RadNLP/RadNLP2024_main_task huggingface dataset:
Radiology report:
Complete atelectasis of the left upper lobe.
74 mm mass with poor contrast enhancement, obstructing the left upper lobe bronchus, considered to be lung cancer. 
Enlargement of the left pulmonary hilum and ipsilateral mediastinal lymph nodes, suggesting lymph node metastases.
Enlarged lymph nodes on the right side of the trachea, also suspected to be lymph node metastases. The left lower lobe bronchus is also infiltrated by the tumor and is narrowed. 
No pleural effusion. 
Normal appearance of the visualized upper abdomen.

TNM staging: T4 N3 M0
Radiology report:
Tumorous lesion with a diameter of 30 mm in the right lower lobe, S8. Its margin is spiculated. There is a possibility of lung cancer, so thorough examination in pulmonary medicine is recommended. 
Cord-like opacity in the left lower lobe, similar to an inflammatory scar.
Enlargement of a right hilar lymph node is suspected. No pleural effusion.

TNM staging: T1c N0 M0
Radiology report:
Pulmonary mass with a diameter of 5 cm in the right lung apex with spiculated margins, suspicious of lung cancer. Infiltration to the parietal pleura, suggesting T3. 
No significant findings in the other lobes.
No mediastinal or hilar lymph node enlargement.
No pleural effusion.
The left adrenal gland is enlarged, likely an adenoma.
No significant findings in other abdominal organs.

TNM staging: T3 N0 M0
Radiology report:
Tumorous lesion with a maximum diameter of 72 mm in the left lower lobe, suspicious of lung cancer. 
The left lower lobe bronchus is infiltrated by the tumor, and there are infiltrative opacities around the tumor. 
Associated obstructive pneumonia in the left lower lobe. 
The left hilum and ipsilateral mediastinal lymph nodes are enlarged, suspicious of lymph node metastases. 
The left axillary lymph nodes are enlarged, suspicious of lymph node metastases. 
Small amount of pleural effusion on the left. 
Osteolytic lesions in the proximal end of the left humerus and the left scapula, suspicious of bone metastases. 
Cystic lesion in the midline skin of the back, possibly a sebaceous cyst.

TNM staging: T4 N2 M1c
Radiology report:
Prominent emphysematous changes. Irregular lobulated mass with a maximum diameter of 47 mm in the left upper lobe, with noticeable spiculated margins and pleural indentation. This correlates to a known lung cancer with pleural invasion. Hilar lymph nodes appear conglomerated. No other pathological lymph node enlargement. No pleural effusion.

TNM staging: T2b N0 M0
Radiology report:
Solid mass with a diameter of 3 cm in the lower lobe of the left lung with spiculated margins, suspicious of primary lung cancer. A small nodule of 0.8 cm in size is seen within the same lobe, considered as T3. 
No significant findings in the other lobes.
Enlargement of the left hilar lymph nodes, suspicious of metastasis. No lymph node metastasis in the mediastinum or on the opposite side, considered as N1.
No pleural effusion.
A small nodule in liver S5. It is a single lesion, but there is a possibility of metastasis.
Bilateral renal cysts.
No significant findings in the gallbladder, pancreas, or spleen.
No enlargement of the abdominal lymph nodes.
No ascites.

TNM staging: T3 N1 M1b
Radiology report:
A 12 mm subpleural nodule in the right lower lobe, believed to be a finding of the known lung cancer. Interstitial pneumonia is suspected in both lungs. No pathological lymph node enlargement. No pleural effusion. Gallstones.

TNM staging: T1b N0 M0
Radiology report:
A solid mass of approximately 30 mm is observed in the lower lobe of the left lung, suspicious of lung cancer. There is a 9 mm nodule in its vicinity, and an 8 mm nodule in S8, suspicious of same-side intralobar metastases. Multiple soft tissue lesions spreading from the left pulmonary hilum to the mediastinum are suspicious of lymph node metastases. Multiple nodular lesions with ill-defined borders in the liver, suspicious of liver metastases.

TNM staging: T3 N2 M1c
Radiology report:
An irregular mass of 35 mm is observed in the left lower lobe, suspicious of lung cancer. In addition, a nodular shadow is seen on the ventral side of the above lesion, possibly a pulmonary metastasis. Enlarged lymph nodes are observed in the left hilum, suggesting metastases. No pleural effusion. A hypovascular lesion is observed in the liver S5, which appears to be continuous with the gallbladder, suspicious of metastasis, or possibly gallbladder cancer. Please evaluate in conjunction with clinical findings. A cyst in the left kidney. No ascites.

