diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1013_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1013_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b8b464795ca8bec5f1ff905d81abdb4355c076f7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1013_en_sum.txt
@@ -0,0 +1 @@
+We report a case of jSLE in a 15 year old Caucasian female presenting with an acute episode of pancarditis and multiorgan dysfunction who was successfully treated with systemic corticosteroids and cyclophosphamide.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1018_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1018_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..702f4689ff21307daf095c0cceb4bfe57ade965e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1018_en_sum.txt
@@ -0,0 +1 @@
+We present a unique case of a pediatric patient with an initial diagnosis of CRMO, with subsequent diagnosis of autoimmune hepatitis and PSC overlap, and eventually IBD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1061_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1061_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0e45880dd4ba147de1b81ec8e1b5e1565c009a25
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1061_en_sum.txt
@@ -0,0 +1 @@
+A Chinese family with ATS was recruited for the current study. Clinical characteristics (including findings from renal biopsy) of ATS patients were collected from medical records, and potential causative genes were explored by whole-exome sequencing. A heterozygous substitution in intron 22 of COL4A3 (NM_000091 c.2657-1G>A) was found in the patients, which was further confirmed by quantitative polymerase chain reaction.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1076_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1076_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..19db76ef8323edd955c73fb1d1b9b629a74cd323
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1076_en_sum.txt
@@ -0,0 +1 @@
+We report a case of a 71-year-old female who presented with progressive weakness, weight loss, diarrhea, and jaundice, and had been undergoing outpatient workup for elevated liver enzymes for the last 2 years. She required admission to the intensive care unit for vasodilatory shock, requiring vasopressor and chronotropic support. Imaging showed an underlying multiorgan process involving the gastrointestinal tract, liver, spleen, and central nervous system. A repeat liver biopsy after a prior inconclusive one revealed the diagnosis of multisystem LCH presenting as secondary sclerosing cholangitis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1089_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1089_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..67c3b9194fcae24465b1681b89250c86648229da
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1089_en_sum.txt
@@ -0,0 +1 @@
+A 22-year-old primigravida with no prior medical history presented with an acute abdomen in her second trimester. The diagnosis of renal forniceal rupture was made by a radiologist using MRI. A percutaneous nephrostomy catheter was placed, and the patient's pain was relieved. She subsequently delivered at term.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_10_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_10_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9fd1e5be4525ff7a3a23ce15cfc13c2d1531146f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_10_en_sum.txt
@@ -0,0 +1 @@
+We report a 48-year-old female patient with an initial diagnosis of stage IVB lung adenocarcinoma with ALK fusion. The patient developed headache, dizziness, hypopituitarism and hyperprolactinemia one year after treatment with crizotinib. Later, the patient underwent neurosurgical resection of the pituitary tumor and then symptomatic relief. Postoperative pathology suggested pituitary metastasis, and the next-generation gene sequencing conducted on the pituitary metastasis indicated that secondary drug resistance mutation ALK-I1171s occurred after the ALK fusion gene.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1136_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1136_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..61acd3dbb704f56441325fcb03ab13da5ca5fea8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1136_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old man complained of pain and discomfort in the right buttock for more than 4 mo and did not receive any treatment. Nuclear magnetic resonance imaging (MRI) showed a 13-cm-sized mass in his right pelvic cavity. Histologically significant differences were atypical mitosis figures and multiple necrotic foci in the tumor. In addition, smooth muscle and skeletal muscle were invaded within and at the edge of the tumor. These morphologic features are often reminiscent of malignant tumors and therefore pose a diagnostic challenge to pathologists. The tumor cells were strongly positive for both cluster of differentiation 34 and desmin, and the loss of retinoblastoma 1 shown by immunohistochemical and fluorescence in situ hybridization results confirmed the pathological diagnosis of MTMF. Currently, the patient is alive and in good condition without tumor recurrence or metastasis after 2.5 years of follow-up by telephone and MRI.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1159_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1159_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ca9d918a73bc1d118eb888cdbd85e8a5383dd61f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1159_en_sum.txt
@@ -0,0 +1 @@
+Here, we present two cases of RCCs presenting with symptoms suggestive of CD. A functional pituitary microadenoma was the presumed diagnosis based on initial clinical presentation and diagnostic imaging suggesting a pituitary lesion. However, pathology results demonstrated no evidence of adenoma but cysts lined with columnar epithelia consistent with RCC. Complete surgical resection was achieved in both patients through endoscopic endonasal pituitary resection with postoperative symptomatic resolution and normalization of cortisol levels. In addition, we discuss the literature on this rare presentation and suggest a pathological mechanism for this unique presentation of RCC-causing CD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1174_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1174_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1307ee45163c5f789887e3909dd686ff0fad3bc7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1174_en_sum.txt
@@ -0,0 +1 @@
+We report a case of postoperative unilateral hypoglossal nerve palsy after uncomplicated use of the LMA Protector. To the best of our knowledge, this could be the second reported case.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1185_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1185_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..641e9508797d71b8674efce055d5efc85501abcf
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1185_en_sum.txt
@@ -0,0 +1 @@
+A 10-year-old Kurdish boy was presented with generalized bone pain and fever of 1 month's duration which was associated with sweating, easy fatigability, nose bleeding, breathlessness and severe weight loss. On examination, we observed pallor, tachypnea, tachycardia, low blood pressure, fever, petechial hemorrhage, ecchymoses, tortuous dilated veins over the chest and upper part of abdomen, multiple small cervical lymph node enlargements, mildly enlarged spleen, palpable liver and gross abdominal distention. Blood analysis revealed pancytopenia and elevated lactate dehydrogenase and erythrocyte sedimentation rate. Imaging results showed mediastinal widening on a planar chest X-ray and diffuse focal infiltration of the axial bone marrow on magnetic resonance imaging of the lumbosacral vertebrae. Bone marrow aspiration and biopsy examination showed extensive bone marrow necrosis. Immunophenotyping analysis of the bone marrow biopsy confirmed T-cell acute lymphoblastic leukemia, as CD3 and terminal deoxynucleotidyl transferase markers were positive and CD10, CD20 and CD79a markers were negative.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1186_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1186_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..bb7a0f9d9dd5c82d5f48bcd616016b2b094e91b2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1186_en_sum.txt
@@ -0,0 +1 @@
+We report an immunocompetent patient with disseminated cysticercosis, who had involvement of the brain, subcutaneous tissues, skeletal muscles, right orbit and thyroid gland. In addition, this patient developed a serum sickness which responded to therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1206_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1206_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..53fb2f965523a4c8f1ef69810deb9b0630c099b2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1206_en_sum.txt
@@ -0,0 +1 @@
+A 48-year-old female underwent video-assisted thoracoscopic surgery (VATS) combined with left lower lobectomy. The distal end of the left branch of the tracheal tube was lodged by surgical sutures. In this case, the respiratory physician burned the sutures using an argon electrode, after discussion with the thoracic surgery experts.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1240_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1240_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..25e4d992c703abd735e76c07138c2ee5c2ccb2c9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1240_en_sum.txt
@@ -0,0 +1 @@
+A 14-year-old iTaukei (indigenous Fijian) girl presented to our hospital with abdominal pain of 1 month's duration. Two days prior to her admission, she developed high-grade fever and nausea and had one episode of vomiting. On presentation, she appeared unwell; she was tachycardic (116 beats per minute) and febrile (38.8 °C). Her abdominal examination revealed generalized tenderness. Other examination findings were normal. The provisional diagnosis of abdominal sepsis led to an emergency laparotomy during which an enlarged right ovary was found to be spontaneously discharging pus. The ovary was incised and drained, and the patient was commenced on intravenous ceftriaxone 1 g twice daily, cloxacillin 1 g four times daily, and metronidazole 500 mg three times daily. She recovered promptly and was discharged to home on the sixth postoperative day. The purulent material from the ovary grew Salmonella Typhi.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1253_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1253_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e30df91cfdb979dd611d4ccc0f1de1b58cc9b786
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1253_en_sum.txt
@@ -0,0 +1 @@
+Here, we present a case of isolated solitary midbrain tectum abscess in an immunocompetent 28-year-old male who was empirically diagnosed as a primary tectal tumor at an outside hospital where he also underwent placement of a ventriculoperitoneal shunt (VPS) for obstructive hydrocephalus. Eight weeks later he was readmitted with a VPS infection. He was transferred to our institution where the VPS was removed and he was started on broad-spectrum antibiotics. Cerebrospinal fluid (CSF) culture revealed A. aphrophilus. All other workup was negative for infectious etiologies. The tectal lesion completely resolved after 15 weeks of intravenous ceftriaxone without surgical aspiration.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1281_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1281_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..64bbbf455e0087d514adea6c807882d829121a0a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1281_en_sum.txt
@@ -0,0 +1 @@
+The authors report a rare case of suprasellar optic pathway cavernous malformation in a 33-year-old female who presented with progressive visual loss. Her imaging revealed a large heterogeneous, hyperintense, hemorrhagic right suprasellar extra-axial complex cystic structure, causing mass effect on the adjacent hypothalamus and third ventricle displacing these structures. Gross total resection of the lesion was achieved utilizing a right frontal craniotomy approach. Histopathological examination confirmed the diagnosis of suprasellar chiasmal cavernous malformation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1304_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1304_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f50a2fc07649acba06c1ae52ce4d5974889a6b33
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1304_en_sum.txt
@@ -0,0 +1 @@
+A 20-year-old female underwent posterior scoliosis correction and spinal fusion for an adult thoracic scoliosis with spinal instrumentation extending from T3-T12. In the immediate post-operative period, an episode of acute desaturation prompted a computed tomography pulmonary angiography (CTPA) to rule out pulmonary embolism. While CTPA demonstrated an enlarged right side of the heart (corresponding to a large atrial septal defect as evident on 2D-ECHO), an incidental lateral breech at the left T10 pedicle screw level was also identified with the screw tip in close proximity to the aorta. At this time, cardiac management was prioritized and a successful atrial septal defect repair procedure was performed. After recovery from the cardiac procedure, a plan was formulated with a multidisciplinary team to remove the pedicle screw. To determine the exact position of the screw tip in relation to the aorta, an angiogram and an intravascular ultrasound were done which showed no evidence of intra-luminal extension of the screw tip. In addition, a transesophageal ultrasound was performed and this ruled out any extra-luminal contact with the aorta. Subsequently, the spinal instrumentation was removed safely with the vascular surgeon and interventional radiologist being on standby.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1315_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1315_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a935a3de579b20e40b1e69fe653733ae8469ba0a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1315_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old Japanese woman with a month-long history of dyspnea was admitted to our hospital for pericardial effusion. Chest computed tomography and cardiac magnetic resonance imaging showed a mass in the right atrium. The patient underwent surgical resection of the tumor, and the pathological diagnosis was angiosarcoma. The patient received radiotherapy after surgery. Six months following surgery, she underwent chemotherapy following the diagnosis of lung metastasis. The patient died 18 months after the initial diagnosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1354_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1354_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fa5eea59571b50ddf46de23d38d17b0ba761eddc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1354_en_sum.txt
