RadNLP/RadNLP2024_main_task huggingface dataset:
Radiology report:
No comparable imaging studies are available. 
A lobulated tumor mass, approximately 30 mm in diameter is present in S6 of the left lower lobe of the lung. This is considered lung adenocarcinoma. A nodule of about 9 mm in diameter is in contact with the lesion, and a nodule of 8 mm in contact with the interlobar pleura is also seen within the same lobe, considered to be secondary tumor nodules. 
No findings suggesting metastasis in other lobes of the lung. 
Bullae are present in both lung apices. 
Enlargement of the left hilar lymph nodes, suspicious of metastasis. No significant lymph node enlargement in other areas. 
No pleural effusion. 
An ill-defined hypodense lesion is present in the liver in contact with the gallbladder, suspicious of metastasis. 
There are cysts and stones in both kidneys. 
No obvious abnormalities in the gallbladder, pancreas, spleen, adrenal glands, or pelvic organs. 
No significant lymph node enlargement in the abdomen and pelvis. 
No ascites. 
No other significant findings.

TNM staging: T3 N1 M1b
Radiology report:
There is a solid tumor of 30 mm in S8 of the right lower lung lobe. It has a lobulated shape and is accompanied by pleural indentation. No sign of invasion beyond the interlobar pleura. No pulmonary metastasis. There is a small nodule in the apex of the right lung, follow up recommended. No pleural effusion. No gross abnormalities in the visualized abdominal organs.

TNM staging: T1c N0 M0
Radiology report:
A soft tissue mass is present in the right hilum, suspected to be a conglomerate of lung cancer and hilar lymph node metastasis. Size evaluation is difficult. The mass is in contact with the tracheal bifurcation and major blood vessels, suggesting invasion. It is considered T4.
A small round subpleural nodule is present in the right middle lobe. Based on its morphology, there is a possibility of metastasis.
There is mediastinal lymph node metastasis on the right, but the opposite side lymph nodes are not enlarged. It is considered N2.
Reticular opacities and ground-glass opacities are observed in the lower lobes of both lungs, suspecting interstitial pneumonia.
No significant findings in the opposite lung.
No pleural effusion.
A hypodense nodule is present in the right lobe of the thyroid, recommended to follow up with ultrasound.
No tumorous lesions in the liver or adrenal glands.
No significant findings in the gallbladder, pancreas, or spleen.

TNM staging: T4 N2 M0
Radiology report:
A tumor-like lesion with irregular margins, measuring up to 72 mm in diameter, is present on the mediastinal side of the left lower lobe of the lung. The lesion shows heterogenous contrast enhancement. It is considered to correlate to the known cancer. The tumor is widely in contact with the pleura, but without clear mediastinal invasion. The left lower lobe bronchus is severely narrowed or occluded, and ground-glass opacities and infiltrative consolidations suggesting obstructive pneumonia are observed around the tumor. Also, thickening of the interlobular septa is seen around the tumor, possibly lymphangitic carcinomatosis. No lesions suspicious of metastasis to other lobes of the lung. There are numerous rounded enlarged peritracheal and axillary lymph nodes on the left, suggestive of metastasis. A small amount of left pleural effusion is present. No metastasis to the visualized liver or adrenal glands. There are osteolytic lesions in the proximal part of the left humerus and the left scapula, considered to be metastases.

TNM staging: T4 N2 M1c
Radiology report:
No comparable imaging studies are available. 
A tumor of approximately 17 mm in diameter is observed at the right main bronchus. The bronchial lumen is narrowed and there is atelectasis peripheral thereof. 
Soft tissue lesions, which are considered to be enlarged lymph nodes, are observed under the right hilum and the bifurcation of the trachea, suspicious of metastasis. 
There are no obvious metastases or other active lesions in the lungs. 
No pleural effusion. 
No obvious abnormalities in the visualized upper abdomen. 
No ascites. 
No other significant findings.

TNM staging: T2a N2 M0
Radiology report:
Numerous tumorous lesions spreading from the right pulmonary hilum to the mediastinum, suspected to be small cell carcionma with lymph node enlargement. A nodule is present in the peripheral S3 of the right upper lobe, suspicious of pulmonary metastasis. In addition, there are scattered fine granular opacities, also suspicious of pulmonary metastases.