TNM staging: T3 N1 M1b
Radiology report:
A 30 mm diameter tumor is observed in the right lower lobe, suspicious of lung cancer. Accompanied by interlobar pleural indentation, visceral pleural invasion might be present. There are multiple focal ground-glass opacities in both upper lobes, recommended for follow-up. No significant lymph node enlargement in the hilum or mediastinum. No pleural effusion.

TNM staging: T1c N0 M0
Radiology report:
There is a tumor with a maximum diameter of 47 mm in the upper left lobe. It has infiltrated the lower lobe, crossing the interlobar pleura. The hilar lymph nodes are fused with the tumor. No enlargement of the mediastinal lymph nodes is observed. There is no pleural effusion. No liver or adrenal metastasis is observed. No significant abnormalities are observed in the visualized abdominal organs.

TNM staging: T2b N1 M0
Radiology report:
Emphysematous changes.
A 47 mm irregular mass in the left upper lobe, suspicious of lung cancer. Possible invasion into the left pulmonary artery, as far as can be assessed with CT to a limited extent. The mass is also close to the aortic arch.
A small nodule is present in the right middle lobe, possibly inflammatory or metastasis, re-evaluation recommended in follow-up.
No significant mediastinal lymph node enlargement.
No pleural effusion.

TNM staging: T2b N0 M0
Radiology report:
S/P resection of right breast cancer. No sign of local recurrent tumor. Multiple masses are scattered in the mediastinum and right hilum. Lymph node metastasis is suspected. Differential diagnosis includes right hilar lung cancer and lymph node metastasis. Subpleural nodules in the right upper lobe, possibly metastases. Predominantly subpleural interstitial changes such as reticular and linear opacities in the lower lobe. No pleural effusion. Hepatosplenomegaly.

TNM staging: T3 N2 M0
Radiology report:
A tumor with a major axis of 1 cm, which obstructs the airways from the right main bronchus to the lower lobe bronchus, is observed at the right hilum, suspecting known lung cancer. Possible fusion of the mass with right hilar and subcarinal lymph nodes. 
Atelectasis of the right lower lobe. There is a possibility that lung cancer may also be present here, but it is not conclusively assessable.
Pleural effusion in the right chest.
Ground-glass opacities in both lungs, suggesting pulmonary edema.

TNM staging: T2a N2 M0
Radiology report:
A nodule measuring 12 mm in diameter in the right lower lobe S8/9, increasing in size, suspected to be a known lung cancer. Reticular opacities present in the right S6, likely inflammatory changes. Calcified pleural plaques  on both sides, suggesting the possibility of asbestos-related disease. No significant enlargement of the mediastinal and hilar lymph nodes or other mediastinal lesions. No pleural effusion. Gallstones.

TNM staging: T1b N0 M0
Radiology report:
Signs of chronic pulmonary emphysema.
An irregular tumor with a long diameter of 48 mm in the right lung apex, suspicious of primary lung cancer. 
It is in contact with the pleura of the right lung apex, suspecting visceral pleural invasion. 
No secondary tumor nodules.
Several enlarged hilar and mediastinal lymph nodes on the right side, suspecting metastases. 
No pleural effusion. 
A tumor in the upper part of the left adrenal gland, suspicious of adrenal metastasis.

TNM staging: T2b N2 M1b
Radiology report:
Emphysematous changes.
A mass is observed in the center of the left upper lobe. The left upper lobe bronchus is interrupted proximally, and irregularity and narrowing are observed in the left pulmonary artery and vein, which are partially interrupted. The mass corresponds to the known lung cancer.
The left upper lobe is collapsed and the exact tumor size is not assessable conclusively, but the long diameter is considered to be slightly over 7 cm. 
A spindle-shaped small nodule is observed in the right lower lobe, likely an inflammatory scar.
No signs of lung metastases.
Enlarged lymph nodes are observed in the left hilum and on the left side of the aortic arch. The latter is 9 mm in short diameter, nearly spherical, suspicious of metastasis. 
No pleural effusion. 
No lesions suspected of metastasis in the visualized liver and adrenal glands.

TNM staging: T4 N2 M0
Radiology report:
A mass, approximately 12 cm in diameter, is observed primarily in the upper lobe of the left lung, extending across the interlobar pleura to the lower lobe of the left lung. The tumor is widely in contact with the mediastinum and pleura. Osteolytic changes are observed in the left third rib, suggesting infiltration. Enlarged lymph nodes are observed in the left hilum and near the aorta, suspicious of metastasis. Several nodules of a few millimeters are observed in the upper lobe of the left lung, possibly metastasis. No lesions suspicious of metastasis in other lung fields. There is no pleural effusion. No lesions suspicious of bone metastasis.