@@ -0,0 +1 @@
+We present a case of consecutive bilateral decompression retinopathy in a 54-year-old severely obese Caucasian woman (body mass index 37 kg/m(2)) with open angle glaucoma and a poor history of medical therapeutic compliance, who chose surgical treatment based on her inability to consistently use ocular drops. Our patient underwent a trabeculectomy with mitomycin C in both eyes, with surgeries taking place 3 months apart. After the first surgery, 2 weeks postoperatively, she complained of decreased visual acuity. Examination of her right eye fundus revealed multiple retinal hemorrhages and disc edema. There was a similar pattern in her left eye, this time including maculopathy. Her visual acuity and fundoscopic changes resolved spontaneously over a period of a month in both cases. Currently, our patient has well-controlled bilateral intraocular pressure, ranging between 14 and 16 mmHg, without hypotensive medication.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1405_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1405_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..08288a100ba24463ccb152064238716e328d068c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1405_en_sum.txt
@@ -0,0 +1 @@
+A 73-year-old woman suffered from intracerebral hemorrhage (ICH) associated with FMD without abnormal angiography cerebral vessels. She presented with headache and nausea. Subsequent head-computed tomography-revealed ICH in the left frontal lobe, and contrast-enhanced magnetic resonance imaging revealed a gadolinium-enhancing lesion in the perihematoma area and in the genu of the corpus callosum. Although cerebral angiography revealed a string of beads appearance in the bilateral extracranial internal carotid arteries, no abnormality explaining the hemorrhage was identified. The hematoma was removed and the pathological diagnosis was FMD. In the pathological specimen, various patterns of vulnerable vessels, such as aneurysmal dilatation and obstruction, were observed, which could easily collapse and result in hemorrhage. In the case of ICH of unknown origin, microscopic vessel disruption due to FMD should also be considered.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_141_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_141_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cfc17e8e584df17fa6dc0cbd4b087103b24cb79f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_141_en_sum.txt
@@ -0,0 +1 @@
+Here, we report a pure androgen-secreting adrenocortical tumor in a 2.5-year-old boy presenting with penile enlargement, pubic hair, frequent erections, and rapid linear growth. We confirmed the diagnosis through laboratory tests, medical imaging, and histology. Furthermore, genetic testing detected a pathogenic germline variant in the TP53 gene, molecularly confirming underlying Li-Fraumeni syndrome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1422_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1422_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e6881ebcc86cc0ccff7e26c710be032f7403431b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1422_en_sum.txt
@@ -0,0 +1 @@
+We describe a case of a 50-year-old man from the northeastern region of Brazil, where there is high prevalence of schistosomiasis. He presented to our centre with symptoms of right heart failure. The echocardiogram showed normal left ventricular ejection fraction. Right ventricular had normal systolic function but in the apical region was filled with a homogeneous and hypoechoic image causing obliteration and restriction of the apex. The late gadolinium enhancement with cardiac magnetic resonance showed diffuse and heterogeneous subendocardial fibrosis in the right ventricle apex consistent with EMF, but declined endocardiectomy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_142_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_142_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1d17ef8bdd3b92be928aa9942cc8b8f114ce3b3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_142_en_sum.txt
@@ -0,0 +1 @@
+A 42-year-old woman diagnosed with metastatic melanoma presented with an intense pain in the left shoulder 7 days after the beginning of encorafenib/binimetinib after immune checkpoint inhibitors (ICI) combination. No other triggering factors were identified. Electromyogram performed one month after the pain onset revealed a left brachial plexopathy suggestive of a Parsonage-Turner syndrome. The weakness slowly improved with intensive rehabilitation and targeted therapies were continued.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1430_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1430_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cc8a8aea4c2924044b2fab5620055da0310edb76
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1430_en_sum.txt
@@ -0,0 +1 @@
+An 85-years old woman was referred because of worsening asthenia, lumbar pain, generalized myalgia and arthralgia. During investigations a computed tomography (CT) scan evidenced two large bilateral adrenal masses, highly suspicious for primary adrenal tumor. The hormonal assessment revealed very low levels of morning plasma cortisol and 24-h urinary cortisol, elevated ACTH levels with low plasma concentration of aldosterone, pointing to the diagnosis of PAI. After diagnosis of PAI our patient started glucocorticoid and mineralcorticoid replacement therapy with clinical benefit. In order to further characterize the adrenal lesions, adrenal biopsy, was performed. The histology revealed a high grade non-Hodgkin lymphoma with an immunophenotype consistent with intermediate aspects between diffuse large B-cell and Burkitt lymphoma, with a high proliferation index (KI-67 > 90%). The patient received chemotherapy with epirubicin, vincristine, cyclophosphamide, and rituximab, associated with methylprednisolone that resulted in a complete clinical and radiological remission within one year. After 2 years from the diagnosis and a total of 6 cycles of rituximab, the patient was in good clinical condition and was taking only the replacement therapy for PAI. The patient initially presented also a slight increase of 17-hydroxyprogesterone (17-OHP) for age that normalize after resolution of lymphoproliferative disease.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1433_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1433_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf260cb9627ce03b2e0821bf52e8a8632626fa5e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1433_en_sum.txt
@@ -0,0 +1 @@
+Our case is a 55-year-old woman with the chief complaint of a painful mass in the right thigh and perineal area with progressed pain and paresthesia to the right thigh and shin. The patient had no history of fever, abdominal pain, digestive dysfunctions, or chest pain. The vital signs were normal, and there was no family history. Physical examination showed that the skin over the mass had no discoloration, and the size was around 5.7 cm long. The result of the ultrasonography examination showed a cystic mass with suspicion toward the femoral hernia. After a CT scan, the result of secondary workups was a multi-lobular cystic mass with no connection to the abdominal region, which suggested a hydatid cyst. The patient underwent spinal anesthesia and surgery, a cystic mass with ecto- and endocyst, with clinical similarity to a hydatid cyst, was removed with wide margins, and the cyst wall was kept intact. In the next step, the specimen was sent for histological examination that confirmed cystic hydatidosis. The Post-surgical Abdominal and thoracic Ultrasonography screening were used to exclude relapse, and medical therapy was given for 3-6 months. An 18-months follow-up demonstrated no reoccurrence and no newly formed cyst.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1439_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1439_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..00b5ae90d45eea95705cc1e0627c9f6c0e870830
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1439_en_sum.txt
@@ -0,0 +1 @@
+A 53-year-old male presented with sudden onset of right hemiparesis and aphasia. Left middle cerebral artery stroke was diagnosed. Further studies revealed a 3 mm left PCoA aneurysm arising from the PCoA itself, attached to neither the internal carotid artery nor the posterior cerebral artery. Endovascular treatment was performed and the aneurysm was coiled completely.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_143_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_143_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..896c7668cb49f8e01b367d2e78d5f1947030ac82
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_143_en_sum.txt
@@ -0,0 +1 @@
+A 63-year-old right-handed woman developed a left hemiparesis and right leg weakness sequentially following a road traffic accident (RTA). Despite initial concern about the possibility of cervical spinal cord injury, the final diagnosis was bilateral artery-to-artery embolic cerebral infarction with dominant right internal carotid artery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1465_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1465_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4ff258fdc62ff58666d949e22a373190fc7b97d2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1465_en_sum.txt
@@ -0,0 +1 @@
+A 72-year-old Japanese woman presented to our hospital with a one-year history of productive cough and progressive dyspnea. Her chest computed tomography scan showed a bilateral crazy-paving pattern in both of her lungs. She was diagnosed with autoimmune pulmonary alveolar proteinosis based on bronchoalveolar lavage findings and the presence of serum anti-granulocyte macrophage colony-stimulating factor antibodies. She was severely hypoxemic, so we recommended whole lung lavage or inhaled granulocyte macrophage colony-stimulating factor treatment, which she refused. We initiated treatment with ambroxol and her symptoms markedly improved.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1485_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1485_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..43b20389a5b4b19fb958f35a4969c9f0cefc1863
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1485_en_sum.txt
@@ -0,0 +1 @@
+A 62-year-old Chinese female was admitted to The First Hospital of Hebei Medical University with a two-day history of abdominal pain. She was diagnosed with a TAA rupture and underwent immediate surgery. The preoperative urine analysis indicated that the positive bacteria and white blood cell count suggested a urinary tract bacterial infection. The patient was administered the empiric antibiotics, cefazolin; however, her blood pressure continued to drop during the perioperative period and she died of uncorrectable acidosis 8 h after the operation. On the second day after death, both the blood and urine cultures were positive for Pseudomonas aeruginosa.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1487_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1487_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9b9217a88e4ab5ecd5d2aa5acfc5f2938dd49445
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1487_en_sum.txt
@@ -0,0 +1 @@
+A 91-year-old man was initially hospitalized for delirium. In a context of febrile rhinorrhea, the diagnosis of hMPV infection was made by molecular assay (RT-PCR) on nasopharyngeal swab. Owing to hyperlymphocytosis that developed during the course of the infection and unexplained peripheral neuropathy, a type-1 IgG Kappa CG secondary to a CLL was diagnosed. The patient was not treated for the CLL because of Binet A stage classification and his poor physical condition.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1488_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1488_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..47812581365992abfb6669dba62453aa5c896525
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1488_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 34-year-old female patient with tumor embolus, which extended from the right iliac vein and ovarian vein to the inferior vena cava (IVC), and then to the right atrium and right ventricle, and finally protruded into the pulmonary artery. The patient had undergone a hystero-myomectomy 7 years previously. Based on the findings of the imaging examinations, the diagnosis of intravenous leiomyomatosis was considered preoperatively. The patient then underwent complete resection of the endovascular and intracardiac tumor embolus. The postoperative pathology results confirmed metastatic ESS with endovascular and intracardiac involvement. The patient was discharged from hospital in good condition, and there was no sign of recurrence 5 mo after the operation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1512_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1512_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10c295daafb063cfd7a1def6cf4b8c588bf66b02
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1512_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 48-year-old caucasian woman with meningoencephalitis, with a marked alteration of consciousness on admission, and septic shock secondary to pyelonephritis caused by Escherichia coli, treated with targeted antimicrobial therapy and immunoglobulin-M-enriched immunoglobulin (Pentaglobin) preparation as adjuvant therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1523_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1523_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a11e2462a7062d3b10a4b12dadfaa5f6213c061d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1523_en_sum.txt
@@ -0,0 +1 @@
