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{'patient': {'bday': '2024-03-10', 'name': 'Mitchell^Shiloh', 'breed': 'Shepherd Mix', 'owner': 'Mitchell^Kamila', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Brianca Wong'}, 'accept_tos': 'true', 'consult_info': {'case_info': '6 days ago started having D+ then loose stools, not urgent-went on for a few days then had normal stools 2 days ago\r\nlast night V+ food and bile, was not eating lunch and dinner, drinking water okay\r\n1 hr ago V+ with blood and fresh blood\r\ngums seemed pale\r\nhas been wanting to stay outside, whining to go out but not trying to urinate or defecate\r\nhad Salmon on Saturday-new in diet\r\n', 'questions': 'Rule out foreign body, cause of blood in vomit', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'ready', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 86.262, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'isAddressingConcern': True, 'diagnosis_custom_text': 'There is material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs can not be ruled out completely. Upper GI pathology, coagulation, or ulceration is not excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material. Lab testing for pancreatitis could also be considered. Endoscopy to evaluate the esophagus, stomach, and duodenum and a coagulation panel could be considered if clinically indicated.', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['radio-opaque']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2488, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is mild, diffuse distension of the colon with poorly formed stool. ', 'elapsedTime': 6.539, 'signal_name': 'normal-colon', 'custom_fields': {'___s1_': ['mild', 'diffuse']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is ___s1_ distension of the colon with stool. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [{'id': 1379, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'dietary-change'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque foreign material located within the small intestine. There is mild, diffuse distension of the colon with poorly formed stool. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2487, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'colon-distension', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere is material noted in the GI tract; therefore, dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs can not be ruled out completely. Upper GI pathology, coagulation, or ulceration is not excluded.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If medical management does not result in a response, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material. Lab testing for pancreatitis could also be considered. If clinically indicated, endoscopy to evaluate the esophagus, stomach, and duodenum and a coagulation panel could also be considered.'}

{'bday': '2024-03-10', 'name': 'Mitchell^Shiloh', 'breed': 'Shepherd Mix', 'owner': 'Mitchell^Kamila', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Brianca Wong'}

6 days ago started having D+ then loose stools, not urgent-went on for a few days then had normal stools 2 days ago last night V+ food and bile, was not eating lunch and dinner, drinking water okay 1 hr ago V+ with blood and fresh blood gums seemed pale has been wanting to stay outside, whining to go out but not trying to urinate or defecate had Salmon on Saturday-new in diet

Rule out foreign body, cause of blood in vomit

standard

['Gi signs - Systemic vs general']

['Diarrhea', 'Vomiting', 'Hematemesis (vomiting blood)', 'Canine Medium/Large Breed']

[]

[76, 256, 282, 2656]

[]

[]

[]

[]

[]

['Dietary change']

[]

[1379]

[]

{'patient': {'bday': '2014-09-05', 'name': 'Pinto', 'breed': 'MIXED', 'owner': 'Osollo', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'History of inappetance x 1 week. VOmiting today, no diarrhea. Icteric pinnae, tense on abdominal palpation.\r\nCBC: WBC +59.84 ( 6-17), LYM +6.73 (1-4.8), MON +5.56 (0.2-1.5), NEU +47.35(3-12), RBC -3.66 (5.5-8.5), HGB -7.9 (12-18), HCT -25.02 (37-55), RDWc +22.6 (14-20), MPV +11.6 (3.9-11.1)\r\nCHEM: ALB -1.6 (2.5-4.4), ALP +1070 ( 20-150), ALT +633 (10-118), AMY +2822 ( 200-1200), TBIL +23.1 (0.1-0.6), GLOB -0.0 (2.3-5.2) \r\n\r\nCpli: Abnormal \r\n\r\n', 'questions': 'r/o post-hepatic icterus, pancreatitis/biliary obstruction', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'excluded', 'source': 'rules'}, {'id': 1095, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 291, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'elapsedTime': 2.834, 'consult_name': 'Cardiac - Hypovolemia, microcardia', 'isAddressingConcern': False, 'diagnosis_custom_text': 'A small vena cava likely indicates hypovolemia. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1103, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 69.841, 'consult_name': 'Intestines - Pancreatitis, normal GIT, pancreatitis test pos', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Given the normal appearance of the GI tract, the focal loss of detail in the right cranial abdomen, and the clinical history provided, clinical signs may be consistent with concurrent pancreatitis. No evidence of intestinal foreign body or intestinal obstruction is noted. Other differentials include gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious, or parasitic causes. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Confirm pancreatitis with abdominal ultrasound. Recommend supportive medical management for pancreatitis and close monitoring of patient.', 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1344, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, no GAD, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1372, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 13.56, 'consult_name': 'Hepatomegaly - HMG + gall bladder mineralization', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Abdominal ultrasound for further investigation of the hepatomegaly and mineralization is recommended. A FNA sampling , or more likely a biopsy, may also be necessary for a definitive diagnosis.', 'recommendation_custom_fields': None}], 'signals': [{'id': 113, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Icterus'}, {'id': 256, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2404, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2542, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}, {'id': 2634, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Neutrophilia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The liver appears to have very rounded edges. ', 'elapsedTime': 15.643999999999998, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2263, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mineralization', 'custom_fields': {'___s1_': ['the gallbladder']}, 'finding_normal_text': 'Liver Mineralization', 'finding_abnormal_text': 'A mineral opacity is noted over the liver in the region of ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2414, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'caudal-vena-cana-sm', 'custom_fields': None, 'finding_normal_text': 'caudal vena cava small', 'finding_abnormal_text': 'The caudal vena cava appears to be narrowed. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2501, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The loss of detail is focal, associated with the liver observed in the right cranial abdomen on the VD. ', 'elapsedTime': 9.559, 'signal_name': 'focal-loss-detail', 'custom_fields': {'___s1_': ['liver'], '___s2_': ['cranial']}, 'finding_normal_text': 'N/A', 'finding_abnormal_text': 'The loss of detail is focal, associated with the ___s1_ observed in the ___s2_ abdomen.'}], 'diagnosis': [{'id': 659, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Anaemia'}], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'The radiographic examination of the abdomen reveals that the liver has rounded edges. There is radiopaque material present within the stomach, resembling kibble or food. Additionally, a mineral opacity is observed over the liver in the region typically associated with the gallbladder. This opacity is causing a focal loss of detail, particularly noted in the right cranial abdomen on the ventrodorsal view. No other abnormalities are detected in the rest of the abdomen.\n\nSpondylosis deformans are noted in the lumbar spine. No other abnormalities are observed in the musculoskeletal system.\n\nRegarding the thorax, the caudal vena cava appears to be narrowed. No additional abnormalities were noted in the thoracic region.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMineralization noted in the liver is suspected to be associated with the gallbladder, representative of cholelithiasis. The hepatic rounded edges noted may be secondary to extrahepatic bile duct obstruction/ slight hepatomegaly. Neoplasia or a benign hepatopathy with incidental cholelithiasis cannot be ruled out.\nGiven the normal appearance of the GI tract, the focal loss of detail in the right cranial abdomen, and the clinical history provided, clinical signs may be consistent with concurrent pancreatitis. No evidence of intestinal foreign body or intestinal obstruction is noted. Other differentials include gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious, or parasitic causes.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign or foreign material mixed with food cannot be ruled out.\nA small vena cava likely indicates hypovolemia.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nAbdominal ultrasound is recommended for further investigation of hepatomegaly, pancreatitis, and hepatic mineralization. An FNA sampling, or more likely a biopsy, may also be necessary for a definitive diagnosis. Supportive medical management for pancreatitis and close monitoring of the patient is recommended\nIf warranted, consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.\nStabilize the patient with supportive care including; IV fluids (crystalloids and +/- colloids), supplemental oxygen, blood transfusion if indicated. Correlate with other clinical findings, blood work, blood pressure monitoring and ECG.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis.'}

{'bday': '2014-09-05', 'name': 'Pinto', 'breed': 'MIXED', 'owner': 'Osollo', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Kristie Villicana'}

History of inappetance x 1 week. VOmiting today, no diarrhea. Icteric pinnae, tense on abdominal palpation. CBC: WBC +59.84 ( 6-17), LYM +6.73 (1-4.8), MON +5.56 (0.2-1.5), NEU +47.35(3-12), RBC -3.66 (5.5-8.5), HGB -7.9 (12-18), HCT -25.02 (37-55), RDWc +22.6 (14-20), MPV +11.6 (3.9-11.1) CHEM: ALB -1.6 (2.5-4.4), ALP +1070 ( 20-150), ALT +633 (10-118), AMY +2822 ( 200-1200), TBIL +23.1 (0.1-0.6), GLOB -0.0 (2.3-5.2) Cpli: Abnormal

r/o post-hepatic icterus, pancreatitis/biliary obstruction

standard

['Gi signs - Systemic vs general']

['Icterus/jaundice', 'Vomiting', 'Hyporexia', 'Pain - abdominal', 'Elevated liver enzymes', 'Pancreatic Lipase tests/ cPLI/fPLI positive', 'Neutrophilia', 'Canine Medium/Large Breed']

[]

[113, 256, 607, 622, 2404, 2542, 2634, 2656]

[]

['Anemia']

[]

