e7ff49331c47160628
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2039_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 25 y.o. patient with COVID-19 respiratory failure requiring ECMO support for 16-days in which a 32 Fr crescent cannula became adherent to the SVC and proximal jugular vein. Attempts to remove the cannula at the bedside failed due to immobility of the cannula. Ultrasound of the right neck was unremarkable, so he was taken to the hybrid OR where both TEE and fluoroscopy were unrevealing. An upper sternotomy was performed, and the superior vena cava and proximal jugular vein were dissected revealing a 2 cm segment of the distal SVC and proximal jugular vein that was densely sclerosed and adherent to the cannula. The vessel was opened across the adherent area at the level of the innominate vein and the cannula was then able to be withdrawn. The patient suffered no ill effects and had an unremarkable recovery to discharge.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2043_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2043_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8d13697f6e0c57c084685fa9dbbc9a26ed7ad626
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2043_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 16-year-old Persian man diagnosed as having a non-invasive form of multiple endocrine neoplasia 2B (medullary thyroid cancer, mucosal neuroma of the tongue, lips and inner eyelids). Our patient, who had a positive family history of medullary thyroid cancer, was of normal height with no signs of marfanoid habitus.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2044_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2044_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..146af4c812fda19efb6f7f0f4133bd633f8dd802
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2044_en_sum.txt
@@ -0,0 +1 @@
+A 57-year-old Asian man was transferred to hospital after having fallen from the 15th floor of a condominium. The patient was in cardiac arrest at the scene, but was successfully resuscitated by emergency medical services staff. On arrival, the patient's hemodynamics were completely collapsed with active external bleeding from the thigh, so we immediately started resuscitation including activation of massive transfusion protocol and temporarily ligated the transected proximal superficial femoral artery, deep femoral artery just distal after branching lateral femoral circumflex artery and the superficial femoral vein. Following radiological findings showing a potential pelvic fracture with active bleeding, we also performed retroperitoneal packing in the resuscitation room and moved the patient to the angiography room for transcatheter arterial embolization. The patient's consciousness was preserved and perfusion of the injured limb was barely maintained after his hemodynamics were adequately stabilized. As we detected weak perfusion of the lower limb via a potential collateral flow from the lateral femoral circumflex artery branches from deep femoral artery by pulse doppler of the dorsal pedis artery, we decided to reconstruct superficial femoral artery and vein at 24 h after injury using great saphenous vein bypass grafts. The patient was transferred to a rehabilitation hospital with good neurological and limb outcome after hospitalization for 52 days.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2046_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2046_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..050789a45fdb005b725d182ab89ae959d290e159
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2046_en_sum.txt
@@ -0,0 +1 @@
+After a personalized design employing a tissue engineering strategy, we reconstructed the sellar floor in a 65-year-old woman who had undergone EETS for a pituitary adenoma with progressive bilateral visual loss. To repair the bony defect of the sellar floor, we used a novel bilaminar chitosan scaffold. The patient had an unremarkable postoperative course with no evidence of CSF leak. The polymer was well tolerated without toxicity, infection or complications. After 2 years of follow up the patient remains neurologically intact, and in good endocrinological status.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2071_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2071_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c9b1c77bfdc70b9436c0cd338959464677d8e10e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2071_en_sum.txt
@@ -0,0 +1 @@
+In our phase II study, patients having advanced/metastatic solid ATCs were treated with famitinib and camrelizumab, a combination therapy involving a multi-targeted kinase inhibitor and an anti-PD-1 antibody. We report a case of a patient with locally advanced unresectable ATC who underwent this combination therapy, allowing us to perform complete surgical resection followed by post-operative radiation therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2123_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2123_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a30b571703da552ed0e110bbb0311916966f3172
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2123_en_sum.txt
@@ -0,0 +1 @@
+A 76 year old 'never smoker' female with an ALK-rearranged left upper lobe T2 N0 NSCLC experienced a stroke following elective DC cardioversion for new atrial fibrillation. Following a good recovery, updated imaging demonstrated complete regression of the left upper lobe lesion and a reduction of the previously documented mediastinal lymph node. Remaining atelectasis was non-avid on repeat PET-CT imaging, 8 months from the baseline PET-CT. When the patient developed new symptoms 6 months later a further PET-CT demonstrated FDG-avid local recurrence. She completed 55 Gy in 20 fractions but at 18 months post-radiotherapy there was radiological progression in the lungs with new pulmonary metastases and effusion and new bone metastases. Owing to poor performance status, she was not considered fit for targeted therapy and died 5 months later.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2154_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2154_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c336b2ccd80b0f080d03e8ddf22f7aef2109eb0d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2154_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 37-year-old female who admitted to the surgical clinic with a 4-month history of gradually growing mass in the breast. On physical examination there were a palpable mass, painful superficial abscess in her left lateral upper quarter of breast, redness and nipple retraction and ulceration. The patient history and physical examination were clear except for uncontrolled hypothyroidism. Radiological tests including mammography, echography and laboratory investigations were performed. The patient underwent lumpectomy. Histopathologic examination showed caseating Tuberculous Mastitis and a large tuberculous abscess, with no malignancy. Patient was put on anti-tubercular chemotherapy, but recurred after three months with three masses in the same area because she did not adhere to the treatment. Lumpectomy and Anti-tuberculous therapy were repeated again with close follow-up, and the patient recovered.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2176_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2176_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..87a7c8c9c449055f194084935d95e5e733fd8474
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2176_en_sum.txt
@@ -0,0 +1 @@
+In this case, we present a preterm newborn who developed pneumomediastinum and pneumothorax. The pneumothorax persisted, despite placement of a thorax tube, requiring a thoracotomy to detect and treat the bronchial rupture.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2185_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2185_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e946354a2ec4dee821cfaadd0f38ed03c0ff609a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2185_en_sum.txt
@@ -0,0 +1 @@
+A 32-year-old healthy male presented to the outpatient clinic with a history of pain and swelling in the right foot for 10 months after alleged history of sustaining a grinder (heavy machine) injury to the medial aspect of the right foot 10 months ago. Anteroposterior and oblique radiographs of the right foot suggestive of no skeletal pathology and patient was managed conservatively with analgesic, anti-inflammatory, and compression bandaging. A magnetic resource imaging of the right foot was advised after no relief of symptoms and was suggestive of high-grade tear of the distal tibialis posterior tendon from the level of medial malleolus to its insertion. Surgical repair of the TPT was planned with a suture anchor placed in the navicular bone. The procedure was carried out under spinal anesthesia and there were no complications in the intraoperative or post-operative period. Patient was given a below knee slab with the foot in inversion postoperatively which was revised into a below knee cast with foot in inversion. Six-week post-operative follow-up, cast was removed and physiotherapy was started for the patient that included Active Ankle ROM and Gait Training, patient had a Modified Olerud and Molander Score of 45/100. Six-month post-operative follow-up, patient was relieved of chronic pain and was able walk and stand on his toes without pain and showed significant improvement in gait with Modified Olerud and Molander Score 90/100.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2188_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2188_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f6bd3fed57232a1497013d9eb577210cabd0503b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2188_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 37-year-old man who presented with a primary malignant mixed non-seminomatous GCT (teratocarcinoma variety) in the right arm, treated by a combination of cisplatin-based chemotherapy and surgery. After 18 months of close follow-up, no locoregional recurrence or distant metastases have been detected.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_21_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_21_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4f440deda2b63c12dd02338d8488fe8e08b11cc1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_21_en_sum.txt
@@ -0,0 +1 @@
+A 71-year-old male patient with severe pneumonia complicated with multiple organ dysfunction caused by A. levis infection. The fungal identification was based on micromorphology and sequence analysis of the internal transcriptional spacer (ITS) of ribosomal RNA genes recovered from lower respiratory tract secretions. The microbial characteristics, sensitivity to antifungal drugs of this isolated A. levis were studied. Anti-infective regimen, liposomal amphotericin B combined with tegacycline, was used to prevent infection. The next day, the fever decreased, body temperature fluctuated between 36.5 and 37.8 degree, cough and sputum decreased, and sputum volume decreased, with oxygen uptake for 5 L/min, blood oxygen saturation over 95%. After 17 days of treatment, CT reexamination showed that the lesions in the right lung and left upper lung were absorbed and pleural effusion was reduced. The next 8 days, the patient asked to return to the local hospital for treatment. The local hospital stopped using liposomal amphotericin B because of the absence of liposomal amphotericin B, and died of respiratory failure 2 days later.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2205_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2205_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..65ec23cacdab4dec193ffb9278dd825c30dbf236
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2205_en_sum.txt
@@ -0,0 +1 @@
+A 33-year-old woman was referred to our department with unstable angina. At the age of 6, she had undergone coronary artery bypass grafting of the second diagonal branch using the left internal thoracic artery and the obtuse marginal branch using saphenous vein grafting for left main coronary atresia. Although a coronary angiogram showed a patent left internal thoracic artery graft to the second diagonal branch and a patent saphenous vein graft to the obtuse marginal branch, the left anterior descending artery was not being perfused by the grafts because of a disruption of blood flow to the left anterior descending artery from the left internal thoracic artery. Therefore, we performed a redo coronary artery bypass grafting using the in situ right internal thoracic artery to the first diagonal branch, which was to be connected to the left anterior descending artery, resulting in amelioration of the ischemia of the left anterior wall. The patient was discharged 10 days after the operation and has been in good health for over 3 years without recurrence of chest symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2228_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2228_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f81772524cbe389e3c09883529c229ccf3e6618c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2228_en_sum.txt
@@ -0,0 +1 @@
+A 68 year-old male patient was referred to our hospital due to the presence of sudden right upper quadrant abdominal pain, nausea and dark urine. Imaging workup demonstrated dilatation of the left hepatic duct without the presence of a space-occupying lesion. A left hepatectomy and cholecystectomy were carried out and histological analysis revealed a moderately to poorly differentiated carcinoma of the left hepatic duct in the background of biliary papillomatosis. Postoperative course was uneventful. Unfortunately, two years after initial diagnosis the patient rapidly deteriorated and died from multiple pulmonary secondary deposits.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2229_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2229_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80e6fb9a8a8a2a5b85cb72a64541f0770b7ca2c0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2229_en_sum.txt
@@ -0,0 +1 @@
+A 44 year old male presented with recurrent pleural effusions over six weeks. His pleural effusion was first diagnosed incidentally on a chest X-ray after a fall. Extensive diagnostic studies were unyielding for the etiology of the effusion. A diagnostic and therapeutic video assisted thoracoscopy revealed a diaphragmatic hernia with inflamed, incarcerated omentum. After hernia repair there was no recurrence.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_222_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_222_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7ac9343fdba29943cf84f19115282d3cd8d438bc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_222_en_sum.txt
@@ -0,0 +1 @@
+In our article, we report the case of a patient with an estimated pregnancy at 25 weeks of amenorrhea (WA) with a history of 3 miscarriages related to atypical gravid hypertension.The treatment consisted of preoperative medical preparation followed by removal of the paraganglioma and postoperative monitoring. The maternal-fetal evolution was favorable.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2231_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2231_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1c2cdef830d1664e7813bee44d5b5a8cf5e72fc7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2231_en_sum.txt
@@ -0,0 +1 @@
+We report the case history of a middle aged Bangladeshi diabetic man, who had fever, cough, shortness of breath and altered mentation. He had tachycardia, bi-basal lung crepitations, new cardiac murmurs and meningism. Diagnostic work-up revealed Austrian syndrome. Because of the rarity of the condition, this case is reported.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2233_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2233_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5d8578be1211200c02fdfd11f369c158f0ab48cd
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2233_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old Japanese man with a well-defined nodule on the left scrotum was admitted to the hospital. An excision biopsy revealed epidermal papillary proliferation with parakeratosis, hyperkeratosis, and infiltration of foam cell macrophages, whereby a pathological diagnosis of benign cutaneous verruciform xanthoma was made. Immunohistochemically, monocyte chemoattractant protein-1 was observed predominantly on cytokeratin AE1/AE3-positive differentiating keratinocytes in the prickle cell layer. However, while infiltrating macrophages were densely stained for monocyte chemoattractant protein-1, keratinocytes in the basal and parabasal layers were almost negative.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2237_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2237_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f63698010ce06bfd6862c3750ce97d3e7a94cb9e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2237_en_sum.txt
@@ -0,0 +1 @@
+An 82-year-old man with a known gastric tumor, pathologically compatible with UPS, underwent partial gastrectomy at an outside facility. 3 months later, a 4-cm brain tumor was detected, which was completely resected. The patient was diagnosed with metastatic tumor from previously treated gastric UPS. Within 2 months of the initial resection, a large recurrent mass was detected in the same location, which was again removed. Although the patient underwent radiotherapy and chemotherapy for other metastatic tumors, he died 5 months after the second craniotomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2243_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2243_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..42cfa75afda7245f4b25ba2d5fd0ba5a530d711b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2243_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 77-year-old hypertensive male who presented to the emergency following an episode of slip and fall at home. After prompt resuscitation, he was sent for radiological evaluation which revealed fractures of the left inter-trochanteric femur and left proximal humerus. Meanwhile, laboratory investigations showed grossly deranged renal parameters, along with elevated serum creatinine phosphokinase levels (more than 5 times the baseline). A diagnosis of acute kidney injury secondary to traumatic rhabdomyolysis was made. Medical management included adequate intravenous fluid administration combined with strict input-output monitoring. Subsequently, the patient underwent closed reduction and internal fixation of the inter-trochanteric femur fracture with a proximal femoral nail. However, fracture of the proximal humerus was managed non-operatively with sling immobilization as patient refused to give consent for a second surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2260_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2260_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..28cb3adb47c3ed56e76910e4282ccfaad029e193
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2260_en_sum.txt
@@ -0,0 +1 @@
+A 53-year-old Caucasian male presented with acute New York Heart Association Class IV dyspnoea and chest discomfort, in the context of multiple hospital presentations over the preceding 8 weeks due to presumed recurrent viral pericarditis. On this admission, initial transthoracic echocardiography (TTE) demonstrated a large asymmetric pericardial effusion for which he underwent urgent pericardiocentesis. Serial TTE post-pericardiocentesis, however, demonstrated effusion re-accumulation and effusive-constrictive pericarditis, confirmed on cardiac magnetic resonance imaging. Fluid culture was positive for A. meyeri. He was diagnosed with PBP, but his condition deteriorated despite appropriate intravenous antibiotic therapy, necessitating semi-urgent surgical pericardiectomy. He recovered well and was discharged on Day 10 post-operatively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2281_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2281_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b81f8e257043de8157335ddb3695282f254997ee
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2281_en_sum.txt
@@ -0,0 +1 @@
+A 36-year-old man was diagnosed hepatitis B virus-associated hepatocellular carcinoma on September 19, 2011. Despite treatment with entecavir, radiofrequency ablation and transarterial chemoembolization for recurrent local tumors, the tumors recurred in both lobes and lung metastases were detected by computed tomography on September 12, 2012. The patient was treated with JX594 (Pexa-vec®) via intravenous injection on December 19, 2012. No apparent adverse effects were observed following intravenous injection other than a single fever episode. However, pustular lesions were detected on both sides of the tongue dorsum and on the proximal interphalangeal joint of the right middle finger on December 25, 1012. Biopsy samples analyzed by PCR identified the presence of the JX-594-specific hGM-CSF transgene and the disrupted viral thymidine kinase gene. Following aspiration of the lesion a scab formed that resolved within 14 days without necessitating additional treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2282_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2282_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ff46243571afab8bba751504485575d1def4d7b6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2282_en_sum.txt
