RadNLP/RadNLP2024_main_task huggingface dataset:
Radiology report:
Multiple tumors are present, spreading from the right hilum to the mediastinum. It is considered to be known small cell carcinoma and its metastases. The size of the primary tumor is unknown.
There is a pleura-based nodule in the right upper lobe, suspicious of metastasis.
Reticular opacities are located in the peripheral lung parenchyma, predominantly in the lower lobe. Interstitial pneumonia is suspected.
No findings suggesting recurrence of breast cancer or lymph node metastasis in both breasts, parasternal, axillary, and supraclavicular fossa.
No pleural effusion.
No lesions suspected of metastasis in the visualized upper abdomen.
No bone destruction or bone sclerosis suggesting bone metastasis.

TNM staging: T3 N2 M0
Radiology report:
There is a nodule of 17 mm in diameter in the right main bronchus, which appears to be part of the known mucinous squamous cell carcinoma. The right lower lobe branch is obstructed, causing atelectasis of the lower lobe. Pleural effusion on the right. No pathological lymph node enlargement. No significant lesions in the visualized upper abdomen.

TNM staging: T2a N0 M0
Radiology report:
There is a large 12 cm hypodense tumor in the left upper lobe, considered to be lung cancer. It is widely in contact with the pleura on the mediastinal side, and pleural invasion is suspected. There is no direct invasion to the mediastinum. The left pulmonary hilum and ipsilateral mediastinal lymph nodes are enlarged, suspicious of metases. The left third rib is directly invaded by the tumor. No pleural effusion. No adrenal metastasis.

TNM staging: T4 N2 M0
Radiology report:
There is a noticeable chain-like lymph node enlargement in the mediastinum, which is believed to be a known lymph node lesion. A small nodule is observed in the right upper lobe. Could this be a primary lung cancer lesion? No pleural effusion.

TNM staging: T0 N2 M0
Radiology report:
A solid tumor-like lesion of approximately 72 mm is located in the center of the left lung's lower lobe, S10. Primary lung cancer is suspected. It is in contact with the pleura, and pleural invasion is suspected. Pleural effusion and pleural thickening are noted, suspecting pleural dissemination.
There are nodules in the upper lobe of the left lung, suspicious of intra-lobe metastasis on the same side.
Numerous enlarged lymph nodes in the left axilla, suspicious of distant lymph node metastases.
Osteolytic lesions in the left scapula and humerus, forming tumor-like masses, suggesting bone metastases.
A nodule is observed in the mid-dorsal subcutaneous area, which is cystic, and a sebaceous cyst is suspected here.

TNM staging: T4 N0 M1c
Radiology report:
There is a 50 mm neoplastic lesion with spiculated margins in the right lung apex. It is widely in contact with the pleura, and pleural invasion is suspected. There is no invasion to the ribs. Both lungs have subpleural reticular opacities and ground-glass opacities, suggesting interstitial pneumonia. No lung metastasis. No pleural effusion. No liver or adrenal metastasis.

TNM staging: T2b N0 M0
Radiology report:
In the coronary reconstruction images, mixed ground-glass opacity (GGO) is observed in the right lower lobe of the lung, considered to be the known lung cancer. The solid part is 3 cm in diameter, which is considered T1c.
A ground-glass nodule is also seen in the apex of the left lung. Although small, it is nearly fully rounded and well-differentiated adenocarcinoma cannot be ruled out. Please confirm histologically if there is an increase in size in follow-up.
No mediastinal or hilar lymph node enlargement.
No pleural effusion.
No significant findings in the visualized abdominal organs.

TNM staging: T1c N0 M0
Radiology report:
A 50 mm tumor is located in the apex of the right lung, in contact with the pleura. The tumor has irregular margins and spiculated appearance. Osteolytic lesions are observed in the right second rib in contact with the tumor, suggesting infiltration. These findings strongly suggest lung cancer. Emphysematous changes are observed in the lung parenchyma. Ground glass opacities and reticular opacities are present in the peripheral lung parenchyma, suggesting emphysema complicated by interstitial pneumonia. No findings suggestive of metastasis in the lungs. Numerous mildly enlarged lymph nodes in the mediastinum and hilar region, which are considered to be reactive enlargement. There is no pathological enlargement. No pleural effusion. Diffuse enlargement of the thyroid gland. Please evaluate thyroid function. There seems to be a tumor in the left adrenal gland, but it's only partially visualized and difficult to evaluate. Due to the lack of native CT images, it is also difficult to evaluate density values and contrast enhancement. There is a possibility of metastasis, so further detailed examination with MRI or PET is recommended. No significant abnormal findings in the visualized upper abdomen. No bone destruction or sclerotic lesions in the visualized bones.