[659]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-08-30', 'name': 'Varner^Hoppi', 'breed': 'Domestic Shorthair', 'owner': 'Varner^Howard', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Crown UrgentVet', 'email': '[email protected]', 'address': 'United States - Mesa', 'clinician': 'Crown UrgentVet'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Client reports that the cat had LTL lameness and inability to walk last night. The limb appears to be swollen and wants to rule out fracture/bone fragment, soft tissue injury or nerve injury or tumor', 'questions': 'Rule out fracture/bone fragment, solf tissue injury, tumor or nerve injury', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'excluded', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'rules'}, {'id': 1037, 'state': 'empty', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1043, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'excluded', 'source': 'rules'}, {'id': 1095, 'state': 'excluded', 'source': 'rules'}, {'id': 1293, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 225, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 61.965, 'consult_name': 'Incomplete study', 'isAddressingConcern': False, 'diagnosis_custom_text': '.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Comparative radiographs with the right limb may be of benefit. Often entheiopathy can be found bilaterally.', 'recommendation_custom_fields': None}, {'id': 394, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 90.81, 'consult_name': 'M/S Limb Fracture- Chip fracture', 'isAddressingConcern': True, 'diagnosis_custom_text': "A suspected chip fracture is identified, as evidenced by a small bony fragment separated from the main portion of the bone. However, enthesopathy is also possible and may be associated with the elbow's collateral ligament or flexor muscles. This does not rule out a soft tissue injury or neuropathy at this time.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam for clinical significance. Consider CT scan for further investigation of a possible chip fracture. Based on clinical signs, determine if splinting and exercise restriction may be adequate versus orthopedic consult and surgical intervention. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2346, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a displaced mineralization in the soft tissues of the left medial elbow epicondyle.', 'elapsedTime': 50.305, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['displaced', 'chip'], '___s2_': ['left']}, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2417, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': '.', 'elapsedTime': 114.932, 'signal_name': 'enthesopathy', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'enthesopathy', 'finding_abnormal_text': 'There is bony proliferation/mineralization associated with the ___s1_. '}, {'id': 2446, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The carpal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ carpus. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-fractures'}, {'id': 2677, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'There is a displaced mineralization noted in the soft tissues surrounding the left medial elbow epicondyle. No other abnormalities are observed in the rest of the musculoskeletal structures examined.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}], 'report_conclusions': "A small bony fragment appears separated from the main bone structure, suggestive of a chip fracture. Differential considerations include enthesopathy, potentially involving the elbow's collateral ligament or flexor muscle group. Concurrent soft tissue injury or neuropathy cannot be excluded at this stage.\n\nAdditional recommendations:\nComparative radiographs of the contralateral limb are recommended to assess for potential bilateral enthesiopathy. Clinical correlation through physical examination is advised to evaluate the significance of the findings. Further delineation of a suspected chip fracture may be achieved with computed tomography (CT). Depending on the clinical presentation, management options may range from conservative measures such as splinting and exercise restriction to consideration of an orthopedic consultation for potential surgical intervention."}

{'bday': '2016-08-30', 'name': 'Varner^Hoppi', 'breed': 'Domestic Shorthair', 'owner': 'Varner^Howard', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Crown UrgentVet', 'email': '[email protected]', 'address': 'United States - Mesa', 'clinician': 'Crown UrgentVet'}

Client reports that the cat had LTL lameness and inability to walk last night. The limb appears to be swollen and wants to rule out fracture/bone fragment, soft tissue injury or nerve injury or tumor

Rule out fracture/bone fragment, solf tissue injury, tumor or nerve injury

standard

['trauma-fractures', 'lameness-frontLimb']

['Feline', 'Forelimb lameness']

[]

[2327, 2346]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-06-30', 'name': 'moca', 'breed': 'French Bulldog', 'owner': 'hazzard', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Miami Shores Animal Clinic', 'email': '[email protected]', 'clinician': 'MIAMI SHORES ANIMAL CLINIC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'VOMITING CONSTANTLY SINCE 2 DAYS AGO, ANOREXIC ', 'questions': 'POSSIBLE GASTRAITIS VS PANCRETITIS', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'partial', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 359, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Hindlimb Stifle - fp patella lux, positioning', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 365, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hindlimb Hip - hip subluxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 696, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine - TID/CID with VAN', 'diagnosis_custom_text': 'Presence of disc space narrowing associated with vertebral anomaly\xa0ventral spondylosis\xa0 is suggestive of disc degeneration.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'Given the clinical history provided, clinical signs may be consistent with a gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['multiple thoracic vertebrae']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': {'___s1_': ['lateral'], '___s2_': ['left']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the thoracic spine']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 138, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastritis'}, {'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at multiple areas in the thoracic spine. There is spondylosis deformans noted in the thoracolumbar spine. Vertebral anomaly is noted at multiple thoracic vertebrae. There is evidence of hip incongruity of the left and right hip. There is lateral patellar luxation noted in the left knee. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA small, soft-tissue opacity, is noted within the stomach. This may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out.\nGiven the clinical history provided, clinical signs may be consistent with a gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nPresence of disc space narrowing associated with vertebral anomaly\xa0ventral spondylosis\xa0 is suggestive of disc degeneration.\nEvidence of hip subluxation/joint laxity.\nPresumed patella displacement from positioning.\n\nRecommendations:\nCorrelate with history of the patients last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern and lab testing for pancreatitis.\nConsider advanced imaging such as MRI for further investigation of the disc space narrowing associated with vertebral anomaly. Correlate with physical exam findings.\nCorrelate with orthopedic examination for further evaluation of hip subluxation/joint laxity.\nIf there is concern for patellar luxation, consider repeat radiographs with pelvic limbs extended caudally.'}

{'bday': '2023-06-30', 'name': 'moca', 'breed': 'French Bulldog', 'owner': 'hazzard', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Miami Shores Animal Clinic', 'email': '[email protected]', 'clinician': 'MIAMI SHORES ANIMAL CLINIC'}

VOMITING CONSTANTLY SINCE 2 DAYS AGO, ANOREXIC

POSSIBLE GASTRAITIS VS PANCRETITIS

standard

['Gi signs - Systemic vs general']

['Vomiting', 'Anorexia', 'Canine Small Breed']

[]

[256, 606, 2654]

[]

['Gastritis', 'Pancreatitis']

[]

[138, 149]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-10-01', 'name': 'WILLYS', 'breed': 'English Bulldog', 'owner': 'CLAIR', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomited\xa0partially digested food. \xa0Started with diarrhea 4 days ago. \xa0Fecal sample brought to pine tree vet. \xa0In house fecal negative for parasites. \xa0Referral lab panel pending. \xa0Vomited once last night and several times today, food and some bile.\r\n\r\n\r\n\r\n', 'questions': 'R/O: \xa0GI obstruction, pancreatitis, gastroenteritis. \xa0CBC/Chem17/Lytes/cPL pending.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 244, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - 2 pops, poss(less confident), no obvious FB', 'diagnosis_custom_text': 'The changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No obvious foreign body is noted.\xa0Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 458, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder - Bladder stones, fp', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 696, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - TID/CID with VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1231, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - bones in the stomach', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2352, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lab-work-pending'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar', 'lumbosacral']}}, {'id': 15, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': {'___s1_': ['mineralized'], '___s2_': ['that has the appearance of bone shards']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['multiple thoracic vertebrae']}}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T11-T12', 'T12-T13', 'T13-L1', 'L1-L2', 'L2-L3']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2316, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intestine-fm', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 59, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intestinal obstruction'}, {'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe stomach contains a mineralized opacity that has the appearance of bone shards. There is presence of distension of a portion of small intestine and a population of non-distended intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at T11-T12, T12-T13, T13-L1, L1-L2 and L2-L3. There is spondylosis deformans noted in the thoracic, lumbar and lumbosacral spine. Vertebral anomaly is noted at multiple thoracic vertebrae. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGastric distension with bone shards is noted in the study. Bone foreign bodies in the stomach can often fully dissolve.\nThe changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No obvious foreign body is noted.\xa0Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.\nThe opacity over the bladder is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis.\nPresence of disc space narrowing associated with vertebral anomaly is suggestive of disc degeneration.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nA conservative approach with supportive care is recommended. Repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and monitor for potential obstruction in the intestines. Endoscopy may be attempted, but its success may be limited due to multiple fragments. Inducing emesis may be an option, but complications could arise. Surgical exploration of the abdomen for removal may need to be considered.\n Medical management with follow-up radiographs may be a consideration if the patient is closely monitored for any change in status.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for urinary bladder calculi.\nConsider advanced imaging such as MRI for further investigation of the disc space narrowing associated with vertebral anomaly. Correlate with physical exam findings.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis.'}

{'bday': '2018-10-01', 'name': 'WILLYS', 'breed': 'English Bulldog', 'owner': 'CLAIR', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Affordable Animal Emergency Clinic in Auburn', 'email': '[email protected]', 'clinician': 'Dr. Rule'}

Vomited partially digested food.  Started with diarrhea 4 days ago.  Fecal sample brought to pine tree vet.  In house fecal negative for parasites.  Referral lab panel pending.  Vomited once last night and several times today, food and some bile.

