RadNLP/RadNLP2024_main_task huggingface dataset:
Radiology report:
Lobulated nodule with a maximum diameter of 21 mm in the right lower lobe (S6), appearing to be continuous with a vein, consistent with lung cancer.
Bulla in the left lower lobe with an adjacent 1 cm nodule, showing no significant change compared to previous imaging, likely a benign lesion such as an old granuloma.
No clear metastases or other active lesions in the lung fields.
Enlargement of mediastinal lymph nodes, including right hilar and subcarinal regions, suspicious of metastasis.
No pleural effusion.
No significant abnormalities in the upper abdomen within the imaging range.
No ascites.
No other significant findings.

TNM staging: T1c N2 M0
Radiology report:
Lobulated mass with spiculation, measuring 21 mm in the right lower lobe (S6), suspicious of primary lung cancer.
No findings suggestive of satellite tumor nodules in the lung fields.
Enlarged lymph nodes sporadically observed in the right hilar and mediastinal regions, raising suspicion of metastasis.
No pleural effusion.
No significant abnormalities in the upper abdominal organs within the imaging range.

TNM staging: T1c N2 M0
Radiology report:
Mild pulmonary cysts.
Lobulated nodule measuring 21 mm in the right lower lobe (S6), suspected to correspond to the known cancer.
Well-defined nodule in the left lung base, unchanged from the previous examination, likely representing chronic inflammatory changes.
Cord-like shadow in the left lingular segment, resembling an inflammatory scar.
Enlarged lymph nodes in the bilateral mediastinum, suspicious of metastasis.
No evidence of gross metastasis in the upper abdomen.

TNM staging: T1c N3 M0
Radiology report:
21 mm lobulated nodule in the right lower lobe (S6), accompanied by pleural indentation, suspicious of lung cancer.
Flat nodule in the left lower lobe (S6), unchanged from previous imaging, likely representing chronic inflammatory changes.
Enlarged right hilar lymph nodes, as well as ipsilateral and contralateral mediastinal lymph nodes, raising suspicion of lymph node metastasis.
No pleural effusion.
No significant abnormalities noted in the abdominal organs within the imaging range.

TNM staging: T1c N3 M0
Radiology report:
Nodule with a maximum diameter of 2.1 cm in the right lower lobe (S6), showing a lobulated shape and spiculated margins, suspicious of primary lung cancer.
Small nodule in the left lower lobe (S10), adjacent to an emphysematous bulla, showing no significant change and likely representing an inflammatory nodule.
Enlarged mediastinal lymph nodes (#4R, #7) and right hilar lymph nodes, raising suspicion of metastasis.
Scattered linear to plate-like opacities in other lung fields, likely scars from previous inflammatory changes.
No pleural effusion.
Hepatic cyst noted.
No tumorous lesions in the liver or adrenal glands.
No significant findings in the abdominal region within the imaging range.

TNM staging: T1c N2 M0
Radiology report:
Lobulated mass lesion in the S10 segment of the right lower lobe, measuring 21 mm in maximum diameter, suspicious of primary lung cancer.
No findings suggestive of intrapulmonary metastasis.
Enlarged lymph nodes in the right pulmonary hilum and ipsilateral mediastinum, raising suspicion of lymph node metastasis.

TNM staging: T1c N2 M0
Radiology report:
Emphysematous changes.
Irregularly shaped 21 mm nodule with spiculation in the right lower lobe (S6), suspicious of lung cancer.
Enlarged lymph nodes in the right hilar, ipsilateral mediastinal, and subcarinal regions, suggesting possible metastasis.
Nodule adjacent to a cyst in the left lower lobe, showing no significant changes over 10 years, likely benign.
No pleural effusion.

TNM staging: T1c N2 M0
Radiology report:
Mild emphysematous changes.
Nodule with irregular margins and spiculated features in the right lower lobe, measuring 21 mm in maximum diameter, consistent with known lung cancer.
Oval-shaped nodule on the mediastinal side of the left lower lobe, unchanged compared to a CT scan from 10 years ago, likely a benign lesion such as a residual inflammatory change.
Scattered residual inflammatory changes, including small rectangular nodules and linear opacities, noted in both lung fields.
No lesions suggestive of pulmonary metastasis.
Multiple prominent lymph nodes in the right pulmonary hilum and ipsilateral mediastinum, some exceeding 1 cm in short-axis diameter, highly suspicious of metastasis.
No pathological enlargement of supraclavicular lymph nodes.
No pleural effusion.
Scattered small hypovascular nodules in the liver, likely cysts, though differentiation is challenging due to their small size; MRI is recommended.
No lesions suggestive of adrenal metastasis.
No significant bone destruction or sclerosis within the imaging range.

