RadNLP/RadNLP2024_main_task huggingface dataset:
Radiology report:
37 mm mass in the left pulmonary hilum, suspicious of lung cancer. No significant lymph node enlargement in the mediastinum. No pleural effusion. Subcutaneous lesion at the back, likely a sebaceous cyst.

TNM staging: T2a N0 M0
Radiology report:
Focal ground-glass opacity measuring 14 x 15 mm in the right lower lobe. No significant solid portion. A blood vessel is passing through the lesion. This finding is considered to be a known lung cancer. No mediastinal lymph node enlargement. No pleural effusion. No significant abnormalities in the visualized abdominal organs.

TNM staging: Tis N0 M0
Radiology report:
Tumor with a maximum diameter of 37 mm, mainly on the dorsal side of the left upper lung lobe, protruding into the lower lobe across the interlobar pleura. Spiculated margins and a cavity are present in the mass. The findings are consistent with lung cancer. The tumor is in contact with the left pulmonary artery, but no clear irregularities or narrowing of the vessel wall, indicative of invasion, can be seen. Small nodules scattered along the pleura of both lungs, without pleural effusion, likely benign changes such as inflammatory scars and less likely tumor dissemination. No pathological enlargement of the mediastinal and hilar lymph nodes. A smooth-bordered mass, likely a benign lesion such as a sebaceous cyst, in the subcutaneous tissue of the right back. No findings suspicious of metastasis in the visualized upper abdomen.

TNM staging: T2a N0 M0
Radiology report:
A mass with a maximum diameter of 3.7 cm in the left upper lobe of the lung. It has a lobulated shape, and spiculated margins, suspicious of primary lung cancer. The size suggests T2a. It appears to be in contact with the right pulmonary artery, but no invasion into the main pulmonary artery is observed.
No significant findings in other lung fields.
No enlargement of the mediastinal or axillary lymph nodes.
No pleural effusion.
No significant findings in the visualized abdominal organs.

TNM staging: T2a N0 M0
Radiology report:
An irregular tumor with a long diameter of 22 mm is observed in the left lung apex, which corresponds to a known lung cancer. No secondary tumor nodules in the lung. No significant enlargement of the mediastinal and hilar lymph nodes or other mediastinal organic lesions. No pleural effusion. No obvious abnormalities in the visualized upper abdomen.

TNM staging: T1c N0 M0
Radiology report:
A mixed ground-glass opacity with a maximum diameter of 15 mm is observed in the right lower lobe, possibly lung adenocarcinoma. There are streaky opacities suspected of inflammatory scars in the right middle lobe and left lingular segment. No significant mediastinal lymph node enlargement. The hilar lymph nodes should be evaluated with contrast. Cardiac enlargement and pericardial effusion.

TNM staging: T1mi N0 M0
Radiology report:
A lobulated tumorous lesion is observed in the left lung apex. The maximum diameter is 22 mm, suspicious of primary lung cancer.
There is a nodule nearby, suggesting intralobular metastasis.
No enlargement of the mediastinal or hilar lymph nodes.

TNM staging: T3 N0 M0
Radiology report:
There is a poorly defined tumor with a maximum diameter of 103 mm in the upper left lobe, which shows little contrast enhancement, considered to be lung cancer. The left bronchus is obstructed by the tumor. There is also atelectasis in the lower left lobe, and pleural effusion on the left side. The left pulmonary hilum and ipsilateral mediastinal lymph nodes are consolidated with the tumor. There is also tumor infiltration in the left pulmonary artery. Multiple nodules are found in the upper and lower lobes of the right lung, which are considered to be multiple pulmonary metastases. No liver or adrenal metastases.

TNM staging: T4 N2 M1a
Radiology report:
A tumor forming a mass with the pulmonary hilum and mediastinal lymph nodes in the left pulmonary hilum, suspicious of lung cancer. The left main bronchus is obstructed, and no air is observed in the left lung. There is stenosis in the main trunk of the left pulmonary artery, suggesting infiltration. Also, the tumor is in close contact with the left atrium, suggesting infiltration. Multiple nodules in the right upper and lower lobes, suggesting lung metastasis. Pleural effusion on the left.

TNM staging: T4 N2 M1a
Radiology report:
There is a tumor suspected of mediastinal infiltration in the left lung, accompanied by atelectasis extending throughout the left lung. Lymph node enlargement is suspected below the pulmonary hilum and tracheal bifurcation. There are numerous nodules in the right lung, suggesting possible metastasis.