TNM staging: T3 N2 M0
Radiology report:
Emphysematous changes are prominent in the lungs. 
There is a lobulated tumor of 40 mm in diameter in the right lower lobe, suggesting lung cancer. Multiple nodules and increased opacity along the airway in the surrounding area suggest obstructive pneumonia or metastatic nodules. 
Ground-glass nodules are scattered in the right upper lobe, which may be inflammatory changes, but should be followed up to rule out malignancy. 
The right hilar and pretracheal lymph nodes are enlarged and rounded, suggesting metastasis. 
There are numerous ring-enhancing hypodense lesions in the liver, considered to be multiple liver metastases. 
Gallstones. Renal cysts. 
Ascites.

TNM staging: T2a N2 M1c
Radiology report:
There are multiple enlarged lymph nodes in the right mediastinum and right hilum, consistent with known small cell carcinoma. A small nodule is observed in the right upper lobe S3, possibly a metastatic nodule. 
There is mild interstitial opacitiy in the peripheral lung, possibly interstitial pneumonia. 
No pleural effusion. 
Postoperative changes in the right breast. 
No significant axillary lymph node enlargement. 
No obvious abnormalities in the visualized upper abdomen.

TNM staging: T3 N2 M0
Radiology report:
A tumor is present in the left pulmonary hilum, suggesting lung cancer. The right upper lobe bronchus is obstructed due to tumor infiltration, resulting in atelectasis of the left upper lobe. The border between the tumor and the atelectasis is difficult to evaluate. The left pulmonary artery is in contact with the tumor and is narrowed. Infiltration is suspected. Enlarged lymph nodes are observed in the left pulmonary hilum and mediastinum, suggesting metastasis. Enlarged lymph nodes are also prominent in the right pulmonary hilum, possibly metastasis. No findings suggest secondary tumor nodules in the lungs. Small left pleural effusion. No obvious abnormalities in the visualized upper abdomen.

TNM staging: T4 N3 M0
Radiology report:
A 12 cm large tumor is present in the left lung apex, suggesting lung cancer. Destruction of the left 3rd rib suggests infiltration. No significant lymph node enlargement in the mediastinum. There is no pleural effusion.

TNM staging: T4 N0 M0
Radiology report:
Emphysema in both lungs.
A lobulated tumorous lesion is present in the lower lobe of the right lung (maximum diameter 37×37×40mm). Primary lung cancer is suspected. Soft tissue masses are found in the bronchi. Bronchial mucus plugs are observed.
Faint ground-glass opacities are scattered in both lungs.
Lymph node enlargement is found in the mediastinum, suspicious of metastasis.
Numerous nodules are found in the liver, suspected to be multiple liver metastases.
Nodules are also observed in the hepatoduodenal ligament, possibly lymph node metastases.
The common bile duct is dilated with stones present in the duct.

TNM staging: T2a N2 M1c
Radiology report:
There is a tumor with a major axis of 72 mm in the left lower lobe, suspicious of lung cancer. The tumor protrudes into the mediastinum and is in contact with the descending thoracic aorta, suggesting mediastinal invasion. There is interstitial thickening around the tumor, possibly carcinomatous lymphangitis.
There is lymph node enlargement below the tracheal bifurcation, metastasis cannot be ruled out. In addition, multiple left axillary lymph nodes are enlarged, suspicious of metastasis.
There is tumor formation in the head of the left humerus and in the scapula, suggesting bone metastasis.

TNM staging: T4 N2 M1c
Radiology report:
There is a tumor with a long diameter of 50 mm in the right lung apex with spiculated margins. The morphology suggests lung cancer. Emphysematous changes in both lungs. 
No pathological lymph node enlargement. No pleural effusion.
No coarse lesions in the upper abdomen.

TNM staging: T2b N0 M0
Radiology report:
A tumor that has become a conglomerate with the hilar lymph nodes is seen on the central side of the left upper lobe. The left upper lobe bronchus is obstructed, and atelectasis is present, making it difficult to measure the size of the tumor. The tumor protrudes into the mediastinum, suggesting mediastinal invasion.
There is enlargement of the mediastinal lymph nodes on the same side, suspicious of metastasis.
A small amount of pleural effusion on the left, which might be malignant pleural effusion.

TNM staging: T4 N2 M0
Radiology report:
An irregular mass of 30 mm in size is observed in the right lower lobe, considered to be the suspected lung cancer. 
A pure GGN is present in the left lung apex, which should be checked in follow-up. 
Striated opacities suspicious of inflammatory scars are seen in both lower lobes. 
No significant lymph node enlargement in the mediastinum. 
There is no pleural effusion.

