sample_id int64 0 0 | question stringlengths 15 115 | answer stringlengths 1 118 | modality stringclasses 3
values | sft_output stringlengths 285 629 | conclusion stringlengths 121 307 | n_total int64 3 7 | n_valid int64 2 5 | n_causal int64 1 7 | n_radlex_verified int64 0 7 | mean_clip float64 0.18 0.44 | concepts listlengths 3 7 | concepts_json stringlengths 901 2.41k | p0 float64 0.02 0.98 | delta_conf_computed bool 1
class | dag_nodes stringlengths 271 821 | dag_edges stringlengths 2 1.33k | dag_root stringlengths 4 55 | topo_order stringlengths 20 195 | n_dag_nodes int64 2 5 | n_dag_edges int64 0 10 | n_causal_edges int64 0 10 | n_spatial_edges int64 0 20 | n_anatomical_edges int64 0 4 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
0 | are regions of the brain infarcted? | yes | MRI | Modality: MRI
[Causal]
acute infarcts [140, 105, 858, 893]
[Context]
basal ganglia [344, 118, 652, 874]
internal capsule [305, 388, 416, 500]
cerebral cortex [148, 148, 484, 484]
[Perception]
Right cerebral hemisphere [202, 388, 400, 586]
[Unlocalized]
Right basal ganglia
Right corona radiata
[Conclusion]
Acute in... | Acute infarcts in the right cerebral hemisphere involving the basal ganglia, internal capsule, and cerebral cortex confirm ischemic damage, supporting the presence of infarcted brain regions. | 7 | 5 | 1 | 4 | 0.3258 | [
{
"bbox": [
140,
105,
858,
893
],
"bbox_consistency": 0.83,
"clip_score": 0.4163,
"consistency": 1,
"delta_conf": 0.031,
"is_pathology": true,
"layer": "Causal",
"match_score": 0.93,
"name": "acute infarcts",
"radlex_category": "pathology",
"ra... | [{"name": "acute infarcts", "raw_name": "Acute infarct", "radlex_id": "RID3120", "radlex_category": "pathology", "consistency": 1.0, "match_score": 0.93, "is_pathology": true, "bbox": [140, 105, 858, 893], "valid": true, "clip_score": 0.4163, "bbox_consistency": 0.83, "layer": "Causal", "delta_conf": 0.031}, {"name": "... | 0.8162 | true | [{"name": "acute infarcts", "layer": "Causal", "delta_conf": 0.031, "bbox": [140, 105, 858, 893], "radlex_id": "RID3120", "clip_score": 0.4163}, {"name": "Right cerebral hemisphere", "layer": "Perception", "delta_conf": -0.0028, "bbox": [202, 388, 400, 586], "radlex_id": null, "clip_score": 0.3291}, {"name": "basal gan... | [{"src": "acute infarcts", "dst": "basal ganglia", "edge_type": "causal", "weight": 0.0271}, {"src": "acute infarcts", "dst": "internal capsule", "edge_type": "causal", "weight": 0.0294}, {"src": "acute infarcts", "dst": "Right cerebral hemisphere", "edge_type": "causal", "weight": 0.0338}, {"src": "acute infarcts", "d... | acute infarcts | ["acute infarcts", "basal ganglia", "Right cerebral hemisphere", "cerebral cortex", "internal capsule"] | 5 | 7 | 4 | 3 | 0 |
0 | are the lungs normal appearing? | no | X-ray | Modality: X-ray
[Causal]
aortic arch [446, 103, 558, 216]
[Context]
trachea [105, 700, 905, 947]
lung base [100, 708, 944, 944]
diaphragm [280, 484, 724, 948]
[Perception]
Retrocardiac region [31, 105, 975, 245]
[Unlocalized]
ribs
clavicles
[Conclusion]
Lungs are not normal; increased interstitial markings and bil... | Lungs are not normal; increased interstitial markings and bilateral lower zone opacities suggest pulmonary edema, with a prominent aortic arch and retrocardiac density contributing to the abnormal appearance. | 7 | 5 | 1 | 6 | 0.3465 | [
{
"bbox": [
446,
103,
558,
216
],
"bbox_consistency": 0.35,
"clip_score": 0.2777,
"consistency": 1,
"delta_conf": 0.0021,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_i... | [{"name": "aortic arch", "raw_name": "Aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [446, 103, 558, 216], "valid": true, "clip_score": 0.2777, "bbox_consistency": 0.35, "layer": "Causal", "delta_conf": 0.0021}, {"name": "trache... | 0.8932 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": 0.0021, "bbox": [446, 103, 558, 216], "radlex_id": "RID1309", "clip_score": 0.2777}, {"name": "trachea", "layer": "Context", "delta_conf": -0.0044, "bbox": [105, 700, 905, 947], "radlex_id": "RID1334", "clip_score": 0.3896}, {"name": "lung base", "layer": "Conte... | [{"src": "lung base", "dst": "trachea", "edge_type": "spatial_containment", "weight": 0.955}, {"src": "diaphragm", "dst": "trachea", "edge_type": "spatial_overlap", "weight": 0.373}, {"src": "diaphragm", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.349}, {"src": "Retrocardiac region", "dst": "aortic ... | lung base | ["diaphragm", "Retrocardiac region", "lung base", "aortic arch", "trachea"] | 5 | 4 | 0 | 5 | 0 |
0 | which organ system is abnormal in this image? | cardiovascular | X-ray | Modality: X-ray
[Causal]
pacemaker generator [688, 410, 815, 508]
cardiovascular system abnormality [400, 288, 808, 644]
[Perception]
right ventricular lead [588, 348, 825, 538]
pacemaker leads [388, 250, 708, 744]
mediastinal silhouette [688, 388, 825, 488]
[Unlocalized]
cardiac silhouette
Cardiac pacemaker
[Concl... | Pacemaker generator and leads are visible, with the device implanted in the cardiovascular system, confirming a cardiovascular abnormality. | 7 | 5 | 2 | 1 | 0.3695 | [
{
"bbox": [
688,
410,
815,
508
],
"bbox_consistency": 0.51,
"clip_score": 0.4171,
"consistency": 0.67,
"delta_conf": -0.012,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "pacemaker generator",
"radlex_category": "unverified",... | [{"name": "pacemaker generator", "raw_name": "pacemaker generator", "radlex_id": null, "radlex_category": "unverified", "consistency": 0.67, "match_score": 0.0, "is_pathology": false, "bbox": [688, 410, 815, 508], "valid": true, "clip_score": 0.4171, "bbox_consistency": 0.51, "layer": "Causal", "delta_conf": -0.012}, {... | 0.7818 | true | [{"name": "pacemaker generator", "layer": "Causal", "delta_conf": -0.012, "bbox": [688, 410, 815, 508], "radlex_id": null, "clip_score": 0.4171}, {"name": "right ventricular lead", "layer": "Perception", "delta_conf": -0.0289, "bbox": [588, 348, 825, 538], "radlex_id": null, "clip_score": 0.3742}, {"name": "cardiovascu... | [{"src": "right ventricular lead", "dst": "pacemaker generator", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "right ventricular lead", "dst": "mediastinal silhouette", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cardiovascular system abnormality", "dst": "pacemaker generator", "edge_typ... | pacemaker leads | ["pacemaker leads", "cardiovascular system abnormality", "right ventricular lead", "mediastinal silhouette", "pacemaker generator"] | 5 | 7 | 3 | 7 | 0 |
0 | is the lesion causing significant brainstem herniation? | no | MRI | Modality: MRI
[Causal]
brainstem [380, 388, 618, 588]
[Context]
cerebellum [375, 408, 618, 538]
fourth ventricle [350, 385, 650, 485]
cerebellar vermis [388, 394, 608, 500]
[Perception]
Foramen magnum [458, 105, 540, 183]
[Unlocalized]
pons
Basilar artery
[Conclusion]