TNM staging: T3 N0 M0
Radiology report:
Emphysematous changes of the lung parenchyma.
An irregular mass is located in the apex of the right lung, which is considered to be a known cancer lesion. Its longest diameter is 46 mm. It is widely in contact with the pleura, suggesting invasion. However, clear invasion into the chest wall cannot be pointed out. 
No lesions suspicious of lung metastasis. 
Pathological enlargement of the lymph nodes near the trachea, suspicious of metastases. No pathological enlargement in the supraclavicular lymph nodes. 
No pleural effusion. 
A coarse tumor is seen in the left adrenal gland, suspecting metastasis. 
No significant abnormal findings in other visualized upper abdominal organs. 
No bone destruction or bone sclerosis suggesting metastasis in the visualized bones.

TNM staging: T2b N2 M1b
Radiology report:
There is an irregular tumor measuring 35 mm in the distal part of the left lower lobe, accompanied by retraction of the interlobar pleura. There is a nodule measuring 8 mm in the left lower lobe, suspected to be a metastatic nodule. Lymph nodes in the left hilum are enlarged, suggesting metastasis. No significant mediastinal lymph node enlargement. No pleural effusion. In the liver, there is a hypodense area near the gallbladder bed, suggesting multiple liver metastases. There are edematous changes around the gallbladder, which may be due to portal vein congestion. Bilateral renal cysts. No other obvious metastases, including in the adrenal glands. No para-aortic lymph node enlargement or ascites.

TNM staging: T3 N1 M1c
Radiology report:
No comparable imaging studies are available.
Atelectasis is observed in the left lingular segment and part of the upper lobe. No tumor can be seen centrally, but there is narrowing and obstruction of the airways from the left main bronchus to the peripheral bronchi, which is considered to be lung cancer accompanied by atelectasis.
There are no obvious metastases or other active lesions in the lung parenchyma.
A lymph node with a short diameter of about 9 mm is found in the left mediastinum, and metastasis is suspected.
No significant lymphadenopathy in other areas.
Pleural effusion on the left. There are no findings that suggest pleural dissemination, such as irregular thickening of the pleura.
There are no obvious abnormalities in the visualized upper abdomen.
There is no ascites.
There are no other significant findings.

TNM staging: T2a N2 M0
Radiology report:
No comparable imaging examinations are available.
A tumor mass of 72 mm in diameter is located in the lower lobe of the left lung. It is considered to correspond to known lung cancer. There are no obvious metastases in the lungs.
Emphysematous changes.
Pleural effusion on the left. The pleura is slightly thickened, suggesting the possibility of dissemination.
Numerous enlarged lymph nodes in the mediastinum, including below the bifurcation of the trachea, and in the left axilla, raising suspicion of metastasis. No other significant lymph node enlargement visualized.
Osteolytic tumors are observed in the left scapula and humerus, suggesting the possibility of bone metastasis.
No obvious abnormalities are observed in the visualized upper abdomen.
No ascites.
No other significant findings.

TNM staging: T4 N2 M1c
Radiology report:
Emphysematous changes and bullae in the lung parenchyma. 
A tumorous lesion measuring 27 × 34 × 46 mm is observed in the right upper lobe of the lung. No intralesional air. Primary lung cancer is suspected. It is in contact with the pleura, and visceral pleural invasion is suspected.
The mediastinal lymph nodes are enlarged to about 15 mm, and mediastinal lymph node metastasis is suspected.
A left adrenal nodule is observed (58mm), suspicious of metastasis.

TNM staging: T2b N2 M1b
Radiology report:
A tumor is located in the left pulmonary hilum. It protrudes into parts of the upper lobe bronchus, and the periphery has become alectatic. Towards the mediastinum, it is in contact with the heart and there is a possibility of invasion. It is considered T4.
Small nodules are scattered in the lower lobe of the right lung, but they are mainly polygonal and inflammatory nodules are suspected.
There are multiple rounded masses in the left pulmonary hilum region, suspicious of lymph node metastases.
No enlargement of the mediastinal lymph nodes.
No pleural effusion.
No significant findings in the visualized abdominal organs.

TNM staging: T4 N1 M0
Radiology report:
There is a tumor with a maximum diameter of 30 mm in the left lower lobe S6, and a focal ground-glass opacity of 9 mm in contact with the tumor. 
In addition, there is a nodule of 8 mm along the interlobar pleura of the left lower lobe S6. 
Lung cancer and pulmonary metastases are suspected. 
The left hilar lymph nodes are enlarged, considered to be metastases.
No pleural effusion. 
There is an hypodense tumor in the liver, segment S5, considered to be metastasis.
Bilateral renal cysts are present. 
There is a noticeable accumulation of feces in the colon. 
No significant abnormalities in other abdominal organs. 
No ascites. 
No obvious enlargement of abdominal lymph nodes.