TNM staging: T1c N2 M0
Radiology report:
Irregular mass shadow measuring 21 mm in the right lower lobe, suspicious of lung cancer.
Cavity formation and nodular shadow at the margin in the left lower lobe, unchanged compared to the previous examination.
Enlarged lymph nodes in the right hilar region and mediastinum, raising suspicion of metastasis.
No pleural effusion.

TNM staging: T1c N2 M0
Radiology report:
No comparable imaging studies available.
Lobulated mass lesion measuring 68 mm in the right lung apex, containing air. The lesion extends to the chest wall, with destruction of the adjacent vertebral body and rib.
Bilateral bullae.
No evidence of metastasis or other active lesions in the lung fields.
Enlarged lymph nodes in the right pulmonary hilum and left supraclavicular fossa, suspicious of metastasis.
No other significant lymphadenopathy within the imaging range.
No pleural effusion.
Liver shows low attenuation, consistent with fatty liver.
No significant abnormalities in the upper abdomen within the imaging range.
No ascites.
No other significant findings.

TNM staging: T4 N3 M0
Radiology report:
Mass measuring 68 mm in the right lung apex, adjacent to the vertebral body, with destruction of the adjacent thoracic vertebra and rib, suspicious of primary lung cancer with rib and thoracic vertebral invasion.
No findings suggestive of secondary tumor nodules in the lung fields.
Sporadic enlargement of the right hilar lymph nodes, raising suspicion of metastasis.
No significant enlargement of mediastinal lymph nodes or other mediastinal structural abnormalities.
No pleural effusion.
No obvious abnormalities in the upper abdominal organs within the imaging range.

TNM staging: T4 N1 M0
Radiology report:
Irregular mass measuring 68 mm in the right upper lobe, strongly abutting the mediastinal side. Margins exhibit spiculation, suspicious of lung cancer.
Destruction of the T3 and T4 vertebral bodies and ribs, suggesting direct tumor invasion.
No pathological lymph node enlargement.
No pleural effusion.

TNM staging: T4 N0 M0
Radiology report:
Mass in the right lung apex with a maximum diameter of 68 mm, cavitated and surrounded by emphysematous changes.
Direct invasion into the chest wall with infiltration of the right 3rd to 5th ribs and the Th3 and Th4 vertebral bodies.
Spinal canal extension cannot be ruled out; MRI evaluation recommended.
No pulmonary metastases.
No pleural effusion.
Enlarged right hilar lymph nodes, suspicious of metastasis.

TNM staging: T4 N1 M0
Radiology report:
Mass with a maximum diameter of 6.8 cm in the right upper lobe, with bone destruction in the Th3 and Th4 vertebral bodies, suggesting T4. Bone destruction also involves the right 3rd and 4th ribs.
No tumor lesions in other lung fields.
No enlargement of the hilar or mediastinal lymph nodes, but an enlarged spherical lymph node in the left supraclavicular fossa, suspicious of metastasis (N3).
No pleural effusion.
No significant findings in the abdominal region within the imaging range.

TNM staging: T4 N3 M0
Radiology report:
Emphysema observed in both lung fields.
Ill-defined infiltrative shadow measuring 68 mm in the dorsal segment of the right upper lobe, with ground-glass opacity at the margin and bronchiectasis within the lesion, suspicious of primary lung cancer.
Pleural invasion and partial osteolytic changes in the ribs are noted, raising suspicion of chest wall and rib invasion.
Enlargement of the right hilar lymph nodes, suggestive of lymph node metastasis.
Osteolytic lesions in the Th2 and Th3 vertebral bodies on thoracic spine MRI, suspicious of thoracic spine invasion.

TNM staging: T4 N1 M0
Radiology report:
Emphysematous changes.
Mass measuring 68 mm in the right upper lobe, suspicious of lung cancer. Infiltration into the third and fourth thoracic vertebrae and the origin of the right rib.
Enlarged right hilar lymph nodes, suggesting possible metastasis. No mediastinal lymph node enlargement.
No pleural effusion.
Fatty liver.