TNM staging: T1c N0 M0
Radiology report:
There is a small subpleural nodule in the right upper lobe of the lung, S3, possibly lung cancer.
There are subpleural reticular opacities of both lungs, suspecting interstitial pneumonia.
The right hilar, ipsilateral, and contralateral mediastinal lymph nodes are enlarged, considered to be lymph node metastasis.
No pleural effusion.
No liver or adrenal metastasis.
No gross abnormalities in the visualized abdominal organs.

TNM staging: T0 N3 M0
Radiology report:
Compared with the CT from August 2012.
A nodule of about 12 mm in diameter is located in S9 of the right lower lobe. In the CT from August 2012, a focal ground-glass opacity was seen in the same area, which seems to be progressing. Lung cancer is known, and this lesion is considered cancerous based on the progression.
Centrilobular emphysema is observed mainly in the upper lung.
Mild interstitial changes are observed mainly in the periphery of both lower lobes.
There are no obvious metastases or other active lesions in the lungs.
There is no significant lymph node enlargement in the mediastinum or hilum.
There is no pleural effusion. There is thickening with calcification in the left pleura, suggesting pleural plaques.
Arteriosclerotic changes.
Gallstones. There are no other obvious abnormalities in the visualized upper abdomen.
No ascites.
No other significant findings.

TNM staging: T1b N0 M0
Radiology report:
Emphysema is observed.
Subpleural reticular opacities and ground-glass opacities are seen in both lower lobes, suggesting interstitial changes.
There is a solid subpleural tumor with a long diameter of 1.2 cm of the right lower lobe. Compared to the previous examination, it has increased in size, suggesting primary lung cancer. It is considered T1b.
No enlargement of the mediastinal and axillary lymph nodes.
No pleural effusion.
Calcified pleural thickening, suggesting pleural plaques.
Coronary calcification.
No tumorous lesions in the liver and adrenal glands.
Gallstones.
No significant findings in the visualized abdominal organs.

TNM staging: T1b N0 M0
Radiology report:
No comparable imaging studies are available. 
A tumor mass measuring 12 cm in diameter is observed in the left lung apex. The tumor extends to the chest wall and ribs, accompanied by bone destruction. This is considered indicative of lung cancer with chest wall invasion. 
No obvious metastasis or other active lesions in the lung field. 
Enlarged lymph nodes in the left hilum and mediastinum, suggesting possible metastasis. 
No other significant lymph node enlargement visualized. 
No pleural effusion. 
No obvious abnormalities in the visualized upper abdomen. 
No ascites. 
No other significant findings.

TNM staging: T4 N2 M0
Radiology report:
No comparable imaging studies are available. A lobulated tumor mass, approximately 30 mm in diameter, is present in S8 of the right lower lobe of the lung, accompanied by a slight ground-glass opacity in its periphery. This is considered to be a finding of known lung cancer. Multiple pure GGNs up to about 10 mm are found in the upper and lingular segments of the left lung, which can't be ruled out as neoplastic lesions such as atypical adenomatous hyperplasia (AAH). There are no obvious metastases or other active lesions in the lungs. There is no significant lymph node enlargement in the mediastinum or hilum. There is no pleural effusion. There are no obvious abnormalities in the visualized upper abdomen. No ascites. No other significant findings.

TNM staging: T1c N0 M0
Radiology report:
A nodular infiltratative opacity of 30 mm in diameter is present in the right lower lobe S8, corresponding to known lung cancer. It is in extensive contact with the interlobar pleura, suggesting infiltration. No findings suspicious of metastasic nodules are observed in both lungs. Striated opacities are present in both lower lobes, likely inflammatory scarring.
No significant enlargement of the mediastinal or hilar lymph nodes, or other mediastinal organ lesions.
No pleural effusion.
No obvious abnormalities in the visualized upper abdomen.

TNM staging: T2a N0 M0
Radiology report:
A nodular mass measuring 1.7 cm in diameter is found in the right main bronchus. No lesions are seen in the bronchial bifurcation, thus the tumor is considered T2. Obstructive atelectasis is present. No significant findings in other lung segments. Lymph nodes in the left supraclavicular fossa are enlarged, suspecting N3. Pleural effusion on the right. Please rule out malignant pleural effusion after confirming with cytology. No significant findings in the visualized abdominal organs.

TNM staging: T2a N3 M0
Radiology report:
There is a nodule measuring 17 mm in diameter in the right main bronchus, which correlates to the known mucinous squamous cell carcinoma. The right lower lobe bronchus is obstructed. The right lower lobe is collapsed. A small amount of pleural effusion on the right. No secondary tumor nodules in the ventilated lung. There is a hypodense nodule directly below the left lobe of the thyroid, possibly lymph node metastasis.
No significant enlargement of other mediastinal and hilar lymph nodes, or other mediastinal organic lesions.
No pleural effusion.
No obvious abnormalities in the visualized upper abdomen.