R/O:  GI obstruction, pancreatitis, gastroenteritis.  CBC/Chem17/Lytes/cPL pending.

standard

['Gi signs - Systemic vs general']

['Diarrhea', 'Vomiting', 'Lab work pending', 'Canine Small Breed']

[]

[76, 256, 2352, 2654]

[]

['Intestinal obstruction', 'Gastroenteritis', 'Pancreatitis']

[]

[59, 143, 149]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-08-27', 'name': 'Brunett^Charlie', 'breed': 'Bulldog', 'owner': 'Brunett^Sean', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'PetCheck Urgent Care - Deptford', 'email': '[email protected]', 'address': 'United States - Deptford', 'clinician': 'Erin Paul'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Left hind leg lameness for 2 weeks \r\n4DX- negative \r\nResponded to NSAID and gabapentin\r\nHeard a click upon examination ', 'questions': '.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 66.049, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Osteoarthritis of the indicated stifle along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture. There appears to be possible patellar luxation of the left patellar however there is some degree of rotation of the limb, so this appearance maybe attributed to positioning.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with orthopedic examination to assess for cranial drawer in the stifle.\xa0If there is concern for patellar luxation, consider repeat radiographs with pelvic limbs extended caudally.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2252, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': 'Possible lateral patellar luxation noted in the left knee. ', 'elapsedTime': 6.652, 'signal_name': 'patellar-luxation', 'custom_fields': {'___s1_': ['lateral'], '___s2_': ['left']}, 'finding_normal_text': 'The patella is located in a normal position. ', 'finding_abnormal_text': 'There is ___s1_ patellar luxation noted in the ___s2_ knee. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a moderately increased soft tissue opacity in the left stifle joint, and degenerative changes are noted in the left and right stifle. Possible lateral patellar luxation was noted in both stifles. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2710, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Patella luxation false positive', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the left stifle, along with increased soft tissue opacity noted, is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture. There appears to be possible patellar luxation. However, there is some degree of rotation of the limb, so this appearance may be attributed to positioning.\n\nRecommendations:\nCorrelate with orthopedic examination to assess for cranial drawer in the stifle.\xa0If there is a concern for patellar luxation, consider repeat radiographs with pelvic limbs extended caudally.'}

{'bday': '2019-08-27', 'name': 'Brunett^Charlie', 'breed': 'Bulldog', 'owner': 'Brunett^Sean', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'PetCheck Urgent Care - Deptford', 'email': '[email protected]', 'address': 'United States - Deptford', 'clinician': 'Erin Paul'}

Left hind leg lameness for 2 weeks 4DX- negative Responded to NSAID and gabapentin Heard a click upon examination

.

standard

['lameness-hindLimb']

['Lameness', 'Hindlimb lameness', 'Canine Medium/Large Breed', 'Brachycephalic']

[]

[2185, 2345, 2656, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-07-12', 'name': 'Shavet^Sophie', 'breed': 'Mixed', 'owner': 'Shavet^Malinda', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Emergency Pet Care of Texas', 'email': '[email protected]', 'address': 'United States - Magnolia', 'clinician': 'Emergency Pet Care of Texas'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Sophie presented today for acute lameness on right hind leg. The owner reports that this evening, patient may have fallen off the couch and injured leg. Owner also reports that she tripped over patient this morning and patient cried out during episode but seems OK afterwards. \r\nSevere bruising and cellulitis on caudoventral abdomen extending into inguinal area and medial aspect of right hind leg. RPL has pitting edema present. Bilateral 4/4 luxating patellas', 'questions': '-Bilateral 4/4 luxating patellas. \r\n-Weight bearing lameness right hind leg.\r\n-bruising/cellulitis - spider bite? \r\n-Right hind leg has pitting edema \r\n-Splenic mass', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 200, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 3, 'consult_name': 'Splenomegaly - Splenic mass/nodule', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 880, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'limited evaluation', 'isAddressingConcern': True, 'diagnosis_custom_text': "Limited evaluation of the right hindlimb and both patella's due to positioning (one the lateral images) and partial limb images on the VD view.\xa0", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1365, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Subcut - Trauma(not bitten), subcut gas and swelling', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 54, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Bruising'}, {'id': 141, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lump/swelling'}, {'id': 292, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 550, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'hematoma'}, {'id': 575, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2474, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Edema- not specified'}, {'id': 2530, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['.']}, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['ventral', 'abdominal wall']}, 'finding_normal_text': 'Subcutaneous gas', 'finding_abnormal_text': 'There is gas noted in the soft tissue of the ___s1_. '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the ventral', 'abdomen']}, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2562, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'splenic-mass', 'custom_fields': None, 'finding_normal_text': 'Splenic mass', 'finding_abnormal_text': 'There appears to be a mass associated with the spleen. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 1541, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Patellar luxation'}, {'id': 1542, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Patellar luxation - lateral'}, {'id': 2666, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'edema-soft-tissue'}], 'questions': [{'id': 2671, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2673, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2676, 'source': 'labelling', 'attention': True, 'signal_name': 'lameness-general'}, {'id': 2678, 'source': 'labelling', 'attention': True, 'signal_name': 'lameness-hindLimb'}, {'id': 2684, 'source': 'labelling', 'attention': True, 'signal_name': 'screening-abdomen'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormalities are noted in the thorax.\n\nAbdomen\nThe spleen is mildly enlarged and there is an associated mass on the ventral surface. No other abnormalities are noted in the abdomen.\n\nMusculoskeletal system\nThere is gas present in the soft tissue of the ventral abdominal wall, accompanied by soft tissue swelling in the same area. No other abnormalities are observed in the musculoskeletal structures examined.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSubcutaneous gas and soft tissue swelling consistent with penetrating soft tissue trauma. No pathology observed in the underlying bony structures.\nLimited evaluation of the right hindlimb and both patellae due to positioning (one the lateral images) and partial limb images on the VD view.\nThe changes noted in the spleen are consistent with a splenic mass. Both benign (hemangioma, abscess, other) and malignant (hemangiosarcoma, lymphoma, other) etiologies are possible.\n\nRecommendations:\nMedical management as required for soft tissue injury is indicated.\nDue to limited evaluation, consider additional radiographic views or advanced imaging if a more thorough evaluation is needed.\nConsider abdominal ultrasound and/or exploratory laparotomy for further investigation to determine the nature of the splenic mass identified. \nCheck coagulation profile before any invasive procedures are performed.'}

{'bday': '2014-07-12', 'name': 'Shavet^Sophie', 'breed': 'Mixed', 'owner': 'Shavet^Malinda', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Emergency Pet Care of Texas', 'email': '[email protected]', 'address': 'United States - Magnolia', 'clinician': 'Emergency Pet Care of Texas'}

Sophie presented today for acute lameness on right hind leg. The owner reports that this evening, patient may have fallen off the couch and injured leg. Owner also reports that she tripped over patient this morning and patient cried out during episode but seems OK afterwards. Severe bruising and cellulitis on caudoventral abdomen extending into inguinal area and medial aspect of right hind leg. RPL has pitting edema present. Bilateral 4/4 luxating patellas

-Bilateral 4/4 luxating patellas. -Weight bearing lameness right hind leg. -bruising/cellulitis - spider bite? -Right hind leg has pitting edema -Splenic mass

standard

['neoplasia-abdomen', 'neoplasia-musculoskeletal', 'lameness-general', 'lameness-hindLimb', 'screening-abdomen']

['Bruising/contusion', 'Mass/swelling - abdomen', 'Whining/whimpering/groaning', 'Bleeding - hematoma', 'Mass/swelling - limb', 'Lameness', 'Hindlimb lameness', 'Edema', 'Fell/dropped', 'Canine Medium/Large Breed']

[]

[54, 141, 292, 550, 575, 2185, 2345, 2474, 2530, 2656]

[]

['Patellar luxation', 'Patellar luxation - lateral', 'Edema, soft tissue']

[]

[1541, 1542, 2666]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-11-08', 'name': 'Griffin^Guiness', 'breed': 'Domestic Shorthair', 'owner': 'Griffin^Erin', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Urgent Care Tri-State', 'email': '[email protected]', 'address': 'United States - Middlesboro', 'clinician': 'Animal Urgent Care Tri-State'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Clients returned home and found P to be lethargic, and 5-6 vomit piles around the house (mostly bile & blood tinged).\r\nP was laying on her side, extending forearms forward, and vocalizing. Her abdomen is painful. \r\nP does have a history of eating things she shouldn't. O's noted tapeworms on the cat tree. \r\nP had diarrhea in exam w/ severe worm burden noted. \r\nPE: Significant abdominal distension w/ pain on palpation, tachycardic, w/ temp @ 103.5. ", 'questions': 'Looking for evidence of foreign body vs. poss. significant worm burden. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'empty', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 714, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 68.985, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': 'A cause for the described clinical signs is not determined from the radiographs. No obvious obstructive pattern is noted. Given the history, hemorrhagic diarrhea syndrome likely due to parasitic infection/infestation is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, colitis due to stress or other cause cannot be ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 848, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder feline - Urine retention, no obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 282, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting with blood'}, {'id': 295, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Worms infestation'}, {'id': 508, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Abdominal distension'}, {'id': 622, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2359, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'tachycardia'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in the ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart.'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There is a ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There is degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2265, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None, 'finding_normal_text': 'Urinary Bladder Distension', 'finding_abnormal_text': 'There is distension of the urinary bladder. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. No obvious obstructive pattern is noted. Given the history, hemorrhagic diarrhea syndrome likely due to parasitic infection/infestation is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, colitis due to stress or other cause cannot be ruled out.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to a litter box.\n\nRecommendations:\nConsider fecal testing and blood work for further investigation of the reported hematochezia. Medical management of the clinical signs is indicated at this time.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.'}

{'bday': '2023-11-08', 'name': 'Griffin^Guiness', 'breed': 'Domestic Shorthair', 'owner': 'Griffin^Erin', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Urgent Care Tri-State', 'email': '[email protected]', 'address': 'United States - Middlesboro', 'clinician': 'Animal Urgent Care Tri-State'}

Clients returned home and found P to be lethargic, and 5-6 vomit piles around the house (mostly bile & blood tinged). P was laying on her side, extending forearms forward, and vocalizing. Her abdomen is painful. P does have a history of eating things she shouldn't. O's noted tapeworms on the cat tree. P had diarrhea in exam w/ severe worm burden noted. PE: Significant abdominal distension w/ pain on palpation, tachycardic, w/ temp @ 103.5.