@@ -0,0 +1 @@
+A 19-year-old woman who had acute corneal graft rejection failed to show resolution of the graft rejection after standard treatment with systemic, intravenous, and topical steroids. The graft rejection, however, responded to injection of triamcinolone in multiple subtenon quadrants.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2284_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2284_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..61a12851d18beae09bd276438c1a3d1f62c0e05e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2284_en_sum.txt
@@ -0,0 +1 @@
+Here, we discuss a case of a rare anatomical variant of the origin of long head of biceps tendon discovered incidentally in a 30-year-old manual laborer. The patient had an insidious onset and gradually progressive right shoulder pain, especially in initiating abduction, with a feeling of instability for 5 months. On examination, apprehension test and anterior drawer test were present and sulcus sign was positive. Partial-thickness supraspinatus tear and fraying of the anteroinferior glenoid labrum were noted in the imaging. After giving a fair trial of conservative management, the patient was posted for an arthroscopic repair of the supraspinatus tear and the anteroinferior glenoid labrum when the anomalous origin of the tendon of long head of biceps was discovered incidentally. This origin was from the inferior surface of the supraspinatus muscle outside the capsule. The tendon was left intact as it was not found to be inflamed or degenerated and was not the source of instability.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2292_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2292_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0ef1fdc8c64048454405c031503cf83d15f9fbd5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2292_en_sum.txt
@@ -0,0 +1 @@
+A 65-year-old female presented progressing headache, loss of memory and language alterations, as well as sensory alterations. Neuroimaging showed the presence of two equidistant periventricular lesions at the level of both ventricular atria, a spectroscopy study suggestive of malignancy. Serological studies showed no evidence of immunodeficiency or the presence of positive tumor markers; however, a biopsy was performed, which revealed a histopathological result of primary lymphoma of the CNS.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_229_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_229_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..127570f0daa608d30687f9c6bf125b231f1247c6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_229_en_sum.txt
@@ -0,0 +1 @@
+Here, we present the case of a 59-year-old female patient suffering rapid onset dementia with salient frontal executive dysfunction. She developed rapid onset symptoms, including apathy, verbal depletion up to a stuporous state, severe working memory deficits, evidence of primitive reflexes, disturbed Luria's three-step test, and micturition disorder. Analysis of her cerebrospinal fluid was normal. The serum analyses showed increased antithyroid (antithyroid peroxidase and antithyroglobulin) antibodies. In the cerebral magnetic resonance imaging, supratentorial deep and peripheral white matter lesions were found; the electroencephalography showed intermittent slowing, and the
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_22_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_22_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9b973c782682a566cdb1af5dd52d52c64fc972ea
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_22_en_sum.txt
@@ -0,0 +1 @@
+A 40 -year-old male patient was presented with the history of persistent pain along the dorsal surface of right foot, which was aggravated with the activities. Conservative management was tried without much relief. Diagnosis of anterior tarsal tunnel syndrome was made and the patient was planned for surgery. Thrombosed dorsalis pedis artery was found along with two adjacent collateral vessels. Retinaculum was released and nerve was mobilized. Tight compartment got released. Postoperative period was uneventful. No recurrence was seen on follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2306_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2306_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4d23cbe70bc88764b1ea1ba409ef492b880fac38
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2306_en_sum.txt
@@ -0,0 +1 @@
+A 94-year-old man, who suffered dark urine, epigastric pain, and loss of appetite, was diagnosed as bile duct cancer and underwent endoscopic retrograde biliary drainage. He has past history of hypertension and paroxysmal atrial fibrillation. Computed tomography (CT) showed a nodule in the lower bile duct, which was slowly enhanced by dynamic CT. The patient was evaluated whether he overcomes pancreatoduodenectomy by cardiac ultrasonography, brain magnetic resonance angiography, nutritional evaluation (rapid turnover proteins), and CT-based general assessment, including sarcopenia and osteopenia. The patient was independent in activities of daily living and has enough ejection fraction of 65%, and examinations revealed no impairment of cognitive function, sarcopenia, and osteopenia. With a diagnosis of bile duct cancer with no distant metastasis, the patient underwent subtotal stomach-preserving pancreatoduodenectomy with lymph node dissection. Operation time was 299 min and estimated blood loss was 100 ml. Pathological examination revealed papillary adenocarcinoma of the bile duct (pT3N1M0 Stage IIIB). Enteral nutrition was given through jejunostomy and then the patient started oral intake after an evaluation of swallowing function. Postoperative course was uneventful and all drains including pancreatic duct stent, biliary stent, and jejunostomy were removed by 3 weeks after operation. The levels of rapid turnover proteins dropped at postoperative day 7, but recovered at 1 month after operation via appropriate nutrition and rehabilitation. He remains well with no evidence of tumor recurrence as of 1 year after resection.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2337_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2337_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eae9c5c460cf0dafc381fdd1a6e19fae10856bd1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2337_en_sum.txt
@@ -0,0 +1 @@
+A 19-year-old male was admitted for chest symptoms accompanied by remarkably elevated troponin T and creatinine kinase levels. Electrocardiogram (ECG) showed sinus rhythm with a right bundle branch block, broad ST segment elevation, and abnormal Q waves. Endoscopic biopsy revealed granuloma formation in the transverse colon. Based on multimodal imaging, we made a clinical diagnosis of extrapulmonary sarcoidosis involving only the heart and guts. One year of immunosuppressive therapy with prednisolone resolved the inflammation in the guts but not in the heart. He experienced runs of sustained ventricular tachycardia with loss of consciousness and was admitted to our hospital again. The addition of methotrexate markedly reduced cardiac accumulation of fluorodeoxyglucose. No life-threatening ventricular arrhythmias have been recorded afterwards.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2371_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2371_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ffe9a7b2d4ab1ba68b65f2360a1cb300cc684c15
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2371_en_sum.txt
@@ -0,0 +1 @@
+We present the first case of neuroleptic malignant syndrome associated with discontinuation of anti-parkinsonian medication prior to deep brain stimulation surgery in a 54-year-old Caucasian man.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2381_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2381_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0576e7aec67d86796eff610bd7fce08a65456723
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2381_en_sum.txt
@@ -0,0 +1 @@
+A 22-year old woman with osteoporosis, generalized advanced chronic periodontitis and premature tooth loss was referred to the Postgraduate Clinic of Periodontology, University of Athens-Greece. The patient was diagnosed in 2001 with HCS. The patient received non-surgical periodontal treatment and several teeth were extracted due to extensive alveolar bone loss. After careful consideration of the possible implications deriving from the patient's condition and having taken her young age into account, initially, a dental implant was placed in the upper right first premolar region. Specific protocols such as longer healing periods were implemented, so five years after placement and successful osseointegration of this implant, four additional dental implants were placed in the posterior regions of the maxilla and the mandible. Prosthetic rehabilitation followed 6 months after implant placement. Upon completion of periodontal treatment, the patient was enrolled in a periodontal maintenance program.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2386_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2386_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80beae933fcdeab9a94bcd97fa795c8c080267c6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2386_en_sum.txt
@@ -0,0 +1 @@
+Our patient was a 46-year-old male of Malay ethnicity, undergoing total pancreatectomy due to a duodenal tumor. The preoperative assessment showed that the patient was high risk. Intraoperatively, massive surgical bleeding was sustained due to extensive tumor resection; thus, massive blood product transfusion was necessary. After the surgery, the patient suffered from postoperative acute kidney injury. We performed early continuous renal replacement therapy, within 24 hours after the diagnosis of acute kidney injury. Upon completion of continuous renal replacement therapy, the patient's condition improved, and he was discharged from the intensive care unit on the sixth postoperative day.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2387_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2387_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e44b964470bb3f119a8dd9475facbb9f8af2c4c3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2387_en_sum.txt
@@ -0,0 +1 @@
+This report describes a 24-year-old female patient with findings of colitis and an abnormal arteriovenous connection of the inferior mesenteric arterial and venous systems. Partial embolization of this arteriovenous connection temporarily improved the patient's condition, but her symptoms ultimately returned due to the presence of multiple smaller feeder vessels not amenable to embolization, necessitating colonic resection for definitive treatment. Although prior reports have hypothesized that arterial pressurization of the veins may precipitate myointimal hyperplasia, to the authors' knowledge, this is the first report of IMHMV with an associated abnormal arteriovenous connection.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2394_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2394_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2af0b8681b65f44dde5e4a1acabe5e5cf1a570a2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2394_en_sum.txt
@@ -0,0 +1 @@
+A 14-year-old boy attended a local hospital for ankylosing spondylitis. Chest radiography showed an enhanced circular-density shadow near the left mediastinum. The patient had no chest symptoms and the physical examination was normal. Because of the mediastinal occupation, the patient visited our department of chest surgery for further treatment. During surgery, a left pericardial defect was observed. The bronchogenic cyst was removed by thoracoscopic surgery, but the pericardial defect remained untreated, and a satisfactory outcome was achieved after the operation. The patient was diagnosed with a mediastinal tumor. The pathological diagnosis of the tumor was a bronchogenic cyst.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_240_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_240_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b803f726215d82b3c603bab618e9c5ac481e7488
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_240_en_sum.txt
@@ -0,0 +1 @@
+We present here, a case of a 66-year-old patient with intestinal GIST and a synchronous colorectal adenocarcinoma discovered incidentally during surgical treatment of the recurrent GIST. Immunohistochemical examination revealed the concurrence of histologically proved GIST (strongly positive staining for c-kit, vimentin, SMA, and focal positive in S-100, while CD-34 was negative) and Dukes Stage C, (T3, N3, M0 according the TNM staging classification of colorectal cancer).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2412_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2412_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1a6b2eb1755e0afab9543d23ebc431c49e1568f5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2412_en_sum.txt
@@ -0,0 +1 @@
+In this report we describe a 52-year-old Albanian woman from Kosovo with an unruptured aneurysm of 74×60 mm of the noncoronary sinus of Valsalva presenting dyspnea, jugular distension, and tachycardia due to cardiac compression. She underwent successful closure of the orifice and sinus remodeling with a Dacron patch.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2435_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2435_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6b1150fe970e869fd9003b83a2fca5199622ac5e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2435_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old female patient presented to our outpatient department with a severe painful left shoulder following overzealous manipulation by untrained professional and she was diagnosed with severe traumatic capsulosynovitis with a subscapularis tear, biceps tendon subluxation, and shoulder subluxation. We managed patient arthroscopically with extensive capsulosynovectomy, biceps tenotomy, and upper subscapularis repair. Postoperatively, she was immobilized for 6 weeks and was put on proper rehabilitation program. At the 2-year follow-up, the patient had an excellent outcome and had complete pain-free movements at the left shoulder with significant increase in pre-operative constant shoulder score of 12-82.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_245_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_245_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..94b7652fadc26c220b7ab9884d0b37946ffaed31
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_245_en_sum.txt
@@ -0,0 +1 @@
+A 71-year-old man with a history of multiple heart failure admissions was referred to our institute after successful cardiopulmonary arrest resuscitation. Transthoracic echocardiography showed the overriding of the aorta on a large ventricular septal defect and right ventricular hypertrophy, along with severe pulmonary stenosis (PS), all of which indicated unrepaired TOF. Computed tomography revealed a patent Blalock-Taussig shunt, which was constructed at the age of 19 years. Coronary angiography revealed multivessel coronary stenoses. Although radical intracardiac repair was not performed due to his multiple comorbidities, his heart failure symptoms were significantly improved owing to proper medication titration. One year following discharge, the patient was well and enjoyed playing golf.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2474_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2474_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae2dd0413dd374254d876d91798b7fb00b961f72
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2474_en_sum.txt
@@ -0,0 +1 @@
+This article presents a rare case report of bilateral dentigerous cysts associated with two ectopic teeth located atypically in the maxillary sinuses in a 19-year-old male manifesting as bilateral upper jaw pain, post-nasal discharge and recurrent sinusitis which was managed via the endonasal endoscopic approach by enucleation of the cysts and teeth removal.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2487_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2487_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9756965de963be8be7dcad97cf30b699298c4299
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2487_en_sum.txt
@@ -0,0 +1 @@
+A 12-year-old girl presented with pain and swelling around the nape of neck that increased in size over 1 year. Imaging and biopsy were suggestive of ABC. She was managed with selective embolization and percutaneous injection of methylprednisolone and calcitonin. Injections were given twice over 2 months period. At 1½ year follow-up, the patient was asymptomatic and swelling had shrunk in size and lesions ossified.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2492_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2492_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa5fe668304671b2c86e20d23a85cd5132fccd3b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2492_en_sum.txt
@@ -0,0 +1 @@
+A 45-year-old patient (G3P0030) presenting with painless vaginal bleeding was found to have CEP on transvaginal ultrasound at 5 weeks and 1 day of gestation after undergoing day-5 frozen embryo transfer. She was given one 50 mg/m2 dose of intramuscular methotrexate and she remained in a stable condition while being observed in the hospital. Her beta-hCG level decreased 38.2% between day 4 and day 7 after treatment and returned to nonpregnancy levels by day 28.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_24_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_24_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5066ef5ee4d010dc6a8a928551a3b43f4672102c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_24_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 35-year-old woman who was admitted to the hospital with a 10-month history of headache, 6-month history of diplopia, 4-month history of hearing loss, and 1-month history of back pain, suggesting a diagnosis of chronic meningitis. Notably, enhanced brain and spinal cord magnetic resonance imaging (MRI) revealed extensive lesions with enhancement signals in the pia mater of the pons and cervical, thoracic, and lumbar spinal cord. The cerebral spinal fluid profile showed that pressure was significantly elevated, with a slight increase in leukocytes that mostly comprised mononuclear cells and decreased glucose concentration. Cytology evaluation showed a small cluster of atypical nuclei, which were suspected to be tumor cells arising from the epithelium. However, no primary tumor was found through comprehensive body and skin screening. After a histopathological biopsy of subarachnoid meninx of the thoracic spinal canal, the cause of meningeal carcinomatosis of this patient was determined as neurenteric cysts with malignant features, which is extremely rare.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2545_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2545_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..61cbf2e2b96c0c146e31c97abac68620583a12f9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2545_en_sum.txt
@@ -0,0 +1 @@
+A 21-year-old previously healthy Caucasian individual was admitted for severe rectal and testicular pain in the setting of proctitis and epididymitis. Serology and rectal pathology confirmed acute primary cytomegalovirus infection.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_257_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_257_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a1919eb01a4c103a6131b7157cf13a9350261e54
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_257_en_sum.txt
@@ -0,0 +1 @@
+A 39-year-old man with obsolete fracture of the left femoral neck (AO/OTA31B2.3, Pauwels III) and segmental fracture of the ipsilateral shaft (AO/OTA32C2) caused by traffic accident was treated by a hybrid augmented fixation technique, long reconstruction intramedullary nail combined with medial anatomical buttress plate and poller screws. All procedures were carried out via the modified anterior approach with a good exposure of the fracture site.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2595_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2595_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8b5486bee3d040aa6798f40714e76bd202f0dda5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2595_en_sum.txt
@@ -0,0 +1 @@