TNM staging: T4 N2 M1a
Radiology report:
Ground-glass nodule in the right lower lobe of the lung, measuring 14 x 15 mm in diameter. The margin is smooth and the nodule has a lobulated shape, with homogenous ground-glass. The findings may be consistent with adenocarcinoma.
Streaky opacities are observed bilaterally in the lungs, considered to be chronic inflammatory changes or atelectasis.
No lesions suspicious of metastasis in the lungs.
There is no pathological enlargement of the mediastinal and hilar lymph nodes.
Cardiomegaly and pericardial effusion.
A small amount of right pleural effusion.
No gross lesions in the solid organs of the visualized upper abdomen.
No bone destruction or sclerotic lesion, suspicious of aggressive metastasis in the visualized bones.

TNM staging: Tis N0 M0
Radiology report:
Mass in the right lower lobe, considered to be the known lung cancer.
Soft tissue lesions are observed in the right mediastinum and hilum, suspecting lymph node metastasis.
Bilateral pleural effusion.
There are multiple occurrences of sclerotic changes in the left rib, lumbar vertebrae, and bilateral pelvic bones, suspecting bone metastasis.
There is a left renal cyst. No findings suggesting metastasis to the visualized abdominal organs.

TNM staging: T0 N2 M1c
Radiology report:
A tumor with a major axis of 10.3 cm is observed in the left lung hilum with obstructive atelectasis of the left lung. The tumor is in contact with the main pulmonary artery and the heart, suggesting infiltration. T4 is suspected.
The left hilar lymph nodes and the mediastinal lymph nodes in level 4L are enlarged and appear as a mass, suggesting metastasis. N2 is suspected.
Multiple round nodules are present in the right lung, suggesting metastasis. M1a is suspected.
Pleural effusion on the left, suspected to be malignant.
A hypodense lesion is present in the left lobe of the liver. Please correlate with possible accumulation in PET-CT. If this lesion is a metastasis, it will be M1b.

TNM staging: T4 N2 M1a
Radiology report:
A tumor with irregular margins with a major axis of 37 mm is present in the left pulmonary hilum and the left upper lobe S2, with cavity formation inside. Primary lung cancer is suspected. The tumor is in contact with the left pulmonary artery and the left upper lobe bronchus, but there is no narrowing of these structures. No secondary tumor nodules. No clear mediastinal invasion, pathological enlargement of the pulmonary hilum or mediastinal lymph nodes. No pleural effusion. No abnormalities in the visualized upper abdomen.

TNM staging: T2a N0 M0
Radiology report:
There is a 37 mm cavitated tumor spanning from the left lingular segment to the lower lobe, correlating to the known lung cancer. The mediastinal lymph nodes appear slightly conglomerated. No pleural effusion.

TNM staging: T2a N0 M0
Radiology report:
A ground-glass nodule with a maximum diameter of 1.5 cm is present in segment S10 of the right lower lobe of the lung, considered to be the known lung adenocarcinoma. There are no solid components, and it is considered Tis. Striated opacities in both lungs, likely old inflammatory scars. Multiple polygonal small subpleural nodules in the left lower lobe, most likely inflammatory nodules. No active inflammation or tumorous lesions in other lung segments. No enlargement of the mediastinal, hilar, or axillary lymph nodes. There is a small amount of right pleural effusion and pericardial effusion. No significant findings in the visualized abdominal organs.

TNM staging: Tis N0 M0
Radiology report:
No comparable imaging studies are available.
Squamous cell carcinoma is known.
The lateral side from the left main bronchus is obstructed, and the left lung is atelectatic.
A tumor with heterogeneous density is extending from the left hilum to the mediastinum, which is considered to be the primary lesion. The adjoining left pulmonary artery and vein are narrowed, suggesting infiltration. The left hilar lymph nodes and mediastinal lymph nodes may be lumped together with the lesion.
Multiple nodules are observed in the right lung, suspecting metastasis.
Otherwise, there are no active lesions in the lungs.
Left pleural effusion.
No obvious abnormalities in the visualized upper abdomen.
No ascites.
Otherwise, there are no significant findings.

TNM staging: T4 N2 M1a
Radiology report:
A GGN with a diameter of 15 mm is present in the right lower lobe S10. It is considered to be the known lung cancer. No suspicious nodules in other lung segments. The nodule is considered equivalent to T classification Tis. A nodule is observed under the pleura of the left lower lobe, but it is suspected to be an old inflammatory nodule. Striated opacities are diffusely distributed in both lungs, probably inflammatory scars.
Cardiomegaly and pericardial effusion.
No significant enlargement of the mediastinal and hilar lymph nodes, or other mediastinal lesions are observed.
Small right pleural effusion.
No gross abnormalities in the visualized upper abdomen.