The lesion is located in the cerebellum, but t... | The lesion is located in the cerebellum, but there is no evidence of brainstem compression or displacement into the foramen magnum, indicating no significant brainstem herniation. | 7 | 5 | 1 | 5 | 0.3257 | [
{
"bbox": [
380,
388,
618,
588
],
"bbox_consistency": 0.43,
"clip_score": 0.4057,
"consistency": 1,
"delta_conf": -0.0034,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "brainstem",
"radlex_category": "anatomy",
"radlex_id... | [{"name": "brainstem", "raw_name": "Brainstem", "radlex_id": "RID3013", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [380, 388, 618, 588], "valid": true, "clip_score": 0.4057, "bbox_consistency": 0.43, "layer": "Causal", "delta_conf": -0.0034}, {"name": "cerebellu... | 0.819 | true | [{"name": "brainstem", "layer": "Causal", "delta_conf": -0.0034, "bbox": [380, 388, 618, 588], "radlex_id": "RID3013", "clip_score": 0.4057}, {"name": "cerebellum", "layer": "Context", "delta_conf": -0.0048, "bbox": [375, 408, 618, 538], "radlex_id": "RID3011", "clip_score": 0.2716}, {"name": "fourth ventricle", "layer... | [{"src": "brainstem", "dst": "cerebellum", "edge_type": "spatial_containment", "weight": 0.979}, {"src": "brainstem", "dst": "fourth ventricle", "edge_type": "spatial_containment", "weight": 0.77}, {"src": "brainstem", "dst": "cerebellar vermis", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebellum",... | cerebellar vermis | ["brainstem", "Foramen magnum", "cerebellum", "fourth ventricle", "cerebellar vermis"] | 5 | 6 | 0 | 6 | 0 |
0 | what is the condition of the patient | blind loop syndrome | CT | Modality: CT
[Causal]
blind loop syndrome [200, 130, 800, 827]
bowel gas [220, 180, 780, 500]
[Perception]
distended small bowel [220, 200, 778, 500]
dilated loops of small intestine [228, 300, 375, 488]
mesenteric fat stranding [385, 250, 500, 347]
[Unlocalized]
cecum
terminal ileum
[Conclusion]
Distended and dila... | Distended and dilated small bowel loops with bowel gas and mesenteric fat stranding are consistent with blind loop syndrome, reflecting impaired motility and bacterial overgrowth in a stagnant segment of intestine. | 7 | 5 | 2 | 2 | 0.3134 | [
{
"bbox": [
200,
130,
800,
827
],
"bbox_consistency": 0.67,
"clip_score": 0.3546,
"consistency": 1,
"delta_conf": 0.0346,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "blind loop syndrome",
"radlex_category": "unverified",
... | [{"name": "blind loop syndrome", "raw_name": "blind loop syndrome", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [200, 130, 800, 827], "valid": true, "clip_score": 0.3546, "bbox_consistency": 0.67, "layer": "Causal", "delta_conf": 0.0346}, {"... | 0.6966 | true | [{"name": "blind loop syndrome", "layer": "Causal", "delta_conf": 0.0346, "bbox": [200, 130, 800, 827], "radlex_id": null, "clip_score": 0.3546}, {"name": "distended small bowel", "layer": "Perception", "delta_conf": 0.0559, "bbox": [220, 200, 778, 500], "radlex_id": null, "clip_score": 0.3269}, {"name": "bowel gas", "... | [{"src": "blind loop syndrome", "dst": "dilated loops of small intestine", "edge_type": "causal", "weight": 0.0393}, {"src": "blind loop syndrome", "dst": "mesenteric fat stranding", "edge_type": "causal", "weight": 0.0485}, {"src": "blind loop syndrome", "dst": "distended small bowel", "edge_type": "spatial_containmen... | bowel gas | ["blind loop syndrome", "bowel gas", "distended small bowel", "dilated loops of small intestine", "mesenteric fat stranding"] | 5 | 9 | 8 | 4 | 0 |
0 | what abnormality is seen? | blind-ending loop of bowel arising from the cecum | CT | Modality: CT
[Causal]
blind-ending loop of bowel [248, 200, 400, 484]
[Context]
cecum [250, 205, 408, 474]
ascending colon [385, 284, 612, 444]
mesenteric fat [125, 115, 873, 883]
[Perception]
terminal ileum [225, 187, 775, 587]
[Unlocalized]
small bowel
peritoneum
[Conclusion]
The blind-ending loop of bowel arisi... | The blind-ending loop of bowel arising from the cecum is consistent with a dilated, non-communicating segment, likely representing a cecal diverticulum or a redundant loop, supported by the adjacent normal ascending colon and terminal ileum, with surrounding mesenteric fat showing no signs of inflammation. | 7 | 5 | 1 | 4 | 0.3529 | [
{
"bbox": [
248,
200,
400,
484
],
"bbox_consistency": 0.75,
"clip_score": 0.2784,
"consistency": 1,
"delta_conf": -0.0684,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "blind-ending loop of bowel",
"radlex_category": "unverif... | [{"name": "blind-ending loop of bowel", "raw_name": "blind-ending loop of bowel", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [248, 200, 400, 484], "valid": true, "clip_score": 0.2784, "bbox_consistency": 0.75, "layer": "Causal", "delta_conf... | 0.4685 | true | [{"name": "blind-ending loop of bowel", "layer": "Causal", "delta_conf": -0.0684, "bbox": [248, 200, 400, 484], "radlex_id": null, "clip_score": 0.2784}, {"name": "cecum", "layer": "Context", "delta_conf": -0.0631, "bbox": [250, 205, 408, 474], "radlex_id": "RID2028", "clip_score": 0.4231}, {"name": "ascending colon", ... | [{"src": "blind-ending loop of bowel", "dst": "cecum", "edge_type": "spatial_containment", "weight": 0.949}, {"src": "ascending colon", "dst": "cecum", "edge_type": "causal", "weight": 0.032}, {"src": "ascending colon", "dst": "blind-ending loop of bowel", "edge_type": "causal", "weight": 0.0373}, {"src": "terminal ile... | mesenteric fat | ["mesenteric fat", "terminal ileum", "ascending colon", "blind-ending loop of bowel", "cecum"] | 5 | 10 | 8 | 3 | 0 |
0 | what is the location of the mass? | pineal region | MRI | Modality: MRI
[Causal]
pineal gland [450, 400, 550, 500]
[Context]
third ventricle [385, 400, 610, 588]
midbrain [484, 520, 516, 550]
[Perception]
superior colliculus [450, 200, 550, 484]
[Unlocalized]
posterior commissure
cerebral aqueduct
posterior aspect of the cerebral hemispheres
[Conclusion]
The mass is loca... | The mass is located in the pineal region, as evidenced by its position adjacent to the pineal gland, third ventricle, and midbrain, with involvement of the superior colliculus, consistent with pineal gland pathology. | 7 | 4 | 1 | 3 | 0.3218 | [
{
"bbox": [
450,
400,
550,
500
],
"bbox_consistency": 0.09,
"clip_score": 0.3242,
"consistency": 1,
"delta_conf": 0.0186,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "pineal gland",
"radlex_category": "unverified",