Looking for evidence of foreign body vs. poss. significant worm burden.

standard

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general']

['Diarrhea', 'Lethargic/tired', 'Vomiting', 'Hematemesis (vomiting blood)', 'Worm infestation', 'Abdominal distension', 'Pain - abdominal', 'Feline', 'Tachycardia']

[]

[76, 131, 256, 282, 295, 508, 622, 2327, 2359]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-04-19', 'name': 'ALEGRIA^LUKA', 'breed': 'Weimaraner', 'owner': 'Ronnie Alegria ', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'patient presents for +/- foreign body, owner reports that p stopped eating Saturday night and has not been interested since and p is normally very food motivated. P normally tries to eat anything and everything, he has recently been chewing on mulch outdoors, they caught him with a sock and he had practically swallowed it and they pulled it out. P is not having any other symptoms other than lethargy and anorexia. No diarrhea noted, but p did vomit once yesterday.', 'questions': '+/- foreign body ', 'specialty_area': ''}}

{'tags': {'userTags': ['basic_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 242, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - 2 pops(confident), with FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2184, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 15, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None, 'finding_normal_text': 'Two Populations of Small Intestine', 'finding_abnormal_text': 'There is presence of distension of a portion of small intestine and a population of non-distended intestine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['cloth/material like']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2289, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None, 'finding_normal_text': 'The contrast is moving through the gastrointestinal tract. No obstructive pattern is observed. ', 'finding_abnormal_text': 'The contrast medium is indicating an obstruction at the ___s1_.'}, {'id': 2290, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None, 'finding_normal_text': 'The contrast does not indicate presence of a foreign body within the GI tract. ', 'finding_abnormal_text': 'The contrast appears to be highlighting a foreign body in the ___s1_. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nA portion of the small intestine is distended, and a population of non-distended intestines exists. Cloth/foreign material is located within the small intestine. There is mild loss of serosal detail in the cranial abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2289, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-obstruction', 'is_locked_out': False}, {'id': 2290, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cs-foreign-body', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSmall intestinal obstruction can be considered and is likely secondary to foreign material. An intestinal lesion that cannot be ruled out. Abdominal detail loss is presumably from immaturity, and ascites are not excluded.\n\nRecommendations:\nAn abdominal ultrasound and recheck of fasting abdominal radiographs in 12-24 hours can be indicated to monitor the progression of the intestinal foreign material or surgical exploration of the abdomen is recommended.'}

{'bday': '2024-04-19', 'name': 'ALEGRIA^LUKA', 'breed': 'Weimaraner', 'owner': 'Ronnie Alegria ', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}

patient presents for +/- foreign body, owner reports that p stopped eating Saturday night and has not been interested since and p is normally very food motivated. P normally tries to eat anything and everything, he has recently been chewing on mulch outdoors, they caught him with a sock and he had practically swallowed it and they pulled it out. P is not having any other symptoms other than lethargy and anorexia. No diarrhea noted, but p did vomit once yesterday.

+/- foreign body

standard

['Vomiting-FB/obstruction']

['Lethargic/tired', 'Vomiting', 'Hyporexia', 'Suspected foreign body ingestion', 'Canine Medium/Large Breed']

[]

[131, 256, 607, 2184, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-06-14', 'name': 'Diaz^Lilah', 'breed': 'Chihuahua', 'owner': 'Rosangela ', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Urgent Care Kissimmee', 'email': '[email protected]', 'address': 'United States - Kissimmee', 'clinician': 'EVS Kissimmmee'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Lilah presents for walking around hunched \r\nO states P seems to be in pain in the abdominal area \r\nO states P is whimpering and is painful without being touched\r\nNo vomiting/Diarrhea\r\nO states P is not eating as much \r\nEnergy is low\r\nAbnormal Findings: sharp abdominal pain, painful to the touch or on movement, when palpated patient is gassy with flactulence\r\n', 'questions': 'Cause of pain, Abdominal vs Spinal', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Left - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 939, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1111, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - pain/discomfort, suspect GI', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 31.782, 'consult_name': 'Negative M/S - No evidence of IVDD', 'diagnosis_custom_text': 'No radiographic evidence for IVDD is noted on the current images. Partial disc herniation or fibrocartilaginous infarct cannot be entirely ruled out.\xa0Consider discomfort as a possible differential. Sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, IBD and constipation. Referred spinal pain is also a consideration.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further testing with MRI/CT scan or myelogram if clinically indicated. Recommend abdominal u/s, full cbc with pancreatitis testing , pre and post prandial bile acids and full urinalysis.', 'recommendation_custom_fields': None}], 'signals': [{'id': 121, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Hunched up'}, {'id': 131, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 607, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 622, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2186, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The heart measures above the normal range.', 'elapsedTime': 5.767, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}, {'id': 2669, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['moderately'], '___s2_': ['gas', 'fluid']}, 'finding_normal_text': ' Mild/moderate (dropdown) gas/fluid (dropdown) distension of a portion of small intestine.', 'finding_abnormal_text': 'There is a portion of the small intestine that is ___s1_ distended with ___s2_.'}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2680, 'source': 'labelling', 'attention': False, 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is severe distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material . There is a portion of the small intestine that is moderately distended with gas and fluid. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2581, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Peritoneal pericardial diaphragmatic hernia', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar, or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nNo radiographic evidence for IVDD is noted on the current images. Partial disc herniation or fibrocartilaginous infarct cannot be entirely ruled out.\xa0Consider discomfort as a possible differential. Sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, IBD and constipation. Referred spinal pain is also a consideration.\nPattern of gastric distension with food/fluid+gas and/or gastric foreign material could also be contributing to the discomfort.\nMildly distended small intestinal segments noted. Consider enteritis, infiltrate, or foreign material with possible secondary partial obstruction.\n\nRecommendations:\nAn echocardiogram with blood pressure measurement and/or radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medication recommendations.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider further testing with MRI/CT scan or myelogram if clinically indicated. Recommend abdominal u/s, full cbc with pancreatitis testing, pre and post-prandial bile acids, and full urinalysis.\nConsider medical management of clinical signs and repeat radiographs in 12-24 hours to assess gastric emptying, with consideration for endoscopic examination if indicated. Consider testing for pancreatitis to definitively rule this out.\nConsider follow-up radiographs in 12-24 hours or potential abdominal ultrasound if clinical signs persist for further investigation of the changes noted in the intestines.'}

{'bday': '2014-06-14', 'name': 'Diaz^Lilah', 'breed': 'Chihuahua', 'owner': 'Rosangela ', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'EVS Urgent Care Kissimmee', 'email': '[email protected]', 'address': 'United States - Kissimmee', 'clinician': 'EVS Kissimmmee'}

Lilah presents for walking around hunched O states P seems to be in pain in the abdominal area O states P is whimpering and is painful without being touched No vomiting/Diarrhea O states P is not eating as much Energy is low Abnormal Findings: sharp abdominal pain, painful to the touch or on movement, when palpated patient is gassy with flactulence

Cause of pain, Abdominal vs Spinal

standard

['spine-neurological-ivdd-pain', 'non-specific-ADR']

['Hunched up', 'Lethargic/tired', 'Hyporexia', 'Pain - abdominal', 'Pain', 'Canine Small Breed']

[]

[121, 131, 607, 622, 2186, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-08-20', 'name': 'CRUZ^POKY', 'breed': 'Pekingese', 'owner': 'CRUZ^SERGIA', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital of Bird Road', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presented BC owner gave a 325 mg tylenol, P has hematochezia, respiratory effort.', 'questions': 'pleural effusion vs hemotorax vs other abnormal condition.', 'specialty_area': ''}}

{'tags': {'userTags': ['unaddressed_concerns', 'signalment_not_conclusion', 'three'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Incomplete study/missing orthogonal view', 'liver-mass', 'splenic-mass', 'splenic-nodule', 'peritoneal-mass', 'Tracheal Foreign Body']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.', 'recommendation_custom_fields': None}, {'id': 253, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Colon - hematochezia/diarrhea, normal gut', 'isAddressingConcern': False, 'diagnosis_custom_text': 'A cause for hematochezia is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, hemorrhagic diarrhea syndrome or other cause should be considered. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Pleural - small fissure line', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Intestines - FB small (incidental)', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Small intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 941, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - Interstitial Lung Pattern', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Mild unstructured interstitial lung pattern identified. Infectious (bronchopneumonia), inflammatory etiologies should be considered with fungal and neoplastic causes less likely', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 2475, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 713, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-caudodorsal-parenchymal', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left and right'], '___s3_': ['unstructured interstitial pattern']}, 'finding_normal_text': 'Lung fields are clear.', 'finding_abnormal_text': 'There is ___s1_ increased opacity in the ___s2_ caudodorsal lung field, characterized as a ___s3_ .'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is food/fecal foreign material located within the small intestine.', 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['mineral and food/fecal']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2449, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'Pleural Fissure', 'finding_abnormal_text': 'A pleural fissure line is noted in the ___s1_ thorax.'}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}], 'internal_notes': 'There needs to be a discussion about whether the presenting "complaint" - giving Tylenol - is related to the "unstructured interstitial lung pattern identified".\nThere is no discussion to answer the rDVM\'s question of how or if the lung pathology is related.', 'recommendations': [], 'report_findings': 'Thorax\nThere is moderate increased opacity in the left and right caudodorsal lung field, characterized as an unstructured interstitial pattern. A pleural fissure line is noted in the right thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. There is food/fecal foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMild unstructured interstitial lung pattern identified. Infectious (bronchopneumonia), inflammatory etiologies should be considered with fungal and neoplastic causes less likely.\nThe pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\nA cause for hematochezia is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, hemorrhagic diarrhea syndrome or other cause should be considered.\nSmall intestinal foreign material as described likely to pass on its own. No evidence of obstruction noted.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nRecommend respiratory PCR, respiratory lavage for cytological exam, culture and sensitivity. Fungal titers should also be considered if history warrants. Bronchoscopy and/or CT scan may be necessary depending on response to therapy.\nCorrelate with history for the clinical significance of the noted pleural fissure line.\nConsider fecal testing and blood work for further investigation of the reported clinical signs. Medical management is indicated at this time.\nConsider follow up radiographs to ensure passage of the described intestinal foreign material. Monitor for development of clinical signs.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.'}