+A tetraplegic patient started sweating profusely following insertion of a Foley catheter per urethra. The catheter was draining urine; there was no bypassing, no bleeding per urethra, and no haematuria. Patient's wife, who had been looking after her tetraplegic husband for more than forty years, told the health professionals that the catheter might have been placed incorrectly but her concerns were ignored. Ultrasound scan of urinary tract revealed no urinary calculi, no hydronephrosis. The balloon of Foley catheter was not seen in urinary bladder but this finding was not recognised by radiologist and spinal cord physician. Patient continued to sweat profusely; therefore, CT of pelvis was performed, but there was a delay of ten days. CT revealed the balloon of Foley catheter in the over-stretched prostate-membranous urethra; the tip of catheter was not located within the urinary bladder but was lying distal to bladder neck. Flexible cystoscopy was performed and Foley catheter was inserted into the bladder over a guide wire. The intensity of sweating decreased; noxious stimuli arising from traumatised urethra might take a long while to settle.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1543_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1543_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80c84df1fce8a6d876b21afa5333164c8c1ee7f9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1543_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old female military officer was referred to the Colorectal Surgical Department for mid-rectal cancer, 8 cm from the anal verge. The patient underwent laparoscopic low anterior resection and diverting loop ileostomy. On postoperative day 3, the patient complained of vomiting and abdominal pain, and a follow-up abdomino-pelvic computed tomography scan showed an ileo-ileal type intussusception. After two days of surgical observation, her clinical symptoms were not resolved. The patient underwent exploratory laparotomy. On exploration, intussusception was found 40 cm proximal to the loop ileostomy site. Segmental resection of the ileum was carried out, and there was no pathological leading point on the resected ileum. The patient was discharged on postoperative day 14 after the second operation and has remained in good health for two years.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1555_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1555_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4232659e7b8c9abf0caba88b6db4e69eb223ccac
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1555_en_sum.txt
@@ -0,0 +1 @@
+A 47-year-old man presented with hematemesis and melena, and a diagnosis of decompensated cirrhosis, chronic portal vein thrombosis (PVT) and secondary gastro-esophageal variceal hemorrhage was made. Coagulants were administered, but portal vein thrombi occurred rapidly, and gastrointestinal bleeding recurred shortly thereafter. The patient underwent LT, phlebothrombectomy and a partial jejunectomy. His recovery from a fistula was uneventful, and follow-up visits over 70 months were unremarkable.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1595_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1595_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..79882ab00d85d2e4b2f3d6ae32a67fa362fba401
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1595_en_sum.txt
@@ -0,0 +1 @@
+A 27-year-old man was admitted to our hospital complaining of a palpable periumbilical mass that had been present for longer than 4 months. The diagnosis of IADSRCT was confirmed by biopsy and immunohistochemistry. An extensive unresectable metastasis was found on the initial diagnosis. The patient received six cycles of chemotherapy combined with anlotinib, and maintenance therapy with anlotinib was recommended. Hematochezia, proteinuria and hypertension were observed, however, long-term maintenance therapy was well tolerated. A partial response was observed after two cycles of combined therapy and the patient was still alive with stable disease at the time of reporting.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1641_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1641_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..00452e100bc7ef1310459d3e632f6ed6626ea763
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1641_en_sum.txt
@@ -0,0 +1 @@
+An 11-year-old girl presented to another hospital with lower abdominal pain and vomiting that lasted for 2 days. Acute appendicitis was suspected, and she was referred to our department. Abdominal enhanced computed tomography showed an abscess in the lower abdomen with ascites in the pelvis. She was diagnosed with a localized intra-abdominal abscess and the decision was made to treat with antibiotics. However, her abdominal pain worsened, with abdominal distension, tenderness and guarding. She was diagnosed with panperitonitis and the decision was made for surgery 5 h after admission. During surgery, laparoscopic observation from the umbilical region revealed 200 ml of fresh blood throughout the peritoneal cavity, originating from the mesentery of the ileum. MD was observed with bleeding from the surrounding mesentery. Small bowel resection was performed, and the patient was discharged on the 5th postoperative day. Pathological findings revealed an MD containing ectopic gastric mucosa and small intestinal ulcer perforation at the base of the MD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1702_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1702_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d522c781a585be9f2c03fdc692e85865bfc1933b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1702_en_sum.txt
@@ -0,0 +1 @@
+A 79-year-old Caucasian man was admitted to our department with yellowish discoloration of urine, skin and eyes. Abdominal ultrasonography showed a slightly thickened gallbladder, multiple gallbladder stones, dilated intrahepatic bile ducts and extrahepatic bile extending to 1.1 cm. A computed tomography (CT) scan demonstrated a stone in the common bile duct, which caused dilation of the biliary ducts. The patient was diagnosed with obstructive jaundice secondary to choledocholithiasis; and underwent an ERCP, a sphincterotomy and stone extraction. Four days following discharge, the patient was readmitted with jaundice, abdominal pain, vomiting and fever. He was diagnosed with ascending cholangitis and treated initially with antibiotics. A second ERCP revealed a dilated common bile duct and choledocholithiasis. Stone removal with a basket failed, as did mechanical lithotripsy. Finally, the wires of the basket were ruptured and stacked in the common bile duct together with the stone. During exploratory laparotomy, adhesiolysis, a Kocher maneuver of the duodenum and a subtotal cholecystectomy were performed. Choledochotomy did not succeed in removing the impacted wires together with the stone. Therefore, a duodenotomy and an extension of the sphincterotomy were performed, followed by high-pressure lavage of the common bile duct to remove additional small biliary stones. The choledochotomy and duodenotomy were closed by a one-layer suture, and a prophylactic gastroenterostomy was performed to prevent leakage from the common bile duct and the duodenum. The postoperative course was satisfactory.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1715_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1715_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..007e94f9142e39f7e0b6bd6422c03e559c6fc238
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1715_en_sum.txt
@@ -0,0 +1 @@
+We present a case of DA in a 43-year-old female with a painless swelling in the anterior region of mandible. No fluid was evident on fine needle aspiration. A mixed lesion with multilocular appearance was evident on both panoramic radiographs as well as computed tomography scan. An incisional biopsy confirmed it to be a case of desmoplastic ameloblastoma. Segmental mandibulectomy was performed from teeth 35 to 44. The patient is on routine follow-up and is currently free of ailment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1726_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1726_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3b76f49d0f93f1c561574e77a576a60f2003f3d9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1726_en_sum.txt
@@ -0,0 +1 @@
+Here, we report a 32-year-old male patient who experienced multiple brittle fractures. Gene sequencing revealed a heterozygous mutation, c.4048G > A (p.G1350S), in the COL1A2 gene, and the patient was diagnosed with OI. Magnetic resonance imaging of his thoracolumbar spine revealed multiple Schmorl's nodes.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1737_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1737_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..87875741df6cd1359a9592b13c0c98f2ba3ecc5d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1737_en_sum.txt
@@ -0,0 +1 @@
+An 18-year-old patient with an injured right ankle was referred to our clinic after failed attempts to resolve his symptoms conservatively. Based on our initial clinical and radiographic examination, the patient was continued on a conservative treatment plan assuming, it was a case of unsuccessful fracture union. After almost a year of failed conservative treatments, surgery was offered to the patient, with the understanding that the bone fragment might either be fused or completely removed based on intraoperative diagnosis. At surgery, it was observed that the bone fragment had the characteristic of an Os subtibiale. It presented as a round, smooth structure with well-formed cortical boundaries, and minimal attachment to the distal tibia. A diagnosis of symptomatic Os subtibiale was made intraoperatively, which was then successfully excised using standard orthopedic instrumentation. The patient healed uneventfully and reported a pain free, normal ankle range of motion at latest follow-up of 18 months.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1740_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1740_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9c70761ffe9fa988ced559eedf704ad631e87915
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1740_en_sum.txt
@@ -0,0 +1 @@
+We reported a 17-year-old Chinese girl who was hospitalized with foamy urine, nausea and vomiting. Laboratory tests revealed increased levels of serum creatinine and urea nitrogen. Ultrasonography demonstrated bilaterally reduced size of kidneys. The primary diagnoses were NS and chronic kidney disease stage 5 (CKD5). The hemodialysis was initiated in 48 h after admission. After 4 months of treatment, the patient received an allogeneic kidney transplantation from her father. A novel heterozygous missense variant c.494C > T (p.A165V) in the ACTN4 gene was found by WES in the patient. This variant was confirmed by Sanger sequencing. The computational simulation of the stability of mutant protein (p.A165V) was decreased. Interatomic interactions of the p.A165V site were increased, and it might be associated with the increased ubiquitylation in the vicinity of the mutant site.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1757_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1757_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aa6053aeda08209bc454a95ee7902ce6e889b948
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1757_en_sum.txt
@@ -0,0 +1 @@
+A 38 year old G9P0171 at 24 weeks gestation with a complex past medical history, and a suspected history of IVDU, presented repeatedly with back pain. Following cesarean delivery at 36w2d, she developed signs and symptoms of an anterior spinal artery syndrome (ASAS) and had evidence of chronic osteomyelitis at T9-T10 on imaging. This required emergent decompressive laminectomy and ultimately resulted in paraplegia.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1770_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1770_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0a4635a98c26d5427d93016e47ba32fe23c59882
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1770_en_sum.txt
@@ -0,0 +1 @@
+A 43-year-old previously healthy female presented with worsening respiratory symptoms after failing to respond to long-term antibiotic treatment of bacterial sinusitis. Biopsy of her nasopharynx and trachea revealed extensive fungal infiltration and Aspergillus fumigatus was isolated on tissue culture. Several months of oral voriconazole monotherapy failed to resolve her symptoms and she underwent mechanical debridement for symptom control. Following transient improvement, her symptoms subsequently returned and failed to fully resolve in spite of increased voriconazole dosing and multiple additional tissue debridements over the course of many years.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1842_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1842_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a9129a498aa2716764c3ec3c41eac39c8d713fe5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1842_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a middle-aged patient diagnosed with a giant gastric GIST, which presented for intermittent gastric outlet obstruction symptoms, and emphasize the major imagistic, histopathological, and therapeutic challenges that may be encountered. There are only several cases of gastric exophytic gastric GIST provoking intermittent gastric outlet obstruction. Tumor resection should be adapted to every patient's status, focused on en bloc extraction, with preservation of invaded organs as much as possible.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1850_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1850_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..80b08d5fee54038270f177a5f8d36267cbfe2068
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1850_en_sum.txt
@@ -0,0 +1 @@
+Tumor thrombectomy under cardiopulmonary bypass with heparin and electrical ventricular fibrillation prior to hepatectomy was successfully performed to prevent sudden cardiac arrest or pulmonary embolism in a 75-year-old woman with a huge HCC and TT in the right atrium. After the neutralization of heparin, right hepatectomy with tumor thrombectomy in the inferior vena cava was performed. The total operation time was 9 h, and the total blood loss was 8200 mL. The patient's postoperative course was uneventful, and she was discharged 14 days after surgery. One year after surgery, she is alive with HCC recurrence in the lung.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1867_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1867_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6cc393abfb102f92ecee52f84780aa6fa12aa89a
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1867_en_sum.txt
@@ -0,0 +1 @@
+A 53-year-old woman had undergone toric implantable collamer lens implantation three years earlier. After informed consent was obtained, we performed simultaneous toric implantable collamer lens removal and phacoemulsification with toric intraocular lens implantation. Preoperatively, the manifest refraction was 0, -0.5 × 15, with an uncorrected visual acuity of 0.7 and a best spectacle-corrected visual acuity of 0.8. Postoperatively, the manifest refraction was improved to 0, -0.5 × 180, with an uncorrected visual acuity of 1.2 and a best spectacle-corrected visual acuity of 1.5. No vision-threatening complications were observed.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1878_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1878_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5936701cadd9229d8edf3a7f7289614a19791167
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1878_en_sum.txt
@@ -0,0 +1 @@