"radl... | [{"name": "pineal gland", "raw_name": "pineal gland", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [450, 400, 550, 500], "valid": true, "clip_score": 0.3242, "bbox_consistency": 0.09, "layer": "Causal", "delta_conf": 0.0186}, {"name": "third ... | 0.7864 | true | [{"name": "pineal gland", "layer": "Causal", "delta_conf": 0.0186, "bbox": [450, 400, 550, 500], "radlex_id": null, "clip_score": 0.3242}, {"name": "third ventricle", "layer": "Context", "delta_conf": 0.0228, "bbox": [385, 400, 610, 588], "radlex_id": "RID3008", "clip_score": 0.3325}, {"name": "midbrain", "layer": "Con... | [{"src": "pineal gland", "dst": "midbrain", "edge_type": "causal", "weight": 0.0225}, {"src": "third ventricle", "dst": "midbrain", "edge_type": "causal", "weight": 0.0267}, {"src": "third ventricle", "dst": "pineal gland", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "superior colliculus", "dst": "midbr... | superior colliculus | ["third ventricle", "superior colliculus", "pineal gland", "midbrain"] | 4 | 5 | 3 | 2 | 0 |
0 | where is the mass? | pineal region | MRI | Modality: MRI
[Causal]
third ventricle [375, 185, 625, 500]
[Context]
cerebral hemispheres [447, 185, 550, 485]
[Perception]
pineal gland [414, 185, 586, 484]
posterior commissure [450, 580, 550, 680]
[Unlocalized]
pineal region mass
cerebral aqueduct
superior colliculus
[Conclusion]
The mass is located in the pin... | The mass is located in the pineal region, as evidenced by the third ventricle's displacement and the pineal gland's abnormal appearance, with the posterior commissure serving as a key anatomical landmark. | 7 | 4 | 2 | 3 | 0.3317 | [
{
"bbox": [
375,
185,
625,
500
],
"bbox_consistency": 0.47,
"clip_score": 0.3943,
"consistency": 1,
"delta_conf": 0.0178,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "third ventricle",
"radlex_category": "anatomy",
"radl... | [{"name": "third ventricle", "raw_name": "third ventricle", "radlex_id": "RID3008", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [375, 185, 625, 500], "valid": true, "clip_score": 0.3943, "bbox_consistency": 0.47, "layer": "Causal", "delta_conf": 0.0178}, {"name":... | 0.6321 | true | [{"name": "third ventricle", "layer": "Causal", "delta_conf": 0.0178, "bbox": [375, 185, 625, 500], "radlex_id": "RID3008", "clip_score": 0.3943}, {"name": "pineal gland", "layer": "Perception", "delta_conf": 0.0093, "bbox": [414, 185, 586, 484], "radlex_id": null, "clip_score": 0.3136}, {"name": "cerebral hemispheres"... | [{"src": "third ventricle", "dst": "pineal gland", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "third ventricle", "dst": "cerebral hemispheres", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "pineal gland", "dst": "cerebral hemispheres", "edge_type": "spatial_containment", "weight": 0.997}... | cerebral hemispheres | ["third ventricle", "pineal gland", "cerebral hemispheres", "posterior commissure"] | 4 | 4 | 2 | 3 | 0 |
0 | is this image in the transverse plane? | yes | MRI | Modality: MRI
[Causal]
ring-enhancing lesion [538, 315, 746, 525]
[Context]
cerebral hemispheres [375, 105, 625, 205]
[Unlocalized]
corpus callosum
lateral ventricles
brain parenchyma
sulci
[Conclusion]
The transverse plane is confirmed by the axial orientation of the cerebral hemispheres and the symmetric, horizon... | The transverse plane is confirmed by the axial orientation of the cerebral hemispheres and the symmetric, horizontal cross-sectional view of the ring-enhancing lesion within the brain parenchyma. | 6 | 2 | 1 | 4 | 0.2242 | [
{
"bbox": [
538,
315,
746,
525
],
"bbox_consistency": 0.37,
"clip_score": 0.2552,
"consistency": 1,
"delta_conf": -0.0144,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "ring-enhancing lesion",
"radlex_category": "unverified",... | [{"name": "ring-enhancing lesion", "raw_name": "ring-enhancing lesion", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [538, 315, 746, 525], "valid": true, "clip_score": 0.2552, "bbox_consistency": 0.37, "layer": "Causal", "delta_conf": -0.0144... | 0.7619 | true | [{"name": "ring-enhancing lesion", "layer": "Causal", "delta_conf": -0.0144, "bbox": [538, 315, 746, 525], "radlex_id": null, "clip_score": 0.2552}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": 0.0115, "bbox": [375, 105, 625, 205], "radlex_id": "RID3001", "clip_score": 0.1933}] | [{"src": "cerebral hemispheres", "dst": "ring-enhancing lesion", "edge_type": "causal", "weight": 0.0259}] | cerebral hemispheres | ["cerebral hemispheres", "ring-enhancing lesion"] | 2 | 1 | 1 | 0 | 0 |
0 | are there any pulmonary findings? | no | X-ray | Modality: X-ray
[Causal]
Lung fields [100, 100, 900, 900]
[Context]
ribs [104, 669, 885, 998]
[Perception]
Heart size [104, 700, 888, 888]
[Unlocalized]
diaphragm
mediastinum
lung base
[Conclusion]
Lung fields are clear with no infiltrates, masses, or consolidation; heart size is normal, and ribs are intact, suppo... | Lung fields are clear with no infiltrates, masses, or consolidation; heart size is normal, and ribs are intact, supporting the absence of pulmonary pathology. | 6 | 3 | 1 | 4 | 0.3164 | [
{
"bbox": [
100,
100,
900,
900
],
"bbox_consistency": 0.52,
"clip_score": 0.3877,
"consistency": 1,
"delta_conf": 0.0309,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Lung fields",
"radlex_category": "unverified",
"radle... | [{"name": "Lung fields", "raw_name": "Lung fields", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [100, 100, 900, 900], "valid": true, "clip_score": 0.3877, "bbox_consistency": 0.52, "layer": "Causal", "delta_conf": 0.0309}, {"name": "Heart si... | 0.4719 | true | [{"name": "Lung fields", "layer": "Causal", "delta_conf": 0.0309, "bbox": [100, 100, 900, 900], "radlex_id": null, "clip_score": 0.3877}, {"name": "Heart size", "layer": "Perception", "delta_conf": -0.0072, "bbox": [104, 700, 888, 888], "radlex_id": null, "clip_score": 0.224}, {"name": "ribs", "layer": "Context", "delt... | [{"src": "Lung fields", "dst": "ribs", "edge_type": "causal", "weight": 0.0325}, {"src": "Lung fields", "dst": "Heart size", "edge_type": "causal", "weight": 0.0381}, {"src": "ribs", "dst": "Heart size", "edge_type": "spatial_containment", "weight": 0.996}] | Lung fields | ["Lung fields", "ribs", "Heart size"] | 3 | 3 | 2 | 1 | 0 |
0 | are the lungs affected? | no | X-ray | Modality: X-ray
[Causal]
lung base [105, 683, 885, 998]
[Context]
ribs [350, 0, 650, 1000]
[Unlocalized]
diaphragm
mediastinum
Lung fields
lung parenchyma
Bilateral lung fields
[Conclusion]
Lung bases are clear with no infiltrates, consolidation, or effusion, and rib structures are intact, supporting the absence of... | Lung bases are clear with no infiltrates, consolidation, or effusion, and rib structures are intact, supporting the absence of lung pathology. | 7 | 2 | 1 | 5 | 0.3309 | [
{
"bbox": [
105,
683,
885,
998
],
"bbox_consistency": 0.94,
"clip_score": 0.2588,
"consistency": 1,
"delta_conf": 0.0002,
"is_pathology": false,
"layer": "Causal",
"match_score": 0.95,
"name": "lung base",
"radlex_category": "anatomy",