{'bday': '2016-08-20', 'name': 'CRUZ^POKY', 'breed': 'Pekingese', 'owner': 'CRUZ^SERGIA', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'My Pet Hospital of Bird Road', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}

P presented BC owner gave a 325 mg tylenol, P has hematochezia, respiratory effort.

pleural effusion vs hemotorax vs other abnormal condition.

expert

['Gi signs - Systemic vs general', 'Resp signs - heart/lungs']

['Dyspnoea', 'Hematochezia', 'Canine Small Breed']

[]

[50, 2475, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-06-05', 'name': 'Sanderson', 'breed': 'Miniature Schnauzer', 'owner': 'NEWHOUSE', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Ingersoll Veterinary Services', 'email': '[email protected]', 'address': 'Canada - Ingersoll', 'clinician': 'Kirpal Singh'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomited twice yesterday, has been having loose stool with blood and mucous since yesterday and has habit of eating whatever he can. Has had decreased appetite for 24hrs.', 'questions': 'blockage/partial blockage\r\nopen diagnosis', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 714, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 92, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2475, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. No obvious obstructive pattern is noted. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, parasite, colitis due to stress or other cause cannot be ruled out.\n\nRecommendations:\nConsider fecal testing and blood work for further investigation of the reported hematochezia. Medical management of the clinical signs is indicated at this time.'}

{'bday': '2020-06-05', 'name': 'Sanderson', 'breed': 'Miniature Schnauzer', 'owner': 'NEWHOUSE', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Ingersoll Veterinary Services', 'email': '[email protected]', 'address': 'Canada - Ingersoll', 'clinician': 'Kirpal Singh'}

Vomited twice yesterday, has been having loose stool with blood and mucous since yesterday and has habit of eating whatever he can. Has had decreased appetite for 24hrs.

blockage/partial blockage open diagnosis

standard

['Vomiting-FB/obstruction']

['Diarrhea', 'Dietary indiscretion', 'Vomiting', 'Hyporexia', 'Hematochezia', 'Canine Small Breed']

[]

[76, 92, 256, 607, 2475, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-05-09', 'name': 'Franklin^Russ', 'breed': 'Dachshund Smooth', 'owner': 'Franklin^Brandon', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Louisville Veterinary Urgent Care', 'email': '[email protected]', 'clinician': 'Louisville Veterinary Urgent Care'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented with history of vomiting up clothing and small bits of plastic. Appetite normal. Ate two full meals yesterday and vomited all of the meals up. Pain on caudal abdominal palpation. 5% dehydration. Mucoid stool. ', 'questions': 'Rule out mechanical ileus. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history provided, clinical signs may be consistent with a gastroenteritis. No intestinal foreign material or obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to dietary indiscretion,\xa0infectious conditions, and\xa0\xa0a systemic illness should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 520, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Faecal appearance abnormal - other'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs may be consistent with a gastroenteritis. No intestinal foreign material or obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to dietary indiscretion,\xa0infectious conditions, and\xa0\xa0a systemic illness should be considered.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider abdominal ultrasound to further assess gastrointestinal pattern and lab testing for pancreatitis.'}

{'bday': '2011-05-09', 'name': 'Franklin^Russ', 'breed': 'Dachshund Smooth', 'owner': 'Franklin^Brandon', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Louisville Veterinary Urgent Care', 'email': '[email protected]', 'clinician': 'Louisville Veterinary Urgent Care'}

Presented with history of vomiting up clothing and small bits of plastic. Appetite normal. Ate two full meals yesterday and vomited all of the meals up. Pain on caudal abdominal palpation. 5% dehydration. Mucoid stool.

Rule out mechanical ileus.

expert

['Vomiting-FB/obstruction']

['Vomiting', 'abnormal fecal appearance', 'Pain - abdominal', 'Dehydration', 'Canine Small Breed', 'Chondrodysplastic']

[]

[256, 520, 622, 2482, 2654, 2658]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-02-26', 'name': 'Smith^Ginger', 'breed': 'Golden Retriever', 'owner': 'Smith^Kathy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': "Clevenger's Corner Veterinary Care", 'email': '[email protected]', 'address': 'United States - Amissville', 'clinician': 'CCVC'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'seizure like behavior that owner noticed for first time this morning. Pet has been panting more and gums pale.', 'questions': 'unsteady when excited for past few weeks, stiffness occurring this morning for first time', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Incomplete study/missing orthogonal view', 'lung-bronchial-interstitial', 'Pulmonary Minerazliation', 'palate-canals', 'Pharynx Narrowing', 'Larynx-mineralization', 'pulmonary-vessel-mineralization', 'Tracheal Foreign Body']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 204, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'elapsedTime': 94.098, 'consult_name': 'Peritoneal - Summation(FP)', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Summation of soft tissue structures as described previously is suspected to be overlap of the normal anatomy, however, given the displacement of the colon, a mass or lymphadenopathy in that area cannot ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1139, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Splenomegaly - Irregular margins', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Folded spleen with irregular border margins. Differentials include benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases).', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1328, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Negative Systemic - pale gums, no cause noted', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 273, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Unsteady'}, {'id': 590, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Stiffness'}, {'id': 628, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Seizure(s)'}, {'id': 674, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['caudally positioned']}, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['cranial']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2261, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-displacement', 'custom_fields': {'___s1_': ['ventral']}, 'finding_normal_text': 'Colon Displacement', 'finding_abnormal_text': 'There is ___s1_ displacement of the colon.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2410, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'summation-structures', 'custom_fields': {'___s1_': ['mid', 'cranial']}, 'finding_normal_text': 'summation of structures', 'finding_abnormal_text': 'There is an increased soft tissue opacity noted in the ___s1_ abdomen suspected to be summation of structures in the region. '}, {'id': 2561, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'irregular-splenic-margins', 'custom_fields': None, 'finding_abnormal_text': 'The margins of the spleen have an irregular appearance'}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is ventral displacement of the colon. An increased soft tissue opacity was noted in the mid-cranial abdomen, which is suspected to be a summation of structures in the region. The margins of the spleen have an irregular appearance. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. Degenerative changes were noted in the caudally positioned elbow. Degenerative changes are noted in the cranial stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2261, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'colon-displacement', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2487, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-distension', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nFolded spleen with irregular border margins. Possible causes include benign conditions (such as sedation, EMH, and lymphoid hyperplasia), infiltrative diseases (such as round cell neoplasia), and infectious diseases (e.g., tick-borne diseases).\nSummation of soft tissue structures as described previously suggests an overlap of normal anatomy. However, due to the displacement of the colon, a mass or lymphadenopathy in that area cannot be ruled out.\nOsteoarthritis of the stifle.\nDegenerative changes in the elbow.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend abdominal ultrasound with fine-needle aspiration (FNA) sampling of the spleen for further diagnostics. \nConsider abdominal ultrasound for further investigation to rule out a mass or lymphadenopathy in the area.\nConsider additional diagnostics, such as blood pressure measurement, CBC, chemistry, a saline agglutination test, and PT/PTT.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifle and degenerative changes in the elbow.'}

{'bday': '2016-02-26', 'name': 'Smith^Ginger', 'breed': 'Golden Retriever', 'owner': 'Smith^Kathy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': "Clevenger's Corner Veterinary Care", 'email': '[email protected]', 'address': 'United States - Amissville', 'clinician': 'CCVC'}

seizure like behavior that owner noticed for first time this morning. Pet has been panting more and gums pale.

unsteady when excited for past few weeks, stiffness occurring this morning for first time

standard

['spine-neurological-ivdd-pain']

['Unsteady', 'Stiffness', 'Seizure(s)', 'Mucous membranes abnormal - pale']

[]