+A 35-year-old female gravida eight para two with a history of left tubal pregnancy and salpingectomy 11 days prior, presented to the emergency department (ED) with two days of left lower and upper quadrant abdominal pain. The patient's last menstrual period had been several months prior. A physical examination revealed left lower quadrant abdominal tenderness, rebound, guarding, and left adnexal tenderness. Her vital signs were unremarkable, and her laboratory studies revealed normal white blood cell and hemoglobin values. Her human chorionic gonadotropin had tripled from her last presentation 11 days prior. Transvaginal ultrasound showed a possible ectopic pregnancy adjacent to the right ovary. She promptly underwent a right salpingectomy. Pathology findings confirmed a tubal pregnancy, and the patient's postoperative course was uneventful.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1885_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1885_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1d22bc63bb3cb5955b60a8ac08b051634e2cb300
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1885_en_sum.txt
@@ -0,0 +1 @@
+We report a case of factitious hypoglycemia in a 19-year-old foster care adolescent female who presented to the Emergency Department with recurrent hypoglycemic episodes, to the degree that the patient required large amounts of dextrose and further management by intensive care unit hospitalization. Further inquiry revealed that the patient intentionally injected herself with large doses of insulin for the purposes of seeking hospital admission.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_192_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_192_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5b6e79bbc2e656784345ff41a6f7b9c941aed1a2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_192_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old female developed progressive paraparesis due to a T6 intramedullary mature teratoma with an exophytic component. She was successfully managed, utilizing a laminectomy with microsurgical tumor removal. The literature review documented 57 similar cases.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1938_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1938_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..0e140e9df28e8ec257afa3d3e043389a0e8f7b22
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1938_en_sum.txt
@@ -0,0 +1 @@
+A fatal case of PAM in a previously healthy Norwegian woman, acquired during a holiday trip to Thailand, is described. Clinical findings were consistent with rapidly progressing meningoencephalitis. The cause of infection was discovered by chance, owing to the unexpected detection of N. fowleri DNA by a PCR assay targeting fungi. A conclusive diagnosis was established based on sequencing of N. fowleri DNA from brain biopsies, supported by histopathological findings. Nasal irrigation using contaminated tap water is suspected as the source of infection.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1941_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1941_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d7478e48893da622b9d8f40b75456871b960f4a9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1941_en_sum.txt
@@ -0,0 +1 @@
+An 83-year-old man with heat stroke was transferred to our emergency department, where he was treated and became able to eat on the same day. He had been fit and healthy, except for colorectomy and chemotherapy using a central venous access port placed in the right upper jugular vein 8 years ago. The next day, he suddenly had ventricular fibrillation. Cardiopulmonary resuscitation was successful. Emergency coronary angiography showed a catheter-like foreign body in the coronary sinus. Physicians failed to remove the foreign body using catheter therapy, and ventricular fibrillation occurred repeatedly. After induction of general anesthesia, the fractured catheter was removed surgically. Postoperative course was uneventful.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1967_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1967_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..10d25becd16160bbccb48441139f623e0c602b07
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_1967_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 57-year-old Caucasian male with history of pyoderma gangrenosum of the right lateral tibial area who developed squamous cell carcinoma of verrucous type at the same site. Excisional surgery was considered to treat this patient, but he was ultimately managed with radiation therapy to the affected area due to the size of the lesion and the risk of triggering proliferation of the pyoderma gangrenosum.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2014_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2014_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d94085039400ef2167fe7d9f2892abd97775b2b2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2014_en_sum.txt
@@ -0,0 +1 @@
+We report on a 16-year-old girl with a variant in the GNAO1 gene (c.626G > T; p.(Arg209Leu)) who was admitted to the intensive care unit with medically refractory dystonic storm with secondary complications inducing rhabdomyolysis and acute colitis. Emergency pallidal DBS resulted in rapid improvement of dystonic storm and the subsidence of rhabdomyolysis and colitis. There were no further episodes of dystonic storm during follow-up of 2 years.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2015_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2015_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4e5e642d8f2d17cd11beacaa2b064300ed96421c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2015_en_sum.txt
@@ -0,0 +1 @@
+We report a case of ingestion of a pesticide containing glyphosate in a suicide attempt. The patient was admitted to the psychiatric department because of persistent suicidal thoughts. He suffered from short-term memory impairment on day 3. Magnetic resonance imaging (MRI) showed swelling in the bilateral medial temporal lobes and hippocampi and high signal on T2-weighted images. Gradually, the patient's cognitive impairments improved, and he was discharged on day 33.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2029_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2029_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cff1d1daa31d7080da796b3a2225644926287988
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2029_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 52-year-old Caucasian woman who presented with isolated subacute optic neuropathy. There was no evidence of demyelination, autoimmunity or sarcoidosis. There was an abrupt and prompt response to systemic corticosteroids and a relapse of the condition on steroid withdrawal.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2054_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2054_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e75a1fe2064cfa7d16faf84c7c817ea6c01fcf46
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2054_en_sum.txt
@@ -0,0 +1 @@
+A 44-year-old male with a known case of hypertension, no history of allergies to medications, and a history of chronic osteomyelitis of the right tibia with discharging sinus over the anterolateral aspect of the leg. The pus culture grew Staphylococcus aureus, which was sensitive to clindamycin and vancomycin. The patient underwent irrigation and debridement with the placement of vancomycin cement beads made from 4 g of vancomycin powder and 40 g of polymethyl methacrylate. Three hours postoperatively, the patient developed a pruritic, erythematous, macular rash predominantly on his face, neck, chest, and lower extremities and to a lesser extent his upper extremities. A diagnosis of VFS was made and was successfully treated with cetirizine (10 mg, oral) and methylprednisolone sodium succinate (125 mg, intravenous). The patient continued to have itching with a facial rash for 12 h with gradual improvement. A decision was made to not remove the beads as the patient continued to improve. Gradually, the rash disappeared after 96 h with no further sequela.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2068_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2068_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..95965196aa4a8e0fdf9436ca4e1e77aee69a15df
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2068_en_sum.txt
@@ -0,0 +1 @@
+We report a case who sustained a supracondylar fracture of the femur, which was managed initially by a dynamic condylar screw assembly. The patient sustained a peri implant fracture during her rehabilitation, which was managed by the application of a longer side plate. 4 months postoperatively the patient sustained another peri implant fracture. Using a minimally invasive method we removed the screws from the plate and passed an intramedullary implant. The whole assembly was rotationally stabilized using an Ilizarov fixator. The union proceeded uneventfully.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2083_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2083_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..415a228c0b93dc5cc7e3230d9dc6166477785204
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2083_en_sum.txt
@@ -0,0 +1 @@
+Here we report on a case of a 59-year-old woman with mixed aortic and mitral valve disease of probable rheumatic aetiology (elevated C-reactive protein and prolonged PR interval) and with histological evidence of lymphocytic infiltration, Aschoff bodies, and fibrinoid necrosis admixed with features of chronic RHD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2087_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2087_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..42aa91886d4d3479b1b6f2b9a9c93e6b213a87b7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2087_en_sum.txt
@@ -0,0 +1 @@
+A 40-year-old Caucasian man with known AA amyloidosis, highly active Ankylosing Spondylitis and need for chronic dialysis due to end-stage chronic renal failure presented for echocardiographic routine exam without reporting any cardiac symptoms. At the last visit 4 years ago, a normal heart valve function was noted and no echocardiographic follow-up was performed in the following. Now, rapid progression with severe aortic valve and mitral valve stenosis was stated and the patient underwent combined aortic and mitral surgical valve replacement following discussion in the multidisciplinary cardiology meeting. Macroscopic examination of the valves revealed significant calcification and histological examination showed the high presence of amyloid by Congo-red staining and immunohistological staining for AA-Amyloid. Both valve prosthetic devices showed normal function as well as a normal left ventricular ejection fraction in initial post-operative transoesophageal echocardiography. After prolonged and complicated post-operative course in the intensive care unit the patient died 3 months after surgery due to intractable multiorgan failure in combined severe abdominal septic and cardiogenic shock.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2122_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2122_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6b3ccb6fcc9f5721d991ea12942440ef8f1d2d5b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2122_en_sum.txt
@@ -0,0 +1 @@
+A 73-year-old man in need of nursing care visited our dental clinic with severe gingival pain and intraoral bleeding. He had a disability and was immunocompromised because his medical history included cerebral infarction and type 2 diabetes mellitus. He was diagnosed with NP based on his typical symptoms, such as prominent bleeding and suppurative discharge from the gingiva, in addition to crater-shaped ulcerations of the interdental papillae. To improve daily oral hygiene, periodontists, dentists, and dental hygienists educated care workers and other staff at the nursing home on appropriate oral cleansing, including brushing three times a day using the Bass technique. Basic periodontal therapy, including whole-mouth scaling and debridement of the root surfaces using hand and ultrasonic instruments, was also performed. After this basic treatment of NP, we extracted the hopeless teeth. Currently, dentists visit the patient fortnightly to manage his oral hygiene. To date, good oral health has been maintained.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2146_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2146_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e783fbd7b04e219b0334988c7f0e4b3282f1aad1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2146_en_sum.txt
@@ -0,0 +1 @@
+A 34-year-old man with ccTGA, who had undergone a double-switch operation with combined Senning and Jatene operations at the age of 14 was transferred to us. He experienced faintness and suffered cardiopulmonary arrest, and electrocardiography revealed ventricular fibrillation. After conversion to sinus rhythm by urgent external defibrillation, sinus bradycardia was revealed. Electrophysiological study was done using a three-dimensional (3D) mapping system (Ensite®) to evaluate the electrical condition of atria and to decide whether atrial lead can be transvenously placed. The electrical potential of the functional right atrium was good in the lateral or posterior wall, but the threshold was high. By contrast, the roof of the functional right atrium beyond cavoatrial junction was characterized by low voltage, but in a limited region of the roof of right atrium, the threshold was satisfactory and the electrical potential was normal. Thus, 3 weeks later, we implanted a transvenous implantable cardioverter-defibrillator (ICD). We used a 3D mapping system to place the atrial lead in the limited region of the roof of the right atrium mentioned above, the threshold was 0.7 V.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_215_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_215_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b1b62181dfd766974c6cae73c228035a3a816f42
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_215_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of an early pneumoconiosis occurring in a 47-year-old dental technician who developed respiratory symptoms shortly after beginning work. She described the work environment as dusty and lacking relevant primary prevention tools. A chest CT showed multiple peripheral pseudonodular lesions in both lower lobes; bronchoalveolar lavage and bronchial aspirate evidenced numerous macrophages with reflective metal bodies included into the cytoplasm, that at scanning electron microscopy coupled to Energy Dispersive X-Ray Analysis resulted Zirconium and Aluminum, whereas Tungsten (W) was localized outside cells. End of shift urinary concentrations of W were substantially raised as compared to pre-shift (1.1 vs. 0.2 µg/L).