"radlex_... | [{"name": "lung base", "raw_name": "Costophrenic angles", "radlex_id": "RID1332", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 0.95, "is_pathology": false, "bbox": [105, 683, 885, 998], "valid": true, "clip_score": 0.2588, "bbox_consistency": 0.94, "layer": "Causal", "delta_conf": 0.0002}, {"name": ... | 0.8472 | true | [{"name": "lung base", "layer": "Causal", "delta_conf": 0.0002, "bbox": [105, 683, 885, 998], "radlex_id": "RID1332", "clip_score": 0.2588}, {"name": "ribs", "layer": "Context", "delta_conf": -0.0344, "bbox": [350, 0, 650, 1000], "radlex_id": "RID1348", "clip_score": 0.403}] | [{"src": "ribs", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.209}] | lung base | ["ribs", "lung base"] | 2 | 1 | 1 | 1 | 0 |
0 | in which lobe are the lesions? | bilateral frontal lobes | MRI | Modality: MRI
[Causal]
Bilateral frontal lobe lesions [10, 10, 990, 500]
frontal lobe [208, 100, 792, 688]
[Context]
lateral ventricles [250, 325, 750, 475]
[Unlocalized]
corpus callosum
cerebral hemispheres
cerebral cortex
gray matter
[Conclusion]
Lesions are located in the bilateral frontal lobes, as evidenced by... | Lesions are located in the bilateral frontal lobes, as evidenced by symmetric hyperintense signal abnormalities adjacent to the lateral ventricles, consistent with frontal lobe involvement. | 7 | 3 | 2 | 6 | 0.3409 | [
{
"bbox": [
10,
10,
990,
500
],
"bbox_consistency": 0.64,
"clip_score": 0.3963,
"consistency": 1,
"delta_conf": 0.013,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Bilateral frontal lobe lesions",
"radlex_category": "unverif... | [{"name": "Bilateral frontal lobe lesions", "raw_name": "Bilateral frontal lobe lesions", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [10, 10, 990, 500], "valid": true, "clip_score": 0.3963, "bbox_consistency": 0.64, "layer": "Causal", "delt... | 0.8093 | true | [{"name": "Bilateral frontal lobe lesions", "layer": "Causal", "delta_conf": 0.013, "bbox": [10, 10, 990, 500], "radlex_id": null, "clip_score": 0.3963}, {"name": "frontal lobe", "layer": "Causal", "delta_conf": -0.0135, "bbox": [208, 100, 792, 688], "radlex_id": "RID3002", "clip_score": 0.3144}, {"name": "lateral vent... | [{"src": "Bilateral frontal lobe lesions", "dst": "frontal lobe", "edge_type": "causal", "weight": 0.0265}, {"src": "Bilateral frontal lobe lesions", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0443}, {"src": "frontal lobe", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": ... | Bilateral frontal lobe lesions | ["Bilateral frontal lobe lesions", "frontal lobe", "lateral ventricles"] | 3 | 3 | 2 | 1 | 0 |
0 | where are the lesions? | bilateral frontal lobes | MRI | Modality: MRI
[Causal]
bilateral frontal lobe lesions [10, 10, 990, 510]
[Context]
lateral ventricles [270, 324, 724, 666]
[Unlocalized]
corpus callosum
brain parenchyma
frontal lobe
cerebral hemispheres
cerebral cortex
[Conclusion]
Bilateral frontal lobe lesions are evident as hyperintense areas on the T2-weighted... | Bilateral frontal lobe lesions are evident as hyperintense areas on the T2-weighted MRI, symmetrically involving the frontal lobes adjacent to the lateral ventricles, consistent with the reported findings. | 7 | 2 | 1 | 5 | 0.4205 | [
{
"bbox": [
10,
10,
990,
510
],
"bbox_consistency": 0.69,
"clip_score": 0.4142,
"consistency": 1,
"delta_conf": 0.0235,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "bilateral frontal lobe lesions",
"radlex_category": "unveri... | [{"name": "bilateral frontal lobe lesions", "raw_name": "bilateral frontal lobe lesions", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [10, 10, 990, 510], "valid": true, "clip_score": 0.4142, "bbox_consistency": 0.69, "layer": "Causal", "delt... | 0.6574 | true | [{"name": "bilateral frontal lobe lesions", "layer": "Causal", "delta_conf": 0.0235, "bbox": [10, 10, 990, 510], "radlex_id": null, "clip_score": 0.4142}, {"name": "lateral ventricles", "layer": "Context", "delta_conf": 0.0192, "bbox": [270, 324, 724, 666], "radlex_id": "RID3007", "clip_score": 0.4269}] | [{"src": "bilateral frontal lobe lesions", "dst": "lateral ventricles", "edge_type": "spatial_overlap", "weight": 0.151}] | bilateral frontal lobe lesions | ["bilateral frontal lobe lesions", "lateral ventricles"] | 2 | 1 | 0 | 1 | 0 |
0 | is there herniation of the brainstem secondary to the lesion | no | MRI | Modality: MRI
[Causal]
brainstem [354, 399, 644, 588]
[Context]
cerebellum [380, 402, 622, 525]
fourth ventricle [458, 400, 540, 500]
cerebellar vermis [408, 398, 588, 500]
[Unlocalized]
Basilar artery
pons
[Conclusion]
No brainstem herniation is present; the brainstem remains in normal position with no displacemen... | No brainstem herniation is present; the brainstem remains in normal position with no displacement or compression, despite the cerebellar lesion, indicating absence of significant mass effect or upward herniation. | 6 | 4 | 1 | 5 | 0.3139 | [
{
"bbox": [
354,
399,
644,
588
],
"bbox_consistency": 0.39,
"clip_score": 0.3925,
"consistency": 1,
"delta_conf": 0.0197,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "brainstem",
"radlex_category": "anatomy",
"radlex_id"... | [{"name": "brainstem", "raw_name": "Brainstem", "radlex_id": "RID3013", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [354, 399, 644, 588], "valid": true, "clip_score": 0.3925, "bbox_consistency": 0.39, "layer": "Causal", "delta_conf": 0.0197}, {"name": "cerebellum... | 0.7865 | true | [{"name": "brainstem", "layer": "Causal", "delta_conf": 0.0197, "bbox": [354, 399, 644, 588], "radlex_id": "RID3013", "clip_score": 0.3925}, {"name": "cerebellum", "layer": "Context", "delta_conf": 0.0079, "bbox": [380, 402, 622, 525], "radlex_id": "RID3011", "clip_score": 0.2656}, {"name": "fourth ventricle", "layer":... | [{"src": "brainstem", "dst": "cerebellum", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "brainstem", "dst": "fourth ventricle", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "brainstem", "dst": "cerebellar vermis", "edge_type": "spatial_containment", "weight": 0.99}, {"src": "cerebellum", "... | brainstem | ["brainstem", "cerebellum", "cerebellar vermis", "fourth ventricle"] | 4 | 6 | 0 | 6 | 0 |
0 | what type of image is this? | mri-dwi | MRI | Modality: MRI
[Causal]
lateral ventricles [418, 104, 580, 384]
[Context]
corpus callosum [250, 350, 750, 650]
[Unlocalized]
cerebral cortex
basal ganglia
white matter
gray matter
[Conclusion]
This is an MRI-DWI image, evidenced by the hyperintense signal in the lateral ventricles and surrounding white matter, consi... | This is an MRI-DWI image, evidenced by the hyperintense signal in the lateral ventricles and surrounding white matter, consistent with restricted diffusion, and the preserved anatomy of the corpus callosum, which is typically well visualized on DWI sequences. | 6 | 2 | 2 | 6 | 0.3057 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.6,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "cerebral cortex",
"radlex_category": "anatomy",