TNM staging: T3 N1 M1b
Radiology report:
Interstitial pneumonia and pulmonary emphysema. A condition that is prone to the development of lung cancer, such as emphysema combined with pulmonary fibrosis, is suspected.
A tumorous lesion of approximately 50 mm is located mainly in the right upper lobe of the lung. Primary lung cancer is suspected.
Infiltration into the visceral pleura is suspected.
Soft tissue masses are found from the right hilum to the mediastinum, possibly lymph node metastases.

TNM staging: T2b N2 M0
Radiology report:
There is suspicion of chronic pulmonary emphysema in the lung parenchyma. A tumor with a long diameter of 50 mm with spiculated margins and extensive contact to the pleura, is located in the right lung apex. Lung cancer with visceral pleural invasion is suspected. No obvious secondary tumor nodules in the lungs. No significant enlargement of the mediastinal and hilar lymph nodes or other mediastinal organ lesions. No pleural effusion. No obvious abnormalities in the visualized upper abdomen.

TNM staging: T2b N0 M0
Radiology report:
There is a 72 mm tumor in the left lower lobe, which is considered to be the primary focus of known lung cancer. Pleural effusion on the left. Pleural dissemination cannot be ruled out. The lymph nodes below the tracheal bifurcation are enlarged, suspicious of metastases.

TNM staging: T4 N2 M0
Radiology report:
Chest:
Emphysematous changes.
A 40 mm tumor is located in the right lower lobe, accompanied by pleural invasion. Lung cancer is suspected. A bronchial mucus plug is suspected below the tumor, but a tumor thrombus cannot be ruled out.
There is a faint ground-glass opacity in the right upper lobe, which may be an inflammatory change. Please follow up.
The right hilar lymph nodes are slightly enlarged, suggesting metastases. No enlargement of the mediastinal lymph nodes.
No pleural effusion.

Abdomen to Pelvic area:
Multiple tumors are found in the liver, suggesting multiple liver metastases.
Numerous gallstones. Also, there's a stone in the common bile duct stone, and the upstream common bile duct is dilated.
There is a nodule in contact with the hepatic portal area and gallbladder, suggesting lymph node metastasis.
A left renal cyst is present.
No enlargement of the para-aortic lymph nodes.
Ascites is present.

TNM staging: T2a N1 M1c
Radiology report:
No comparable imaging studies are available. 
A lobulated tumor mass, measuring 46 mm in the longest dimension, is observed in the right lung apex, which is considered to be a finding of known lung cancer. 
Centrilobular emphysema is seen mainly in the upper lung. There are no obvious metastases or other active lesions in the lungs. 
Enlargement of the right lower paratracheal lymph node is observed, suggesting metastasis. The size of the lymph nodes below the tracheal bifurcation and on the opposite mediastinum is also somewhat prominent, but the findings are nonspecific. 
No pleural effusion. 
A tumor measuring approximately 58 mm in the longest dimension is observed in the left adrenal gland, raising suspicion of metastasis. 
No other obvious abnormalities in the visualized upper abdomen. 
No ascites. 
No other significant findings.

TNM staging: T2b N2 M1b
Radiology report:
A tumor shadow of 50 mm is located in the apex of the right lung with irregular shape and spiculated margins, suggesting lung cancer. It is widely in contact with the chest wall, suspecting infiltration. There are interstitial changes such as mild emphysematous changes mainly subpleural, reticular opacities, and ground-glass opacities. No significant lymph node enlargement in the mediastinum. There is no pleural effusion.

TNM staging: T2b N0 M0
Radiology report:
There is a lobulated tumor with a long diameter of 4.0 cm in the right lower lobe of the lung, suspecting lung cancer. There are nodular opacities around the lesion, suspected to be obstructive atelectasis due to the tumor. It is considered T2.
Lymph node enlargement is seen on the right side of the trachea, suspecting metastasis. No enlargement is observed in the lymph nodes on the opposite side. It is considered N2.
No pleural effusion.
Multiple tumors are found in the liver, suspecting multiple metastases. It is considered M1c.
No tumorous lesions in the adrenal glands.
Significant dilation of the common bile duct and intrahepatic bile duct. A hypodense stone is seen in the lower common bile duct.
A cyst is found in the left kidney.
No significant findings in the spleen.
No abdominal lymph node enlargement.
Ascites is present in the pelvic cavity.
No findings suggesting bone metastasis.

TNM staging: T2a N2 M1c
Radiology report:
Severe emphysematous changes. There is an irregular tumor of 47 mm in the upper lobe of the left lung, suspecting lung cancer. The tumor has narrowed the upper lobe bronchus. Also, the tumor is closely associated with the main trunk of the left pulmonary artery, raising suspicion of invasion. Please re-evaluate in contrast-enhanced imaging. The tumor is also in contact with the mediastinum near the aortic arch, and evaluation of mediastinal invasion by contrast-enhanced images is recommended. The tumor appears to be a mass with the left hilum lymph nodes. No coarse mediastinal lymphadenopathy. No pleural effusion.