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2309_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2309_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f8ce9fed110baf29742c64a71291f6a986a5722
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2309_en_sum.txt
@@ -0,0 +1 @@
+An isolated retinal astrocytic hamartoma was detected in the nasal retina of the left eye of a 4-day-old male infant. At the time of initial presentation, we detected a solitary yellowish-white flat mass with an approximate size of 1.5 disc diameters in the nasal retina. Fluorescein angiography (FA) revealed a diffuse hyperfluorescence with slight fluorescence leakage. Seven months later, the fundus examination showed no lesion in the left eye, FA revealed mild tortuous vessels without leakage.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2319_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2319_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..13ad8d9d2ffcef7cd66dea7222b9a08871336c48
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2319_en_sum.txt
@@ -0,0 +1 @@
+A 49-year-old single man, rural worker, born and raised in Laranjal Paulista-SP, was admitted to the hospital with 3 months history of bilateral occipital headache every day. Along with a history of active smoking and previous use of alcohol, the patient reported personal history of mild occipitotemporal injury 3 months ago. The patient was submitted to computed tomography in a 16-row multidetector scanner, which revealed a nodular hypodense lesion with a ring-enhancement and associated perilesional edema in the left cerebellar hemisphere. Radiological workup was initiated to investigate the eventual primary neoplastic site.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2376_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2376_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7b7105b7609110d620a95c53f6f723486f761942
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2376_en_sum.txt
@@ -0,0 +1 @@
+A 61-year-old woman was diagnosed as unilateral MMD incidentally and followed by magnetic resonance imaging annually. Seven years after the diagnosis, cerebral aneurysm appeared on the moyamoya vessel. Before further examination, the aneurysm ruptured and resulted in massive cerebral hemorrhage.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2377_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2377_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2ef6b7b58b7376d57a20fd4e5c15dbe2f845100c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2377_en_sum.txt
@@ -0,0 +1 @@
+A 66-year-old gentleman presented with persistent fever and repeated hemoptysis for 8 months. Computed tomography of the thorax confirmed the presence of a consolidation mass located in the right middle lobe and an air space near the right rib angle. During exploration, CBF was found. The patient underwent right middle and lower lobectomy together with closure of colonic and diaphragmatic perforation. The colon closure and diaphragm closure ruptured after surgery, leading to enterogenic empyema. Adequate drainage, sustained high protein diet, and antibiotic treatment eventually resulted in full recovery.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2428_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2428_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b334f9eb02c01e69f7c72b8070c0bcdbc0fd0223
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2428_en_sum.txt
@@ -0,0 +1 @@
+Preoperative imaging and operative findings showed that the tumor originated entirely within the cerebrum parenchyma, with no connections between the tumor and the ventricular system. Histopathological examination of the tumor revealed a papillary structure with a single layer of well-differentiated columnar epithelium in the lesion. Furthermore, part of this lesion had infiltrated the cerebral parenchyma. Therefore, the tumor was diagnosed as CPP, and the diagnosis was confirmed by immunohistological examination.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2509_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2509_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..93cd9f01f407e743eb773320021dcd1d9c44f8ab
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2509_en_sum.txt
@@ -0,0 +1 @@
+A 29-year-old young woman presented with postural headache. Lumbar puncture suggested a pressure of 50 mmH2O (normal 80 mmH2O-180 mmH2O), and magnetic resonance imaging cerebral venography suggested thrombosis of the supratentorial sinus. These findings were considered indicative of cerebral venous sinus thrombosis due to spontaneous intracranial hypotension syndrome after ruling out immunological causes, tumor, infection, abnormal coagulation mechanism, and hypercoagulable state, etc. She was treated with rehydration and low-molecular heparin anticoagulation for 15 d, and follow-up magnetic resonance imaging cerebral venography suggested resolution of the thrombus. The patient had complete improvement of her headache symptoms.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2529_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2529_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7612d5ec23474d579b7a398042d2a25695d718ae
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2529_en_sum.txt
@@ -0,0 +1 @@
+We present a rare case of adolescent-onset CPS1D that had been misdiagnosed due to atypical clinical features, and further investigations revealed severe hyperammonemia (287µmol/L; reference range 11.2 ~ 48.2umol/L). MRI of the brain showed diffuse white matter lesions. Blood genetic metabolic screening showed elevated blood alanine (757.06umol/L; reference range 148.8 ~ 739.74umol/L) and decreased blood citrulline (4.26umol/L; reference range 5.45 ~ 36.77umol/L). Urine metabolic screening showed normal whey acids and uracil. Whole-exome sequencing revealed compound heterozygous mutations in the CPS1, a missense mutation (c.1145 C > T) and an unreported de novo non-frame shift mutation (c.4080_c.4091delAGGCATCCTGAT), respectively, which provided a clinical diagnosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_254_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_254_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f467b9e03d7facb1f3a5a514db7dab16e37d1353
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_254_en_sum.txt
@@ -0,0 +1 @@
+An 84-year-old woman with a history of simple liver cyst diagnosed one year prior was admitted for evaluation of a developed mural nodule in the cystic lesion. She had no specific symptoms and no abnormalities in blood tests except for carcinoembryonic antigen (5.0 ng/mL) and carbohydrate antigen (43.5 U/mL) levels. Contrast-enhanced computed tomography revealed a well-defined, low-attenuation lesion without a septum that had enlarged from 41 to 47 mm. No dilation of the bile duct was observed. A gradually enhancing mural nodule, 14 mm in diameter, was confirmed. MRI revealed a uniform water-intense cystic lesion with a mural nodule. This was followed by T2-enhanced imaging showing peripheral hypointensity and central hyperintensity. Enhanced ultrasonography revealed an enhanced nodule with a distinct artery within it. A needle biopsy of the wall nodule or aspiration of intracystic fluid was not performed to avoid tumor cell spillage. The possibility of a neoplastic cystic tumor could not be ruled out, so a partial hepatectomy was performed with adequate margins. Pathologically, the cystic lesion contained a black 5 mm nodule consisting of a thin, whitish fibrous wall and dilated vessels lined by CD31 and CD34 positive endothelial cells. The final diagnosis was a rare cavernous hemangioma within a simple liver cyst.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2556_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2556_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a4bcab2c3054d6852dd4a48da0273475f2e2e682
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2556_en_sum.txt
@@ -0,0 +1 @@
+We present a case of a 29-year-old Arab female who was admitted to the hospital with severe upper abdominal pain that started 1 week from the date of admission, associated with nausea, anorexia, low-grade fever, and vomiting, with no past medical history or comorbidities. A computerized tomography scan with contrast showed intraperitoneal free fluid along with multiple hypodense splenic cysts. Hence, an emergent exploratory laparotomy with splenectomy was performed. Splenic peliosis was confirmed by the histopathological examination.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2583_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2583_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..20b4ca547ec23adf6b3e1d4434104dc3f0a28f34
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2583_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 71-year-old Asian woman on hemodialysis who presented with suspected calciphylaxis lesions in her lower left leg. Plain radiographs revealed diffuse calcified vessel changes in her lower extremities. During the initial wound treatment with a course of intravenous sodium thiosulfate, our patient's predialysis serum levels of total calcium markedly increased, yielding no calciphylaxis improvement. The necrotic wounds began healing only after surgical debridement. A percutaneous transluminal angioplasty was performed to dilate a 70% stenosis in her left posterior tibial artery. Our patient was then treated with cinacalcet, resulting in improved control of her calcium, phosphate and parathyroid hormone serum levels. The lesions completely healed after six months of multimodal treatment. Repeated plain radiographs in the following two years revealed gradual vascular calcification regression in her lower extremities.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2587_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2587_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c50bb531d07f937356676969343b9860bed666e0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2587_en_sum.txt
@@ -0,0 +1 @@
+An 81-year-old man complained of epigastric pain and tarry stool passage that lasted for 3 d. He had a medical history of poor cardiopulmonary function. The computed tomographic scan of abdomen showed cystic artery pseudoaneurysm and dilatation of gallbladder. Because of high adverse outcomes related to general anesthesia, the patient was successfully managed with endovascular embolization for this cystic artery pseudoaneurysm and percutaneous drainage for the distended gallbladder.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2622_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2622_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..2f7116d0584b9611f43feba9809e798a616d99e3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2622_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 45-year-old man with a chronic traumatic injury of the suprascapular and axillary nerves. In addition to a surgical transfer of the lower trapezius to the infraspinatus, we included a transfer of the latissimus dorsi and teres major, with a tensor fasciaelatae graft to the supraspinatus tendon insertion, to improve the muscular strength of shoulder elevation and abduction, as well as to improve external rotation. At 24-month post-surgery, the patient had recovered 170° of shoulder elevation, 170° of abduction, and 60° of external rotation.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2635_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2635_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..aed2fb345bc198fb0c473e74c6b1c98289c170a5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2635_en_sum.txt
@@ -0,0 +1 @@
+33-year-old nulligravid woman with newly diagnosed anaplastic astrocytoma (AA; WHO grade III, IDH1-negative) sought fertility preservation. Prior to chemotherapy and radiation for AA, the patient underwent in vitro fertilization (IVF) for fertility preservation, resulting in 8 vitrified embryos. Following chemo-radiation, the patient underwent two rounds of frozen embryo transfers (FET), each resulting in a successful singleton pregnancy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2640_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2640_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5bdd8d0a26d7cc9ef3bebae01bdfaf7e28256b5d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2640_en_sum.txt
@@ -0,0 +1 @@
+Here, we report a case of PJS in a 24-year-old female with multiple mucocutaneous black macules who complained of vaginal discharge and menorrhagia. Moreover, we first described the multimodal ultrasonographical manifestations of PJS-correlated G-EAC. The three-dimensional reconstructed view of G-EAC on 3D realisticVue exhibited a distinctive "cosmos pattern" resembling features on magnetic resonance imaging, and the contrast-enhanced ultrasound displayed a "quick-up and slow-down" pattern of the solid components inside the mixed cervical echoes. We reported the multimodal ultrasonographical characteristics of a case of PJS-related G-EAC, as well as reviewed PJS-related literature and medical imaging features and clinical characteristics of G-EAC to provide insight into the feasibility and potential of utilizing multimodal ultrasonography for the diagnosis of G-EAC.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2641_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2641_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..16807907cedc3ea44afb8c86619e0835b1a237c5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2641_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 72-year-old female patient presenting with an extended cutaneous squamous cell carcinoma of the lower leg, developed on top of necrobiosis lipoidica. After achieving the R0 resection, a 26 × 20-cm soft tissue and 15-cm tibial bone defect resulted. The contralateral leg had been lost due to the same disease 18 years before. We achieved a successful reconstruction of the leg using a pedicled fibula transplantation, an extended anterolateral thigh perforator flap, and an internal fixation with plate and screws. Two years after the original surgery, the patient is relapse-free and mobile, with adequate function of the reconstructed foot.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2676_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2676_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..baea0bb78fe6c5ad0256e66afa0a919262c189f8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2676_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old woman presented with epigastric pain for the past 20 d and a submucosal protuberance. Abdominal computed tomography and endoscopic ultrasonography did not indicate the presence of a fish bone. We assumed the cause to be an ordinary submucosal eminence and performed an endoscopic submucosal dissection to confirm its essence. During the operation, a fish bone approximately 20 mm in length was found incidentally.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_268_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_268_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..cf181f4d411d423d35c63d6f8ee3685000de98cd
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_268_en_sum.txt
@@ -0,0 +1 @@
+We report on a 46-year-old woman with LM from human epidermal growth factor receptor 2 (HER2)-positive breast cancer. She was suffering from intractable headaches, severe nausea and vomiting, and cerebellar ataxia. Contrast-enhanced magnetic resonance imaging (MRI) revealed diffuse enhancement of the meninges, mainly in the posterior cranial fossa, and compression of the cerebellum by the profoundly thickened meninges. The first step in the treatment was decompression of the posterior cranial fossa to relieve intracranial hypertension. After surgery, her symptoms immediately improved. The second step was treatment with lapatinib at 1250 mg and capecitabine 1200 mg, which dramatically improved her symptoms and disappeared diffuse abnormal signal enhancement on MRI.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2691_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2691_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..83ceedd38b107d9cd397fbe2d5de26599627a3de
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2691_en_sum.txt
@@ -0,0 +1 @@
+We report the first successful short-term outcome of combined one-stage video-assisted thoracoscopic surgery lobectomy and minimally invasive surgery in a patient with operable primary right upper lobe adenocarcinoma and mitral regurgitation. Post- operative recovery was uneventful, and follow-up at 6 weeks confirmed an excellent surgical and oncologic outcome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2705_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2705_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ae8f1420b15e5dcaba7452aa5afdccef1d05990b
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2705_en_sum.txt
@@ -0,0 +1 @@