"radlex_id": "RID3037... | [{"name": "cerebral cortex", "raw_name": "cerebral cortex", "radlex_id": "RID3037", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.6, "layer": "Causal", "delta_conf": null}, {"name": "lateral ven... | 0.1356 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0018, "bbox": [418, 104, 580, 384], "radlex_id": "RID3007", "clip_score": 0.3069}, {"name": "corpus callosum", "layer": "Context", "delta_conf": 0.0012, "bbox": [250, 350, 750, 650], "radlex_id": "RID3023", "clip_score": 0.3045}] | [] | corpus callosum | ["lateral ventricles", "corpus callosum"] | 2 | 0 | 0 | 0 | 0 |
0 | is the gyral enhancement? | yes | MRI | Modality: MRI
[Causal]
cerebral cortex [214, 104, 784, 684]
[Context]
lateral ventricles [288, 325, 686, 496]
corpus callosum [300, 181, 700, 300]
[Unlocalized]
Gyral enhancement
sulci
basal ganglia
[Conclusion]
Gyral enhancement is evident on the MRI, with abnormal signal intensity along the cerebral cortex, parti... | Gyral enhancement is evident on the MRI, with abnormal signal intensity along the cerebral cortex, particularly involving the gyri adjacent to the lateral ventricles and corpus callosum, consistent with inflammatory or infectious processes. | 6 | 3 | 2 | 5 | 0.3266 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.96,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Gyral enhancement",
"radlex_category": "unverified",
"radlex_id": nu... | [{"name": "Gyral enhancement", "raw_name": "Gyral enhancement", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.96, "layer": "Causal", "delta_conf": null}, {"name": "cerebral... | 0.6469 | true | [{"name": "cerebral cortex", "layer": "Causal", "delta_conf": 0.026, "bbox": [214, 104, 784, 684], "radlex_id": "RID3037", "clip_score": 0.306}, {"name": "lateral ventricles", "layer": "Context", "delta_conf": 0.0513, "bbox": [288, 325, 686, 496], "radlex_id": "RID3007", "clip_score": 0.3167}, {"name": "corpus callosum... | [{"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "cerebral cortex", "dst": "corpus callosum", "edge_type": "spatial_containment", "weight": 1.0}] | corpus callosum | ["cerebral cortex", "lateral ventricles", "corpus callosum"] | 3 | 2 | 2 | 2 | 0 |
0 | what is the location of the abnormality? | right colon | CT | Modality: CT
[Causal]
abnormality in right colon [150, 275, 848, 500]
[Context]
ascending colon [150, 300, 400, 500]
cecum [154, 280, 844, 500]
mesenteric fat [388, 500, 608, 645]
[Perception]
terminal ileum [100, 240, 400, 400]
[Unlocalized]
liver
vertebral body
[Conclusion]
The abnormality is located in the righ... | The abnormality is located in the right colon, as evidenced by the focal lesion involving the ascending colon, cecum, and terminal ileum, with associated mesenteric fat stranding. | 7 | 5 | 1 | 5 | 0.3682 | [
{
"bbox": [
150,
275,
848,
500
],
"bbox_consistency": 0.61,
"clip_score": 0.3725,
"consistency": 1,
"delta_conf": 0.0256,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "abnormality in right colon",
"radlex_category": "unverifi... | [{"name": "abnormality in right colon", "raw_name": "abnormality in right colon", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [150, 275, 848, 500], "valid": true, "clip_score": 0.3725, "bbox_consistency": 0.61, "layer": "Causal", "delta_conf... | 0.8557 | true | [{"name": "abnormality in right colon", "layer": "Causal", "delta_conf": 0.0256, "bbox": [150, 275, 848, 500], "radlex_id": null, "clip_score": 0.3725}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.0074, "bbox": [150, 300, 400, 500], "radlex_id": "RID2029", "clip_score": 0.406}, {"name": "cecum", "la... | [{"src": "abnormality in right colon", "dst": "mesenteric fat", "edge_type": "causal", "weight": 0.0222}, {"src": "abnormality in right colon", "dst": "ascending colon", "edge_type": "spatial_containment", "weight": 1.0}, {"src": "abnormality in right colon", "dst": "cecum", "edge_type": "spatial_containment", "weight"... | abnormality in right colon | ["abnormality in right colon", "mesenteric fat", "cecum", "ascending colon", "terminal ileum"] | 5 | 7 | 1 | 7 | 0 |
0 | where is the abnormal finding? | right colon | CT | Modality: CT
[Causal]
bowel wall thickening [150, 250, 848, 525]
[Context]
ascending colon [178, 258, 817, 512]
transverse colon [150, 248, 848, 688]
[Perception]
Small bowel loops [100, 245, 900, 725]
Peritoneal fat [388, 500, 608, 650]
[Unlocalized]
vertebral body
mesenteric fat
[Conclusion]
Bowel wall thickenin... | Bowel wall thickening in the ascending colon, along with adjacent small bowel loops and peritoneal fat stranding, localizes the abnormality to the right colon, consistent with inflammatory or neoplastic processes in this region. | 7 | 5 | 1 | 5 | 0.3862 | [
{
"bbox": [
150,
250,
848,
525
],
"bbox_consistency": 0.72,
"clip_score": 0.3877,
"consistency": 1,
"delta_conf": 0.0048,
"is_pathology": true,
"layer": "Causal",
"match_score": 0.7,
"name": "bowel wall thickening",
"radlex_category": "pathology",
... | [{"name": "bowel wall thickening", "raw_name": "Abnormal bowel wall thickening", "radlex_id": "RID2111", "radlex_category": "pathology", "consistency": 1.0, "match_score": 0.7, "is_pathology": true, "bbox": [150, 250, 848, 525], "valid": true, "clip_score": 0.3877, "bbox_consistency": 0.72, "layer": "Causal", "delta_co... | 0.6705 | true | [{"name": "bowel wall thickening", "layer": "Causal", "delta_conf": 0.0048, "bbox": [150, 250, 848, 525], "radlex_id": "RID2111", "clip_score": 0.3877}, {"name": "ascending colon", "layer": "Context", "delta_conf": -0.0173, "bbox": [178, 258, 817, 512], "radlex_id": "RID2029", "clip_score": 0.3813}, {"name": "Small bow... | [{"src": "ascending colon", "dst": "bowel wall thickening", "edge_type": "spatial_containment", "weight": 0.846}, {"src": "Small bowel loops", "dst": "Peritoneal fat", "edge_type": "causal", "weight": 0.0642}, {"src": "Small bowel loops", "dst": "bowel wall thickening", "edge_type": "causal", "weight": 0.0904}, {"src":... | Small bowel loops | ["transverse colon", "Small bowel loops", "Peritoneal fat", "ascending colon", "bowel wall thickening"] | 5 | 10 | 10 | 2 | 0 |
0 | what plane is seen? | pa | X-ray | Modality: X-ray
[Causal]
lungs [355, 516, 644, 909]
[Context]
ribs [21, 185, 979, 300]
mediastinum [100, 650, 900, 888]
[Unlocalized]
posterior-anterior projection
heart
clavicles
diaphragm
[Conclusion]
Posteroanterior (PA) projection is confirmed by the clear visualization of the clavicles and scapulae lateral to ... | Posteroanterior (PA) projection is confirmed by the clear visualization of the clavicles and scapulae lateral to the lung fields, with symmetrical rib alignment and adequate lung expansion, consistent with standard PA chest radiography. | 7 | 3 | 2 | 5 | 0.3153 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.72,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "posterior-anterior projection",
"radlex_category": "unverified",