TNM staging: T2a N3 M0
Radiology report:
A tumor with a major axis of 12 cm is located in the upper and lower lobe of the left lung, suspecting lung cancer. The tumor is destroying the third rib and infiltrating the chest wall. Also, mediastinal infiltration is suspected, and it is in close proximity to the aortic arch. There is a small nodule in the peripheral left upper lobe, a metastatic nodule cannot be ruled out. The left hilar and ipsilateral mediastinal lymph nodes are enlarged, suspicious of metastasis.

TNM staging: T4 N2 M0
Radiology report:
Moderate chronic pulmonary emphysema. An irregular tumor with a long diameter of 47 mm is seen in the left upper lobe at the pulmonary hilum, suspicious primary lung cancer. It is in extensive contact with the interlobar pleura, suggesting infiltration. Mediastinal fat infiltration is also suspected. No significant enlargement of mediastinal and hilar lymph nodes or other mediastinal organ lesions. No pleural effusion. No obvious abnormalities in the visualized upper abdomen.

TNM staging: T4 N0 M0
Radiology report:
A soft tissue mass in the right hilum correlating to the suspected malignant tumor. The right lower lobe is atelectatic.
A nodule is seen above the left clavicle, possibly lymph node metastasis.
A small amount of pleural effusion on the right.

TNM staging: T2a N3 M0
Radiology report:
There is a lobulated tumor with a maximum diameter of 40 mm in S6 of the right lower lobe. It is surrounded by a ground-glass opacities, and it is considered to be lung cancer. There is a tubular structure continuous with the tumor, and its lumen is enhanced. There is a possibility that the tumor has infiltrated the bronchus. There is a focal ground-glass opacity in the right upper lobe, which could be a finding of lung cancer. No mediastinal lymph node enlargement. No pleural effusion. There are multiple hypodense tumors in the liver, considered to be multiple liver metastases.

TNM staging: T2a N0 M1c
Radiology report:
There is a lobulated irregular tumor measuring 46 mm in the right lung apex, which is considered to be known of lung cancer. The right mediastinal lymph nodes are enlarged, suggesting metastasis. The left adrenal gland is significantly enlarged, possibly metastasis. No pleural effusion.

TNM staging: T2b N2 M1b
Radiology report:
Enlarged lymph nodes in the right pulmonary hilum and the mediastinum, raising suspicion for lung cancer. Small lymph nodes can also be seen in the left mediastinum, but their size is not significant. 
There is a nodule in the right upper lobe, considered to be a secondary tumor nodule within the same lobe.
Ground-glass opacities and reticular opacities are distributed mainly in the lower lung and subpleural area on the right, consistent with interstitial pneumonia. 
No pleural effusion.
The patient has a history of right breast cancer treatment. No obvious local recurrence or axillary lymph node enlargement.
The left adrenal gland is enlarged with an obvious tumor mass, but please follow up to rule out metastasis.
No obvious metastasis in the liver, gallbladder, pancreas, spleen, or kidneys.

TNM staging: T3 N2 M0
Radiology report:
There is a 12 mm subpleural nodule of the right lower lobe in S9, surrounded by ground-glass opacity. Compared to the CT in August 2012, it has increased in size, and we suspect lung cancer. There are subpleural reticular opacities and ground-glass opacities in both lungs, consistent with interstitial pneumonia. There is a cavitary lesion in the right lower lobe S6, which may be a post-inflammatory change. No pleural effusion. No lymph node enlargement. Gallstones. No other gross abnormalities in the visualized abdominal organs.

TNM staging: T1b N0 M0
Radiology report:
Emphysema and interstitial changes in both lungs. Thickening and calcification of the pleura on both sides. Asbestosis seems to be present.
An irregular subpleural nodule is found in the right lung in S9 (approximately 12 mm), possibly primary lung cancer associated with asbestosis.
Multiple mediastinal lymph nodes, but considering the size of the lung cancer, lymph node hyperplasia related to asbestosis or chronic inflammation is more likely.

TNM staging: T1b N0 M0
Radiology report:
A dense ground-glass opacity measuring 30 mm in diameter is located in S8 of the right lower lung lobe. It is somewhat indistinct and partially lobulated. It is considered to be consistent with a cancerous lesion. No clear pleural invasion.
Multiple ground-glass opacities of several millimeters in both upper lung lobes, possibly pre-cancerous lesions, recommended for follow-up.
No lesions suggestive of lung metastasis.
A cord-like opacity is observed in the left lower lung lobe, considered to be a finding of old inflammatory changes.
No pathological enlargement of the mediastinal and hilar lymph nodes.
No pleural effusion.
No significant abnormalities in the visualized upper abdomen.
No bone destruction or sclerotic lesions suggestive of metastasis in the visualized bones.