TNM staging: Tis N0 M0
Radiology report:
A tumor with a maximum diameter of 103 mm is present in the left hilum, suggesting primary lung cancer. The left main bronchus shows obstruction due to tumor infiltration. The left lung is collapsed. The tumor also infiltrates the left pulmonary artery, causing it to narrow. Mediastinal tumor infiltration is suspected. The tumor, left hilar, and left mediastinal lymph nodes are all conglomerated. The right mediastinal lymph nodes are also enlarged, suggesting metastasis.
Nodules suspected of being secondary tumor nodules are scattered in the right lung.
Small pleural effusion on the left.
No gross abnormalities in the visualized upper abdomen.

TNM staging: T4 N3 M1a
Radiology report:
A soft tissue mass is observed in the left pulmonary hilum, suggesting lung cancer. It has progressed into the mediastinum, and the left main bronchus is obstructed by the tumor, resulting in a collapsed left lung. Nodules are scattered in the right lung, possibly metastases. No significant lymph node enlargement in the opposite pulmonary hilum. Pleural effusion on the left.

TNM staging: T4 N0 M1a
Radiology report:
A large tumor with a diameter of 137 mm is observed in the right upper lobe, suggesting primary lung cancer. It is infiltrating the chest wall and ribs. 
Multiple nodules are present in both lungs, suggesting metastatic nodules. 
There is left pleural effusion and compressive atelectasis. Soft tissue masses suggestive of disseminated tumors are observed on the left pleura. There is also mild right pleural effusion. 
Several enlarged mediastinal lymph nodes and bilateral hilar lymph nodes, suggesting metastasis. 
Adrenal tumors on both sides, suspicious of metastasis. 
Bilateral parapelvic cysts.

TNM staging: T4 N3 M1c
Radiology report:
There is a 37 mm cavitary lesion with spiculated margins in the posterior left upper lobe. 
The left upper lobe bronchus is obstructed due to the tumor. 
Part of the tumor has infiltrated beyond the interlobar pleura into the left lower lobe. 
The left hilar lymph nodes are conglomerated with the tumor, suggesting lymph node metastasis. 
No pleural effusion. 
There is a cystic lesion in the subcutaneous tissue of the right back, probably a sebaceous cyst.

TNM staging: T2a N1 M0
Radiology report:
No comparable imaging studies are available. 
A lobulated tumor of approximately 37 mm in diameter in the hilum of the left upper lung lobe, with spiculated margins and retraction of the surrounding structures, indicative of lung cancer. 
Small nodules on the dorsal side of the left lower lung lobe, which are relatively dense and considered to be chronic inflammatory changes. 
No obvious metastases or active lesions in the lung field. 
The size of the left hilar lymph nodes is somewhat prominent, raising suspicion of metastasis. 
No significant mediastinal lymphadenopathy. 
No pleural effusion. 
No obvious abnormalities in the visualized upper abdomen 
No ascites. 
A tumor of approximately 10 mm is observed in the subcutaneous tissue of the back. It is considered to be a sebaceous cyst or similar. 
No other significant findings.

TNM staging: T2a N1 M0
Radiology report:
Numerous round masses in both lungs. The largest one in the right lung measures 137 mm and there is a suspicion of infiltration into the chest wall and ribs. It appears to be the known neuroendocrine carcinoma. Atelectasis of the left lower lobe and pleural effusion are present. 
The hilar and mediastinal lymph nodes on both sides are enlarged, suggesting metastasis.
Both adrenal glands are enlarged, suspicious of metastasis.
Bilateral hydronephrosis is present, but a cause of obstruction is not visualized.

TNM staging: T4 N3 M1c
Radiology report:
There is an irregular tumor mass in the right lower lobe, suggesting a finding of known primary lung cancer (maximum diameter 42 mm). The ipsilateral subcarinal lymph nodes are pathologically enlarged, suggesting metastasis. There are multiple sclerotic lesions in the bone, suggesting metastases. Please confirm with bone scintigraphy or PET.

TNM staging: T2b N2 M1c
Radiology report:
A lobulated irregular nodule of 22 mm in size is present in the upper left lobe, suspicious of lung cancer. 
No other significant lesions in the lung. 
No significant mediastinal lymph node enlargement or pleural effusion.