[273, 590, 628, 674]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-08-18', 'name': 'orlando^pongo', 'breed': 'French Bulldog', 'owner': 'orlando^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt has short trachea syndrome. evaluating for hypoplastic trachea ', 'questions': 'Pt has short trachea syndrome. evaluating for hypoplastic trachea ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': 'Gastric material and gas. This is most consistent with aerophagi and digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 713, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Esoph - No regurg, ESD, moderate, esophagitis', 'diagnosis_custom_text': 'Esophageal distention as described. Differentials may include aerophagia, esophagitis and esophageal dysmotility.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 727, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Trachea - brachycephalic breed, hypoplastic trachea', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 734, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 30.200000000000003, 'consult_name': 'Resp Upper - Pharyngeal/Laryngeal abnormality', 'diagnosis_custom_text': 'Irregularity of the soft tissues in the region of the pharynx/larynx. Differentials may include cysts, foreign bodies, polyps, granulomas, severe laryngitis, or primary neoplasia, though superimposition of structures cannot be completely ruled out', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1252, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - TID/CID, VAN+SPN, breed conformation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2654, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['generalized'], '___s2_': ['noted.']}, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 799, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['caudal thoracic']}, 'finding_normal_text': 'Esophageal Distension', 'finding_abnormal_text': 'There is ___s1_ distention of the ___s2_ esophagus.\r\n\r\n'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['multiple thoracic vertebrae']}, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is moderate distension of the stomach with the presence of gas and radiopaque material which has the appearance of kibble/food. ', 'elapsedTime': 8.168, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['kibble/food']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T4-T5', 'T11-T12']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2372, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs-na', 'custom_fields': {'___s1_': ['presence of vertebral anomalies']}, 'finding_normal_text': 'Vertebral Heart Score na', 'finding_abnormal_text': 'The VHS cannot be calculated due to ___s1_.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [{'id': 2187, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'hypoplastic-trachea-c'}], 'report_findings': 'Thorax\nThe VHS cannot be calculated due to presence of vertebral anomalies. There is generalized narrowing of the trachea noted. There is focal distention of the caudal thoracic esophagus. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of gas and radiopaque material which has the appearance of ingesta. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. Vertebral anomaly is noted at multiple thoracic vertebrae. There is intervertebral disc space narrowing at T4-T5 and T11-T12. There is increased opacity noted within the pharyngeal region. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2314, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-displacement', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2372, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs-na', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nIrregularity of the soft tissues in the region of the pharynx/larynx with differentials including cysts, foreign bodies, polyps, granulomas, severe laryngitis, or primary neoplasia. Trachea measures under normal range consistent with a hypoplastic trachea, possibly normal for the breed. Gastric material and gas consistent with aerophagi and digested food, but non-obstructive foreign material or foreign material admixed with food cannot be ruled out. Esophageal distention with differentials including aerophagia, esophagitis, and esophageal dysmotility. Evidence of disc space narrowing associated with vertebral anomalies and spondylosis likely an incidental finding due to breed conformation.\n\nRecommendations:\nRecommend a sedated laryngeal exam and tissue sampling for further investigation of the irregularity noted in the larynx. Consider a CT scan for additional information.\nCorrelate with clinical signs to determine clinical significance of the narrowing trachea.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.\nConsider medical management for esophagitis. Endoscopy or fluoroscopy may help further characterize the changes noted.\nCorrelate with physical examination for clinical significance of spine abnormalities.'}

{'bday': '2022-08-18', 'name': 'orlando^pongo', 'breed': 'French Bulldog', 'owner': 'orlando^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}

Pt has short trachea syndrome. evaluating for hypoplastic trachea

Pt has short trachea syndrome. evaluating for hypoplastic trachea

standard

['resp signs - upper vs lower']

['Canine Small Breed', 'Brachycephalic']

[]

[2654, 2657]

[]

[]

[]

[]

[]

['Hypoplastic trachea']

[]

[2187]

[]

{'patient': {'bday': '2013-09-02', 'name': 'WILLIAMS^REMI', 'breed': 'Pointer, Mix', 'owner': 'WILLIAMS^SCOTT', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Newaukum Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Chehalis', 'clinician': 'Newaukum Valley Veterinary Services'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Hx of difficulty walking in past. Acute onset of limping on right hind leg, increased joint effusion. ', 'questions': 'Concern for stifle joint instability, known spondylosis. Started medical management and have recheck scheduled in 2 - 3 weeks. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 14.261, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Osteoarthritis of the indicated stifles along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture. A concurrent soft tissue injury cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 363, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip OA, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Degenerative joint disease of the hips.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar', 'lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left and right']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}, {'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. There is a moderate accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic, lumbar and lumbosacral spine. There are degenerative changes affecting the left and right coxofemoral joint. There is a moderate increased soft tissue opacity in the stifle joint noted in the left and right stifle. There are degenerative changes noted in the left stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the indicated stifles along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture. A concurrent soft tissue injury cannot be ruled out.\nDegenerative joint disease of the hips.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nCorrelate with orthopedic examination to assess for cranial drawer in the stifle.\nCorrelate with orthopedic examination. Consider analgesic and monitor response to therapy.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis.'}

{'bday': '2013-09-02', 'name': 'WILLIAMS^REMI', 'breed': 'Pointer, Mix', 'owner': 'WILLIAMS^SCOTT', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Newaukum Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Chehalis', 'clinician': 'Newaukum Valley Veterinary Services'}

Hx of difficulty walking in past. Acute onset of limping on right hind leg, increased joint effusion.

Concern for stifle joint instability, known spondylosis. Started medical management and have recheck scheduled in 2 - 3 weeks.

standard

['lameness-hindLimb', 'spine-neurological-ivdd-pain']

['Reluctant to move/walk', 'Lameness', 'Hindlimb lameness', 'Canine Medium/Large Breed']

[]

[204, 2185, 2345, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-07-14', 'name': 'Cantrell^Lucy', 'breed': 'Poodle Mix', 'owner': 'Cantrell^Karen', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Hearthstone Animal Clinic', 'email': '[email protected]', 'address': 'United States - Houston', 'clinician': 'Steve Pelton'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Has been coughing/hacking for a while. Hard for owner to give medications, video loooks and sounds like tracheal cough. heart sounds o.k. ', 'questions': '.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1033, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 303, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'diagnosis_custom_text': 'Changes in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea. Overlapping soft tissue structures in the region cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'elapsedTime': 8.6, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 734, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 15.286, 'consult_name': 'Resp Upper - Pharyngeal/Laryngeal abnormality', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend a sedated laryngeal exam +/- tissue sampling.', 'recommendation_custom_fields': None}, {'id': 748, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Negative Thorax - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2540, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'geriatric-patient'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2259, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['thoracic inlet']}, 'finding_normal_text': 'Redundant Tracheal Membrane', 'finding_abnormal_text': 'There is increased soft tissue opacity within the ___s1_ region of the trachea. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['T12-T13']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2310, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None, 'finding_normal_text': 'The bones of the skull are within normal limits with no aggressive lesions or fractures noted.', 'finding_abnormal_text': 'There is a fracture noted in the ___s1_ bone of the skull. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2670, 'source': 'labelling', 'attention': False, 'signal_name': 'resp signs - upper vs lower'}], 'internal_notes': 'TID, kidney normal', 'recommendations': [], 'report_findings': 'Thorax\nThere is increased soft tissue opacity within the thoracic inlet region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. There is intervertebral disc space narrowing at T12-T13. There is increased opacity noted within the pharyngeal region. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2264, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology.\nChanges in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea. Overlapping soft tissue structures in the region cannot be ruled out.\nIrregularity of the soft tissues in the region of the pharynx/larynx. Differentials may include primary neoplasia, cyst, polyp, granuloma, or severe laryngitis, though superimposition of structures cannot be completely ruled out.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nConsider symptomatic therapy for tracheal collapse. Limiting stress/excitement, avoiding neck leashes and collars, the judicious use of antitussives such as hydrocodone, and possibly anti-inflammatory medications may be considered.\nRecommend a sedated laryngeal exam +/- tissue sampling.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.'}

{'bday': '2009-07-14', 'name': 'Cantrell^Lucy', 'breed': 'Poodle Mix', 'owner': 'Cantrell^Karen', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Hearthstone Animal Clinic', 'email': '[email protected]', 'address': 'United States - Houston', 'clinician': 'Steve Pelton'}

Has been coughing/hacking for a while. Hard for owner to give medications, video loooks and sounds like tracheal cough. heart sounds o.k.

.

standard

['Resp signs - heart/lungs', 'resp signs - upper vs lower']

['Coughing', 'Geriatric patient', 'Canine Small Breed']

[]

[69, 2540, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-04-20', 'name': 'Schilke^Annie', 'breed': 'Dachshund, Smooth', 'owner': 'Schilke^Roena', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Heart + Paw - Park Lane', 'email': '[email protected]', 'address': 'United States - New Milford', 'clinician': 'Lee Dinwiddie'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Owner is reporting ongoing urinary issues, frequently urinating / needing to urinate, going in the house a lot even when outside often, her hind end seems like it's shaking / off balance more than before. Would like to discuss next steps and Annie's long term health from here or what would be best for her at this time. she was walking with her hind end low.", 'questions': 'owner is concerned she has bladder stones. rule out cystic calculi. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'excluded', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 6.506, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material if warranted.', 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 3.514, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': 'Spondylosis deformans. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 388, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 18.717, 'consult_name': 'Spine - Mineralized disc, no TID', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical and neurological exam findings and consider advanced imaging such as MRI for further investigation of the mineralized disc.', 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 26.86, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'diagnosis_custom_text': 'The urinary bladder is distended and suspected to be urinary retention secondary to anxiety or lack of access to urinate outside. No evidence of urinary bladder calculi or debris is noted in the images provided.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Biochemistry profile and urinalysis may be considered if there is concern for calculi. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.', 'recommendation_custom_fields': None}], 'signals': [{'id': 679, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Polyuria'}, {'id': 2344, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'paresis-pelvic'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbosacral']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mineralized-disk', 'custom_fields': {'___s1_': ['T10-T11']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'signal_name': 'lameness-hindLimb'}, {'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracic and lumbosacral spine. There is evidence of mineralized disc material noted at T10-T11. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe urinary bladder is distended and suspected to be urinary retention secondary to anxiety or lack of access to urinate outside. No evidence of urinary bladder calculi or debris is noted in the images provided. \nPresence of a mineralized disc may indicate IVDD and spondylosis deformans. \nGastric material noted is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nBiochemistry profile and urinalysis may be considered if there is concern for calculi. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease, and polyps.\nCorrelate with physical and neurological exam findings and consider advanced imaging such as MRI for further investigation of the mineralized disc.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material if warranted.'}