+A 31-year-old male patient referred to us with a chronically draining lesion on his chin. The lesion previously was misdiagnosed by medical doctors and had undergone two times surgery with a focus on the skin lesion and had received antibiotic therapy for a prolonged period of time. After clinical and radiologic examination the dental origin of the lesion was evident and proper endodontic and surgical treatment was performed. Three months later, after the treatment, the lesion showed total healing and reoccurrence occurred.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2746_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2746_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7860e71d83219739370296fe99bd60dc81a96a8c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2746_en_sum.txt
@@ -0,0 +1 @@
+In this study, we report a rare case of collecting duct carcinoma, with an initial presentation of retroperitoneal lymph node metastasis, and no identifiable primary renal tumor on CT, at the time of diagnosis. The patient was a 64-year-old man presenting with lower back pain. Preoperative CT showed a round, soft tissue mass, measuring 6.7 × 4.4 × 3.3 cm, in the left retroperitoneum with no exact occupying lesion in the left kidney. Clinically, ectopic pheochromocytoma was considered to be a differential diagnosis, and tumor resection was performed. Postoperative pathological results demonstrated that the mass was a fused lymph node, and the tumor cells were destroying the structure. The final diagnosis was lymph node metastatic collecting duct carcinoma, by histology and immunohistochemistry. No further treatment was performed as no space occupying lesion was found in the kidney. Three months later, CT was reexamined, and a mass of 3.6 cm in diameter, was found in the lower left kidney, along with multiple soft tissue masses, in the left renal hilum. Considering recurrence or metastasis, the patient was recommended to undergo surgical treatment, but the patient refused. Four months later, CT was re-examined. The tumor had rapidly progressed but the patient refused treatment again. As per the author's press release (eleven months after the first discovery), the patient is still alive.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2813_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2813_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..abc094ed75113c5f473d51a2803dccdfe2cee1b1
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2813_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 63-year-old woman with upper gastrointestinal obstruction for almost 10 years, who was pathologically diagnosed with large Brunner's gland adenoma of the duodenum. Postoperatively, no sign of recurrence has been noted until now.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2837_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2837_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a8747d4f090c96f0fce16ad5a53962ecdcc54c78
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2837_en_sum.txt
@@ -0,0 +1 @@
+A 50-year-old female presented with abnormal uterine bleeding which on endometrial sampling was diagnosed as a rare variety of endometrial cancer, i.e. MMT or uterine carcinosarcoma. On preoperative imaging, a renal mass was also detected which was highly vascular and was mimicking renal cell carcinoma (RCC). Fine needle aspiration cytology (FNAC) was done from the renal mass to differentiate between RCC and metastasis, but it showed only blood cells. Patient underwent staging laparotomy for endometrial cancer and frozen section examination of the renal mass which was inconclusive with few atypical cells, and thus, patient underwent radical nephrectomy too. Histopathological examination revealed it to be a RH which is a very rare benign tumour.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2920_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2920_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b4344f87d3512fa008983db3da824de82410d37c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2920_en_sum.txt
@@ -0,0 +1 @@
+This is the case of a 54-year-old Malay woman with genetically confirmed FH complicated by premature coronary artery disease (PCAD). She was clinically diagnosed in primary care at 52 years old, fulfilling the Simon Broome Criteria (possible FH), Dutch Lipid Clinic Criteria (score of 8: probable FH), and Familial Hypercholesterolaemia Case Ascertainment Tool (relative risk score of 9.51). Subsequently, she was confirmed to have a heterozygous LDLR c.190+4A>T intron 2 pathogenic variant at the age of 53 years. She was known to have hypercholesterolaemia and was treated with statin since the age of 25. However, the lipid-lowering agent was not intensified to achieve the recommended treatment target. The delayed FH diagnosis has caused this patient to have PCAD and percutaneous coronary intervention (PCI) at the age of 29 years and a second PCI at the age of 49 years. She also has a very strong family history of hypercholesterolaemia and PCAD, where seven out of eight of her siblings were affected. Despite this, FH was not diagnosed early, and cascade screening of family members was not conducted, resulting in a missed opportunity to prevent PCAD.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2947_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2947_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..74a946b385d414e72f7388c551f6f7cf7921c37f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2947_en_sum.txt
@@ -0,0 +1 @@
+The patient was a 8-month-old female with repeated episodes of pneumonia. Physical examination revealed cleft lip, cleft palate and developmental retardation. Imaging examination showed a small atrial septal defect (ASD), central pulmonary artery enlargement, left upper lobe of lung atelectasis, and pulmonary infiltration. Genetic test showed she carried a de novo pathogenic variant of FLNA gene (c.5417-1G > A, p.-). Oral medications didn't slow the progression of PAH in the patient, and she died two years later.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2953_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2953_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e88e496f719e7c0b8a02ed3f4b95e852e3fe7b8d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_2953_en_sum.txt
@@ -0,0 +1 @@
+We present a patient with refractory OCCC in whom conventional chemotherapy failed. Cachexia was induced by the disseminating recurrent tumors. Tumor tissue staining and genomic analysis revealed PD-L1 negativity, a low tumor burden, stable microsatellite instability, and two mutations in ARID1A. The patient was administered pembrolizumab combined with bevacizumab triweekly. Her serum CA-125 level decreased dramatically after the first cycle. A computerized tomography scan showed marked regression of the recurrent masses after 3 cycles, and the patient reached complete remission after 9 cycles. She showed good recovery from cachexia. We observed no marked side effects except for mild polyarthritis of the small joints.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3055_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3055_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..5db92c29c01ba172190b67aa7b1be355b6f91cc0
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3055_en_sum.txt
@@ -0,0 +1 @@
+40-year-old male presenting to the emergency department with fever and headache with no clear infectious focus. His personal history included a bacterial meningitis in childhood without sequelae and a protein S deficiency without treatment at that time, as well as vaccination with ChAdOx1 nCoV-19 21 days earlier. He was initially diagnosed with a urinary tract infection and treated with cefuroxima. Two days later, he was brought back to the emergency department with a confusional state and tonic-clonic seizures, without response to midazolam, and finally required sedation and orotracheal intubation due to refractory status epilepticus. During his admission, he required multiple lines of antiepileptics, ketamine, a ketogenic diet, immunotherapy and plasmaferesis to achieve a limit of NOSRSE. The etiological study showed normal serology results, antineuronal antibodies in the serum and cerebrospinal fluid, transthoracic echocardiography, testicular ultrasound and computed tomography angiography. Only the control magnetic resonance imaging showed a diffuse and bilateral alteration of the hemispheric cortex and the right thalamic pulvinar as the only finding.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3152_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3152_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..fdfa922672b32289a7fa52f82d044b8c9d948d4c
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3152_en_sum.txt
@@ -0,0 +1 @@
+We present the case of a 52-year-old woman with cardiogenic shock and refractory right ventricular failure due to spontaneous dissection of the right coronary artery. She remained dependent on mechanical support for several weeks. Both a right ventricular assist device implant and a bidirectional cavopulmonary anastomosis were explored as long-term support options. A history of malignancy and possible right ventricular functional recovery resulted in a decision in favour of the bidirectional cavopulmonary anastomosis and concomitant tricuspid valve annuloplasty. Postoperatively her clinical condition improved significantly, and she could be discharged home. Echocardiography showed normalization of right ventricular dimensions and slight improvement of right ventricular function.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_315_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_315_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..11952b6aca1c08564d03ec6b5f1ba6e8e0ac746f
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_315_en_sum.txt
@@ -0,0 +1 @@
+This report details a case of spontaneous innominate artery pseudoaneurysm rupture in a pediatric patient with previously undiagnosed Ehlers-Danlos syndrome. Initial ED evaluation was followed by urgent operative intervention and subsequent genetic testing to confirm final diagnosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3161_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3161_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..a5805985770cc6267b6e4a7fc750ed3de0491134
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3161_en_sum.txt
@@ -0,0 +1 @@
+We report the first case of C. albidus fungemia and meningitis in a very low-birth-weight, preterm infant of 31 weeks. Notably, the patient was admitted for lifesaving treatment from the Alleith Hospital due to prematurity. The patient received surfactant due to ARDS, TPN, and fluconazole prophylaxis. On day 11, features of sepsis were observed and the blood culture grew C. albidus, which was sensitive to liposomal agents. CSF evaluation suggested meningitis. The patient improved following a six-week treatment regimen with liposomal formulations of amphotericin B at a dosage of 5 mg/kg body weight once daily, notably administered without 5-fluorocytosine, and experienced no sequelae.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3178_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3178_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..07791b6c952c1d02a4794c1c9ce2390b03e38537
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3178_en_sum.txt
@@ -0,0 +1 @@
+A 74-year-old woman was referred to the Oral Medicine Department with a chief complaint of the blisters on the skin for a week and ulcers in the oral cavity appeared two days ago. Extraoral examination revealed crusts on the neck and extremities. The lips appeared dry and desquamative. Intraoral examination revealed erosive lesions covered with a white-yellowish plaques on the right and left sides of the buccal mucosa, an ulcer with a diameter of 0.5 cm, and purpura hemorrhagic on left buccal mucosa and right lateral border of the tongue. Histopathological examination of the skin lesion revealed a subepithelial blister with eosinophils and neutrophil cells. The definitive diagnosis of dermatitis herpetiformis was made. She was given 5 mg intravenous dexamethasone, cetirizine 10 mg, and clindamycin 300 mg by the dermatologist. We gave hyaluronic acid 0.025% mouthwash for oral ulcers and petroleum jelly for the lips. The oral lesions had significant improvement after 4 weeks of treatment. Two months later, the patient experienced acute exacerbation after being infected with COVID-19 (anti-SARS-CoV-2 IgG S-RBD >40,000 AU/mL). The oral lesions healed after a month of treatment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3210_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3210_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..36c431262cf53367cc78302146ee006418ab5eb2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3210_en_sum.txt
@@ -0,0 +1 @@
+A 27-year-old male with a relapsed acute lymphoblastic leukemia presented with five-day-old polyarthralgia. He also had febrile neutropenia, cellulitis without abscesses, and methicillin-resistant Staphylococcus aureus bacteremia for which he received therapy with oxacillin and cefepime. However, the febrile neutropenia persisted, and an invasive fungal infection was suspected. A new set of blood cultures was taken and antifungal treatment was initiated. Arthroconidia were identified in the blood cultures and a matrix-assisted laser desorption ionization-mass spectrometry confirmed the presence of Geotrichum spp. Antifungal treatment was adjusted to 14 days of deoxycholate amphotericin B and four weeks of voriconazole. After a prolonged stay, he was discharged.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3211_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3211_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f96b52238fc89fd088a74de5cac9af5051b859d7
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3211_en_sum.txt
@@ -0,0 +1 @@
+39-year-old male with a grade II, open, multifragmentary Monteggia fracture-dislocation. The patient had a history of drug addiction and was on methadone. He was treated with internal fixation of the ulna with a long reconstruction plate. After surgery, the patient stopped coming for evaluation. Six years after surgery, the patient had a complete exposure of the plate (20 cm in length), with no signs of infection and consolidation with malalignment of the fracture. After the plate was removed, spontaneous epithelization adhered to the ulnar bone bed. The skin coverage was complete after two months.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3213_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3213_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e14cd0ad281bafd620bf25d4db44917bb5f86c92
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3213_en_sum.txt
@@ -0,0 +1 @@
+We present the clinical case of a 66-year-old woman with persistent hyperphosphatemia 4.8 ng/dl (VN: 2.5-4.5) with high tubular reabsorption of phosphorus (RTP) 95% (VN: 85-94) with subtle features of acromegaly. Diagnosis of acromegaly was made with IGF1 dosages and oral glucose tolerance test with GH dosage (PTOG/GH). In search of the origin of the hypersecretion of GH, a resonance of the pituitary gland was requested, with the microadenoma of the pituitary gland being detected only in the third year of follow-up. Remission of the disease (IGF-1 in normal range) and normalization of phosphatemia after endoscopic transsphenoidal surgery were achieved. The patient continues the follow-up for 18 years without evidence of recurrence.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3218_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3218_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..4175f80b38c15266f89c0c35f1319e317b8a1c1e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3218_en_sum.txt
@@ -0,0 +1 @@
+A survivor of cancer as a young adult who received high-dose anthracycline chemotherapy presented with acute decompensated heart failure 20 years post-chemotherapy and worsening heart failure 1.5 years after discharge. The patient showed signs of improvement after a step-wise introduction of carvedilol, empagliflozin, sacubitril/valsartan, ivabradine, and spironolactone for worsening heart failure. Vericiguat was accelerated owing to the risk of more severe cardiovascular events associated with ongoing aortic stenosis and the poor prognosis of anthracycline-induced cardiomyopathy. Heart failure symptoms continued to improve, with significant cardiac reverse remodeling, and the patient successfully underwent aortic valve replacement for severe aortic stenosis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3228_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3228_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..9ebb5170c801a4df108974a1bf6e2319c3404424
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3228_en_sum.txt
@@ -0,0 +1 @@
+We report a young patient who presented with a nodular mass in the right scrotum. Microscopic examination showed a proliferation of stromal cells embedded in a mucinous rich myxoid matrix with abundant thin-walled vessels and polymorphonuclear inflammatory infiltrate. Immunohistochemical techniques were positive for vimentin and CD34 in vascular structures; negative for pan-keratin, S-100 protein, desmin, smooth muscle actin, and estrogen and progesterone receptors. A superficial angiomixoma of the scrotal location was diagnosed.