TNM staging: T1c N0 M0
Radiology report:
A tumor-like lesion of approximately 13 cm is spreading in the right upper lobe and the middle lobe of the lung, suspicious of primary lung cancer. It is infiltrating the chest wall.
Tumor-like lesions are also found in the lower lobe of the left lung, and there is atelectasis of the left lower lobe. Nodules and tumor masses of various sizes are observed in both lungs. Multiple lung metastases are suspected.
Pleural effusion on the left.
Enlargement of the lymph nodes in the right hilum and in the mediastinum, suspicious of lymph node metastases.
Both adrenal glands are enlarged, suspicious of metastases.
Bilateral hydronephrosis. There may be lymph node metastasis around the aorta causing ureteral compression, although outside of the scan range.

TNM staging: T4 N2 M1c
Radiology report:
No comparable imaging studies are available. 
There is a lobulated nodule of about 22 mm in diameter in S1+2 of the left upper lung lobe. The findings are consistent with lung adenocarcinoma. 
There are no obvious metastases or other active lesions in the lungs. 
There is 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: T1c N0 M0
Radiology report:
A tumor with a diameter of 4.2 cm is present in the right lower lobe, suspicious of lung cancer. Atelectasis is also present. There is contrast-enhancing thickening of the chest wall near the tumor, suggesting infiltration. The tumor is considered T3.
The mediastinal lymph nodes in levels 4R and 7 are enlarged, suspecting metastasis. No pathological enlargement is seen in the lymph nodes on the opposite side, thus it is considered N2.
There is a small amount of pleural effusion on both sides, predominantly on the right, which may be malignant.
No tumorous lesions in the liver and adrenal glands.
A cyst is seen in the left kidney.
No significant findings in the gallbladder, pancreas, and spleen.
Sclerotic bone lesions are found in the left 7th rib, L4, L5, sacrum, and both iliac bones, suspicious of metastasis. As metastases are only in the bone but there are multiple, it is considered M1c.

TNM staging: T3 N2 M1c
Radiology report:
There is a tumorous lesion with a maximum diameter of 137 mm in the right lower lobe. The lesion directly invades the chest wall in the intercostal space. There is no sign of rib invasion. Multiple nodules are present in both lungs, which are considered to be multiple lung metastases. There is left pleural effusion and atelectasis. Also, there are nodules in the pleura, which are considered to be pleural dissemination. The right hilum and ipsilateral mediastinal lymph nodes are enlarged, considered to be lymph node metastases. There are masses in the pancreas and both adrenal glands, which are considered to be metastases. Bilateral hydronephrosis is also present.

TNM staging: T4 N2 M1c
Radiology report:
A tumor-like lesion is present in the central parts of the left lung (103 × 83 × 96 mm), suspicious of primary lung cancer. The peripheral areas of the left lung have become atelectatic, causing the border of the tumor to be unclear. 
The tumor is in extensive contact with the mediastinum, suggesting mediastinal invasion. 
Multiple nodules are observed in the right lung, suggesting possible contralateral lung metastasis. 
There is enlargement of the left pulmonary hilar lymph nodes, suggesting lymph node metastases. Enlargement is also observed in the lymph nodes below the tracheal bifurcation with a possibility of mediastinal lymph node metastases.

TNM staging: T4 N2 M1a
Radiology report:
A tumor exceeding the chest wall, with a major axis of 13.7 cm, is located in the right lung, considered T4. 
There are rounded enlarged mediastinal lymph nodes in level 2R, suspicious of metastases. It is considered N2. 
Numerous nodules in both lungs, suspicious of metastases. Bilateral pleural dissemination is observed. Pleural effusion on the left, suspected to be malignant. 
Tumors in both adrenal glands, suspicous of metastases. 
No other tumorous lesions in the visualized abdominal organs. 
Cysts in both kidneys.

TNM staging: T4 N2 M1c
Radiology report:
An irregular tumor mass of 22 mm is located in the upper left lobe, suggesting lung cancer. No significant lymph node enlargement in the mediastinum. No pleural effusion.

TNM staging: T1c N0 M0
Radiology report:
No comparable imaging studies are available.
A tumor mass measuring 13.7 cm in diameter in the right upper lobe of the lung. The tumor is extending beyond the chest wall. Multiple nodules are seen in both lungs, suggesting metastases.
Mild emphysematous changes are present.
A large amount of pleural effusion is observed mainly on the left side, and irregular thickening of the pleura is suspected. On the right side, there is a tumor mass along the pleura, which is considered a sign of pleural dissemination.
Multiple enlarged lymph nodes in the right hilum and mediastinum are suspicious of metastases.
Tumors are present in both adrenal glands, suspicious of metastases.
There is a tumor on the ventral side of the pancreatic body, appearing to be continuous with the pancreas, also raising suspicion of metastasis.
Bilateral hydronephrosis is suspected. Please consider evaluation with abdominal CT.
Renal cysts.
No other significant abnormalities in the visualized upper abdomen.
No ascites.
No other significant findings.