TNM staging: T4 N1 M0
Radiology report:
No comparable imaging studies are available.
A tumor mass measuring 50 mm in diameter is located in the right lung apex. The lesion is in close proximity to the pleura and extends close to the ribs. There is a possibility of pleural invasion.
Small nodules are found in the right upper lobe. Their size is too small for a specific diagnosis, please follow up.
Centrilobular emphysema is seen mainly in the upper lungs. Interstitial changes such as ground-glass opacities, reticular opacities, and cystic changes are seen in the peripheral areas of both lower lobes.
No other obvious active lesions are observed in the lungs.
The size of the lymph nodes at the right hilum and below the tracheal bifurcation is noticeable, suggesting the possibility of metastasis. Please also evaluate with PET-CT.
No other significant lymph node enlargement visualized.
No pleural effusion.
A hypodense tumor is found in the left adrenal gland. Detailed evaluation is difficult as it is only partially visualized, but metastasis cannot be ruled out. Please consider additional abdominal CT.
No other obvious abnormalities in the visualized upper abdomen.
No ascites.
No other significant findings.

TNM staging: T2b N0 M0
Radiology report:
There is a tumor with a long diameter of 72 mm in the left lower lobe, suspecting primary lung cancer. Ground-glass opacity and interlobular septal thickening are present around the tumor. There is a possibility of lymphangitic carcinomatosis. A few lymph nodes in the left axilla are enlarged, suspecting metastasis. Pleural effusion on the left. Osteolytic lesions are found in the left humerus and scapula, suspecting bone metastasis. No obvious abnormalities in the visualized upper abdomen. Subcutaneous nodules in the chest and back are observed, suspecting benign nodules such as sebaceous cysts.

TNM staging: T4 N0 M1c
Radiology report:
An irregular tumor mass of 46 mm is located in the apex of the right lung, suggesting lung cancer. It is widely in contact with the pleura, and there is a possibility of infiltration.
Bronchiectases in the left upper lobe.
Enlarged lymph nodes in the mediastinum, suggesting metastasis.
There is no pleural effusion.
There is a tumor in the left adrenal region, with an increased density of the surrounding fat tissue. Differential diagnoses include metastasis and hematoma.

TNM staging: T2b N2 M1b
Radiology report:
There is a large tumor with a diameter of 12 cm in the left upper lobe of the lung, which is believed to be a known primary lesion. Mediastinal infiltration is suspected. There are also two small nodules around it. Lung cancer with intra-lobe metastasis is suggested.
Left mediastinal lymph node metastasis is suspected. No coarse lesions in the upper abdomen.

TNM staging: T4 N2 M0
Radiology report:
Emphysematous changes.
A tumor mass of 40 mm is found in the right lower lobe. Lung cancer is suspected.
Ground-glass opacities are scattered in the right upper lobe, possibly inflammatory changes, recommended to follow up.
No significant lymph node enlargement in the mediastinum.
There is no pleural effusion.
Hypodense tumors are scattered in the liver, and multiple liver metastases are suspected.
Gallstones.
Common bile duct stones, accompanied by bile duct dilation.
A cyst is found in the left kidney.
No significant lymph node enlargement in the periaortic region.
There is ascites in the pelvic region.

TNM staging: T2a N0 M1c
Radiology report:
A nodule is present in the right hilum to the right bronchus (the nodular part is approximately 17 mm). Primary bronchial carcinoma (adenosquamous carcinoma) originating from the right hilum bronchus is suspected. The ventilation of the right lower and middle lobes is decreased, and air bronchograms and mucus plugs are also observed, considered to be an obstructive atelectasis of the right lower and middle lobes due to bronchial carcinoma. The ventilation of the right upper lobe is normal.
No obvious nodules in the left lung.
The right hilar lymph nodes are conglomerated, and lymph node metastasis is suspected. The mediastinal lymph nodes are also enlarged, suggesting metastasis.

TNM staging: T2a N2 M0
Radiology report:
Mild emphysematous changes.
There is a 12 mm subpleural nodule in the right lower lobe, considered to be the indicated lung cancer lesion.
No significant lymph node enlargement in the mediastinum.
There is no pleural effusion.

TNM staging: T1b N0 M0
Radiology report:
A tumorous lesion accompanied by a atelectatic lung is observed in the left upper lobe, suggesting to be a finding of known lung cancer. Infiltration into the pleura and mediastinum is suspected. The hilar lymph nodes appear enlarged, indicating a possibility of metastasis.

TNM staging: T4 N1 M0