{'bday': '2010-04-20', 'name': 'Schilke^Annie', 'breed': 'Dachshund, Smooth', 'owner': 'Schilke^Roena', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Heart + Paw - Park Lane', 'email': '[email protected]', 'address': 'United States - New Milford', 'clinician': 'Lee Dinwiddie'}

Owner is reporting ongoing urinary issues, frequently urinating / needing to urinate, going in the house a lot even when outside often, her hind end seems like it's shaking / off balance more than before. Would like to discuss next steps and Annie's long term health from here or what would be best for her at this time. she was walking with her hind end low.

owner is concerned she has bladder stones. rule out cystic calculi.

expert

['lameness-hindLimb', 'urinary-stones']

['Polyuria (PU)', 'Pelvic limb paresis', 'Canine Small Breed']

[]

[679, 2344, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-12-01', 'name': 'Machado^Lacy', 'breed': 'German Shepherd', 'owner': 'Machado, Dawn', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Springer Animal Hospital', 'email': '[email protected]', 'address': 'Canada - Sturgeon Falls', 'clinician': 'Springer Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'acute onset coughing/retching 1 week, initially treated for pharyngitis/tracheitis. Lack of resolution, last weekv colleague started clavaseptin and hydrocodone. Dog is now star gazing, more lethargic, seems disoriented. still coughing/retching 3 X daily. Able to elicit soft and non productive cough on tracheal palp. shallow breathing with increased lungsounds on the left, normal heart sounds, normal pulses. \r\nBloodwork shows a neutrophilia (2X upper reference interval).\r\nBiochemWNL.', 'questions': "Is this consistent with pneumonia? I ultrasounded, do not see fluid in the pericardial space or thoracic space. But I don't ultrasound lungs, so I could see lung on the left. but ?", 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 320, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 80, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Disorientated'}, {'id': 131, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 521, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 666, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2536, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2634, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Neutrophilia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in the ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There is a ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['left and right'], '___s3_': ['alveolar pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}, {'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [{'id': 961, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'Antibiotic'}, {'id': 971, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'Antitussive'}, {'id': 1099, 'state': 'normal', 'source': 'labelling', 'recommendation_name': 'cbc-chemistry-profile'}], 'report_findings': 'Thorax\nThe heart measures above the normal range. There is increased opacity in the left and right cranioventral lung field, characterized as an alveolar pattern. The rest of the observed thorax is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe alveolar pattern is identified as described, with differentials including pneumonia/pneumonitis such as bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, as well as parasitic infections like heartworm, lungworm, or Toxo.\nThe VHS is calculated above normal range, however, the cardiac silhouette appears to be normal in size, which does not rule out cardiomyopathy.\n\nRecommendations:\nConsider respiratory lavage for cytological exam, culture, and sensitivity to further investigate the described alveolar pattern in the lungs.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.'}

{'bday': '2022-12-01', 'name': 'Machado^Lacy', 'breed': 'German Shepherd', 'owner': 'Machado, Dawn', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Springer Animal Hospital', 'email': '[email protected]', 'address': 'Canada - Sturgeon Falls', 'clinician': 'Springer Animal Hospital'}

acute onset coughing/retching 1 week, initially treated for pharyngitis/tracheitis. Lack of resolution, last weekv colleague started clavaseptin and hydrocodone. Dog is now star gazing, more lethargic, seems disoriented. still coughing/retching 3 X daily. Able to elicit soft and non productive cough on tracheal palp. shallow breathing with increased lungsounds on the left, normal heart sounds, normal pulses. Bloodwork shows a neutrophilia (2X upper reference interval). BiochemWNL.

Is this consistent with pneumonia? I ultrasounded, do not see fluid in the pericardial space or thoracic space. But I don't ultrasound lungs, so I could see lung on the left. but ?

standard

['Resp signs - general', 'resp signs - upper vs lower']

['Coughing', 'Disorientated', 'Lethargic/tired', 'Gagging/retching', 'Tachypnoea', 'Lung crackles/lung sounds', 'Neutrophilia', 'Canine Medium/Large Breed']

['Heart Murmur']

[69, 80, 131, 521, 666, 2536, 2634, 2656]

[2175]

[]

[]

[]

[]

['Antibiotic', 'Antitussive']

['CBC/chemistry profile - normal']

[961, 971]

[1099]

{'patient': {'bday': '2016-07-17', 'name': 'Andrews^Jenny', 'breed': 'German Shepherd', 'owner': 'Andrews^Sherry', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': "Clevenger's Corner Veterinary Care", 'email': '[email protected]', 'clinician': 'Dr Carnicero'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'limping after playing with housemate this morning, non-weight bearing right hind. ', 'questions': 'requesting consult. We took 2 different "studies" first of lateral shots then VD. Please review both, will submit second for review if unable to review as part of this request. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'excluded', 'source': 'labelling'}, {'id': 1040, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1054, 'state': 'excluded', 'source': 'labelling'}], 'consult': [{'id': 370, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Pelvis - trauma, pelvic fracture', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 410, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'M/S GEN - enthesopathy, no lame/pain', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 490, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Subcut - Swelling, associated with a joint', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1089, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hindlimb Stifle - Chronic CCL, not primary problem, no lameness', 'diagnosis_custom_text': 'Osteoarthritis of the stifle along with increased soft tissue opacity noted in the joint is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\xa0The mineralization identified in the joint space is likely representative of meniscal mineralization.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2345, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 16, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fracture-pelvis-fracture', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'joint-mineralization', 'custom_fields': None}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'enthesopathy', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a fracture of the right and ischiatic tuberosity of the pelvis. There is bony proliferation/mineralization associated with the right and iliopsoas muscle. There are degenerative changes noted in the left and right stifle. There is mineralization within the right and stifle joint space. \n\nIn the lateral images, there is mild soft tissue swelling noted in the right tarsal region and increased opacity in the right stifle joint space. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the stifle along with increased soft tissue opacity noted in the joint is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\xa0The mineralization identified in the joint space is likely representative of meniscal mineralization.\nSoft tissue swelling associated with the right tarsal area as described. This is likely extra-capsular, though a mild intracapsular component cannot be ruled out.\nEvidence of pelvic fractures as described.\nEnthesopathy noted as described. Likely incidental.\n\nRecommendations:\nFor the stifle changes, correlate with orthopedic exam.\nFor the tarsal changes, consider careful palpation and fine needle aspirate sampling with cytology to determine etiology. Assessment of the affected joint for instability may be beneficial as would cross-section imaging.\nFor the pelvic changes, analgesics and cage confinement is recommended. Orthopedic consultation to discuss surgical vs. non-surgical treatment options is recommended.\nCorrelate with physical exam for clinical significance of the described enthesopathy.'}

{'bday': '2016-07-17', 'name': 'Andrews^Jenny', 'breed': 'German Shepherd', 'owner': 'Andrews^Sherry', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': "Clevenger's Corner Veterinary Care", 'email': '[email protected]', 'clinician': 'Dr Carnicero'}

limping after playing with housemate this morning, non-weight bearing right hind.

requesting consult. We took 2 different "studies" first of lateral shots then VD. Please review both, will submit second for review if unable to review as part of this request.

expert

['lameness-hindLimb']

['Hindlimb lameness', 'Non-weight bearing lameness', 'Canine Medium/Large Breed']

[]

[2345, 2545, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-01-07', 'name': 'William^Kyouya^^^', 'breed': 'Shiba Inu', 'owner': 'Sue William', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Grayson County Animal Emergency Clinic', 'email': '[email protected]', 'clinician': 'Grayson County Animal Emergency Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Has been unwell since tuesday, seems painful. Ate a mouse off of a glue trap last Sat/Sunday. Went to bryan county today and was given Depo-medrol and Rimadyl 25 mG. Gave one dose of Rimadyl but it isnt helping. UTD on Vaccines, Heartworm prevention, and Flea and Tick prevention. Bright, Alert, and Responsive. ', 'questions': 'Cause of symptoms', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'normal', 'source': 'rules'}], 'consult': [{'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Foreign body', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 775, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Bladder - Concern for urinary obstruction, no calculi', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1059, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - No cause for pain/ panting/ heavy breathing', 'diagnosis_custom_text': 'No clear radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins. There is a suspicious bladder distension and some foreign material in the colon and clinical signs noted may be associated with these abnormalities although we cannot rule out other potential causes.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2186, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2330, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': "Not himself/ain't doing right"}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['a mineral'], '___s2_': ['ascending', 'descending']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2265, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThere is a mineral opacity foreign material located within the ascending and descending colon. There is distension of the urinary bladder. The rest of the observed abdomen is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo clear radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins. There is a suspicious bladder distension and some foreign material in the colon and clinical signs noted may be associated with these abnormalities although we cannot rule out other potential causes.\nDistended urinary bladder with no apparent calculi observed.\nColonic foreign body as described.\n\nRecommendations:\nRecommend supportive care for the reported clinical signs. Re-evaluate as clinically indicated to further investigate the possible sources of discomfort.\nAn abdominal ultrasound (or contrast radiography) could be considered as a (standard) radiograph does not rule out radiolucent bladder stones, cystitis, neoplastic disease and polyps. Ensure the patient is able to urinate. A lower urinary tract obstruction may be present. Correlate with biochemistry profile, urinalysis, +/- urine culture.\nMonitor for passage of described colonic foreign body in the stool.'}

{'bday': '2016-01-07', 'name': 'William^Kyouya^^^', 'breed': 'Shiba Inu', 'owner': 'Sue William', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Grayson County Animal Emergency Clinic', 'email': '[email protected]', 'clinician': 'Grayson County Animal Emergency Clinic'}

Has been unwell since tuesday, seems painful. Ate a mouse off of a glue trap last Sat/Sunday. Went to bryan county today and was given Depo-medrol and Rimadyl 25 mG. Gave one dose of Rimadyl but it isnt helping. UTD on Vaccines, Heartworm prevention, and Flea and Tick prevention. Bright, Alert, and Responsive.