TNM staging: T4 N1 M0
Radiology report:
Emphysematous changes.
Irregularly shaped mass in the apex of the right lung, measuring 68 mm along its long axis, suspicious of lung cancer.
Broad contact with the inner dorsal pleura and osteolytic changes in the adjacent vertebral body and right rib, suggesting infiltration.
No lesions suggestive of pulmonary metastasis.
Lymph nodes with a short axis of 1 cm or more in the right hilar region and left supraclavicular fossa, suspicious of metastasis.
No pleural effusion.
No gross abnormalities in the upper abdomen within the imaging range.
No findings suggestive of bone metastasis.

TNM staging: T4 N3 M0
Radiology report:
Emphysematous changes.
Irregular mass measuring 68 mm in the right upper lobe, suspicious of lung cancer.
Destructive changes in the right 2nd to 4th ribs and Th2 and Th3 vertebral bodies, suggesting possible invasion.
Extension into the spinal canal is suspected.
Enlarged lymph nodes in the right hilar region, raising suspicion of metastasis.
No pleural effusion.

TNM staging: T4 N1 M0
Radiology report:
No comparable imaging studies available.
Mass lesion measuring 128 mm in the right lower lobe, extending near the right main bronchus, causing bronchial narrowing and atelectasis due to compression of the lung parenchyma, corresponding to the primary lesion.
No obvious metastases or other active lesions in the lung fields.
Enlarged lymph nodes below the tracheal bifurcation and adjacent to the lower right bronchus, suspicious of metastasis.
Right-sided pleural effusion noted, with no pleural thickening identified.
Masses with heterogeneous enhancement in both adrenal glands, suspicious of metastasis.
Small cysts suspected in the liver. No other significant abnormalities in the upper abdomen within the imaging range.
Small amount of ascites present.
Bone destruction involving the Th10 vertebral body, with partial extension into the spinal canal, raising suspicion of metastasis.

TNM staging: T4 N2 M1c
Radiology report:
Large hypovascular mass measuring 128 mm in the right lower lobe, suspicious of known sarcomatoid carcinoma.
No secondary tumor nodules observed in the lung fields.
Multiple enlarged right mediastinal lymph nodes, suspicious of metastasis.
Mild right pleural effusion noted.
Bilateral adrenal masses, raising suspicion of metastasis.
Low-density area in the Th9 vertebral body, suggestive of vertebral metastasis.
Compression fracture of the Th12 vertebral body

TNM staging: T4 N2 M1c
Radiology report:
Massive tumor in the right thoracic cavity, measuring 128 mm. Heterogeneous enhancement at the margins, suggesting sarcoma. Extensive contact with the pleural surface, raising the possibility of invasion.
Right pleural effusion.
Both adrenal glands are enlarged, suspicious of metastases.
Mediastinal lymph nodes cannot be adequately evaluated.

TNM staging: T4 N0 M1c
Radiology report:
Mass lesion measuring 128 mm in the right lower lobe, with extensive necrosis in the interior.
The tumor is fused with the right hilar lymph nodes.
No mediastinal lymphadenopathy observed.
Small amount of pleural effusion on the right side.
Atelectasis in the right middle lobe caused by compression from the tumor.
Masses in both adrenal glands, suspicious of adrenal metastases.

TNM staging: T4 N1 M1c
Radiology report:
Mass measuring 12.8 cm with central necrosis in the right lower lobe, classified as T4.
Multiple enlarged lymph nodes in the right mediastinum and hilar regions, suspicious of metastasis, with no contralateral lymph node enlargement, classified as N2.
Right pleural effusion noted, possibly malignant.
Masses in both adrenal glands, resembling the lung lesion, suspicious of metastases.
Lytic lesion in the Th10 vertebral body, suggestive of metastasis.
Presence of metastases in multiple organs consistent with M1c.
Hepatic cyst noted.
No significant findings in other abdominal organs within the imaging range.

TNM staging: T4 N2 M1c
Radiology report:
Solid mass lesion measuring 128 mm in the right lower lobe, suspicious of primary lung cancer.
Right pleural effusion noted, with associated pleural thickening, raising suspicion of pleural dissemination.
Enlarged mediastinal lymph nodes, suggestive of lymph node metastasis.
Bilateral adrenal gland enlargement, raising suspicion of adrenal metastasis.