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3243_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3243_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..7f53b7857b797e313f35ae991b0cead4128952dd
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3243_en_sum.txt
@@ -0,0 +1 @@
+A 82-year-old man presented at our emergency department with aggravated dyspnea. His chest X-ray showed bilateral pulmonary edema, and laboratory examination revealed acute kidney injury. Transthoracic echocardiography (TTE) revealed low-flow, low-gradient AS with decreased left ventricular systolic function. With a diagnosis of acute decompensated heart failure combined with cardiorenal syndrome, we opted to perform emergent TAVR. Ultimately, we successfully performed emergent TAVR using only TTE and 3-D transesophageal echocardiography (TEE) measurements.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3260_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3260_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8dcd2dc7577018884011e9269e0f37ea572cd8d2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3260_en_sum.txt
@@ -0,0 +1 @@
+A sixteen-year-old female patient presents with a complaint of central abdominal distension and obstipation of 12-hour duration. Later, she also developed abdominal cramps and vomiting of ingested matter. Her vital signs were all in the normal range, and the abdominal examination was positive for a grossly distended abdomen with mild upper and central abdominal tenderness. The ileosigmoid knotting was clearly visible on the computed tomography. Emergency exploratory laparotomy was performed, and a viable ileosigmoid knot was identified. Unknotting, derotation, and decompression of the sigmoid colon were performed. The postoperative course was uneventful.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_331_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_331_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..475ee3a1933cdef564855f6856cf03b2c553fa9d
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_331_en_sum.txt
@@ -0,0 +1 @@
+We describe the case of a 12-years-old girl with well-compensated chronic hemolysis, increased MCHC and a father who had the same hematological characteristics. After excluding secondary causes of chronic hemolysis and enzymatic defects of the RBCs, microscopic observation of the peripheral blood smear, tests of RBC lysis, ektacytometry, SDS-PAGE and in last instance genetic analysis has been performed. This complex diagnostic workup identified a new variant in the PIEZO1 gene, never described in literature, causative of DHS. This pathogenetic variant was also detected in the father.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3374_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3374_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..eb324dbb73d136cff74e28e8d577091ad6f3a6d5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_3374_en_sum.txt
@@ -0,0 +1 @@
+We discuss the case of a 27-year-old black Ethiopian woman who presented with chronic pelvic pain and had a perforated intrauterine device discovered in the cul-de-sac. The device had been inserted at six weeks postpartum. The client was unable to feel the strings three months after insertion, and a wrong diagnosis of expulsion was made. After one year of insertion, the intrauterine device was located on a plain abdominal radiograph and removed via laparotomy without complications.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_365_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_365_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..e5335e264233f64dabfcc104bceeb1df58d85173
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_365_en_sum.txt
@@ -0,0 +1 @@
+We report the clinical, pathological and immunohistochemical profile and diagnostic difficulties in a case of giant MMMT of the cervix in a postmenopausal woman who presented with a large cervical mass. On microscopic examination, initially tumor appeared to be endometrial stromal sarcoma, however, immunohistochemical examination revealed the biphasic nature of the tumor. The malignant epithelial component was basaloid squamous carcinoma with homologous sarcomatous component. The patient was treated with surgery. However, she experienced vaginal vault recurrence four months after the initial treatment, which was successfully treated with pelvic radiotherapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_376_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_376_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8c1a4b05ccba8661e50bf76b3880a8691eac4f43
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_376_en_sum.txt
@@ -0,0 +1 @@
+A 61-year-old female patient underwent removal of a central venous catheter fragment migrating to the right atrium. Both ends located in the right atrial appendage and left hepatic vein were inaccessible. Initially, a snare loop was opened in the inferior vena cava and a pigtail catheter was advanced through the snare loop to hook the catheter fragment. The free end was created by pulling the pigtail catheter, dragged automatically into the snare loop, grasped, and retrieved immediately.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_390_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_390_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..77fc5f6802869f8a0c985ed241713e438a6a4be2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_390_en_sum.txt
@@ -0,0 +1 @@
+A 37-year-old female patient of Caucasian origin was referred with suspected acute leukemia and the crew of the emergency unit arranged extensive investigations for work-up. However, examination of EDTA blood sample revealed atypical lymphocytes and an isolated thrombocytopenia together with typical patterns of WBC and PLT histograms: a serrated curve of the platelet histogram and a peculiar peak on the left side of the WBC histogram. EDTA-PTCP was confirmed by a normal platelet count when examining citrated blood.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_403_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_403_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8ca0f8c2e6a4f01514505ef5879cd4d6f8b9d259
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_403_en_sum.txt
@@ -0,0 +1 @@
+Our patient, a 15-year-old Indian girl, presented with the typical features of prolonged retention of deciduous dentition and delayed eruption of permanent teeth, that is, mandibular prognathism along with other skeletal abnormalities like shrugged shoulder and the absence of clavicles. A multidisciplinary approach was followed, comprising orthodontic, surgical and pedodontic teams for management.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_414_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_414_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..62613e41445074f5b920f1eee54e7d83ba16c875
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_414_en_sum.txt
@@ -0,0 +1 @@
+A 58-year-old Hispanic Caucasian man with diabetes mellitus presented with a 1-year history of progressive bilateral upper extremity weakness, orthostatic intolerance and progressive memory decline. Diagnostic evaluation including laboratory tests for progressive encephalopathies, systemic inflammatory and non-inflammatory neuropathies, cerebrospinal fluid analyses, electrodiagnostic studies, and nerve biopsy were performed. Clinical examination revealed moderate cognitive deficits on the Montreal Cognitive Assessment scale, bilateral facial weakness and weakness of bilateral shoulder girdle and intrinsic hand muscles. Cerebrospinal fluid analyses revealed elevated protein and an elevated immunoglobulin G synthesis rate, suggesting an immune-mediated process. Further laboratory work up was non-diagnostic. Electrodiagnostic studies demonstrated chronic asymmetric axonal mononeuropathies with ongoing denervation. A superficial radial nerve biopsy showed a chronic vasculitic neuropathy. Glucocorticosteroid treatment, symptomatic pharmacologic and supportive non-pharmacologic therapies resulted in improved clinical outcomes despite challenges with glycemic control.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_422_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_422_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..609f0c8b5cafbfbc59c56fd56c5c3871b03ab5c2
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_422_en_sum.txt
@@ -0,0 +1 @@
+Angular cheilitis was diagnosed in a 60-year-old denture-wearing woman who presented with an irritation fibroma on her right lower buccal sulcus over the premolar region. Primary cultures of her oral swab and oral rinse samples grew a pure culture of an uncommon yeast strain resembling Rhodotorula sp. Sequence analysis of the yeast internal transcribed spacer (ITS) gene region and D1D2 domain showed highest similarity (99.6% and 100%, respectively) to C. calyptogenae CBS 9125 type strain. Following 2 weeks of treatment with miconazole/fusidic acid and mouthwash, the oral lesion showed improvement with less erythema. C. calyptogenae was not isolated from the patient's oral samples upon repeat sampling.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_436_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_436_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d9617444fe835e74202e004918b19868feae1c96
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_436_en_sum.txt
@@ -0,0 +1 @@
+A Chinese boy had his first attack of severe hypovolaemic shock that responded to fluid resuscitation when he was 6 years of age. His second attack developed at 8 years of age. He was then transferred to our cardiac unit for refractory hypotensive shock. The patient's echocardiogram revealed ventricular wall thickening with significant cardiac dysfunction requiring extracorporeal membrane oxygenation support. Subsequently, he made a full recovery, including his myocardial wall thickness and function. The echocardiographic findings suggested myocardial oedema that was transient in nature. Clinical and laboratory investigation from both episodes were compatible with ISCLS.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_520_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_520_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..12da5eee14723af995dabb064169950c0b1aaeff
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_520_en_sum.txt
@@ -0,0 +1 @@
+A 56-year-old woman was referred to the emergency department due to a severe headache in the frontal area for 2 days before admission. The patient experienced nausea and vomiting in the morning and had no history of seizures or decreased consciousness. Examination of neurological symptoms was completely normal and showed no symptoms of meningeal irritation. In terms of past history, the patient had undergone tympanomastoidectomy surgery and resection of the cholesteatoma 1 week previously. The Mount Fuji sign was found on the brain computed tomography (CT) scan of the patient. Treatments such as CBR (complete bed rest), 30-degree head elevation, anti-fever, analgesics and oxygen therapy, along with anti-compulsive drug (phenytoin), were prescribed. At the end of 5 days, the patient's pneumocephalus was resolved completely.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_598_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_598_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..3dd01206cfbbdfa5df0af7aeaafca0739c6055c8
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_598_en_sum.txt
@@ -0,0 +1 @@
+An 18-year-old female visited our clinic because of short stature and facial deformities, including typical phenotypes, such as low ear position, depression of the nasal bridge, small hands and feet, and loss of dentition. The lab results suggested normal parathyroid hormone but hypocalcemia. In addition, multiple electrolyte disturbances were found, including hypokalemia, hypocalcemia and hypomagnesemia. The physical signs showed a short fourth metatarsal bone of both feet. The X-ray images showed cortical thickening of long bones and narrowing of the medulla of the lumen. Cranial computed tomography indicated calcification in the bilateral basal ganglia. Finally, the genetic investigation showed a de novo heterogenous mutation of "FAM111A" (c. G1706A:p.R569H). Through a review of previously reported cases, the mutation was found to be the most common mutation site in Kenny-Caffey syndrome type 2 (KCS2) cases reported thus far (16/23, 69.6%). The mutation was slightly more prevalent in females than in males (11/16, 68.8%). Except for hypocalcemia, other clinical manifestations are heterogeneous.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_621_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_621_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f221d7d15305c9ab107698538b922e71efce95fc
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_621_en_sum.txt
@@ -0,0 +1 @@
+This is the case of an 18-year-old woman diagnosed with hemangioma of the upper lip. During the operation, about 1 h after surgery started, a constant 1:1 premature ventricular complex was detected, and blood pressure was decreased when approaching the deeper part with more strong traction for exposure of the part. Although the management of arrhythmias, such as lidocaine and atropine, was injected, arrhythmia induced by surgical stimulation could not be eliminated completely. As the traction repeated, bradycardia was also repeated, despite injecting additional atropine. Therefore, the anesthesiologist and the surgeon decided to perform the operation only to the extent that the vascular tissue was selectively removed only at the site without the reflex.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_656_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_656_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d2249a5ddaf1e53f25a16f6efb718d4dea228887