+We herein report the rare case of a patient with atypical anti-GBM disease whose serum was negative for the anti-GBM antibody but positive for the myeloperoxidase (MPO) anti-neutrophil cytoplasmic antibody (p-ANCA) and another atypical ANCA. Laboratory test results showed severe renal insufficiency with a creatinine level of 385 μmol/L. Renal biopsy specimen analysis revealed 100% glomeruli with crescents; immunofluorescence showed immunoglobulin G (IgG) linearly deposited alongside the GBM. Finally, the patient was discharged successfully after treatment with plasmapheresis, methylprednisolone and prednisone.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2611_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2611_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..abeda8729408bfe142d8f19d5ac6a5cdf0b58016
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2611_en_sum.txt
@@ -0,0 +1 @@
+A 62-year-old female underwent uneventful PKP for the management of post-irradiation actinic keratopathy. Three months postoperatively, she presented with a diffuse corneal melting abscess that was infiltrating the donor-recipient junction. Despite intensive antibiotic and antifungal therapy, corneal melting progressed to graft perforation. A repeat PKP combined with intraoperative PACK-CXL was performed. PACK-CXL was applied initially on the infected graft, involving the corneoscleral rim and then following placement of the donor button. No intra- or postoperative graft-related complications were encountered. No signs of infection were noted, and the graft remained clear during the 9-month follow-up period.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2623_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2623_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4a509469ba0457d154ccf2f990cd41f4ce0ccac2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2623_en_sum.txt
@@ -0,0 +1 @@
+Here we report a 35-year-old Caucasian female patient with drainage into the left atrial appendage who presented with shortness of breath accompanied by mild hypoxemia. Venous contrast filling in the context of pulmonary scintigraphy suspected an additional superior caval vein connected to the left atrial appendage. Diagnosis was confirmed by transesophageal echocardiography. Cardiac catheterization revealed a minor right-to-left shunt. The symptoms could be allocated to a bronchial asthma and treated according to guidelines. Cerebral lesions detected in the patient were due to a coincident multiple sclerosis rather than cerebral embolisms. Thus, the venous anomaly was classified as an incidental finding currently requiring no treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_262_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_262_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2cc5f0ed4b31ae808a242d0a60303c188df2e71d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_262_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 46 year old Zambian woman who presented with pyrexia, diarrhoea and vomiting, confusion, lymphadenopathy, and renal failure. She rapidly developed multiple organ failure following the initiation of treatment of MCD with rituximab. Following admission to intensive care (ICU), she received prompt multi-organ support. After 21 days on the ICU she returned to the haematology medical ward, and was discharged in remission from her disease after 149 days in hospital.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2634_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2634_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0214223e76953ce07508ccc174c60841b962162a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2634_en_sum.txt
@@ -0,0 +1 @@
+A 30-year-old patient from our institute who had been submitted to bone marrow transplantation in the past as part of treatment for Hodgkin's disease had revealed oligospermia several times. His sperm count mean value was 33,500 cells/ml. He was treated with an aromatase inhibitor (letrozole, 2 mg/day) for 8 months. After this period, his sperm count had increased significantly to 1,000,000 cells/ml.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2642_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2642_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba092980d8b81bbead21b572882df976d1de8ad7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2642_en_sum.txt
@@ -0,0 +1 @@
+A 53-year-old woman was brought to our hospital after cardiopulmonary resuscitation. She was diagnosed with acute coronary syndrome caused by SCAD, and percutaneous coronary intervention was carried out on her distal left anterior descending artery. The dissection proceeded to the proximal left anterior descending artery and left main coronary artery trunk, so additional percutaneous coronary intervention was performed on the left circumflex artery. After the intervention, type A AAD occurred with a primary entry tear from the left main coronary artery trunk, and computed tomography showed a type A AAD of the aortic arch. We performed emergency ascending aorta replacement and coronary artery bypass grafting to the left anterior descending artery and left circumflex artery. The patient had an uneventful recovery after the operation and was discharged on postoperative day 25.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_265_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_265_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0a7f3be5187d32419351021566d9c32a34c7f287
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_265_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old man with a history of stage 4 prostate carcinoma and bilateral limbal stem cell deficiency had undergone keratoepithelioplasty on his left eye for the deficiency. Postoperatively, a greyish-white epithelial opacity was noted on the central cornea of his left eye, and he had been treated with topical fluorometholone and oral dexamethasone together with a therapeutic contact lens. Corneal smears and contact lens swabs were positive for Prototheca spp. He required a continuous treatment with amphotericin B (AMPH-B) ointment, topical fluconazole (FLCZ), and voriconazole (VRCZ). This treatment protocol was effective, but recurrences developed when his general condition worsened.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2662_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2662_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c8e9858ad6f65ee056b521dbfe3b6f121f5534c1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2662_en_sum.txt
@@ -0,0 +1 @@
+A healthy 23-year-old Asian man presented with sudden onset of diplopia followed by left-sided facial asymmetry for 3 days. Assessment of extraocular movement revealed left conjugate horizontal gaze palsy. On right gaze, there was limited left eye adduction and horizontal nystagmus of the right eye. These findings were consistent with a left-sided one-and-a-half syndrome. Prism cover test revealed left esotropia of 30 prism diopters. Cranial nerve examination showed left lower motor neuron facial nerve palsy, while other neurological examination was normal. Magnetic resonance imaging brain showed multifocal T2 fluid attenuated inversion recovery hyperintense lesions, involving bilateral periventricular, juxtacortical, and infratentorial regions. A focal gadolinium contrast-enhanced lesion with open ring sign on T1 sequence was seen at the left frontal juxtacortical region. Multiple sclerosis was diagnosed on the basis of the clinical and radiological evidence, which fulfilled the 2017 McDonald criteria. Positive oligoclonal bands in cerebrospinal fluid analysis further confirmed our diagnosis. He had a complete resolution of symptoms 1 month after a course of pulsed corticosteroid therapy, and was subsequently placed on maintenance therapy with interferon beta-1a.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2664_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2664_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0f06f905a46eafc1190dcce803bdddd55654b709
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2664_en_sum.txt
@@ -0,0 +1 @@
+A 41-year-old male presented to the retina clinic with complaints of seeing a black spot, blurred vision and metamorphopsia involving the right eye for the past 4 months. He was on treatment for androgenic alopecia with topical 5% Minoxidil application on scalp two times a day. He noticed the symptoms 8 months after starting the treatment and had stopped the medication since the past 2 months. On examination, best-corrected visual acuity was 20/20 in both eyes. Fundoscopic examination of the right eye with +78D lens on slit lamp revealed the presence of subretinal fluid and few focal spots of retinal pigment epithelial alterations. Optical coherence tomography scan evaluation showed the presence of subretinal fluid (SRF) and pachychoroid supporting the diagnosis of CSCR. Indocyanine green angiography revealed dilated hyperpermeable choroidal vasculature on the nasal side of the fovea in the early and later phases of the angiogram. The patient was diagnosed with CSCR as a possible consequence of the topical minoxidil solution. Patient was asked to avoid future use of Minoxidil and was started on oral eplerenone therapy 50 mg/day for 4 consecutive weeks. One month later, there was complete resolution of his symptoms and SRF. At the final follow-up visit, 2 months after starting the therapy, there was no recurrence of SRF.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2665_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2665_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..140e10fd4e3ae8580693c707940fcb1dc52c094b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2665_en_sum.txt
@@ -0,0 +1 @@
+We report a 70-year-old Caucasian male patient who presented to our emergency room with fever, altered mental status, and left flank pain. He had a temperature of 103.3°F, tachycardia, but stable blood pressure. He had left flank tenderness. A computed tomography scan of the abdomen/pelvis with intravenous contrast revealed an intracapsular hematoma (13.3 × 10.0 × 6.4 cm) with an active bleeding and a 1.1 cm left proximal ureteral stone. The patient became quickly hemodynamically unstable and was taken for emergent exploratory laparotomy and left nephrectomy. An active bleeding was encountered secondary to a (2.4 × 2.0 cm) lateral capsular defect in the kidney.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2671_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2671_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cbe10f7938c8a86a407e73141943b67358bfe4f7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2671_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 15-year-old boy who had been experiencing intense, left scrotal pain for the previous twelve hours. No previous history of trauma or bleeding disorders. The left testis was enlarged and tender. Left orchiectomy was performed. The entire testis was dusty and dark grossly. Microscopic sections show diffuse intratesticular bleeding with intact seminiferous tubules and spermatogenesis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2699_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2699_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6198bd434dcbd3dfeb7e616c53a4479b3fe41aa9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2699_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old woman from Ghana was evaluated for GERD associated chronic cough. A 48-hour ambulatory pH study revealed acid exposure of 4.9% and high-resolution manometry showed decreased lower esophageal sphincter pressure, an inadequate response to medical and surgical management of GERD. Postfundoplication ambulatory pH testing demonstrated well-controlled acid reflux but her cough still persisted. Repeat manometry showed an ineffective motility disorder (IEM). Taking frequent sips of water eventually resolved her chronic cough.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2723_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2723_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..77dca20c051b0cb8b84e04f2eb73c1eb06cdabbe
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2723_en_sum.txt
@@ -0,0 +1 @@
+Here we report a case of a 30-year-old male with multifocal glioblastoma affected his right thalamus, left lateral ventricle, and pineal region. Clinical manifestations include operation, concurrent radiochemotherapy, and a 12-cycle adjuvant temozolomide administration. The masses of this patient nearly disappeared after 15 months from the primary diagnosis, and no severe adverse event or neurological sequel occurred.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2726_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2726_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..06c826ee42a01e1f50c018c075585abbfe39be3c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2726_en_sum.txt
@@ -0,0 +1 @@
+A 33-year-old woman was admitted for a 3-day genital pain without fever and urinary functional signs. The abscess was incised and drained; A. aphrophilus was the only micro-organism that grew from the pus. The patient received no antibiotics; the clinical course was favourable.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2729_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2729_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6b53fe5460db6b899aeeefe634925fe3f316e8fb
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2729_en_sum.txt
@@ -0,0 +1 @@
+We report use of a NET-specific multigene PCR-derived blood transcript signature (NET Index) to assess disease and correlated CgA and gene transcripts with MRI, CT, Octreoscan®, 11C-5HTP-PET/CT and (68)Ga-DOTA-PET/CT in a patient with NET.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2739_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2739_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..87ec2c79616049f1eca7419bfdadbe0f89294e32
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2739_en_sum.txt
@@ -0,0 +1 @@
+A 42-year-old woman with worsening dyspnoea (World Health Organization functional class III-IV) and suspected PH at echocardiographic examination was evaluated in our Pulmonary Hypertension Centre. Right heart catheterization showed pre-capillary PH with reduced cardiac index and increased pulmonary vascular resistance. High-resolution computed tomography excluded parenchymal lung disease and ventilation/perfusion (V/Q) lung scan was negative for mismatched perfusion defects so the conclusive diagnosis was high-risk idiopathic pulmonary arterial hypertension (PAH). The patient refused an initial combination therapy including a parenteral prostacyclin analogue (PCA) in accordance with the ESC/ERS guidelines, so an off-label triple oral combination therapy including a phosphodiesterase-5 inhibitor, an endothelin receptor antagonist, and selexipag was started. At 3- and 6-month follow-up we found a clinical and haemodynamic improvement, so the patient was reclassified as low risk. Her clinical condition is currently stable.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2751_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2751_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..38505c69ab39a126f82c0ca2af1efd26b928a55d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2751_en_sum.txt
@@ -0,0 +1 @@
+A 39-year-old young female was admitted into our hospital because of palpitation and shortness of breath. Coronary computed tomography angiography (CCTA) showed a huge pseudoaneurysm located in pericardium. Coronary angiography revealed the LCX pericardia fistula. Then surgical treatment was performed. She was in good condition without complications after surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2756_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2756_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3969e1f715f8ce04457831cd8d29c76565c0c579
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2756_en_sum.txt
@@ -0,0 +1 @@
+Here, we report a case of a patient with NSCLC with an EML4-ALK fusion and was treated with alectinib but who developed grade 4 hyperbilirubinemia after five months on therapy. Alectinib was discontinued, and an artificial liver support system (ALSS) was used with an impressive decline in bilirubin levels. After two months drug-free, the patient experienced disease progression. Ensartinib was initiated as second-line treatment with a best response of stable disease after three months of therapy with no evidence of hyperbilirubinemia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2770_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2770_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..067322763a72e67c5e1c9d2e471be59cba96e089
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2770_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 22-year-old female university student who was admitted to the University Hospital of the West Indies, Jamaica with a presumptive diagnosis of pseudomembranous colitis PMC. She presented with a 5-day history of diarrhoea following clindamycin treatment for coverage of a tooth extraction due to a dental abscess. Her clinical condition deteriorated and progressed from diarrhoea to toxic megacolon, bowel perforation and Gram-negative sepsis. Clostridium difficile NAP12/ribotype 087 was isolated from her stool while blood cultures grew Klebsiella pneumoniae. Despite initial treatment intervention with empiric therapy of metronidazole and antibiotic clearance of Klebsiella pneumoniae from the blood, the patient died within 10 days of hospital admission.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2833_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2833_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9ad4485d4f7ce62494d36b8f91fa66f48a5125d7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2833_en_sum.txt
@@ -0,0 +1 @@
+We present a case of this unusual variant of a sinus venosus defect far from the atrial roof. Haemodynamic significance of the shunt was confirmed by enlargement of right heart cavities, elevation of pulmonary artery pressure, and significant left-to-right shunting using multimodality cardiac imaging (transoesophageal echocardiography, cardiac magnetic resonance imaging, and right heart catheterization). The defect has been successfully repaired using minimally invasive axillary thoracotomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2852_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2852_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cbe8239246ddf523d41e6a8196abb035b51a2fda
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2852_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old man with recurrent craniopharyngioma, harboring BRAF V600E mutation, has been treated with targeted therapy based on a combination of a BRAF-inhibitor, dabrafenib (150 mg, orally two times daily), and a MEK-inhibitor, trametinib (2 mg, orally two times daily). Before starting treatment, the patient was symptomatic: he lamented confusion, dysphasia, and intense fatigue, that did not allow him to work normally. After just one cycle of treatment, the patient showed an important clinical improvement, reporting a progressive regression of the basal symptoms, hinting at a rapid and dramatic response, which was confirmed at the first radiological assessment. Thus, treatment was continued and at the time of writing, the treatment is still ongoing (total duration of treatment: 14 months) and it is well tolerated, with very good quality of life: the patient has no limitations in daily activities and he has even been able to restart to work.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2873_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2873_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c5fa60b66ec90cc96d7c460a14d2412ed19bed7e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2873_en_sum.txt
@@ -0,0 +1 @@
+We report a patient with confirmed COVID-19 combined with asthma. It took 41 d from disease onset to discharge to obtain two negative tests for this coronavirus.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2878_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2878_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..344f123293672227b7f6ae222f794bca9f9ed6ce
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2878_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of a 48-year-old man with acquired immunodeficiency syndrome and diffuse large B cell lymphoma who received five courses of chemotherapy including rituximab , cyclophosphamide , doxorubicin hydrochloride , vincristine , and prednisone via a PICC. Five days after the last chemotherapy course, he presented with a high fever and shaking chills. His absolute neutrophil count was 4200/μL. Cultures obtained from blood and PICC culture revealed T. pulmonis. The colony count of T. pulmonis grown from PICC culture was 103 colony-forming units. Therefore, he was diagnosed with T. pulmonis bacteremia resulting from PICC-related bloodstream infection. The patient's condition improved and he became afebrile within 48 h after intravenous administration of cefozopran hydrochloride, which is a fourth generation cephalosporin.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2891_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2891_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0f3df2c432f621760560411f83ff08c1845aede2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2891_en_sum.txt