TNM staging: T4 N2 M1c
Radiology report:
Emphysematous changes.
A 12.8 cm mass in the right lower lobe, suspicious of lung cancer.
The mass bulges into the intercostal space, suggesting chest wall invasion.
Right pleural effusion.
Slightly enlarged subcarinal lymph nodes, metastasis cannot be ruled out.
Bilateral adrenal nodules, suspicious of metastases.
Ascites around the liver.
Nodule at Th9, suspicious of metastasis.
Fracture and bone sclerosis at Th12, suggesting a pathological fracture.

TNM staging: T4 N0 M1c
Radiology report:
Large mass in the right lower lobe measuring 128 mm along its long axis, with well-defined margins. The interior shows necrotic low attenuation without contrast enhancement, while the margins exhibit contrast enhancement, consistent with a known cancerous lesion.
The mass is in broad contact with the pleura and protrudes into the right intercostal space, suggesting chest wall invasion.
Compressively atelectatic lung is observed on the ventral side of the mass. Ground-glass opacity on the cranial side suggests obstructive pneumonia.
Scattered ground-glass opacities in other lung fields, likely due to inflammatory changes.
Small rectangular nodule in the left lower lobe, considered a chronic inflammatory change.
Multiple enlarged lymph nodes in the mediastinum and left supraclavicular fossa, suspicious of metastasis.
Small amount of right pleural effusion noted.
Scattered small low-attenuation areas in the liver, suggestive of cysts due to their small size.
Masses in both adrenal glands with heterogeneous contrast enhancement, raising suspicion of metastasis.
Lytic changes and a soft tissue mass protruding posteriorly in the Th9 vertebral body, suspicious of metastasis.
Compression fracture in the Th12 vertebral body.

TNM staging: T4 N3 M1c
Radiology report:
Massive tumor exceeding 12 cm in the right lower lobe, suspicious of a known malignant tumor. Contrast imaging shows areas of poor enhancement within the tumor, suggesting necrosis.
No significant lymph node enlargement in the mediastinum.
Small amount of right pleural effusion noted.
Masses in both adrenal glands, suspicious of metastasis.
Lytic lesion in the Th9 vertebral body, raising suspicion of metastasis.
Compression fracture in the Th12 vertebral body.

TNM staging: T4 N0 M1c
Radiology report:
No comparable imaging studies available.
Atelectasis in the left upper lobe with interruption of the left pulmonary artery and left upper lobe bronchus at the hilum.
Multiple nodular shadows, some with cavitation, observed in both lungs, suspicious of multiple pulmonary metastases.
Enlarged lymph nodes noted in the mediastinum, bilateral hila, supraclavicular fossae, and cardiophrenic lymph nodes, suggesting lymph node metastasis.
Suspected left upper lobe lung cancer with lymph node metastasis and multiple pulmonary metastases. The size of the primary lesion is difficult to evaluate.
Left pleural effusion noted, with no pleural thickening identified.
Hypovascular mass in liver segment 4 (S4), suspicious of metastasis.
No significant abnormalities in the upper abdomen within the imaging range.
No ascites.
No other significant findings.

TNM staging: T4 N3 M1b
Radiology report:
Mass in the left lung apex causing atelectasis of the left upper lobe and extending around the left main bronchus.
Multiple cavitary nodules in both lung fields, suggestive of secondary tumor nodules.
Enlarged lymph nodes in the mediastinum, bilateral hilar regions, and hepatic hilum, raising suspicion of lymph node metastases.
Left pleural effusion noted.
Hypovascular nodules in the liver, suggestive of liver metastases.
Bilateral adrenal gland enlargement, raising suspicion of hyperplasia.

TNM staging: T4 N3 M1c
Radiology report:
Atelectasis in the left upper lobe, with pathological findings raising suspicion of lung cancer.
Numerous randomly distributed nodular shadows with cavitary changes in both lungs, suggestive of multiple pulmonary metastases.
Mild left pleural effusion observed.
Pathological lymphadenopathy in the bilateral hilar regions, mediastinum, and supraclavicular fossae, suspicious of metastasis.
Ring-enhancing mass in liver segment S4, raising suspicion of metastasis.
Nodular enlargement of the right adrenal gland, suggestive of metastasis.