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_656_en_sum.txt
@@ -0,0 +1 @@
+A 42-year-old man with a confirmed diagnosis of granulomatosis with polyangiitis was referred to the emergency room with sudden blurred vision. Eye examination showed hyperemic conjunctiva due to necrotizing scleritis in the superior nasal quadrant of the left eye, a mass in the left superior lid, as well as central retinal artery occlusion in the same eye.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_703_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_703_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..ac49494ff93dc3420470961026702021f5acfcf9
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_703_en_sum.txt
@@ -0,0 +1 @@
+A 55-year old male presented to the emergency room with severe respiratory symptoms and greyish membranes in the airways, which turned positive for C. diphtheriae. He was put on ventilator support and remained hospitalized for three months. During care he developed myocarditis and severe neurological disease and he was also co-infected with tuberculosis. The patient was discharged with a favorable outcome.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_737_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_737_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..508f8927280ec5bc94b65d7b41f1fb3c3fc26a44
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_737_en_sum.txt
@@ -0,0 +1 @@
+A 60-year-old lady presented with tremulousness of hands, palpitation, and excessive sweating. She had a history of weight loss and neck-swelling. Her weight was 46 kg, BMI 17, afebrile, regular pulse rate of 110/min with fine tremor in hands. Thyroid gland was symmetrically enlarged, firm, without any bruit, but mildly tender with lobular surface. There were no occular manifestations. Initial thyroid function tests (TFT) revealed: T3: 3.80 ng/ml (0.80-2.10), T4: 12.40 ug/dl (5.10-12), thyroid stimulating hormone (TSH): 0.20 μU/L (0.70-5). Her anti thyroperoxidase (TPO) antibody: 374 IU/ml (normal
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_759_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_759_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..c1d53a0f88673489728bd19866f85bb060ab6b22
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_759_en_sum.txt
@@ -0,0 +1 @@
+A patient from TRITON2 with BRCA-mutated mCRPC had a response to the PARP inhibitor rucaparib and remained on treatment for 32 weeks, which was >2 times longer than the duration of each of his prior therapies (bicalutamide, docetaxel, abiraterone). The patient enrolled in TRITON2 based on results of local genomic testing of an archival biopsy that indicated the presence of a BRCA1 T1399I (allelic fraction, 19%) mutation. Local testing also identified an ATM G1663C mutation, a TP53 P191del mutation, and a BRAF K601E mutation. Analysis of a plasma sample obtained before the patient started rucaparib detected the same alterations as those in the archival biopsy, but it also revealed the presence of a BRCA2 homozygous loss (whole gene, 26 of 26 exons) and several other alterations of unknown functional impact. We hypothesize the response of the patient's tumor to rucaparib was likely driven by DNA damage repair deficiency caused by homozygous loss of all BRCA2 exons. Following discontinuation from rucaparib due to clinical disease progression, the patient received carboplatin and cabazitaxel for ≈3 weeks. The patient died due to progression of his disease.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_763_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_763_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..b18e02498b0c6aca750d503fc6acad86077fc913
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_763_en_sum.txt
@@ -0,0 +1 @@
+Herein, we report the case of a 53-year-old Caucasian man who obtained complete skin clearance of psoriasis plaques after 16 weeks of ixekizumab treatment together with the appearance of vitiligo patches localized on the facial area. He had never suffered of vitiligo and his family history excluded vitiligo diagnosis. We also could exclude post inflammatory psoriasis hypopigmentation because of absence of facial involvement at baseline. Our experience suggests that vitiligo might be considered a rare adverse effects of anti-IL-17 therapy.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_767_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_767_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f023ff20b1c90982af10426ff178f3c9c0038626
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_767_en_sum.txt
@@ -0,0 +1 @@
+We present a rare case of using a vascularized tibia-fibular composite graft taken from a 6-year-old Chinese boy's ipsilateral lower leg to reconstruct a large bony defect of his traumatic femur. Hypertrophy of the tibial graft, good remodeling of the femoral shaft, and atrophy of the unloaded fibular graft were noted at the 10-year follow up. He was able to participate in outdoor activities such as basketball while wearing his prosthesis.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_775_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_775_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..17be07df663e1e04bb1e080f51f2478c58aab286
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_775_en_sum.txt
@@ -0,0 +1 @@
+I present a case of a 24-year-old patient who presented with a 4-week history of side-locked attacks of pain located in the left orbit. He satisfied the revised International Classification of Headache Disorders criteria for cluster headache. His medical and family histories were unremarkable. There was no history of headache. A diagnosis of cluster headache was made. The patient responded to symptomatic treatment. Low-dose computer tomography scan after 2 weeks displayed a left-sided acute maxillary sinusitis. The headache attacks resolved completely after treatment with antibiotics and sinus puncture.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_791_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_791_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..6c396cdf30deb5e0be075801d3fcdec452b48034
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_791_en_sum.txt
@@ -0,0 +1 @@
+We report the case of a 66-year-old female patient who underwent a combined mitral and aortic valve replacement for degenerative valvular disease. She presented an infectious endocarditis revealed by a third-degree atrioventricular bloc and had a redo mitral- and aortic valve replacement. Mitral valve was inserted in supra-annular position due to annular destruction. Post-operative course was marked by a refractory acute heart failure explained by a left atrial wall dissection confirmed by transoesophageal echocardiography and synchronized cardiac CT-scan. Surgical treatment was theoretically indicated but considering the high risk of a third surgery, a palliative care support was collegially decided.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_801_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_801_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..d14735e27816ce783ac0d8911da72dc00bc59290
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_801_en_sum.txt
@@ -0,0 +1 @@
+A 17-year-old splenectomized beta thalassaemia patient developed a transfusion-induced Plasmodium falciparum malaria infection following a blood transfusion 18 days earlier. The blood donor was an armed forces personnel who returned from South Sudan following a United Nations peace-keeping mission. The blood recipient's malaria infection took a complicated clinical course with elevated liver enzymes, lowered blood pressure and a prolonged parasite clearance time of 7 days but he recovered fully after two courses of artemether-lumefantrine interrupted by a course of intravenous artesunate. The prolonged parasite clearance is likely due to lack of splenic clearance of dead or damaged intra-erythrocytic parasites (due to a splenectomy) rather than to the parasite strain being resistant to artemisinin or the partner drug. This is corroborated by the fact that the blood donor's infection responded to artemether-lumefantrine with parasites being cleared on day 3. The blood donor who had not displayed signs or symptoms of malaria, had been screened for malaria on arrival in Sri Lanka and was negative on both microscopy and RDT. At the point of blood donation a blood smear examined microscopically was also reported negative for malaria, but retrospectively, the preserved smear of the donor's blood was found to contain P. falciparum parasites at a very low density. The donor when tested after the transfusion-induced case was diagnosed, also tested positive for malaria and was treated.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_810_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_810_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..f9ea645bd24e8ebc72add914249bae12f9ee340e
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_810_en_sum.txt
@@ -0,0 +1 @@
+The index case was diagnosed by newborn screening for endocrine and metabolic disorders, starting a low-protein diet immediately, with a consistent decrease in tyrosine levels. By the age of three, the child displayed a hyperactive behavior, starting treatment for ADHD two years later. At seven years of age, he shows a slight improvement in terms of behavior and attention span and has a cognitive performance slightly lower than his peers, despite maintaining acceptable tyrosine levels. His sister, who had a history of ADHD since age five, was diagnosed with HT III after family screening at the age of eight. Despite initiating a dietetic treatment, her behavior did not improve, and she has a mild intellectual impairment.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_869_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_869_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..37704404fec2f85f5ca2dc83fc1db9dc56c2f1d3
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_869_en_sum.txt
@@ -0,0 +1 @@
+We used fluorescence in situ hybridization (FISH), array comparative genomic hybridization (aCGH), RNA sequencing, reverse transcription (RT) and genomic polymerase chain reaction (PCR), as well as Sanger sequencing to investigate a case of pediatric ALL with a normal karyotype. FISH with a commercial PDGFRB breakapart probe showed loss of the distal part of the probe suggesting a breakpoint within the PDGFRB locus. aCGH revealed submicroscopic deletions in chromosome bands 5q32q35.3 (about 30 Mb long, starting within PDGFRB and finishing in the CANX locus), 7q34 (within TCRB), 9p13 (PAX5), 10q26.13 (DMBT1), 14q11.2 (TRAC), and 14q32.33 (within the IGH locus). RNA sequencing detected an in-frame GTF2I-PDGFRB and an out-of-frame IKZF1-TYW1 fusion transcript. Both fusion transcripts were verified by RT-PCR together with Sanger sequencing and interphase FISH. The GTF2I-PDGFRB fusion was also verified by genomic PCR and FISH. The corresponding GTF2I-PDGFRB fusion protein would consist of almost the entire GTF2I and that part of PDGFRB which harbors the catalytic domain of the tyrosine kinase. It would therefore seem to lead to abnormal tyrosine kinase activity in a manner similar to what has been seen for other PDGFRB fusion proteins.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_906_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_906_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..21732a6700273a47a9ded4c1eaa237907163dd99
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_906_en_sum.txt
@@ -0,0 +1 @@
+We present a patient who had a mass in the right mandibular angle two years before referral. A cystic mass was reported on sonography, and the patient underwent superficial parotidectomy with a pre-operative impression of lymphangiomatouse-like lesions. In the microscopic view, the sections revealed salivary gland neoplastic lesion with the diagnosis of WT. On the periphery of the neoplasm, another neoplastic lesion was observed along with infiltrative borders and diagnosis of mucoepidermoid carcinoma.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_967_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_967_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..1ebcac2221db00c218cd63d96347e73747733d38
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_967_en_sum.txt
@@ -0,0 +1 @@
+A 13-year-old female with previously diagnosed T1D, was admitted at our emergency department with hypovolemic shock, DKA, hyperosmolar state and acute kidney injury (AKI). Mildly progressive abdominal pain persisted after DKA correction and after repeated ultrasound evaluations ultimately suspect for intestinal perforation, an intraoperative diagnosis of NOMI was made.
\ No newline at end of file
diff --git a/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_995_en_sum.txt b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_995_en_sum.txt
new file mode 100644
index 0000000000000000000000000000000000000000..8184ab775ac33ba6c1a918765f0f9da07a4ef5c5
--- /dev/null
+++ b/data/test_raw_data/en_test/multiclinsum_test_en/summaries/multiclinsum_test_995_en_sum.txt
@@ -0,0 +1 @@
+In this paper, we report here a case in which inadvertent injury to the thoracic aorta resulted in pseudoaneurysm, its manifestation was initially vague, resulting in a delayed diagnosis. Delayed aortic pseudoaneurysm or injury can be asymptomatic for a long time. Patients with renewed or continued back pain should alert orthopaedic surgeons regarding the possibility of pseudoaneurysms, regardless of the period that has elapsed after pedicle screw implantation.
\ No newline at end of file