"ra... | [{"name": "posterior-anterior projection", "raw_name": "posterior-anterior projection", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.72, "layer": "Causal", "delta_conf": n... | 0.6856 | true | [{"name": "lungs", "layer": "Causal", "delta_conf": -0.0536, "bbox": [355, 516, 644, 909], "radlex_id": null, "clip_score": 0.2938}, {"name": "ribs", "layer": "Context", "delta_conf": -0.0322, "bbox": [21, 185, 979, 300], "radlex_id": "RID1348", "clip_score": 0.3416}, {"name": "mediastinum", "layer": "Context", "delta_... | [{"src": "ribs", "dst": "lungs", "edge_type": "causal", "weight": 0.0214}, {"src": "mediastinum", "dst": "ribs", "edge_type": "causal", "weight": 0.0342}, {"src": "mediastinum", "dst": "lungs", "edge_type": "causal", "weight": 0.0556}] | mediastinum | ["mediastinum", "ribs", "lungs"] | 3 | 3 | 3 | 0 | 0 |
0 | how would you describe the mass? | isointense | MRI | Modality: MRI
[Causal]
lateral ventricles [344, 344, 652, 652]
[Perception]
brain parenchyma [550, 420, 850, 780]
[Unlocalized]
corpus callosum
right temporal lobe mass
gray matter
white matter
cerebral cortex
[Conclusion]
The mass is isointense to brain parenchyma on this T2-weighted MRI, as it demonstrates simila... | The mass is isointense to brain parenchyma on this T2-weighted MRI, as it demonstrates similar signal intensity to surrounding gray matter, with no significant hyperintensity or hypointensity relative to adjacent tissue. | 7 | 2 | 2 | 5 | 0.2795 | [
{
"bbox": [
344,
344,
652,
652
],
"bbox_consistency": 0.42,
"clip_score": 0.3493,
"consistency": 1,
"delta_conf": -0.0133,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"... | [{"name": "lateral ventricles", "raw_name": "lateral ventricle", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [344, 344, 652, 652], "valid": true, "clip_score": 0.3493, "bbox_consistency": 0.42, "layer": "Causal", "delta_conf": -0.0133}, {"... | 0.7347 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0133, "bbox": [344, 344, 652, 652], "radlex_id": "RID3007", "clip_score": 0.3493}, {"name": "brain parenchyma", "layer": "Perception", "delta_conf": 0.0196, "bbox": [550, 420, 850, 780], "radlex_id": null, "clip_score": 0.2097}] | [{"src": "brain parenchyma", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0329}] | brain parenchyma | ["brain parenchyma", "lateral ventricles"] | 2 | 1 | 1 | 0 | 0 |
0 | what are the characteristics of the mass? | isointense | MRI | Modality: MRI
[Causal]
lateral ventricles [344, 344, 656, 656]
[Context]
white matter [388, 10, 608, 150]
cerebral cortex [570, 420, 850, 780]
[Unlocalized]
mass in the left temporal lobe
gray matter
corpus callosum
mass
[Conclusion]
The mass is isointense to gray matter on T1-weighted imaging, consistent with its ... | The mass is isointense to gray matter on T1-weighted imaging, consistent with its appearance in the white matter and surrounding cerebral cortex, with no significant mass effect on the lateral ventricles. | 7 | 3 | 3 | 5 | 0.3054 | [
{
"bbox": [
344,
344,
656,
656
],
"bbox_consistency": 0.43,
"clip_score": 0.3464,
"consistency": 1,
"delta_conf": -0.0529,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "lateral ventricles",
"radlex_category": "anatomy",
"... | [{"name": "lateral ventricles", "raw_name": "lateral ventricle", "radlex_id": "RID3007", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [344, 344, 656, 656], "valid": true, "clip_score": 0.3464, "bbox_consistency": 0.43, "layer": "Causal", "delta_conf": -0.0529}, {"... | 0.6001 | true | [{"name": "lateral ventricles", "layer": "Causal", "delta_conf": -0.0529, "bbox": [344, 344, 656, 656], "radlex_id": "RID3007", "clip_score": 0.3464}, {"name": "white matter", "layer": "Context", "delta_conf": -0.0092, "bbox": [388, 10, 608, 150], "radlex_id": "RID3024", "clip_score": 0.2787}, {"name": "cerebral cortex... | [{"src": "white matter", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0437}, {"src": "cerebral cortex", "dst": "white matter", "edge_type": "causal", "weight": 0.0283}, {"src": "cerebral cortex", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.072}] | cerebral cortex | ["cerebral cortex", "white matter", "lateral ventricles"] | 3 | 3 | 3 | 0 | 0 |
0 | which plane is this image taken in? | pa | X-ray | Modality: X-ray
[Causal]
heart silhouette [104, 688, 908, 998]
[Context]
chest wall [22, 105, 978, 230]
[Unlocalized]
posterior-anterior projection
diaphragm
clavicles
spine
[Conclusion]
The posterior-anterior (PA) projection is confirmed by the clear visualization of the heart silhouette and chest wall anatomy, wi... | The posterior-anterior (PA) projection is confirmed by the clear visualization of the heart silhouette and chest wall anatomy, with the heart appearing smaller and the diaphragm more clearly delineated, consistent with standard PA chest radiography. | 6 | 2 | 2 | 4 | 0.3204 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.23,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "posterior-anterior projection",
"radlex_category": "unverified",
"ra... | [{"name": "posterior-anterior projection", "raw_name": "posterior-anterior projection", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.23, "layer": "Causal", "delta_conf": n... | 0.9059 | true | [{"name": "heart silhouette", "layer": "Causal", "delta_conf": 0.0248, "bbox": [104, 688, 908, 998], "radlex_id": null, "clip_score": 0.2395}, {"name": "chest wall", "layer": "Context", "delta_conf": -0.0029, "bbox": [22, 105, 978, 230], "radlex_id": "RID1347", "clip_score": 0.4013}] | [{"src": "heart silhouette", "dst": "chest wall", "edge_type": "causal", "weight": 0.0277}] | heart silhouette | ["heart silhouette", "chest wall"] | 2 | 1 | 1 | 0 | 0 |
0 | is the mass hyperintense or hypointense? | hyperintense | MRI | Modality: MRI
[Causal]
third ventricle [360, 175, 647, 471]
pineal gland mass [402, 185, 594, 283]
[Context]
cerebral hemispheres [352, 104, 658, 240]
corpus callosum [355, 170, 647, 488]
lateral ventricles [384, 500, 612, 684]
[Unlocalized]
brainstem
mass in the pineal region
[Conclusion]
The pineal gland mass is ... | The pineal gland mass is hyperintense on this T2-weighted MRI, consistent with a pineal cyst, and is associated with third ventricular compression and hydrocephalus due to obstructive flow. | 7 | 5 | 3 | 5 | 0.327 | [
{
"bbox": [
360,
175,
647,
471
],
"bbox_consistency": 0.39,
"clip_score": 0.3832,
"consistency": 1,
"delta_conf": 0.0137,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "third ventricle",
"radlex_category": "anatomy",