TNM staging: T1c N0 M0
Radiology report:
Plaques with some coarse calcification are scattered on both pleurae, suggesting asbestos-related pleural disease. Mild emphysematous changes of the lung parenchyma. Ground-glass opacities and reticular opacities are seen in the peripheral lung parenchyma, predominantly in the lower lobes on both sides, suggesting interstitial pneumonia. An irregular nodule is present on the pleura of the right lower lobe, with a long diameter of 12 mm, which is considered to be the indicated cancer lesion. No pleural invasion. No lesions suggesting lung metastasis. There is no pathological enlargement of the mediastinal and hilar lymph nodes, or the supraclavicular lymph nodes. No pleural effusion. No metastasis in the visualized liver and adrenal glands. Gallstones. No signs of cholecystitis. No bone destruction or sclerotic lesions suggesting bone metastasis.

TNM staging: T1b N0 M0
Radiology report:
There is a lobulated tumor with a maximum diameter of 46 mm in the right lung apex. It is accompanied by a ground-glass opacity around it. The tumor is considered to be lung cancer. No pleural effusion. The right hilar, ipsilateral, and contralateral mediastinal lymph nodes are enlarged, suspicious of lymph node metastasis. No pleural effusion. The left adrenal gland is enlarged, suspicious of adrenal metastasis.

TNM staging: T2b N3 M1b
Radiology report:
Emphysema.
There is a solid mass with a maximum diameter of 47 mm in the upper lobe of the left lung, without any air inside, suspicious of primary lung cancer. Invasion of the visceral pleura is suspected. There are no findings suggesting lung metastasis.
No pathological lymph node enlargement in the mediastinum or hilum.

TNM staging: T2b N0 M0
Radiology report:
Emphysematous changes of the lung parenchyma.
A tumor with a diameter of 40 mm is located in the lower lobe of the right lung. It has a lobulated shape, and lung cancer is strongly suspected. There are multiple granular opacities and mucus plugs in the periphery, which are considered to be signs of obstructive pneumonia. 
Ground-glass opacities in both upper lobes of the lungs. Small nodules are scattered along the pleura of the left lung. Both are suspected to be post-inflammatory changes. 
No lesions suggestive of lung metastasis.
Multiple rounded lymph nodes in the upper mediastinum without pathological enlargment, but likely to be metastases. 
No pleural effusion. 
A faint hyperdense stone with a diameter of 13 mm is observed in the lower part of the common bile duct. The upstream bile duct is dilated, which is considered to be due to stone impaction. 
Numerous gallstones. The gallbladder is enlarged and its wall is thickened, possibly with accompanying inflammation.
Multiple poorly defined hypodense tumors in the liver, primarily suspicious of metastes, but coexistence of liver abscesses is also considered.
Multiple enlarged, nearly round lymph nodes in the porta hepatis, possibly metastases.
No pathological enlargement of other abdominal lymph nodes. 
No lesions suggestive of adrenal metastasis.
There is a cyst in the left kidney. 
No significant abnormalities in the pancreas and spleen. 
No obvious tumors in the gastrointestinal tract. 
Ascites. 
No bone destruction or sclerotic lesions strongly suggestive of metastasis in the visualized bones.

TNM staging: T2a N2 M1c
Radiology report:
A tumor with a major axis of 4.6 cm is located in the right lung apex, surrounded by spiculated opacities. Primary lung cancer is suspected. Pleural invasion is present at the lung apex, considered as T3.
Bullae are scattered in the left upper lobe of the lung.
Enlargement of the mediastinal lymph nodes in level 4R, suspecting metastasis. No enlargement of the lymph nodes on the opposite side, considered as N2.
No pleural effusion.
There is a tumor with a major axis of 5.8 cm in the left adrenal gland, suspicious of metastasis. No other lesions suspected of metastasis, considered as M1b.
No other significant findings in the visualized abdomen.

TNM staging: T3 N2 M1b
Radiology report:
A lobulated irregular mass of about 3 cm is located in the subpleural area of the peripheral right lung lower lobe in S8. The main component is solid, but ground-glass opacities can also be seen in its periphery. Pleural retraction is also observed. Primary lung cancer is suspected.

TNM staging: T1c N0 M0