@@ -0,0 +1 @@
+We report a case of thoracoscopic resection of the posterior segment of the right upper lobe of the lung. Preoperatively, the nodule was believed to be located in the superior segment of the right lower lobe. However, intraoperative exploration revealed that the nodule was located in the posterior segment of the right upper lobe, further showing that the bronchi of the posterior segment of the right lung opened into the bronchus intermedius. The procedure was completed uneventfully. Postoperative retrospective three-dimensional (3D) reconstruction of the lung CT images confirmed that the bronchi of the posterior segment of the right upper lobe originated from the bronchus intermedius.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2922_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2922_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..397fcdeb33d63aa016ada0172262fd68fb8fb138
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2922_en_sum.txt
@@ -0,0 +1 @@
+The patient presented here is a 33 year old Bulgarian male, whose clinical features include progressive cognitive decline and behavioral changes over the last 18 months. Neuropsychological examination revealed mild to moderate dementia (Mini Mental State Examination score was 16/30) with impaired memory and attention, and executive dysfunction. Pyramidal, and extrapyramidal signs, as well as dysarthria and impairment in coordination, were documented. Brain magnetic resonance imaging showed cortical atrophy with noticeable bilateral hippocampal atrophy. The diagnosis of active neurosyphilis was based on positive results of the Venereal Disease Research Laboratory test/Treponema pallidum hemagglutination reactions in blood and cerebrospinal fluid samples. In addition, cerebrospinal fluid analysis showed pleocytosis and elevated protein levels. High-dose intravenous penicillin therapy was administered. At 6 month follow up, improvements were noted clinically, on neuropsychological examinations, and in cerebrospinal fluid samples.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2923_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2923_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..86d2c17479fd1598055805cdebdef96ec1b78b76
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2923_en_sum.txt
@@ -0,0 +1 @@
+An 85-year-old man with advanced NSCLC with brain andbone metastasis was initially treated with gefitinib targeted therapy. After 4 months treatment, the patient developed drug resistance and a second genetic testing revealed that the T790M mutation was positive. And the patient was then changed to targeted therapy with osimertinib, followed by adverse reactions of varying severity such as diarrhea, electrolyte imbalance, decreased cardiac function, leukopenia, and prolonged QTc interval. Six months after the administration of osimertinib, the patient was admitted to the hospital, chest CT showed the lesion progressed again, and during which hospital-acquired infection occurred. After concomitant use of moxifloxacin, the patient had sudden TdP, and finally died of this cardiac event.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2935_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2935_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..906ea05eee9dffcfe183e7d69a3601bafb5e6ac8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2935_en_sum.txt
@@ -0,0 +1 @@
+We present a case of multiple pulmonary meningioma metastases developing 13 years after initial resection of left occipital parafalcine World Health Organization Grade I intracranial meningioma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_294_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_294_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d33cfbc0cc74d6708ed8660e82ec219ad7678d9f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_294_en_sum.txt
@@ -0,0 +1 @@
+A 61-year-old woman presented to our department with erythematous-desquamative and pustular lesions involving all hands and feet fingers, inguinal region, and trunk, associated to severe psoriatic onychodystrophy. She was affected by non-small-cell lung carcinoma from 12 years, and 7 months before admission, she started a treatment with atezolizumab.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2951_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2951_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..756a6112ecf3f46d8467600ddb6fe682b76fa00e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2951_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 43-year-old man who was admitted to the hospital with severe intake reduction due to early satiety 2 wk after treatment for acute pancreatitis; conservative treatment was ineffective, and a pancreatic pseudocyst was suspected on contrast-enhanced computed tomography (CT). Endoscopic ultrasonography (EUS) suggested hyperechoic necrotic tissue within the cyst cavity. The wall was not completely mature, and the culture of the puncture fluid was positive for A-haemolytic Streptococcus. Thus, the final diagnosis of ANC infection was made. The necrotic collection was not walled off and contained many solid components; therefore, the patient underwent EUS-guided aspiration and lavage. Two weeks after the collection was completely encapsulated, pancreatic duct stent drainage via endoscopic retrograde cholangiopancreatography (ERCP) was performed, and the patient was subsequently successfully discharged. On repeat CT, the pancreatic cysts had almost disappeared during the 6-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_2959_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2959_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..387dbba11eb631efcdbf6c18f481161fda93847d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2959_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of a Caucasian woman diagnosed with metastatic carcinosarcoma that had already been treated with multiple lines of conventional chemotherapy, with progressive disease. This patient had a surprising clinical and imaging response when treated with oral metronomic cyclophosphamide.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2969_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2969_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b4de342aa70af358ee0641f28e42f5c98094e32c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2969_en_sum.txt
@@ -0,0 +1 @@
+A 26-year-old female at 30 1/7 weeks of gestation presented with lower back and sacroiliac joint pain, abdominal distension, and lower limb dyskinesia. A pelvic examination revealed a large fungating gray mass that encompassed the entire cervix, with cervical contact bleeding testing positive. Imaging studies showed a significant cervical mass, diffuse liver changes, and metastasis to multiple sites. Biopsy results revealed poorly differentiated cervical carcinoma exhibiting high-grade neuroendocrine features, consistent with a diagnosis of large cell neuroendocrine carcinoma. The patient was diagnosed with stage IVB CNECC with HPV18 (+), and due to the gestational age of the fetus and her deteriorating condition, she underwent cesarean section delivery after receiving fetal lung maturation therapy. Following surgery, eight cycles of neoadjuvant chemotherapy were applied. Unfortunately, she succumbed to multiple tumor metastases six months post-treatment. Despite this tragic outcome, the infant was discharged in a healthy condition.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3014_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3014_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..65d2f3c6a024270b6c9a23ff8dce0495fb2d556c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3014_en_sum.txt
@@ -0,0 +1 @@
+A 6-year-old boy presented with cervical enlargement and recurrent high fever. Physical examination revealed enlarged lymph nodes in the neck, axillary, and inguinal regions, along with hepatosplenomegaly. CT scans confirmed widespread lymphadenopathy, and blood tests showed elevated white blood cell count and C-reactive protein levels. Although lymphoma was suspected, biopsies indicated atypical lymphadenitis. Despite a positive Epstein-Barr virus test, no treatment was effective. Further lymph node biopsies ruled out lymphoma, EBV, and TB, ultimately confirming Kikuchi-Fujimoto Disease.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3025_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3025_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7363c782337e4c84529a83714bf01760620a0445
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3025_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 43-year-old female who presented with an 8-day history of blunt trauma and a 2-day abdominal discomfort. After using point-of-care ultrasound for abdominal paracentesis to confirm the diagnosis, the patient was transferred to the operating room to suture the ruptured bladder. After nine days, she was discharged free of symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3057_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3057_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cecbb1e94890de99eb00b62d6b0a97fc46846056
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3057_en_sum.txt
@@ -0,0 +1 @@
+The purpose of this report is to describe the use of polymyxin B in a patient for the treatment of an operative wound infection, which led to a large increase in the excretion fractions of calcium, magnesium and potassium and to severe and persistent reductions of these ions, with serious consequences for the patient.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3067_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3067_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d5d3f2c9d5fbc029c29efe7acb31c6a1b2636960
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3067_en_sum.txt
@@ -0,0 +1 @@
+ male patient, aged 13, arrived at the emergency department complaining of right inguinoscrotal pain and nausea for the past four days. The genital examination of the patient revealed a tender, freely movable mass located in the right scrotum above the testicle. Doppler scrotal ultrasound demonstrated a soft tissue structure measuring 48 × 19 mm with heterogeneity and absence of vascular activity located along the spermatic cord in proximity to the right testicle. Right scrotal tenderness and absence of blood supply on Doppler ultrasound indicated emergency surgical intervention, considering the possibility of torsion in an accessory testicle, more frequently encountered in pediatrics. Surgical exploration of the inguinal region and mass excision were conducted. The pathology report determined a tumor exhibiting collagenized tissues surrounding fatty lobules, indicative of a fibrolipoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3083_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3083_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..130435a9433b3c961d81a983fa868c55efdb24ee
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3083_en_sum.txt
@@ -0,0 +1 @@
+2 years and 11 months old male pre-schooler with a 2-month history of distension and abdominal temperature increase and intense pallor, associated with microcytic anaemia refractory to the use of ferrous sulphate. He also presented, one week after admission, a bulge in the left flank region and a palpable mass of hard consistency. Imaging tests (ultrasound and tomography) revealed a global increase in the left kidney, destruction of the renal parenchyma and intense caliceal dilation forming the "bear's paw" sign, with the presence of coraliform calculus in the pelvis. He underwent treatment with antibiotic therapy and total nephrectomy, with the product sent to the anatomopathological laboratory.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3084_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3084_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dbdf86ece04171ce7c8bde4ef79d6f46eb3c1998
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3084_en_sum.txt
@@ -0,0 +1 @@
+We describe a 66-year-old Caucasian male with a risk factor for coronary artery disease, but free of angina, who presented to the hospital after syncope and nsVT diagnosis in the 24 h Holter electrocardiography monitoring. Coronary computed tomography angiography revealed LMCA bifurcation stenosis with concomitant left circumflex artery (LCx) and diagonal branch stenosis. Subsequent coronary angiography confirmed diagnosis. Successful percutaneous coronary intervention (PCI) of bifurcation/distal LMCA disease involving ostium of LAD and LCx has been a challenging procedure.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3094_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3094_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4fe2037d134cd9139d33258927a8cbae4ab21630
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3094_en_sum.txt
@@ -0,0 +1 @@
+erein, we present the case of a Japanese girl with a mutation in the STXBP1 gene, who was born at 40 weeks without neonatal asphyxia. At 15 days old, she developed epilepsy and generalized seizures. Around 88 days old, she presented with a series of nodding spasms, with the seizure frequency gradually increasing. Interictal EEG indicated hypsarrhythmia and she presented with developmental regression. At 1.5 years old, genetic testing was performed and mutational analysis revealed an STXBP1 gene mutation (c.875G > A: p.Arg292His). Accordingly, she was diagnosed with developmental and epileptic encephalopathy, presenting West syndrome’s clinical characteristics caused by the STXBP1 gene mutation. Although drug treatment has reduced the frequency of epileptic seizures, her development has remained regressive.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3096_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3096_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92fa0af5284e82814d9fd1ab40bf5ad03d394b28
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3096_en_sum.txt
@@ -0,0 +1 @@
+A 31-year-old man was admitted to our hospital with atrial tachycardia and cardiogenic shock. He had been diagnosed with hereditary spherocytosis (HS) during childhood, but he never received any red blood cell transfusions. Right ventricular endomyocardial biopsy revealed multiple myocardial hemosiderin deposits, and he was diagnosed with cardiac hemochromatosis. In addition to the iron deposition in the heart, the loss of myocyte and severe interstitial fibrosis were present. His cardiac function did not improve even after the cardioversion for atrial tachycardia, and he suffered from recurrent heart failure. Despite intensive medical treatment for heart failure and arrhythmias in combination with iron chelation therapy, he eventually died of progressive and refractory heart failure.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3101_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3101_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2aec9cc386db671fa7d727fbf84dfe507277ef0a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3101_en_sum.txt
@@ -0,0 +1 @@
+A 6-month-old Brazilian male, only child of a Brazilian healthy non-consanguineous couple. During pregnancy, second trimester ultrasonography observed fetal ascites and bilateral hydrocele. Physical exam at 6 months-old revealed a typical gibbus deformity and MPS was suspected. Biochemical investigation revealed a diagnosis of MPS type VI, confirmed by molecular test. Baseline echocardiogram revealed discrete tricuspid regurgitation and a thickened mitral valve with posterior leaflet prolapse, causing moderate to severe regurgitation. The patient evolved with mitral insufficiency and congestive heart failure, eventually requiring surgical repair by the first year of age.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3111_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3111_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b08a5c9fb979871bd37b79b2916f111e79a7ef97
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3111_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old patient with a history of thoracic radiation therapy for non-Hodgkin’s lymphoma (40 years earlier) was transferred to our hospital for treatment of repeated congestive heart failure. For a preoperative hemodynamic study, pre-hydration with intravenous normal saline (50 mL/hour) was used to manifest the pericardial disease and prevent contrast-induced nephropathy. The hemodynamic study showed a right ventricular dip-plateau pattern and discordance of right and left ventricular systolic pressures during inspiration, which was not seen in the volume-controlled state. These responses were concordant with OCPD. A pericardiectomy, aortic valve replacement, and mitral and tricuspid valve repair were performed. Postoperatively, the heart failure was controlled with standard medication.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3114_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3114_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b878f2fd90e40ea7a5e8c56a96b45ff27b5a938
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3114_en_sum.txt
@@ -0,0 +1 @@
+61-year old male with known congestive heart failure deteriorated over 3 months’ time from a state with congestive heart failure and diuresis to a state of chronic kidney disease and anuria. He began a thrice/week in-hospital hemodialysis regime. As he already had implanted a CardioMEMS device due to his heart condition, we were able to monitor invasive pulmonary artery pressure during the course of dialysis sessions. To compare, we estimated overhydration by both bioimpedance and clinical assessment. Pulmonary artery pressure correlated closely with fluid drainage during dialysis and inter-dialytic weight gain. The patient reached prescribed dry weight but remained pulmonary hypertensive by definition. During two episodes of intradialytic systemic hypotension, the patient still had pulmonary hypertension by current definition.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3124_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3124_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8f2932af871506fd5526107b811295d7762019f3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3124_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 52-year-old patient from Bangladesh with dual-origin LAD arising from both left and right sinus with a pre-pulmonary course, presenting with exertional angina and documented myocardial ischaemia. Computed tomography (CT) scan confirmed the anatomical course of the AAOCA. Percutaneous coronary intervention was successfully performed using tailored techniques to treat significant atherosclerotic lesions.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3125_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3125_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a3cbc44f236357e30e1f62843412f205155b64fd
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3125_en_sum.txt
@@ -0,0 +1 @@
+We report an 83-year-old woman who presented to her primary care provider with pain and swelling of her left thumb distal phalanx for 1 week. Initial imaging was benign. The patient underwent treatment for presumed soft tissue infection with 2 separate oral antibiotic courses. An intralesional corticosteroid injection did not provide relief and repeat radiographs showed a destructive lesion to the tuft of the distal phalanx. Advanced imaging showed bony destruction and biopsy revealed invasive squamous cell carcinoma involving the nail plate with bony invasion. Amputation through the interphalangeal joint of the left thumb was conducted with disease-free margins. The patient currently is following with oncology for clinical surveillance.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3126_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3126_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..976a6951774c943eb445c47212a1459de6b7db42
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3126_en_sum.txt
@@ -0,0 +1,15 @@
+Patient: Male, 59
+
+Final Diagnosis: Renovascular hypertension
+
+Symptoms: Dyspnea
+
+Medication: —
+
+Clinical Procedure: Percutaneous transluminal renal angioplasty
+
+Specialty: Cardiology
+
+A 59-year-old man had been on treatment for hypertension for 5 years, but his blood pressure (BP) had been poorly controlled for the past 5 months. He was hospitalized for pulmonary edema due to heart failure with preserved ejection fraction (HFpEF). During hospitalization, ultrasound and plain computed tomography revealed atrophy of the right kidney, and laboratory investigations indicated secondary aldosteronism with high plasma renin activity (PRA). Unenhanced magnetic resonance imaging (MRI) suggested severe stenosis or occlusion of the right renal artery. PTRA was performed for total occlusion at the origin of the right renal artery, resulting in favorable dilation of the vessel and good blood flow.