"radl... | [{"name": "third ventricle", "raw_name": "third ventricle", "radlex_id": "RID3008", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [360, 175, 647, 471], "valid": true, "clip_score": 0.3832, "bbox_consistency": 0.39, "layer": "Causal", "delta_conf": 0.0137}, {"name":... | 0.7629 | true | [{"name": "third ventricle", "layer": "Causal", "delta_conf": 0.0137, "bbox": [360, 175, 647, 471], "radlex_id": "RID3008", "clip_score": 0.3832}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": -0.0021, "bbox": [352, 104, 658, 240], "radlex_id": "RID3001", "clip_score": 0.287}, {"name": "corpus call... | [{"src": "third ventricle", "dst": "lateral ventricles", "edge_type": "causal", "weight": 0.0235}, {"src": "third ventricle", "dst": "pineal gland mass", "edge_type": "causal", "weight": 0.0252}, {"src": "third ventricle", "dst": "cerebral hemispheres", "edge_type": "spatial_overlap", "weight": 0.173}, {"src": "cerebra... | third ventricle | ["corpus callosum", "third ventricle", "lateral ventricles", "cerebral hemispheres", "pineal gland mass"] | 5 | 7 | 2 | 6 | 0 |
0 | what is the radiological description of the mass? | hyperintense | MRI | Modality: MRI
[Causal]
third ventricle [375, 185, 625, 485]
intraventricular mass [375, 155, 625, 285]
[Context]
cerebral hemispheres [352, 121, 647, 281]
corpus callosum [357, 140, 640, 484]
lateral ventricles [350, 208, 650, 300]
[Unlocalized]
mass in the pineal region
hyperintense signal
[Conclusion]
The mass is... | The mass is hyperintense on this MRI, as evidenced by its bright signal relative to surrounding brain parenchyma within the lateral ventricles, consistent with a fluid-filled or cystic lesion adjacent to the third ventricle and corpus callosum. | 7 | 5 | 3 | 4 | 0.321 | [
{
"bbox": [
375,
185,
625,
485
],
"bbox_consistency": 0.48,
"clip_score": 0.3797,
"consistency": 1,
"delta_conf": -0.012,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "third ventricle",
"radlex_category": "anatomy",
"radl... | [{"name": "third ventricle", "raw_name": "third ventricle", "radlex_id": "RID3008", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [375, 185, 625, 485], "valid": true, "clip_score": 0.3797, "bbox_consistency": 0.48, "layer": "Causal", "delta_conf": -0.012}, {"name":... | 0.5868 | true | [{"name": "third ventricle", "layer": "Causal", "delta_conf": -0.012, "bbox": [375, 185, 625, 485], "radlex_id": "RID3008", "clip_score": 0.3797}, {"name": "cerebral hemispheres", "layer": "Context", "delta_conf": -0.0254, "bbox": [352, 121, 647, 281], "radlex_id": "RID3001", "clip_score": 0.2802}, {"name": "corpus cal... | [{"src": "third ventricle", "dst": "intraventricular mass", "edge_type": "causal", "weight": 0.0242}, {"src": "third ventricle", "dst": "cerebral hemispheres", "edge_type": "spatial_overlap", "weight": 0.244}, {"src": "third ventricle", "dst": "lateral ventricles", "edge_type": "spatial_containment", "weight": 0.833}, ... | third ventricle | ["corpus callosum", "third ventricle", "cerebral hemispheres", "intraventricular mass", "lateral ventricles"] | 5 | 10 | 1 | 10 | 0 |
0 | is it difficult to delineate the left costophrenic angle? | yes | X-ray | Modality: X-ray
[Causal]
pleural effusion [55, 155, 500, 800]
[Context]
lung base [11, 627, 989, 881]
[Unlocalized]
diaphragm
chest wall
[Conclusion]
Pleural effusion obscures the left costophrenic angle, making it difficult to delineate due to fluid accumulation in the lung base. | Pleural effusion obscures the left costophrenic angle, making it difficult to delineate due to fluid accumulation in the lung base. | 4 | 2 | 1 | 4 | 0.277 | [
{
"bbox": [
55,
155,
500,
800
],
"bbox_consistency": 0.08,
"clip_score": 0.3225,
"consistency": 1,
"delta_conf": -0.0318,
"is_pathology": true,
"layer": "Causal",
"match_score": 1,
"name": "pleural effusion",
"radlex_category": "pathology",
"ra... | [{"name": "pleural effusion", "raw_name": "pleural effusion", "radlex_id": "RID1401", "radlex_category": "pathology", "consistency": 1.0, "match_score": 1.0, "is_pathology": true, "bbox": [55, 155, 500, 800], "valid": true, "clip_score": 0.3225, "bbox_consistency": 0.08, "layer": "Causal", "delta_conf": -0.0318}, {"nam... | 0.8166 | true | [{"name": "pleural effusion", "layer": "Causal", "delta_conf": -0.0318, "bbox": [55, 155, 500, 800], "radlex_id": "RID1401", "clip_score": 0.3225}, {"name": "lung base", "layer": "Context", "delta_conf": 0.004, "bbox": [11, 627, 989, 881], "radlex_id": "RID1332", "clip_score": 0.2315}] | [{"src": "pleural effusion", "dst": "lung base", "edge_type": "spatial_overlap", "weight": 0.168}] | lung base | ["pleural effusion", "lung base"] | 2 | 1 | 1 | 1 | 0 |
0 | what allows for the bright areas seen in this image? | iv contrast | X-ray | Modality: X-ray
[Causal]
aortic arch [408, 345, 585, 445]
[Context]
abdominal aorta [148, 375, 850, 585]
[Perception]
Iliac arteries [158, 308, 838, 698]
Contrast material in vascular structures [192, 328, 800, 527]
Contrast-enhanced bowel lumen [204, 345, 300, 418]
[Unlocalized]
Enhanced mesenteric vessels
Enhance... | Bright areas result from intravenous contrast enhancing vascular structures, including the aortic arch, abdominal aorta, and iliac arteries, as well as the bowel lumen, confirming contrast administration. | 7 | 5 | 1 | 2 | 0.2123 | [
{
"bbox": [
408,
345,
585,
445
],
"bbox_consistency": 0.5,
"clip_score": 0.2087,
"consistency": 1,
"delta_conf": 0.0053,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "aortic arch",
"radlex_category": "anatomy",
"radlex_id... | [{"name": "aortic arch", "raw_name": "Aortic arch", "radlex_id": "RID1309", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [408, 345, 585, 445], "valid": true, "clip_score": 0.2087, "bbox_consistency": 0.5, "layer": "Causal", "delta_conf": 0.0053}, {"name": "abdomin... | 0.6862 | true | [{"name": "aortic arch", "layer": "Causal", "delta_conf": 0.0053, "bbox": [408, 345, 585, 445], "radlex_id": "RID1309", "clip_score": 0.2087}, {"name": "abdominal aorta", "layer": "Context", "delta_conf": -0.0217, "bbox": [148, 375, 850, 585], "radlex_id": "RID2020", "clip_score": 0.2314}, {"name": "Iliac arteries", "l... | [{"src": "abdominal aorta", "dst": "aortic arch", "edge_type": "spatial_containment", "weight": 0.7}, {"src": "abdominal aorta", "dst": "Contrast material in vascular structures", "edge_type": "spatial_containment", "weight": 0.764}, {"src": "Iliac arteries", "dst": "abdominal aorta", "edge_type": "causal", "weight": 0... | aortic arch | ["Iliac arteries", "abdominal aorta", "Contrast material in vascular structures", "aortic arch", "Contrast-enhanced bowel lumen"] | 5 | 8 | 3 | 7 | 0 |
0 | is this an mri? | no | X-ray | Modality: X-ray
[Causal]
clavicles [15, 185, 985, 304]
[Context]
spine [0, 175, 1000, 283]
[Perception]
lungs [288, 321, 704, 998]
heart silhouette [125, 643, 905, 894]
[Unlocalized]
ribs
diaphragm
scapulae
[Conclusion]
This is a chest X-ray, not an MRI, as evidenced by the bony structures, lung fields, and heart ... | This is a chest X-ray, not an MRI, as evidenced by the bony structures, lung fields, and heart silhouette visible in a standard radiographic projection, with no soft tissue contrast or multiplanar imaging typical of MRI. | 7 | 4 | 1 | 5 | 0.3709 | [
{
"bbox": [
15,
185,
985,
304
],
"bbox_consistency": 0.48,