TNM staging: T4 N2 M0
Radiology report:
Findings of chronic pulmonary emphysema. An irregular tumor with a long diameter of 35 mm in the left lower lobe S6, suspicious of primary lung cancer. Small nodules suspected of being peritumoral nodules are observed around the tumor. Enlargement of the left hilar lymph nodes, suspicious of metastasis. No pleural effusion. A hypodense nodule in the liver S5, suspicious of liver metastasis. Bilateral renal cysts. No significant intra-abdominal or retroperitoneal lymph node enlargement. No soft tissue lesions suspected of disseminated metastases, and no ascites.

TNM staging: T3 N1 M1b
Radiology report:
46 mm mass in the right upper lobe, suspicious of lung cancer. The tumor protrudes into the subpleural adipose tissue, suggesting pleural invasion on the parietal side. 
Enlargement of the mediastinal lymph nodes on the same side. Although not significant in size, the lymph nodes on the opposite side are also slightly enlarged. 
There are bullae in the apices of both lungs. 
No pleural effusion. 
There is a tumor in the left adrenal gland, suspicious of metastasis.

TNM staging: T3 N2 M1b
Radiology report:
A tumor with a diameter of 12 cm is observed spreading across the upper and lower lobe of the left lung, corresponding to known lung cancer. It is in extensive contact with the pleura and is accompanied by the destruction of the left 3rd rib. Rib and parietal pleural infiltration is suspected. There are small nodules in the left upper lobe, suspicious of secondary tumor nodules. The left mediastinal and bilateral hilar lymph nodes are enlarged, suspicious of metastasis. No pleural effusion. No obvious abnormalities are observed in the visualized upper abdomen.

TNM staging: T4 N3 M0
Radiology report:
A nodule protruding into the lumen of the right main bronchus and the intermediate bronchus, considered to be a known cancer lesion. The longest diameter is 17 mm. Due to this, the right middle lobe bronchus and right lower lobe bronchus are obstructed, and the right middle and lower lobes of the lung are collapsed. No significant abnormalities in other areas of the lung. There is no pathological enlargement of the mediastinal and hilar lymph nodes. A small amount of right pleural effusion. No significant abnormalities in the visualized upper abdomen. No destruction or sclerosis that would be suspicious of metastasis in the visualized bones.

TNM staging: T2a N0 M0
Radiology report:
No comparable imaging studies available. A lobulated tumor mass, approximately 47 mm in diameter, in the hilum of the left upper lobe, which is considered to be a known finding of lung cancer. The lesion appears to surround the bronchus of the left upper lobe, suggesting bronchial stenosis. Expansion into the mediastinum is also suspected, and the boundary with the left main pulmonary artery cannot be assessed conclusively on the current CT. Please consider evaluation with contrast-enhanced CT. 
No significant lymph node enlargement in the mediastinum or hilum. 
No pleural effusion. 
No obvious abnormalities in the visualized upper abdomen. 
No ascites. 
No other significant findings.

TNM staging: T4 N0 M0
Radiology report:
A large tumorous lesion (primary focus 12 cm), centered in the upper lobe of the left lung. There is extensive contact with the visceral pleura, and pleural invasion is suspected. Some subpleural adipose tissue is irregular, and invasion into the chest wall is also suspected. The cortical bone of the left third rib is also irregular, suspicious of rib invasion.
No pulmonary metastasis.
Enlargement of the left hilum and mediastinal lymph nodes, suspicious of metastasis.

TNM staging: T4 N2 M0
Radiology report:
A mass of approximately 74 mm is observed in the upper lobe of the left lung, not containing any air. Primary lung cancer is suspected. The central bronchus is obstructed by the tumor, leaving the upper lobe of the left lung in an almost completely atelectatic state. 
No pulmonary nodules. There are no findings suggesting lung metastasis.
Infiltration into the left hilar lymph nodes is suspected. There is no mediastinal lymph node enlargement.
No distant metastasis visualized.

TNM staging: T4 N1 M0
Radiology report:
Emphysema.
A mass with a maximum diameter of 4.7 cm in the upper lobe of the left lung. The tumor has a lobulated shape and spiculated margins, suggesting primary lung cancer. Infiltration into the mediastinal fat is observed, raising suspicion for T4.
No tumorous lesions in other lung fields.
On non-contrast CT, no pathological enlargement is observed in the pulmonary hilum, mediastinum, or supraclavicular lymph nodes.
No pleural effusion.
No significant findings in the visualized abdomen.