+
+A differential renal vein renin assay showed a right-left difference of PRA before PTRA, but this disappeared after the procedure. Both PRA and the plasma aldosterone concentration were normalized after PTRA. In addition, the patient’s BP decreased, proteinuria was reduced, diuretics could be discontinued, and his calcium channel blocker dosage was decreased.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3155_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3155_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..848b1bd4fa8511a09f8eaace44c43745068fee1c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3155_en_sum.txt
@@ -0,0 +1 @@
+A previously healthy 21 year old Sri Lankan female admitted with shortness of breath for 1 week duration with associated low grade fever and profuse sweating. She was mildly febrile and dyspnoeic with absent ankle oedema. She was tachycardic and had elevated Jugular venous pressure with negative Kussmaul sign. Blood pressure was 100/70 mmHg. Clinically there was no cardiomegaly and heart sounds were slightly muffled with gallop rhythm. Bilateral basal fine end inspiratory crackles and mild hepatosplenomegaly were noted. The laboratory examinations showed leucocytosis with severe eosinophilia with no abnormal cells. Her ESR, Troponin I and Brain natriuretic peptide were elevated with normal CRP and electrocardiogram showed sinus tachycardia with wide spread ST depression. Heart failure was evident on chest X-ray and 2D-echocardiogram showed global left ventricular hypokinesia with 40% ejection fraction and a thin layer of pericardial effusion. Mild hepatosplenomegaly without lymphadenopathy was detected in the ultrasound scan. Bone marrow biopsy showed hypereosinophilia with no evidence of bone marrow infiltration. FIP1L1–PDGFRA fusion transcript and BCR–ABL transcript were not detected. Secondary causes for hypereosinophilia were excluded and the diagnosis of idiopathic hypereosinophilic syndrome and eosinophilic myocarditis was made. She had good response to steroids clinically and biochemically with complete recovery of left ventricular function. She is now on steroid to be continued at least 6 months to 1 year.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3160_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3160_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6e03bf9318491ebe5d4e9f580f7bc71cbacb6ee1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3160_en_sum.txt
@@ -0,0 +1 @@
+The case is a 25-day-old male infant who presented with multiple congenital anomalies, such as microcephaly, facial dysmorphism, syndactyly, hypospadias, and other organ malformations. He also had severe vomiting, feeding difficulty, irritability, dehydration, and hyponatremia. Laboratory tests showed low serum cholesterol, in addition to genetic tests, confirming the diagnosis of SLOS. The infant was treated with simvastatin, which improved his irritability and was well tolerated.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3162_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3162_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6e55308d24e09ad5541a5146fd4a5689f0bf3e9a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3162_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 33-year-old Caucasian man with a history of AIDS who developed acute respiratory distress syndrome and required invasive mechanical ventilation after failure of noninvasive ventilatory support. During the periods of controlled ventilation, a protective ventilation strategy was adopted and the patient showed marked clinical and radiographic improvement. However, during each period of spontaneous respiration under pressure support ventilation, despite adequate initial parameters, strict setting and close monitoring, the patient developed progressive hypoxemia and respiratory mechanics deterioration with a clearly correlated radiographic lesion (self-inflicted pulmonary injury). After failure of three attempts of spontaneous respiration, the patient died of refractory hypoxemia on day 29.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3177_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3177_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1489710c7ae359f6ae8ec11b4b6ef844b57bece8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3177_en_sum.txt
@@ -0,0 +1 @@
+A 46-year-old female with a history of cHL nodular sclerosis subtype was presented with right cervical lymph node enlargement, after 3 cycles of first-line chemotherapy ABVD (adriamycin, bleomycin, vinblastine, and dacarbazine) 3 months ago. She was afraid to undergo second-line chemotherapy in the era of pandemic COVID-19 because of the side effects and toxicities; therefore, she was given 8 cycles of BV as monotherapy. The response of the treatment was complete remission.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3193_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3193_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..34040ae4d9b4db12928c1864f19ef43a71cdec90
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3193_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old female presented with an 8-week history of a painful, non-healing, and non-traumatic ulcer on the left thigh. Her past medical history included smoking, peripheral vascular disease (PVD) and previously treated rectal squamous cell carcinoma. The diagnosis of pyoderma gangrenosum with superimposed cellulitis was considered and treatment with oral antibiotics was initiated. Following failure to improve, a biopsy was undertaken leading to the diagnosis of RAE. The patient was referred for urgent consideration of surgical correction of PVD, but was deemed unsuitable for surgical treatment due to a poor performance status. The patient was treated with conservative measures, but her condition rapidly deteriorated and she passed away a few weeks later.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3197_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3197_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fe15ad7dfae69b32ccaa6d98872bec946545d33c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3197_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 65-year-old man, who was referred from another institution with a diagnosis of acute abdomen. On physical examination, he presented signs of peritoneal irritation with evidence of leukocytosis and neutrophilia in the admission blood count. Computed tomography of the abdomen with intravenous contrast was performed, which was interpreted as Meckel's diverticulitis complicated, being corroborated during the surgical act and confirmed by pathological anatomy.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3198_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3198_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..34effa62b5fc1e881c4b090f35e364365a3a622b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3198_en_sum.txt
@@ -0,0 +1 @@
+We present an unusual case of a 21-year-old female suffering from new-onset heart failure at 20 years old who was diagnosed with a congenital arteriovenous fistula from the right subclavian artery to the superior vena cava (RSA-to-SVC) with stenosis at the proximal initial site of the fistula. The patient successfully underwent transcatheter occlusion for the fistula and had a significant improvement in symptoms at the 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_3224_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3224_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a863486d3ab97d754032bde5eeed6c9f497dd9a5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3224_en_sum.txt
@@ -0,0 +1 @@
+We present a case report of a female patient who developed fat overload syndrome following prolonged and excessive infusion of lipid emulsion after colon resection surgery. In the setting of compromised immune function and malnutrition, the patient's pulmonary infection and respiratory distress symptoms have further exacerbated. Hence, in addition to severe pancreatitis, the patient has also contracted severe pneumonia. Upon admission, tracheal intubation, plasma exchange and blood perfusion were performed. Subsequently, comprehensive treatment was provided, including anti-infection, antispasmodic, acid suppression, enzyme inhibition, as well as targeted supportive measures to stabilize electrolytes and nutritional status. After treatment, there was a progressive reduction in blood lipid levels. After assessing the relevant risks, it was deemed necessary to perform an emergency computed tomography (CT)-guided percutaneous drainage tube placement procedure targeting the necrotic area of the pancreas while the patient was still intubated. Finally, the patient 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_3231_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3231_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5bbdfc5c062dc53c27530b2c748d4825d02e5b3b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3231_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 77-year-old female patient with a diagnosis of high-risk AML-ARM, ineligible for intensive chemotherapy, with frequent transfusion needs.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3241_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3241_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..820a65ae73cac980d03863f41ed8b423f47e3c10
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3241_en_sum.txt
@@ -0,0 +1,3 @@
+A 10 year-old girl from a Hindu family in Sindh, Pakistan, who had previously been healthy, presented in 2020 with a 1-week history of abdominal pain, gross hematuria, vomiting, and fever. On examination, she was anxious, febrile, hypertensive, and had an enlarged, tender right kidney. Other systemic examinations, including skin, locomotor, respiratory, cardiovascular, and nervous systems, were unremarkable. Initial investigations for ureteric colic and acute pyelonephritis were negative, but revealed thrombocytopenia on complete blood count, mild proteinuria, hematuria on urinalysis, and normal kidney and liver function tests, along with normal prothrombin and activated partial thromboplastin times. An abdominal ultrasound showed a diffusely enlarged, echogenic right kidney with a loss of corticomedullary distinction and cortical hypoechoic areas, while the left kidney appeared normal. Color Doppler ultrasound identified a large thrombus in the right renal vein, completely obstructing its lumen and showing no blood flow. The thrombus extended into the inferior vena cava. Computed tomography angiography confirmed an organized thrombus completely blocking the right renal vein and extending into the infrahepatic portion of the inferior vena cava. No prothrombotic risk factors were identified during clinical evaluation, and thrombophilia screening was negative. However, lupus serology and antiphospholipid antibodies were positive, confirming a diagnosis of secondary antiphospholipid syndrome.
+
+Management and outcome: The patient was treated with enoxaparin anticoagulation, later transitioned to warfarin sodium, and her hypertension was managed with captopril and amlodipine. She showed gradual improvement over 10-12 days and was discharged on anticoagulants, antihypertensive medications, antiplatelet agents, and hydroxychloroquine. A follow-up Doppler ultrasound revealed persistent blockage of the right renal vein by the thrombus, with no thrombus in the inferior vena cava. A dimercaptosuccinic acid scan indicated a nonfunctioning right kidney. While nephrectomy was recommended, her parents declined the procedure. Anticoagulation therapy was switched to rivaroxaban to avoid frequent international normalized ratio monitoring. Her captopril was replaced after control of blood pressure with losartan. Over the next 4 years, her follow-up was uneventful. She demonstrated normal growth, stable blood pressure (off antihypertensive), and normal kidney function without proteinuria. There were no lupus flares or thrombotic recurrences. Her most recent urinalysis was normal, with a serum creatinine level of 0.6 mg/dL and an estimated glomerular filtration rate > 170 mL/min/1.73 m2.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3245_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3245_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..51c8769d4e2cda2af9ca122355269a226061eb21
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3245_en_sum.txt
@@ -0,0 +1 @@
+A 3-year-old female developed CNO at the jaw alone. She presented with no fever, right jaw pain, mild trismus, and a preauricular facial swelling around the right mandible. Computed tomography (CT) revealed a hyperostotic right mandible, with osteolytic and sclerotic changes associated with periosteal reaction. At first, we suspected BOM and antibiotics were administered. Subsequently, CNO was diagnosed, and the patient received flurbiprofen (a nonsteroidal anti-inflammatory drug (NSAIDs)). Lack of a sufficient response led to successful treatment with a combination of oral alendronate and flurbiprofen.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3247_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3247_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a0b107b9646aee0631ecd2a11f54d483f862ee03
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3247_en_sum.txt
@@ -0,0 +1 @@
+A 32-year-old, 38 week pregnant Caucasian woman was admitted to Eberswalde Hospital with upper right abdominal pain. After a laboratory examination, a diagnosis of HELLP syndrome was established and a Caesarean Section was performed. The follow-up examination revealed deterioration of clinical signs with the patient experiencing dyspnea, oliguria, and oedema, as well as aggravation of laboratory values, ranging from severe thrombocytopenia, hemolytic anemia, liver injury, and acute kidney injury. After excluding other possible causes of TMA, a diagnosis of p-aHUS was established and a treatment with Eculizumab was administered. Clinical and laboratory signs of hemolysis and kidney functions were found to improve gradually after two administrations of Eculizumab. The patient was discharged after 20 days of hospitalization with significantly improved condition and hematological values.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3249_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3249_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..610a67963373bc77cf95f9a163bd91518aa4062b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3249_en_sum.txt
@@ -0,0 +1 @@
+52-year-old female patient who reported chronic, burning pain radiating to the distal phalanx of the thumb with no traumatic history, which had been present for two years and limited her daily activities. The exploration was complemented with interphalangeal Doppler ultrasound, which is an excellent alternative due to its easy accessibility. A glomus tumor in the interphalangeal phalanx of the thumb was diagnosed. A H-approach was performed on the interphalangeal fold with subungual dissection and resection of the tumoral piece and follow-up by an external consultation where the surgical wound was found to be healing adequately. Physical exploration with the ability to mobilize the interphalangeal distal joint (IFD) and visual analogue scale (VAS) of 1 point. The anatomopathological evaluation reported the existence of a glomus tumor.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3254_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3254_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..51ab97feff9e2c7e42de84b2451ba93c27c72ea1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3254_en_sum.txt
@@ -0,0 +1 @@
+A 31-year-old male patient with unremarkable medical history presented with a sudden onset of left-sided body weakness including upper and lower extremities, frontal headache, and slurred speech. Diagnostic workup revealed diffuse ST elevation with elevated cardiac enzymes, elevated inflammatory markers, prolonged activated partial thromboplastin time (aPTT), hemolytic anemia, and intrarenal kidney injury. Further investigations confirmed the diagnosis of probable CAPS secondary to SLE, based on the simultaneous involvement of the brain, heart, and kidneys, along with the presence of positive antiphospholipid antibodies (aPL). The patient showed significant improvement in neurological functioning after treatment with Methylprednisolone, Hydroxychloroquine, Colchicine, and Rituximab.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3296_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3296_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..19b7da15ac0a1936168abb3b64474e0bbd7e232f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3296_en_sum.txt
@@ -0,0 +1 @@
+A 76-year-old Asian female presented with a 5-year history of a slowly enlarging lesion on her left breast, with recent rapid growth. Physical examination revealed a 10 mm × 8 mm blue-gray, pearl-like plaque on the NAC. Histopathology confirmed pigmented superficial BCC. Preoperative imaging, including breast ultrasound, chest computed tomography (CT), SPECT-CT, and axillary lymph node ultrasound, showed no evidence of metastasis. The patient underwent standard surgical excision with a 10 mm margin, followed by pathologic evaluation, confirming clear margins. The patient was discharged on the second postoperative day and remained asymptomatic at 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_329_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_329_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0b45115df75c8f8cc8e1a2b49af83e4a8035c6a4
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_329_en_sum.txt
@@ -0,0 +1 @@
+We present a case of multipathogen respiratory infection with severe acute respiratory syndrome coronavirus 2, varicella zoster virus, and polymicrobial tracheobronchitis in a 48-year-old Caucasian male hospitalized after traumatic brain injury. The patient tested positive for severe acute respiratory syndrome coronavirus 2 infection upon admission. During his stay in the intensive care unit, the patient developed a vesicular exanthema along with respiratory failure and signs of septic shock.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3310_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3310_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3af1e2a0485978c51ce74917cdbb728c78ec4b96
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3310_en_sum.txt
@@ -0,0 +1 @@
+In this case report, we present a 16-year-old Ukrainian boy with acute hepatitis B. He had not been previously vaccinated against hepatitis B. Possible sources of infection included: a tattoo made at home, a finger cut made with hairdresser scissors during work, and unprotected sexual encounters. The clinical course of the disease was typical with jaundice and elevated aminotransferases levels without liver failure. During the follow-up visit 16 months after the onset of the disease, chronic hepatitis b was excluded but an ulcer around his anus was found. Additional tests for sexually transmitted diseases were ordered and they were positive for syphilis. The extended interview revealed that the patient had several unprotected bisexual encounters, which may have indicated a potential source of infections including the hepatitis B virus (HBV).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3365_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3365_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..395644c6ceca87c0c047b8836b0e23f7a06cd04f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3365_en_sum.txt
@@ -0,0 +1 @@
+An 18-year-old woman with recurrent and refractory HBs, treated at the Henan Provincial Hospital of Traditional Chinese Medicine, achieved disease remission through oral anlotinib treatment after recurrence. After being diagnosed with HBs, the patient underwent multiple surgical treatments with some efficacy. After recurrence, additional surgery and radiotherapy were not feasible due to the presence of multiple tumor sites. Oral anlotinib (10mg, qd, q3w) resulted in disease remission and significantly improved the patient's quality of life.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3370_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3370_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4b059c8aee02853b001d24888ecb78bb2542de37