TNM staging: T4 N3 M1c
Radiology report:
Atelectasis of the entire left upper lobe.
Obstruction of the left upper lobe bronchus.
The boundary between the atelectasis and the tumor in the left upper lobe is unclear, raising the possibility that the entire left upper lobe has been replaced by the tumor.
Lymphadenopathy in the ipsilateral hilum, bilateral mediastinum, and right supraclavicular fossa, suggestive of lymph node metastasis.
Small amount of pleural effusion on the left side.
Multiple nodules and cavitary lesions scattered throughout both lungs, suspicious of multiple pulmonary metastases.
Hypovascular mass in S4 of the liver and bilateral adrenal masses, suggestive of metastases.

TNM staging: T4 N3 M1c
Radiology report:
The left upper lobe bronchus is obstructed centrally, with peripheral obstructive atelectasis, likely caused by lung cancer. The size of the mass is difficult to evaluate.
Multiple satellite tumor nodules in the left lower lobe suggest T4.
Numerous enlarged lymph nodes in the bilateral mediastinum, bilateral hilar regions, and bilateral supraclavicular fossae, consistent with N3.
Multiple satellite tumor nodules are also present in the right lung.
Left pleural effusion is observed, suspicious of malignant pleural effusion, suggesting at least M1a.
Solitary mass in liver segment 4 (S4) and enlargement of the right adrenal gland, requiring confirmation with PET-CT for FDG uptake. If uptake is present, this would indicate M1b or M1c.
No significant findings in other abdominal organs.

TNM staging: T4 N3 M1c
Radiology report:
Atelectasis primarily in the left upper lobe, suspicious of primary lung cancer. Distinction between the tumor and the atelectatic area is difficult, making accurate assessment of its extent challenging.
Unclear boundary with the mediastinum, raising suspicion of mediastinal invasion.
Multiple nodular shadows with cavitation in both lung fields, suggestive of pulmonary metastases.
Soft tissue mass extending from the left pulmonary hilum to the mediastinum, suspicious of lymph node metastasis.
Left pleural effusion, raising suspicion of pleural dissemination. Infiltration into the parietal pleura is not identified.

TNM staging: T4 N2 M1a
Radiology report:
Mass in the apex of the left lung, suspicious of lung cancer, with associated atelectasis making tumor size assessment challenging. The mass protrudes toward the chest wall, including the area around the first rib, suggesting possible chest wall invasion.
Multiple nodules in both lungs, likely representing pulmonary metastases.
Enlarged mediastinal lymph nodes, including those below the tracheal bifurcation, suspicious of metastasis. Enlarged lymph nodes in the contralateral hilar region, with metastasis not excluded.
Left pleural effusion noted.
Mass in liver segment 4 (S4), suspicious of liver metastasis.
Bilateral adrenal gland enlargement with nodular features, particularly on the right side, raising suspicion of adrenal metastasis.
Enlarged lymph nodes near the left side of the stomach and the splenic artery, suspicious of metastasis.

TNM staging: T4 N2 M1c
Radiology report:
Complete atelectasis of the left upper lobe with no bronchial air sign. The suspected lung cancer is likely contained within this area, but the tumor size is unclear.
Numerous nodules in both lung fields, some with cavitation, suggestive of metastases.
Pathologically enlarged lymph nodes in the bilateral hilar regions, mediastinum, and supraclavicular fossae, suspicious of metastases.
Small amount of left pleural effusion observed.
Poorly defined hypovascular masses in liver segments S2 and S4, suspicious of metastases.
Enlarged right adrenal gland, raising suspicion of metastasis.
Multiple enlarged lymph nodes near the abdominal aorta within the imaging range, suspicious of metastases.
No significant abnormalities in other upper abdominal organs within the imaging range.
Lytic changes and soft tissue shadows in the Th4 vertebral body, suggestive of metastasis.

TNM staging: T4 N3 M1c
Radiology report:
Nodular shadows scattered throughout both lung fields, suspicious of multiple pulmonary metastases.
Obstruction of the left upper lobe bronchus resulting in atelectasis, with a possible primary lesion in the central region.
Enlarged lymph nodes in the mediastinum, both hila, and the right cardiophrenic angle, suggestive of metastasis.
Small amount of left pleural effusion noted.
Hypovascular lesion in the liver, raising suspicion of metastasis.
Enlargement of the right adrenal gland, suspicious of metastasis.

TNM staging: T4 N3 M1c