TNM staging: T4 N0 M0
Radiology report:
A lobulated tumor with a diameter of 40 mm in the right lower lobe, suspicious of primary lung cancer. There is bronchiectasis with mucus retention below the tumor. Ground-glass opacities in the right upper lobe, likely inflammatory.
Enlargement of the right hilar and mediastinal lymph nodes, suspicious of metastasis.
No pleural effusion.
Multiple hypodense nodules in the liver, suspicious of metastasis.
Dilation of the common bile duct and intrahepatic bile duct.
Renal cysts.

TNM staging: T2a N2 M1c
Radiology report:
A lobulated mass containg a cavity of 30 mm in diameter in the lower lobe of the left lung. Traction of the interlobar fissure and a spiculated margin are also observed. The mass is considered to be the known lung cancer. A secondary tumor nodule is suspected within the same lobe.
The left hilar lymph node is enlarged.
No obvious metastasis in the upper abdomen.

TNM staging: T3 N0 M0
Radiology report:
A mass with a maximum diameter of 7.2 cm in the lower lobe of the left lung, suspicious of lung cancer. It is considered T4.
Stenosis of the airway caused by the tumor, and an increased density in the peripheral lung field, suspecting obstructive pneumonia.
Thickening of the pleura adjacent to the tumor and a small amount of pleural effusion. Pleural invasion and malignant pleural effusion are suspected.
No tumorous lesions in other lung fields.
Enlargement of a mediastinal lymph node level 4L is observed. It is considered N2.
Osteolytic lesions in the left humerus and scapula, suspicious of metastasis.
Metastasis is also observed in the left axillary lymph nodes. This is distant metastasis.
No significant findings in the visualized abdominal organs.
A subcutaneous lesion suspected of being a sebaceous cyst on the back.

TNM staging: T4 N2 M1c
Radiology report:
There is a 17 mm protruding lesion in the right bronchial lumen. 
It is considered to be the known lesion.
The right upper lobe bronchus is patent, but the bronchus intermedius is obstructed by the tumor. Atelectasis is evident in the right middle and lower lobes.
There is a small amount of pleural effusion on the right.
The right hilum and ipsilateral mediastinal lymph nodes are enlarged, considered to be lymph node metastases.

TNM staging: T2a N2 M0
Radiology report:
A 12 mm nodule is observed in the right lower lobe, which has increased in size compared to the CT in August 2012, possibly lung cancer.
Ground-glass opacities and reticular opacities are seen mainly in the subpleural area of the lower lung field, suggesting interstitial pneumonia. 
No significant lymph node enlargement in the hilum and mediastinum, as far as this can be assessed on non-contrast CT.
Thickening and calcification of the left pleura, suggesting pleural plaques. 
No pleural effusion. 
Gallstones.

TNM staging: T1b N0 M0
Radiology report:
A tumor with a major axis of 12 cm in the left upper lobe of the lung. Infiltration of the aortic arch and pulmonary artery is suspected. This is considered T4.
Enlargement of the left pulmonary hilum and a mediastinal lymph node in level 6 is observed, suspicious of metastases. This is considered N2.
No pleural effusion is observed.
Bone destruction due to the tumor is observed in the left 3rd rib. No findings suggesting distant metastasis to the visualized bones.
No significant findings in the visualized abdomen.

TNM staging: T4 N2 M0
Radiology report:
No comparable imaging studies are available.
There are multiple enlarged lymph nodes with heterogeneous enhancement in the right hilum and mediastinum. S/P resection of right breast cancer, but there is no significant lymph node enlargement in other areas, suggesting lymph node metastasis of small cell lung cancer.
Nodules of about 1 cm in the right upper lobe and 5 mm in the right lower lobe. Although there is a possibility of primary or metastatic lesions, the polygonal shape suggests benign lesions such as old granulomas.
Interstitial changes such as ground-glass opacities, reticular opacities, and cystic changes are seen on the dorsal side of both lower lobes.
No other obvious active lesions in the lung field.
Postoperative changes in the right breast. No obvious tumors or abnormal enhancement at the resection site or in the left breast.
There is no pleural effusion.
A hypodense lesion in the right lobe of the thyroid gland. Correlation with ultrasound recommended.
No obvious abnormalities in the visualized upper abdomen.
There is no ascites.
No other significant findings.