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3370_en_sum.txt
@@ -0,0 +1 @@
+We present here an 8-year-old girl with recurrent fever, recurrent urticarial rash, sensorineural hearing loss, raised inflammatory markers and serum amyloid levels, which did not respond to the anti-histaminic drugs, was wrongly diagnosed as tuberculosis, which on further genetic evaluation was diagnosed as MWS.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_340_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_340_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..147d2e6caae3362debff40dcd3ab6a5f5e398d97
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_340_en_sum.txt
@@ -0,0 +1 @@
+We present a case of E. cloacae bacteremia secondary to acute cholecystitis in a 60-year-old man with recent diagnosis of cholelithiasis. The diagnosis was established with abdominal echography and positive blood and biliary cultures. The patient was managed successfully with cholecystectomy and antibiotic therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_359_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_359_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..efc60fb6452e06554495c9ded4ad0821359db03f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_359_en_sum.txt
@@ -0,0 +1 @@
+We report a rare case of a 39-year-old female with extensive ulcerated lesions on the oral mucosa, diagnosed as OLL by histopathology. Routine oral treatment was scheduled to control the OLL, while the oral lesions remained unhealed. Computed tomography examination was performed after the oral treatment and revealed thyroid and mediastinal masses, which were then surgically removed and pathologically diagnosed as PTC and CD, respectively. Two months after complete excision of the neoplasms, the oral lesions showed obvious alleviation. With subsequent treatment for oral lesions, the patient's OLL healed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_364_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_364_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a2487b89ec8352ce0a5322c0e801d5be31686668
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_364_en_sum.txt
@@ -0,0 +1 @@
+A 53-year-old man reported a 4-month history of increasing dyspnea and weight loss. He had a long history of smoking and admission chest X-ray revealed a density in the right hemithorax. Computed tomography confirmed a probable mass with further speculated opacities in both lung fields suspicious for malignant spread. Biopsies obtained using endobronchial ultrasound-guided aspiration returned negative for malignancy and showed bronchial epithelial cells with foreign body giant cell reaction and polarizable birefringent talc crystals.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_367_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_367_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2113d469620dbcd6ba0fe12f548eff3e552ca2d5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_367_en_sum.txt
@@ -0,0 +1 @@
+A 44-year-old Japanese woman, gravida 3 para 3, presented to our emergency room complaining of intermittent right flank pain. She had undergone a cesarean section 2 years previously, and had no history of abdominal trauma. On admission, her blood pressure was 115/78 mmHg, pulse 70 beats per minute, and hemoglobin concentration 9.8 g/dL. Abdominal ultrasonography and contrast-enhanced dynamic computed tomography revealed a large retroperitoneal hematoma. Findings on three-dimensional computed tomography angiography suggested ruptured aneurysm of her right ovarian artery. A selective right ovarian artery angiogram revealed a tortuous aneurysm. Transcatheter arterial embolization using N-butyl-2-cyanoacrylate was performed. The aneurysm was successfully embolized, and her course after embolization was uneventful. She has remained symptom-free during 3 months of follow-up.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_368_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_368_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7132b351b7387e6e9174565e978a81c131065e58
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_368_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a patient followed for axial SpA, who consulted, after being lost to follow-up for 3 years, for elevated blood pressure and edema of both lower limbs associated with an hydrocele and bilateral pleural effusion. Biological examinations showed hypoproteinemia, hypoalbuminemia, and proteinuria. In this context of nephrotic syndrome, the diagnosis of FSGS was confirmed by renal biopsy. Furthermore, the etiological investigation ruled out the causes of secondary FSGS.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_377_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_377_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f44b7e57d4deedca929750c906b5f14f3d0ee602
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_377_en_sum.txt
@@ -0,0 +1 @@
+Here, we present a case of a 58 year-old gentleman with worsening bloating and abdominal distension. A contrasted CT scan of the abdomen revealed a giant intra-abdominal cyst with no definite organ of origin. He underwent a laparotomy and excision of the giant cyst which was not found to be attached to any organ or mesentery. This resulted in resolution of his symptoms and a drastic improvement in his appetite.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_379_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_379_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8e6deed4b841b4f0e6992339d07ceddc55ac5e05
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_379_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old Japanese man with a history of low anterior resection for rectal cancer was referred to our department because of a lung nodule. His chest computed tomography revealed a 15-mm tumor in the left posterior basal bronchus. Robotic left S9-10 segmentectomy through the pulmonary ligament was performed with five-port incisions.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_385_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_385_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3f867e4eb1bd37adb0eb0cb377016e5a571e463c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_385_en_sum.txt
@@ -0,0 +1 @@
+We reported the case of a 23-year-old male patient with an occipitocervical lesion presenting atypically as neck pain and stiffness over a period of five months. Although hemolymphangioma has historically demonstrated a female predilection (2.25 : 1 female to male) and presentation in the third to fourth decades of life, this case is an atypical manifestation occurring in a young male patient. The clinical characteristics and management choices of this uncommon case of hemolymphangioma in the occipitocervical region are discussed, and a review based on the available literature is also presented.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_395_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_395_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fd677b472a49f6cbddb583350a06a8c5d7710a52
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_395_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old female presented with an asymptomatic mass on the right upper eyelid. The lesion appeared as a flesh-colored, dome-shaped, smooth nodule being the size of 5 × 5 × 4 mm, with eyelashes protruding from the surface, and located on the upper lid margin. Shave excision was performed, and the diagnosis of fibrofolliculoma was confirmed finally through histological exam.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_39_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_39_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..017285122ab9a151b4f6a4585ec40dc7012c7b11
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_39_en_sum.txt
@@ -0,0 +1 @@
+We report a 12-year old girl who presented with clinical and biochemical features of a systemic mitochondrial disease including exercise-induced myalgia, non-compaction cardiomyopathy, persistent elevation of blood lactate and alanine and MRI evidence of mild periventricular leukomalacia. Using exome sequencing she was found to harbor compound heterozygous mutations within the glycyl-tRNA synthetase (GARS) gene; c.1904C > T; p.Ser635Leu and c.1787G > A; p.Arg596Gln. Each mutation occurred at a highly conserved site within the anticodon binding domain.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_429_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_429_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6f06aa95281519a759a6286e69bfc79c491d17cf
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_429_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 42-year-old woman with a history of abdominal surgery (Pfannenstiel) to resect abdominal wall endometriosis. Physical examination revealed a solid mass of approximately 10 cm x 6 cm in the anterior wall of the abdomen. Computed tomography (CT) of the abdomen and pelvis showed a heterogeneous, predominantly hypoattenuating expansive formation measuring 10.6 cm x 4.7 cm x 8.3 cm. The patient underwent exploratory incisional laparotomy, block resection of the abdominal mass and lymphadenectomy of the external and inguinal iliac chains. The abdominal wall was reconstructed using a semi-absorbable tissue-separating screen to reconstitute the defect caused by resection of the tumor. Histological evaluation revealed infiltration by malignant epithelioid neoplasia, thus confirming the immunohistochemical profile of adenocarcinoma with clear cell components. Lymphadenectomy showed metastatic involvement of an external iliac chain lymph node.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_432_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_432_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba7d1a91226cb4ab1055058eaf12c678dee078ab
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_432_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 60-year-old male who received abdominal CT to investigate the cause of increased serum CA19-9 levels. CT revealed a unilocular cystic mass located in the lower right retroperitoneum. The size increased from 5 to 10 cm in three and a half years and the CT value decreased from 101 Hounsfield Units (HU) to 20 HU. We performed laparoscopic surgical resection, because the possibility that the enlargement of the lesion represented malignant transformation could not be denied. The large cystic mass firmly adhered to the appendix and its mesentery via the retroperitoneum, the appendix was resected en bloc with the cystic lesion. Microscopically, it had no communication with the appendix, and had an intestinal wall structure of muscularis mucosae and muscularis propria. The final pathological diagnosis was IEDC in the retroperitoneal space. There was no histological evidence of malignancy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_434_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_434_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..001e3b60862ae4fbde1a23289f4c3b4e30db2325
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_434_en_sum.txt
@@ -0,0 +1 @@
+The patient, a Moroccan man, was 40 years old. He visited our hospital for a urology consultation and presented with dysuria, purulent discharge and a meatic penoscrotal fistula. A retrograde and voiding urethrocystography was performed and revealed an extended narrowing of the whole anterior urethra associated with multiple fistulous portions toward the scrotum and perineum. At this stage, we reached a diagnosis of nonspecific sclero-inflammatory urethral stricture with complicating fistulas. We decided to perform a urethroplasty enlargement to clear the narrowing urethral sinus tracts. The evolution was marked by delayed wound healing associated with the persistence of fistulas extending into the corpus cavernosum with purulent discharge. It was at this point in the treatment that we suspected tuberculosis. Multiple biopsies were then performed on the periurethral tissue and fistula tracts. The histological examination confirmed urethral tuberculosis and showed the presence of giant cell epithelial lesions with caseous necrosis characteristic of tuberculosis. The treatment for tuberculosis was immediately established and the evolution was marked by a localized, rapid and significant improvement. A second-stage urethroplasty was scheduled for two months after the start of his antituberculous treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_448_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_448_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..07dd53d186d27b4119bf6010e01a925814e2276f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_448_en_sum.txt
@@ -0,0 +1 @@
+A 68-year-old Caucasian man presented with dysphagia to solids with recurrent regurgitation and weight loss of 7lb within the preceding 2 months. The patient attributed these symptoms to radiation therapy he had received 1 year earlier for squamous cell cancer of the lung. The patient underwent routine follow-up positron emission tomography imaging, which showed a hypermetabolic lesion in the posterior mediastinum and was increased at the level of the midesophagus.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_459_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_459_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..331f35094a1c23596fe2c2c8bdff36fe5dd9c11d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_459_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 43-year-old Caucasian woman, a mother of three sons who presented with left flank pain and hematuria. The clinical investigations did not find any other cause for her thrombophilia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_463_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_463_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..080d5391c04417e6be2f888b7530dd6530d448bc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_463_en_sum.txt
@@ -0,0 +1 @@
+A 73-year-old man, HIV-negative, was hospitalized to the local county hospital because of chest pain, low-grade fever, asthenia, anorexia and weight loss for the pasting two months. The CT findings of the two lungs showed multiple round or round-like nodules of different sizes, with clear boundaries and partial fusion. The level of serum CA19-9 was significantly higher than normal, and progressively increased. There were multiple enlarged lymph nodes in the neck, mediastinum, abdominal cavity and pelvic cavity. The symptoms were diagnosed as hematogenous spread of gastrointestinal tumor in the local county hospital. However, when transferred to our provincial hospital, through comprehensive dynamic analysis, this patient was diagnosed as atypical systemic HDTB, no cancer at all. Through routine anti-TB therapy for one year, the patient was recovered very well at the follow-up of half year after withdrawal.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_477_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_477_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..badc615b60c4b0d779234f3e859e7f5e949c10f0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_477_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 21-year-old patient with egg allergy, who underwent a double-blind food provocation test with placebo (evaluating subjective complaints from the gastrointestinal tract) and a titrated nasal provocation test using dry chicken egg content. We assessed the response of the nasal mucosa in the provocation test using the visual analogue scale (VAS), acoustic and optical rhinometry, as well as measurements of nitric oxide concentration in the exhaled air. During the provocation test, we measured the changes in the transverse section of the nasal passages, which were accompanied by subjective complaints measured with the VAS scale, using objective techniques. In the nasal provocation test with a dose of 20 µg of chicken egg protein, we observed an increase in the reactivity of the nasal mucosa and a decrease in the level of nitric oxide in the exhaled air from the upper airways (920 ppb before the provocation test and up to 867 ppb during the early stage of the allergic reaction). During the provocation tests, we recorded typical symptoms associated with the early stage of the allergic reaction; including nasal obstruction (1.2 cm), leakage of watery discharge (0.8 cm) in the food test, and itchy nose (1.1 cm) in the food test vs. the nasal test: 4.6, 2.8, and 3.5 cm, respectively.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_486_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_486_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae3c27fbf92393fbb7b11fc54aacff772c52e1d1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_486_en_sum.txt
@@ -0,0 +1 @@
+A 26-year-old Japanese man with headache and nausea was referred to our medical facility. Magnetic resonance imaging revealed a cystic mass of 70 × 53 × 57 mm in the left temporoparietal lobe. A peritumoral band with hyperintensity on T2-weighted imaging was observed at the periphery of the lesion, suggesting an extra-axial lesion with no apparent connection to the ventricle. A dural tail sign was also noted on the gadolinium-enhanced T1-weighted image. Preoperative clinical diagnosis was meningioma. Proliferated tumor cells in sheets with intermingled branching vessels were observed in the frozen tissue. Perivascular rosettes were inconspicuous, and the tumor cells had rhabdoid cytoplasm. The tumor was intraoperatively diagnosed as a meningioma, suspected to be a rhabdoid meningioma. Perivascular rosettes were evident in the formalin-fixed paraffin-embedded tissues, suggesting ependymoma. The tumor cells had eosinophilic cytoplasm without a rhabdoid appearance. Anaplastic features, such as high tumor cellularity, increased mitotic activity, microvascular proliferation, and necrosis, were observed. Ependymal differentiation was confirmed on the basis of ultrastructural analysis. Molecular analysis detected C11orf95-RELA fusion gene. The final diagnosis was RELA fusion-positive ependymoma, World Health Organization grade III.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_489_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_489_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..75b04de846bcb147e16ffd1522487be1630e3da9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_489_en_sum.txt
@@ -0,0 +1 @@
+A 43-year-old Caucasian woman presented in her 32nd week of gestation with a tumor of the parotid gland. Ultrasonography of her neck showed a parotid lesion of 40 × 30 × 27.5 mm. A follow-up magnetic resonance imaging scan of the neck four weeks later revealed that the tumor had grown to 70 × 60 × 60 mm, reaching the parapharyngeal space with marked obstruction of the oropharynx of about 50%. After discussing the case with our multidisciplinary tumor board and the gynecologists it was decided to deliver the baby by caesarean section in the 38th week of gestation, and then to perform a surgical resection of the tumor.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_498_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_498_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f3be6ea71da0d8b28051939dfee6fc4e4544c98d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_498_en_sum.txt
@@ -0,0 +1 @@
+A 73-year old man presented to the clinic with a right renal pelvis filling defect that was detected by a CT-scan performed for unrelated reasons. Urine cytology was negative. Cystoscopy, retrograde pyelogram, and partial ureteroscopy were unable to visualize the lesion resulting in an indeterminate diagnosis. A subsequent CT scan confirmed the renal lesion which appeared to have become larger and was consistent with urothelial carcinoma. A urine based genetic assay was used to test for the presence of urothelial carcinoma. This assay evaluates the presence of mutations in fibroblast growth factor receptor 3 (FGFR3). Mutations in FGFR3 are known to be associated with urothelial carcinoma and have a positive predictive value of 95% when detected in patients with no history of TCC. A mutation in exon 10 (Y375C) of FGFR3 was identified. Nephroureterectomy was performed and the subsequent pathology confirmed urothelial carcinoma. In addition, PCR analysis on isolated tumor tissue indicated the tumor carried the same FGFR3 mutation as that of the DNA isolated from urine, consistent with the tumor being the origin of the mutant DNA.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_500_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_500_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..92c2aa98fe499d0ccb2fb98bc612873a70b6036b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_500_en_sum.txt