"clip_score": 0.38,
"consistency": 1,
"delta_conf": 0.0438,
"is_pathology": false,
"layer": "Causal",
"match_score": 1,
"name": "clavicles",
"radlex_category": "anatomy",
"radlex_id": "... | [{"name": "clavicles", "raw_name": "clavicle", "radlex_id": "RID1350", "radlex_category": "anatomy", "consistency": 1.0, "match_score": 1.0, "is_pathology": false, "bbox": [15, 185, 985, 304], "valid": true, "clip_score": 0.38, "bbox_consistency": 0.48, "layer": "Causal", "delta_conf": 0.0438}, {"name": "ribs", "raw_na... | 0.7102 | true | [{"name": "clavicles", "layer": "Causal", "delta_conf": 0.0438, "bbox": [15, 185, 985, 304], "radlex_id": "RID1350", "clip_score": 0.38}, {"name": "lungs", "layer": "Perception", "delta_conf": 0.0245, "bbox": [288, 321, 704, 998], "radlex_id": null, "clip_score": 0.3572}, {"name": "heart silhouette", "layer": "Percepti... | [{"src": "clavicles", "dst": "heart silhouette", "edge_type": "causal", "weight": 0.0476}, {"src": "lungs", "dst": "heart silhouette", "edge_type": "causal", "weight": 0.0283}, {"src": "spine", "dst": "heart silhouette", "edge_type": "causal", "weight": 0.0242}, {"src": "spine", "dst": "clavicles", "edge_type": "spatia... | clavicles | ["lungs", "spine", "clavicles", "heart silhouette"] | 4 | 4 | 4 | 1 | 0 |
0 | is the mass heterogenous? | yes | X-ray | Modality: X-ray
[Causal]
small bowel loops [148, 300, 850, 684]
[Context]
ascending colon [108, 378, 317, 608]
[Perception]
iliac crest [100, 377, 340, 645]
iliac vessels [158, 305, 838, 708]
[Unlocalized]
heterogeneous mass in the right lower quadrant
periosteum of the ilium
heterogeneous soft tissue mass
[Conclu... | The heterogeneous mass is evident on the CT scan, with variable attenuation within the lesion, surrounded by small bowel loops and adjacent to the ascending colon, with the iliac crest and vessels providing anatomical context. | 7 | 4 | 3 | 1 | 0.2497 | [
{
"bbox": [
148,
300,
850,
684
],
"bbox_consistency": 0.51,
"clip_score": 0.1666,
"consistency": 1,
"delta_conf": 0.0916,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "small bowel loops",
"radlex_category": "unverified",
... | [{"name": "small bowel loops", "raw_name": "small bowel loops", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [148, 300, 850, 684], "valid": true, "clip_score": 0.1666, "bbox_consistency": 0.51, "layer": "Causal", "delta_conf": 0.0916}, {"name... | 0.7486 | true | [{"name": "small bowel loops", "layer": "Causal", "delta_conf": 0.0916, "bbox": [148, 300, 850, 684], "radlex_id": null, "clip_score": 0.1666}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.0209, "bbox": [108, 378, 317, 608], "radlex_id": "RID2029", "clip_score": 0.2209}, {"name": "iliac crest", "laye... | [{"src": "small bowel loops", "dst": "iliac crest", "edge_type": "causal", "weight": 0.0657}, {"src": "small bowel loops", "dst": "ascending colon", "edge_type": "causal", "weight": 0.0707}, {"src": "small bowel loops", "dst": "iliac vessels", "edge_type": "spatial_containment", "weight": 0.94}, {"src": "iliac crest", ... | iliac vessels | ["small bowel loops", "iliac vessels", "iliac crest", "ascending colon"] | 4 | 6 | 5 | 3 | 0 |
0 | is the mass heterogenous in consistency? | yes | X-ray | Modality: X-ray
[Causal]
mass in the right lower quadrant [188, 325, 355, 437]
[Context]
ascending colon [173, 316, 857, 508]
mesenteric fat [108, 379, 348, 635]
[Perception]
small bowel loops [105, 298, 905, 714]
iliac crest [105, 380, 905, 730]
[Unlocalized]
liver edge
pelvic bones
[Conclusion]
The mass in the r... | The mass in the right lower quadrant demonstrates heterogeneous attenuation with areas of both hyperdense and hypodense components, consistent with mixed solid and cystic or necrotic elements, supporting a heterogeneous consistency. | 7 | 5 | 1 | 3 | 0.2317 | [
{
"bbox": [
188,
325,
355,
437
],
"bbox_consistency": 0.64,
"clip_score": 0.2402,
"consistency": 1,
"delta_conf": 0.0091,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "mass in the right lower quadrant",
"radlex_category": "un... | [{"name": "mass in the right lower quadrant", "raw_name": "mass in the right lower quadrant", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [188, 325, 355, 437], "valid": true, "clip_score": 0.2402, "bbox_consistency": 0.64, "layer": "Causal",... | 0.7581 | true | [{"name": "mass in the right lower quadrant", "layer": "Causal", "delta_conf": 0.0091, "bbox": [188, 325, 355, 437], "radlex_id": null, "clip_score": 0.2402}, {"name": "ascending colon", "layer": "Context", "delta_conf": 0.06, "bbox": [173, 316, 857, 508], "radlex_id": "RID2029", "clip_score": 0.241}, {"name": "small b... | [{"src": "ascending colon", "dst": "mesenteric fat", "edge_type": "causal", "weight": 0.0304}, {"src": "ascending colon", "dst": "mass in the right lower quadrant", "edge_type": "causal", "weight": 0.0509}, {"src": "small bowel loops", "dst": "ascending colon", "edge_type": "causal", "weight": 0.0568}, {"src": "small b... | small bowel loops | ["iliac crest", "small bowel loops", "ascending colon", "mesenteric fat", "mass in the right lower quadrant"] | 5 | 10 | 9 | 2 | 0 |
0 | are there abnormalities with in the contrast between white and grey matter? | yes | MRI | Modality: MRI
[Causal]
cerebral cortex [250, 400, 750, 600]
[Context]
basal ganglia [328, 210, 662, 732]
[Unlocalized]
Loss of gray-white matter differentiation
lateral ventricles
white matter
[Conclusion]
Loss of normal gray-white matter differentiation in the cerebral cortex and basal ganglia indicates cytotoxic ... | Loss of normal gray-white matter differentiation in the cerebral cortex and basal ganglia indicates cytotoxic edema, consistent with acute ischemic injury or severe metabolic insult. | 5 | 2 | 3 | 4 | 0.3169 | [
{
"bbox": [
0,
0,
0,
0
],
"bbox_consistency": 0.99,
"clip_score": 0,
"consistency": 1,
"delta_conf": null,
"is_pathology": false,
"layer": "Causal",
"match_score": 0,
"name": "Loss of gray-white matter differentiation",
"radlex_category": "unverifi... | [{"name": "Loss of gray-white matter differentiation", "raw_name": "Loss of gray-white matter differentiation", "radlex_id": null, "radlex_category": "unverified", "consistency": 1.0, "match_score": 0.0, "is_pathology": false, "bbox": [0, 0, 0, 0], "valid": false, "clip_score": 0.0, "bbox_consistency": 0.99, "layer": "... | 0.473 | true | [{"name": "cerebral cortex", "layer": "Causal", "delta_conf": 0.0264, "bbox": [250, 400, 750, 600], "radlex_id": "RID3037", "clip_score": 0.2724}, {"name": "basal ganglia", "layer": "Context", "delta_conf": 0.0288, "bbox": [328, 210, 662, 732], "radlex_id": "RID3017", "clip_score": 0.3613}] | [{"src": "basal ganglia", "dst": "cerebral cortex", "edge_type": "spatial_overlap", "weight": 0.322}] | basal ganglia | ["basal ganglia", "cerebral cortex"] | 2 | 1 | 0 | 1 | 0 |
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