TNM staging: T0 N2 M0
Radiology report:
There is an irregular mass with a diameter of 50 mm in the apex of the right lung. It appears to protrude into the subpleural adipose tissue near the origin of the right second rib, and pleural invasion on the visceral side may be present. The right hilum and mediastinal lymph nodes are slightly enlarged, but not of significant size. Emphysematous changes in the lungs. There are subpleural ground-glass and reticular opacities, which are considered to be interstitial changes. No pleural effusion.

TNM staging: T2b N0 M0
Radiology report:
Mass of 72 mm in the left lower lobe, suspicious of lung cancer. Infiltratative opacities and ground-glass opacities are seen on the peripheral side, suggesting obstructive pneumonia. Enlarged lymph nodes in the mediastinum, above the left clavicle, and in the left axilla, suggesting metastases. Small amount of left pleural effusion. Osteolytic lesions in the left scapula and humerus, suspicious of metastases. Subcutaneous lesion on the back, which is considered to be a sebaceous cyst or similar.

TNM staging: T4 N3 M1c
Radiology report:
Pulmonary emphysematous changes. 
There is an irregularly margined mass in the lower lobe of the left lung, approximately 35 mm in diameter, considered to be the known lung cancer. 
Apart from this tumor, a nodule of 8 mm in diameter is present in the left lower lobe, suspicious of metastasis. 
No other lesions suggesting lung metastasis. 
Pathologically enlarged lymph nodes in the left hilum, suspicious of metastasis. 
No pathological enlargement of lymph nodes in the mediastinum or supraclavicular fossa. 
No pleural effusion is present. 
In the liver, two hypovascular tumors with ill-defined margins are observed in the gallbladder bed, suspicious of metastasis. 
These tumors are in contact with the gallbladder, and diffuse wall thickening is observed in the gallbladder. Therefore, infiltration into the gallbladder is considered. 
No lesions suggestive of adrenal metastasis. 
Bilateral renal cysts. 
No significant abnormal findings in other abdominal organs. 
No pathological enlargement of abdominal lymph nodes. 
No ascites is present. 
No bone destruction or sclerotic lesions suggestive of bone metastasis.

TNM staging: T3 N1 M1c
Radiology report:
A lobulated tumor mass with a diameter of 40 mm is present in segment S6 of the right lower lobe of the lung, suspicious of lung cancer. A ground-glass nodule with lobulated margins is present in segment S2 of the right upper lobe, which may also be lung cancer (adenocarcinoma in situ).
Emphysematous changes in the lung. No metastases or other lesions in the lungs.
The right upper paratracheal lymph node is enlarged, suggesting metastasis. Enlarged lymph nodes are also suspected at the right hilum.
A small amount of pleural effusion is present.
Multiple hypodense tumors are found in the liver. Gallstones and common bile duct stones are found, and the intrahepatic bile ducts and the common bile duct are dilated. There are no CT findings suggesting biliary tumors such as thickening of the bile duct wall, and liver metastasis from lung cancer is more likely.
Multiple enlarged lymph nodes at the hepatic hilum, which also suggests the possibility of metastasis.
There are no obvious abnormalities in the pancreas, spleen, kidneys, adrenal glands, or pelvic organs.
Ascites is present.

TNM staging: T2a N2 M1c
Radiology report:
Moderate emphysematous changes in the lungs.
An irregularly margined tumor is observed in the central part of the left upper lung lobe. The margins are spiculated and the tumor has a maximum diameter of 47 mm. It is considered to be the known lung cancer. The tumor is  in broad contact with the interlobar pleura.
The left pulmonary artery upper lobe branch is in broad contact with the tumor, and infiltration is suspected.
The left upper lobe bronchus is compressed and narrowed by the tumor.
There are scattered tiny nodules in both lung fields. Due to their small size, differentiation is difficult. Many are rectangular, and are mostly considered benign lesions, but it is possible that some of them are metastases.
No pathological enlargement in the mediastinal and hilar lymph nodes.
No pleural effusion.
No gross lesions in the visualized upper abdomen, as far as can be assessed by CT.
No bone destruction or bone sclerosis suggesting metastasis visualized.

TNM staging: T2b N0 M0
Radiology report:
Mild emphysematous changes of the lungs are present. 
The left upper lobe is atelectatic. An irregular soft tissue mass is located centrally, suggesting the possibility of lung cancer. There is a possibility of infiltration into the mediastinum.
Left hilar lymph nodes are enlarged, suggesting the possibility of metastasis. Enlarged lymph nodes are also suspected in the same side mediastinum, suggesting the possibility of metastasis.
A small amount of left pleural effusion is present.

TNM staging: T4 N2 M0