@@ -0,0 +1 @@
+A 67-year-old woman was admitted to our department for the treatment of right empyema. Chest computed tomography showed fluid collection in three independent spaces within the right thoracic cavity. It was assumed that a firm adhesion between the lung and chest wall was developed because about 7 weeks passed since the onset. Therefore, we decided to use CBCT to completely debride three empyema cavities separately by VATS. One cavity was only in a narrow range with the chest wall, and it was located on the back of cost rib cartilage. By clicking any intended anatomical structures on CBCT images, the position was readily depicted by lase projection on the body surface, which helped to place the best skin incision. Moreover, in other cavities, CBCT after initial debridement showed insufficiently dissected cavity. Additional debridement resulted in a successful shrinkage of the empyema cavity.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_536_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_536_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..747c37dad54de4a0b8608402e86d83c43b35cbea
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_536_en_sum.txt
@@ -0,0 +1 @@
+A 52-year-old Chinese woman was admitted to the hospital, She complained of coughing and expectoration for 1 month, shortness of breath for half a month, and dyspnea for 1 day. After a series of examinations, she was diagnosed with lung abscess, pleural effusion, and bronchogenic carcinoma. Draining pus culture demonstrated Granulicatella adiacens. After more than 5 weeks of antibiotic therapies in total, she gradually recovered to fight against lung cancer.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_54_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_54_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..dae515b7668ad62683002afd5002e6e26065e4f2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_54_en_sum.txt
@@ -0,0 +1 @@
+The case of a 60-year-old man who complained of dysphagia is presented. Upper gastrointestinal endoscopy showed a submucosal tumor-like elevated lesion in the esophagus causing stenosis. Contrast-enhanced computed tomography showed left atrial compression due to the esophageal tumor, multiple liver and lung metastases, and a left pleural effusion. Pathological examination of a biopsy specimen from the esophageal tumor showed spindle-shaped cells, raising suspicion of esophageal sarcoma. The disease progressed rapidly, and systemic chemotherapy was deemed necessary, however, due to his poor general condition, administration of cytotoxic agents was considered difficult. Given his high Combined Positive Score, nivolumab was administered, however, the patient soon died from the disease. The autopsy confirmed spindle cell carcinoma (SCC) of the esophagus and cardiac metastasis with similar histological features. Cancer stem cell markers, ZEB1 and TWIST, were positive in both the primary tumor and the cardiac metastasis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_568_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_568_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..42f6b0eb38e467032e366e9d99fcd85abe43d34d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_568_en_sum.txt
@@ -0,0 +1 @@
+A 27-year-old man presented with headache and diplopia at our department. Fundoscopy showed left optic nerve atrophy and right papilledema consistent with Foster-Kennedy syndrome. Neurological exams were otherwise normal. A left frontal irregular space-occupying lesion was seen on magnetic resonance imaging (MRI), and enhancement was shown on contrast-enhanced computed tomography (CT) scan. CT angiography (CTA) revealed vascular compression around the lesion. Prior to surgery, meningioma was diagnosed and gross tumor removal was performed. On postoperative pathohistological exam, the tumor proved to be a meningeal melanocytoma, WHO grade I. No skin melanoma was found. After surgery, the patient received radiation therapy. No tumor was seen on follow-up MR images six months after surgery. The patient was well after two and a half years, and there was no tumor recurrence on the follow-up CT.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_56_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_56_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..45c59773563511debcb9ff1e9cc25534c287e25c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_56_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old man was admitted to the hospital for Stanford type B acute aortic dissection and given conservative treatment. He was found to have aortic root dilatation and severe aortic regurgitation. Thus, elective Bentall procedure was performed. Postoperative computed tomography showed new Stanford type A aortic dissection that may have developed due to aortic cannulation during surgery. The patient was given conservative treatment and successfully discharged to home at postoperative day 34. Although he had no family history of aortic disease, a genetic test revealed an unreported SMAD3 frameshift mutation (c.742_749dup, p. Gln252ThrfsTer7), and the patient was diagnosed with Loeys-Dietz syndrome type III.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_584_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_584_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..23f0a271f6ed8ce16b3e81591f512149a32d8141
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_584_en_sum.txt
@@ -0,0 +1 @@
+Emergency services were contacted by the husband of an 86-year-old woman after she was found unconscious. Ambulance personnel diagnosed a third-degree AV block without an escape rhythm and transcutaneous pacing was started. At arrival on the emergency ward, pacing was inadequate, resulting in absence of circulation for ∼10 min. After consultation with the family, the patient turned out to have signed a 'do not resuscitate' order. Given the impression that the considerable delay deemed favourable neurological recovery unlikely, it was decided together with the family to stop the resuscitation. Subsequently, she had an intermittent junctional escape rhythm but eventually developed a documented asystole of more than 4 min. Against all expectations, she regained sinus rhythm and fully recovered. Eventually, a pacemaker was implanted and she was discharged home without neurological sequalae of the cardiac arrest.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_592_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_592_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..14a307da851b1aa2e5e2fa0cea1ee05e613d8632
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_592_en_sum.txt
@@ -0,0 +1 @@
+A 65-year-old woman who had split-graft deceased-donor LT for primary biliary cirrhosis developed fever, dyspnea and dry coughing at 25 months after transplant. Her immunosuppressants included tacrolimus, mycophenolate mofetil, and prednisolone. PCP infection was confirmed by molecular detection of Pneumocystis jirovecii,in bronchoalveolar lavage. On day-10 trimethoprim-sulphamethoxazole, her chest X-ray showed subcutaneous emphysema bilaterally, right pneumothorax and pneumomediastinum. Computed tomography of the thorax confirmed the presence of right pneumothorax, pneumomediastinum and subcutaneous emphysema. She was managed with 7-day right-sided chest drain and a 21-day course of trimethoprim-sulphamethoxazole before discharge.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_5_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_5_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..141403c7dc526738556e0d8254754e88bf486f9b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_5_en_sum.txt
@@ -0,0 +1 @@
+A 24-year-old primigravid Sundanese woman presented to our intensive care unit due to acute pulmonary edema secondary to massive plasma leakage caused by severe dengue. She tested positive for both immunoglobulin G and immunoglobulin M dengue serology indicating she had secondary dengue infection, which placed her at risk for an exaggerated cytokine response as was evident clinically. She had to undergo an emergency cesarean section which was later complicated by rebleeding and hemodynamic instability due to an atypical defervescence period. She was successfully managed by multiple blood transfusions and was discharged from our intensive care unit on day 8 without any negative sequel.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_603_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_603_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f1189a71792cac66f1e95219824c462c63c12624
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_603_en_sum.txt
@@ -0,0 +1 @@
+Here, we identified a Chinese family with two brothers both inheriting a 2.2 Mb MECP2-containing duplication (151,369,305 - 153,589,577) from their mother. In addition, both brothers also had a 213.7 kb duplication on Chromosome 2, inherited from their father. The older brother also carried a 48.4 kb duplication on Chromosome 2 inherited from the mother, and a 8.2 kb deletion at 11q13.5 inherited from the father. Based on the published literature, MECP2 is the most autism-associated gene among the identified CNVs. Consistently, the boys displayed clinical features in common with other patients carrying MECP2 duplications, including intellectual disability, autism, lack of speech, slight hypotonia and unsteadiness of movement. They also had slight dysmorphic features including a depressed nose bridge, large ears and midface hypoplasia. Interestingly, they did not exhibit other clinical features commonly observed in American-European patients with MECP2 duplication, including recurrent respiratory infections and epilepsy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_610_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_610_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..461ad5f6c4daeee01c0a2a867e8c5220560f01a8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_610_en_sum.txt
@@ -0,0 +1 @@
+A 35-year-old Caucasian female patient presented to our department with an asymptomatic giant intracardiac angioma infiltrating both ventricles. Evaluation of this tumor involved electrocardiography, echocardiography, cardiac magnetic resonance imaging, coronary angiography, an open myocardial biopsy, and histological examination of the resected specimen. Because our patient was asymptomatic, she was managed conservatively with regular follow-up. We discuss the treatment options available in comparison with similar cases.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_611_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_611_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0d7cf715c2d4af67748955ba19b9e169ed687da5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_611_en_sum.txt
@@ -0,0 +1 @@
+In this article, we report an incidental finding of an intrapulmonary schwannoma in a 59-year-old Pakistani woman who was grossly asymptomatic upon presentation to the cardiothoracic surgery clinic. An
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_615_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_615_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b62165d4c64712d78c823e73154516b8ac852413
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_615_en_sum.txt
@@ -0,0 +1 @@
+A 44-year-old Asian male visited the emergency room with chief complaints of intraoral pain and dysphagia that had started on the same day. The patient had paranoid-type schizophrenia that began 10 years ago; he had been hospitalized and was being treated at another clinic, and was transferred to the emergency room by the medical staff after swallowing a toothbrush. We successfully removed a toothbrush located within the pharynx of a patient with a history of a psychologic disorder via surgery and conservative treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_646_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_646_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..79a7615b96ec99397b03aa18bb4921a322c706c2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_646_en_sum.txt
@@ -0,0 +1 @@
+A 51-year-old woman was admitted to our hospital with dyspnea and chest pain. Upon imaging examination, she was found to have diffuse and nodular pleural thickening on the left side, collapse of the left lung and a compression in the second thoracic vertebrae. All lesions showed significant 18F-FDG uptake on 18F-FDG PET/CT examination. Furthermore, she exhibited T-cell lymphocytosis in her peripheral blood, lymph nodes, and bone marrow. After ruling out malignant pleural mesothelioma (MPM), lung cancer with pleural metastasis, and T-cell lymphoma, the definitive diagnosis asserted was ectopic pleural thymoma with T-cell lymphocytosis and bone metastasis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_649_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_649_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..09cae5c0d38539fe7d743b082a419ce320356ece
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_649_en_sum.txt
@@ -0,0 +1 @@
+We report an uncommon but clinically significant case of transtentorial brain herniation secondary to malignant cerebral edema from tumefactive MS in a 50-year-old woman. After the initial diagnosis of MS, the patient continued to have progression of her white matter lesions suggesting evolution of her MS despite treatment with intravenous (IV) steroids, IV immunoglobulin, and plasmapheresis. She was admitted to the hospital with a new, large, ring-enhancing lesion that displayed significant mass effect from vasogenic edema and progressed, necessitating a decompressive hemicraniectomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_652_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_652_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7845a1aa82b0e9f8d5ee44ff94c3ab0ddebb745d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_652_en_sum.txt
@@ -0,0 +1 @@
+70 years old female was admitted to the hospital with epigastric pain, fevers and elevated white cell count. Abdominal CT scan demonstrated evidence of perforated duodenal diverticulitis which failed to improve with IV antibiotics. Emergent pancreatoduodenectomy was performed with full recovery and uncomplicated hospital stay.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_666_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_666_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..69da5f84781bfe360458b5dd485ab6e8dd4d1130
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_666_en_sum.txt
@@ -0,0 +1 @@
+In December 2016, a 55-year-old Chinese male was diagnosed with stage IB lung adenosquamous carcinoma and treated with left lower lobectomy and 4 cycles of platinum-based chemotherapy. After being disease-free for 3.5 months, three colonic polyps were discovered and were diagnosed as invasive adenocarcinoma after polypectomy. Within 5.4 months from the polypectomy, squamous cell renal carcinoma was identified and was managed by radical nephrectomy. Immunohistochemistry results were inconclusive on the origin of the kidney tumor. Hence, the three archived surgical tissue samples were sequenced using a targeted panel with 520 cancer-related genes. Analysis revealed similar mutational signature between the lung and kidney tumors and a distinct mutational profile for the colon tumor, suggesting that the lung and colon malignancies were primary tumors, while the kidney tumor originated from the lung, revealing a diagnosis of metastatic double primary cancer - lung carcinoma with renal cell metastasis and second primary colon carcinoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_669_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_669_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cc70291538db63d14aa56a05fc0f6429add65e5c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_669_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 37-year-old woman with a history of cervical cancer presenting with unexplained weight gain and vertical supranuclear gaze palsy. Magnetic resonance imaging of the brain revealed lesions within the bilateral hypothalami and midbrain. Anti-Ma2 antibodies were eventually found in the serum, prompting a search for malignancy. Recurrent metastatic cervical cancer was found in the retroperitoneal lymph nodes.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_673_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_673_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..351c4dffdec45caed617035ac0735727e9aaf75b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_673_en_sum.txt
@@ -0,0 +1 @@
+A 45-year-old male with aortic dissection DeBakey type-II, 7 day post-Bentall procedure, presented with sudden shortness of breath and persistent shock despite therapy. Initial assessment directed towards pulmonary embolism was supported by hallmark imaging signs from X-ray and transthoracic echocardiography evaluation. However, computed tomography scan results were suggestive of cardiac tamponade mainly accumulating at the right side of the heart, compressing the pulmonary artery and vena cava confirmed by transoesophageal echocardiography, thus mimicking the findings of pulmonary embolism. After clot evacuation procedure, the patient improved clinically and was discharged the following week.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_675_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_675_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..799fd05d4824470d54cffbd33bd43e1538f3b250
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_675_en_sum.txt
@@ -0,0 +1 @@
+A 78-year-old male patient with a left upper lobe lung adenocarcinoma underwent a left upper lobectomy with a Fuji Uniblocker® as the lung separation device. Despite an atraumatic insertion and endobronchial blocker balloon volume within manufacturer specifications, an intraoperative air leak developed, and the patient was found to have sustained a left mainstem bronchus rupture which was successfully repaired and the patient extubated uneventfully. Unfortunately, the patient passed on in-hospital from sepsis and other complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_678_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_678_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5499379f4494d23bfd3fcc6686af1bb9cfe8eb01
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_678_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old woman presented with complaints of sudden loss of vision in her left eye (LE), with best corrected visual acuity (BCVA) of 1/20. A complete ophthalmic evaluation with fundus angiography showed combined CRAO and CRVO. The patient was urgently treated with HBOT (she completed a total of 9 sessions in 7 days), with marked visual acuity and angiographic improvement (BCVA of 10/10). Forty-five days later, she developed a new LE CRVO, and BCVA decreased to 5/10 and later to <1/20 because of significant macular edema. A detailed investigation showed an abnormal resistance to activated protein C, and a genetic study showed homozygosity for FVL mutation. The patient was submitted to 3 monthly injections of 1.25 mg bevacizumab. After 10 months, the patient is in a stable condition with BCVA of 6/10.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_692_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_692_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9c6c755f336aa621e8c0a1c1cc828041593d12b8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_692_en_sum.txt
@@ -0,0 +1 @@
+A 30-year-old healthy Caucasian male presented with acute Achilles tendon rupture after feeling a pop while playing basketball, in the setting of a known posterior tibial osteochondroma and a recent increase in physical activity.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_694_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_694_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..18320fe9946a429aa5383a9f76480fd4c5dc1d9a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_694_en_sum.txt