TNM staging: T4 N2 M1c
Radiology report:
A 42 mm tumor is located in the right lower lobe, suspecting lung cancer. Discontinuous secondary tumor nodules within the same lobe in S6 are suspected. The mediastinal lymph nodes at the right hilum and on the same side below the tracheal bifurcation are enlarged, suspecting metastasis. Although not significant in size, there is mild enlargement of the contralateral mediastinal lymph nodes, and metastasis cannot be ruled out. A small amount of pleural effusion is present on both sides. On the right side, there are areas where the pleura appears thickened, suspicious of dissemination. Lesions and bone sclerosis are observed in the left 7th rib, 4th and 5th lumbar vertebrae, sacrum, and bilateral pelvic bones, suspecting multiple bone metastases. No obvious metastasis in the adrenal glands or liver. A cyst is seen in the left kidney. No enlargement of the para-aortic lymph nodes and no ascites.

TNM staging: T3 N2 M1c
Radiology report:
A tumor mass of 42 mm is present in the right lower lobe, suggesting lung cancer. 
Enlarged lymph nodes in the mediastinum, suspicious of metastases. 
A small amount of pleural effusion on both sides. 
Sclerotic lesions are scattered in the left 8th rib and pelvic bone, suggesting multiple bone metastases. 
No obvious distant metastasis in the abdominal organs. 
There is a cyst in the left kidney. 
There is no ascites.

TNM staging: T2b N2 M1c
Radiology report:
An irregular tumor-like lesion of approximately 3.7 cm is located centrally in S3 of the left upper lung lobe. It is primarily composed of solid components, and also has a cavity inside. There is ground-glass opacity at its periphery, as well as accompanying inflammatory changes in the peripheral lung parenchyma. It is also in contact with the interlobar pleura, and viscearl pleural invasion is suspected. Multiple small nodules are observed in the periphery, suggesting the possibility of intrapulmonary lymphatic involvement.

TNM staging: T2a N0 M0
Radiology report:
There is an irregularly margined tumor in the left hilum, which is considered to be the indicated cancer lesion. The left main bronchus is obstructed, and the entire left lung has become atelectatic. Due to this, it is difficult to evaluate the size of the tumor, but it appears to be approximately 10 cm or more in the longest dimension. 
The left pulmonary vein is obstructed proximally. The left pulmonary artery shows some irregularity proximally, suggesting infiltration, but no clear obstruction is present. 
Multiple rounded small nodules are observed in the right lung, suspicious of metastases. 
The left hilar lymph nodes have become one mass with the tumor, and subcarinal lymph nodes are enlarged, suspecting metastases. 
Pleural effusion on the left. 
No metastasis in the visualized upper abdomen.

TNM staging: T4 N2 M1a
Radiology report:
No comparable imaging examinations are available. 
A tumor mass of about 42 mm in diameter in the right lower lobe of the lung, which is considered to be a finding of known lung cancer. 
There are no obvious metastases or other active lesions in the lung field. 
Enlarged lymph nodes with heterogenous enhancement are observed in the right hilum and mediastinum, suggesting metastases. No significant lymph node enlargement is seen in other areas. 
Bilateral pleural effusion. 
Heterogenous sclerotic lesions are observed in the vertebral bodies, ribs, and pelvic bones, suggesting possible metastases. No metastasis extending into the spinal canal. 
There is a renal cyst on the left. 
No obvious abnormalities are found in the liver, gallbladder, pancreas, spleen, right kidney, adrenal glands, or pelvic organs. 
There is no ascites. 
No other significant findings.

TNM staging: T2b N2 M1c
Radiology report:
A well-defined tumor with a diameter of approximately 13 cm is located in the right upper lobe of the lung. It is considered to be the primary lesion of a cancer. It shows clear infiltration into the chest wall. 
In addition, numerous rounded masses are observed in both lungs. Some of them are infiltrating into the pleura and chest wall. These are considered to be metastases. 
The left lower lobe of the lung is showing atelectasis. 
Enlarged lymph nodes are found in the right mediastinum. Infiltration into the trachea is observed. 
There is no enlargement of the supraclavicular lymph nodes. 
A small amount of right pleural effusion and a large amount of left pleural effusion are present. 
No obvious liver metastases. 
Tumors are observed in both adrenal glands, suspicious of metastases. 
A large tumor is observed in the body of the pancreas, considered to be a metastasis. 
Bilateral hydronephrosis without any clear cause.
No bone destruction or sclerotic lesions that suggest bone metastasis.

TNM staging: T4 N2 M1c