@@ -0,0 +1 @@
+The case of this report was a 15-year-old female who presented with long-term nasal obstruction due to a huge concha bullosa in her right nasal cavity which perforated nasal septum. She lacked a history of any nasal septum surgery, drug abuse, cocaine, or long-term nasal spray. Endoscopic surgery was performed and our patient's symptoms rapidly diminished after the surgery. Negative results were obtained for tuberculosis, Wegener's granulomatosis disease, and malignancy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_695_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_695_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..97d32f36327a3731f2e1be23b9285f650a2a5474
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_695_en_sum.txt
@@ -0,0 +1 @@
+31-year-old female arrived in Canada as a refugee from Sudan with her 5 children in July of 2017. She was diagnosed with HIV and severe dental carries during her initial medical evaluation and referred to our centre. A lack of social support has resulted in severe psychological stress. The first being stigmatization which has led to her not disclosing the diagnosis to anyone outside her medical care team. Her level of knowledge about HIV is consistent with literature reporting that despite HIV prevention programs in refugee camps, compliance with risk reduction behaviors, especially in females, is low. Lastly, her major concern relates to the cost of living and supporting her children.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_720_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_720_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba946d8a097bebafe9609df4aa934cce4ffb67ae
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_720_en_sum.txt
@@ -0,0 +1 @@
+We report a patient who experienced repeated syncope, ventricular tachycardia (VT) and heart failure accompanied by weakness and muscle atrophy. He was initially diagnosed with dilated cardiomyopathy and received implantable cardioverter-defibrillator therapy. He was subsequently misdiagnosed as muscular dystrophy due to progressive muscular atrophy. However, the patient developed repeated and refractory VT storms that were not alleviated by conventional therapy. Finally, he was diagnosed with AMA-positive inflammatory myopathy with cardiac injuries. The patient was markedly recovered by being treated with immunosuppressive and immunomodulatory therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_730_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_730_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c895ad86d9a66cdc83cf9c7fdc96561f19ea6ec7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_730_en_sum.txt
@@ -0,0 +1 @@
+A 51-year-old man was diagnosed with AMVT via transesophageal echocardiography, which resulted in an LVOT occlusion (mean gradient 12 mmHg) during systole. Resection of the AMVT was performed under general anesthesia. The patient was hemodynamically stable throughout the surgery and post-operation. There was no abnormity of the mitral valves, including mitral regurgitation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_749_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_749_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..27847cdc8db93fff52ddc7e5d0e5ee1784ac038d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_749_en_sum.txt
@@ -0,0 +1 @@
+A 71-year-old man presented with sudden symptoms of stroke including urinary incontinence, weakness in right lower limb, and trouble speaking. Physical examinations showed a right facial paralysis. The radiological examinations eventually found a 1.7 × 1.4 × 1.3 cm sellar occupied lesion. After symptomatic treatment improved the symptoms, the patient underwent transsphenoidal resection of the pituitary mass. Histologically, the tumour contained hypocellular area and hypercellular area. The hypocellular area showed elongated spindle cells arranged in a fascicular pattern around small vessels and scattered Herring bodies; the hypercellular area showed a large number of pseudorosettes. Immunohistochemistrically, the tumour cells were positive for thyroid transcription factor-1, S100, and neuron-specific enolase. Neurofilament only showed a little positive in the hypocellular area, and silver impregnation was only noted in a perivascular distribution. The patient had no recurrence 4 months after the surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_751_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_751_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1adf46d1911a48342bc2cf22027238a81cf87a68
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_751_en_sum.txt
@@ -0,0 +1 @@
+A 42-year-old man was diagnosed with adenocarcinoma of GEJ (stage IV) with liver metastasis and lung metastasis. The patient was enrolled in a trial that excluded patients with known HER2-positivity: AK104, a PD-1/CTLA-4 bispecific antibody, combined with chemotherapy (mXELOX) as first-line therapy for advanced gastric G/GEJ cancer (NCT03852251). After six cycles of AK104 combined with chemotherapy therapy, immune-related pulmonary toxicity was observed. We rechallenged AK104 after hormone therapy, and no further pulmonary toxicity was observed. Immune-related hepatitis occurred in the patient during immunotherapy combined with single-drug capecitabine therapy. After combining steroid therapy with mycophenolate mofetil, the patient's immune hepatitis improved. Nevertheless, the patient was excluded from the clinical study due to the long-term absence of medication. Antitumor therapy was also discontinued in view of the patient's adverse immune response. The patient did not receive subsequent immune antitumor therapy, and immune-related hepatitis still occurred intermittently, but the disease evaluation was maintained at PR. A complete response was confirmed by PET/CT and the biopsy specimen from gastroscopy on 2020-06-10. Next generation sequencing of biopsy tissue was used to guide subsequent therapy at a recent follow-up visit. The results indicated that ERBB2 mutations occurred at copy number 58.4934 (HER-2), TMB = 3.1, MSS. IHC: EBV (-), PD-L1 CPS = 3, HER-2 (3+).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_760_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_760_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..128824e92c6af0313d6657526e84369480ec1e09
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_760_en_sum.txt
@@ -0,0 +1 @@
+A 24-year-old woman with Wilson's disease was scheduled for emergency cesarean delivery at 30 weeks of gestation. The patient exhibited severe coagulopathy and prominent body weight gain (+ 30 kg) caused by systemic edema and ascites. We decided to perform emergency cesarean delivery under general anesthesia. We used platelet concentrates, cryoprecipitate, and fibrinogen concentrate. Intraoperative hemorrhage was well controlled. On the 15th postpartum day, weight was reduced by 20 kg and liver function had improved. She and her baby were discharged without complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_765_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_765_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9d10d74808570733e43d28a0d214f892f46f788d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_765_en_sum.txt
@@ -0,0 +1 @@
+A 71-year-old man visited a clinic with complaints of abdominal discomfort and vomiting. Gastroscopy showed a massive tumor in the duodenum. He was referred to our hospital for further examinations and treatment. The CT showed a low-density tumor with a maximum diameter of 10 cm located on the pancreas head. A tumor widely invaded the duodenum and had a 6-cm portal vein tumor thrombus. MRCP did not show obvious stenosis of the pancreatic duct due to tumor invasion. There were no findings suggesting distant metastases. Biopsy of the duodenum revealed adenocarcinoma. He was diagnosed with primary pancreatic cancer or duodenal cancer with portal vein tumor thrombus and underwent pancreatoduodectomy with resection and reconstruction of the portal vein. He suffered no postoperative complications and was discharged 2 months after surgery. The final histopathological diagnosis was pancreatic colloid carcinoma. He received adjuvant chemotherapy, but died 16 months after surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_785_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_785_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5223b12ed25385375afa6eeada30f3814eeba9d7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_785_en_sum.txt
@@ -0,0 +1 @@
+A 38-year-old female presented to the Research and Treatment Center of Moyamoya Disease in our hospital with "left limb weakness" as the main symptom. She was diagnosed with acute cerebral infarction and moyamoya disease through magnetic resonance imaging and digital subtraction angiography. Prior to this, she had experienced a prolonged menstrual period of one-month duration. This was investigated and adenomyosis was diagnosed. After passing the acute cerebral infarction phase, the patient underwent surgery for adenomyosis followed by combined cerebral revascularization. During the postoperative follow-up, improvements of the perfusion imaging stage and modified Rankin Scale were observed. A review of the literature showed only 16 reported cases of gynecological diseases complicated with stroke. The clinical characteristics, pathogenesis, therapeutic effects, and long-term prognosis of these cases have been studied and discussed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_819_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_819_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4eaf3d3ba2a6963f6dc3a3ed98c93cbc82dc4fc0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_819_en_sum.txt
@@ -0,0 +1 @@
+A 75-year-old Caucasian woman presented with a mass in her left breast 21 years after being diagnosed with invasive ductal carcinoma of the right breast, treated by a right mastectomy and axillary dissection followed by radiotherapy and breast reconstruction. Mammography revealed a dish-shaped skin nodule formation in the upper outer quadrant of her left breast. Echography confirmed the presence of a lesion measuring 1.4 × 0.8 cm. Based on imaging, the diagnosis was a probable angiosarcoma. Due to the presence of a pacemaker for cardiac arrhythmia and full anticoagulation therapy for a pulmonary embolism, magnetic resonance imaging and a biopsy were not done. We proceeded directly to a quadrantectomy and the final diagnosis revealed a dermatofibrosarcoma protuberans, 1. 8 cm in its greatest microscopic dimension, located 0.1 cm from the upper surgical margin. To ensure the wide resection margins required for this type of neoplasm, a re-excision was performed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_823_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_823_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d40673aab7d6c879d105ac87705e999fda0399d0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_823_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 72-year-old male patient with VSR following a transmural myocardial infarction. He sought medical attention only after gradually experiencing symptoms of chronic heart failure, weeks after the onset of the myocardial infarction. The patient successfully underwent elective repair surgery, after optimizing the medical therapy and completing the necessary workup.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_824_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_824_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ba8ec602501fc234e991da6c00d2174d95aa7e9d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_824_en_sum.txt
@@ -0,0 +1 @@
+We are reporting a case of a 26-year-old female patient presented with right little finger and index finger gangrene, ultimately diagnosed as TA and responded dramatically to treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_82_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_82_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..90ddd01e1627e58983fed3a8ecc683818f38423b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_82_en_sum.txt
@@ -0,0 +1 @@
+This problem may produce symptoms or be asymptomatic for long periods of time and may result from ignorance, accident, malice, psychotic tendencies, attempts at sexual stimulation or sexual abuse. The current report presents the case of a girl that had inserted a foreign body in her vagina probably due to childish prank.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_859_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_859_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a84b2930dc911b6d9a8e8536521fd3cfcbe1b399
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_859_en_sum.txt
@@ -0,0 +1 @@
+A case of massive retroperitoneal haemorrhage in a patient on warfarin is presented. The underlying diagnosis of renal angiomyolipoma was diagnosed based on CT findings. Emergency resuscitation and selective interpolar arterial embolization was performed which saved the patient's life as well as his kidney.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_886_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_886_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a0b84e0adff1fa7619543da7dfc0bb9e48572ee6
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_886_en_sum.txt
@@ -0,0 +1 @@
+This patient had kidney cancer with thrombosis in the right renal vein but had no sign of infection. After radical nephrectomy, thrombi formed in his left renal vein, and when removed, severe sepsis occurred. He did not respond to treatment with antibiotics and died, but the blood culture done confirmed that he had F. nucleatum bacteremia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_88_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_88_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..48835097a602488829997c2c6c75774a33866b88
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_88_en_sum.txt
@@ -0,0 +1 @@
+An 18-year-old patient presented with a painful, well-defined reddish plaque on the right palm, originating five years prior, accompanied by contractures of the middle finger. The tender lesion, characterized by an irregular surface, exhibited purulent discharge upon light touch through fissures along its periphery. Management involved necrotomy, debridement, and tissue biopsy for diagnostic and reconstructive purposes.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_913_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_913_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ea639e152a5b97d126b2f59643d5626f70d787f2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_913_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a ruptured caesarean scar pregnancy in a 29 year-old gravida 5, para 3 with a past obstetric history of two consecutive caesarean sections done 9 and 5 years ago respectively. The patient presented with intermittent lower abdominal pains on a 20 weeks gestation associated with mild epigastralgia and 2 previous episodes of mild pervaginal bleeding (2 and 1 months ago respectively before consultation) managed with injectable progesterone. Her evolution 4 h later was marked by an increase in the intensity of the abdominal pain, an unmeasurable blood pressure and a feeble pulse. Immediate paracentesis revealed 10 cc of fresh non coagulating blood. The diagnosis of ruptured ectopic pregnancy with abundant hemoperitoneum was considered and an emergency laparotomy with fluid and blood resuscitation was carried out. A midline laparotomy revealed a ruptured caesarean scar ectopic pregnancy with an abundant hemoperitoneum. Careful resection of the placenta and repair of the ruptured isthmic region of the uterus was carried out. Recovery after surgery was without complications and the patient was discharged on the 6th day following surgery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_922_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_922_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d457e512089d7747b356ceb4229f9c89052c02d0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_922_en_sum.txt
@@ -0,0 +1 @@
+This case report presents a 48-year-old man with chronic progressive external ophthalmoplegia, bilateral ptosis, cerebellar ataxia, cardiovascular signs (syncope, dilated cardiomyopathy, and cardiac arrest) with electrocardiographic abnormalities (first-degree atrioventricular block and major right bundle branch block), endocrine dysfunction (short stature, growth hormone insufficiency, primary gonadal insufficiency, hypothyroidism, and secondary hyperparathyroidism), molecular genetic tests (MT-TL2 gene), and abnormal MRI brain images, thus leading to the diagnosis of KSS. The patient came back 4 weeks after the diagnosis to the emergency department with massive bilateral pulmonary embolism with syncope at onset, acute cardiorespiratory failure, deep left femoral-popliteal vein thrombophlebitis, and altered neurological status. In the intensive care unit, he received mechanical ventilation through intubation. Significant improvement was seen after 2 weeks. The patient tested positive for inherited thrombophilia and was discharged in stable conditions on a new treatment with Rivaroxaban 20 mg/day. At 6 months of follow-up, ECG-Holter monitoring and MRI brain images remained unchanged. However, after 3 months, the patient died suddenly while sleeping at home.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_951_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_951_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..132edaadbd20206aae36fbb29a1886a47cb2dbd7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_951_en_sum.txt
@@ -0,0 +1 @@
+A 41-year-old woman presented with asthenia, anorexia, fever, epigastralgia, and diarrhea. She had a maculopapular skin rash, hepatosplenomegaly, retroperitoneal adenopathies, pancytopenia, 6% blast cells (BC) and 20% MC in the peripheral blood, elevated lactate dehydrogenase, cholestasis, hypoalbuminemia, hypogammaglobulinemia, and increased serum tryptase (184 μg/L). The bone marrow (BM) smears showed 24% myeloblasts, 17% promyelocytes, and 16% abnormal toluidine blue positive MC, and flow cytometry revealed 12% myeloid BC, 34% aberrant promyelocytes, a maturation blockage at the myeloblast/promyelocyte level, and 16% abnormal CD2-CD25+ MC. The BM karyotype was normal, and the KIT D816V mutation was positive in BM cells. The diagnosis of MCL associated with AML was assumed. The patient received corticosteroids, disodium cromoglycate, cladribine, idarubicin and cytosine arabinoside, high-dose cytosine arabinoside, and hematopoietic stem cell transplantation (HSCT). The outcome was favorable, with complete hematological remission two years after diagnosis and one year after HSCT.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_966_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_966_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cb9b6c763c542fbcced3c164c6c04fdf636d9d5b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_966_en_sum.txt
@@ -0,0 +1 @@
+A 74-year-old Japanese woman with a history of bronchiectasis was admitted to our hospital because of dyspnea on exertion. Pulmonary angiography and reconstructed three-dimensional contrast-enhanced computed tomography images showed shunts between pulmonary arteries and pulmonary veins, indicating a diagnosis of pulmonary arteriovenous malformations. Coil embolization of the shunts was successful.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_990_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_990_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..588afec21f657da9a99d321f1d24894cd2164cb0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_990_en_sum.txt
@@ -0,0 +1 @@
+We present a 12-year-old girl who presented with bilateral shoulder deformities and difficulty in coordination while writing. On examination, she was noted to have bilateral Sprengel deformities with flexion contractures of upper-limb joints and mirror movements of both upper and lower-limb joints.
\ No newline at end of file