Cause of symptoms

standard

['screening-thorax', 'screening-abdomen']

['Pain', "Ain't doin right (ADR)", 'Canine Medium/Large Breed']

[]

[2186, 2330, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-05-11', 'name': 'Lindsely^Bella', 'breed': 'DSH', 'owner': 'Lindsely^', 'gender': 'O', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast New York Veterinary Specialists- Farmingdale', 'email': '[email protected]', 'clinician': 'ACNYVS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'presented for acute onset non weight bearing lameness since this morning; seemed painful on palpation of distal limb; owner did not witness any trauma; ', 'questions': 'soft tissue injury suspected', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'partial', 'source': 'labelling'}, {'id': 1032, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1037, 'state': 'empty', 'source': 'labelling'}, {'id': 1038, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1039, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 391, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - no cause for lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 259, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Traumatic-injury'}, {'id': 629, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2677, 'source': 'labelling', 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy at this time.\n\nRecommendations:\nMedical management for soft tissue injury and exercise restriction is recommended. If the examination suggests more than a soft tissue injury or there is no response to treatment, consider sedation and additional views of the region of interest, and potentially consult with an orthopedic specialist."}

{'bday': '2024-05-11', 'name': 'Lindsely^Bella', 'breed': 'DSH', 'owner': 'Lindsely^', 'gender': 'O', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Atlantic Coast New York Veterinary Specialists- Farmingdale', 'email': '[email protected]', 'clinician': 'ACNYVS'}

presented for acute onset non weight bearing lameness since this morning; seemed painful on palpation of distal limb; owner did not witness any trauma;

soft tissue injury suspected

expert

['lameness-frontLimb']

['Pain - musculoskeletal', 'Feline', 'Non-weight bearing lameness']

['Traumatic injury']

[629, 2327, 2545]

[259]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-03-14', 'name': 'Peter', 'breed': 'Maine Coon', 'owner': '^Fyda', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'clinician': 'NightWatch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Head pressing and not aware, crying out and running forward, very lethargic otherwise, not eating well, swollen ventral chin - possible LN enlargement or abscess', 'questions': 'concerns for organ dysfunction vs. systemic infection vs. other infectiou/ inflammatory reaction', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1014, 'state': 'inprogress', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'empty', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1096, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 742, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Neuro - No cause for non-specific neuro signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1203, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Subcut - Submandibular swelling, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 142, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lump/swelling in mouth'}, {'id': 221, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Shaking head'}, {'id': 262, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Trouble eating'}, {'id': 2185, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Lameness'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2691, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Submandibular swelling'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 715, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the submandibular region']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2690, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'submandibular-swelling', 'custom_fields': None}], 'diagnosis': [{'id': 1106, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Abscess'}], 'questions': [{'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Thorax\nA bronchial pattern is present. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate loss of serosal detail in the abdomen. There is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is soft tissue swelling involving the submandibular region. The rest of the observed musculoskeletal system is within normal limits.\n\nGeneral\nSoft tissue swelling is noted in the submandibular region. There are no other abnormalities noted in the rest of the observed general.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling is noted in the submandibular region. Rule out trauma. Differentials include; sialocele, lymphadenopathy, hypoproteinemia edema (if pitting), cellulitis, abcess, snake/insect bite, neoplasia or other cause.\nA cause for the reported neurological signs is not determined in the images provided. No evidence of masses or neoplastic process is appreciated.\nAbdominal detail loss presumably from immaturity, ascites not excluded.\nDiffuse distension of the GI tract with no evidence of obstruction is consistent with functional ileus. This may be due to enteritis of various causes or administration of parasympatholytics and sedatives. Other causes include peritonitis, blunt abdominal trauma, electrolyte imbalance.\n\nRecommendations:\nRecommend an ultrasound-guided FNA with cytology and blood work to further investigate. MRI/CT scan can also be considered.\nNeurological evaluation and advanced imaging, such as MRI, may be useful for investigating the reported neurological signs further. Correlate with blood work, including ammonia levels if indicated. Screen for infectious diseases and recreational drugs.\nConsider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.'}

{'bday': '2024-03-14', 'name': 'Peter', 'breed': 'Maine Coon', 'owner': '^Fyda', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'clinician': 'NightWatch'}

Head pressing and not aware, crying out and running forward, very lethargic otherwise, not eating well, swollen ventral chin - possible LN enlargement or abscess

concerns for organ dysfunction vs. systemic infection vs. other infectiou/ inflammatory reaction

expert

['non-specific-ADR']

['Mass/swelling - oral', 'Head shaking', 'Trouble eating', 'Feline', 'Submandibular swelling']

['Lameness']

[142, 221, 262, 2327, 2691]

[2185]

['Abscess']

[]

[1106]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-04-06', 'name': 'Rohrbach^ Sadie #4', 'breed': 'Great Pyrenees Mix', 'owner': 'Rohrbach^Taylor', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presented 8/9/24 AM for vomiting, anorexia and lethargy. Pt vomited yellow bile 4-5 times and refused to eat. Pt had some loose stools a few days prior after chewing up a stuffed toy and even passed a stuffed animal in her stool. WBC slighly elevated (18,000), Chemistries normal, and cpl elevated at 338. On PE, pt is painful on abdominal palpation with a fever of 105.3. Treating with IVF, cerenia, Baytril and Unacyn. ', 'questions': 'R/o FB, pancreatitis, gastroenteritis ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 197, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Splenomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 219, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Peritoneal - LAD, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'For further assessment, advise abdominocentesis analysis and cytology of the free fluid in the abdomen and abdominal ultrasound.', 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 97.433, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion could be considered. Pancreatitis also a possible differential.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Continue with medical management of the reported clinical signs and adjust based on abdominocentesis results. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern and loss of serosal detail.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 520, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Faecal appearance abnormal - other'}, {'id': 545, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['moderately'], '___s2_': ['.']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': {'___s1_': ['liver and spleen', 'intestines'], '___s2_': ['ventral']}}], 'diagnosis': [{'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe spleen appears moderately enlarged . There is moderate loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2270, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere appears to be free fluid in the abdomen, with potential causes including low oncotic pressure, portal hypertension, neoplastic effusion, abdominal hemorrhage, septic or non-septic peritonitis, \n\nNo obstructive pattern is visible, but a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, systemic illness, dietary indiscretion, and pancreatitis are possible differentials. \n\nSplenomegaly is noted, with differentials including benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia), and infectious etiologies (e.g., tick-borne diseases).\n\nRecommendations:\nFor further assessment, advise abdominocentesis analysis and cytology of the free fluid in the abdomen and abdominal ultrasound. \n\nContinue with medical management of the reported clinical signs and adjust based on abdominocentesis results. If there is no response to medical management, consider repeat radiographs to further assess gastrointestinal pattern and loss of serosal detail is inhibited full evalutation . Consider abdominal ultrasound to further investigate clinical significance of the enlarged spleen and if enlargement is confirmed an FNA sample can be consaidered to determine etiology.'}

{'bday': '2019-04-06', 'name': 'Rohrbach^ Sadie #4', 'breed': 'Great Pyrenees Mix', 'owner': 'Rohrbach^Taylor', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}

Pt presented 8/9/24 AM for vomiting, anorexia and lethargy. Pt vomited yellow bile 4-5 times and refused to eat. Pt had some loose stools a few days prior after chewing up a stuffed toy and even passed a stuffed animal in her stool. WBC slighly elevated (18,000), Chemistries normal, and cpl elevated at 338. On PE, pt is painful on abdominal palpation with a fever of 105.3. Treating with IVF, cerenia, Baytril and Unacyn.

R/o FB, pancreatitis, gastroenteritis

standard

['Vomiting-FB/obstruction']

['Vomiting', 'abnormal fecal appearance', 'Fever/pyrexia', 'Anorexia', 'Hyporexia', 'Canine Medium/Large Breed']

[]

[256, 520, 545, 606, 607, 2656]

[]

['Gastroenteritis', 'Pancreatitis']

[]

[143, 149]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-08-22', 'name': 'Cinnamon', 'breed': 'Pit Bull Mix', 'owner': 'Behrens', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Service, Long Island', 'email': '[email protected]', 'address': 'United States - Selden', 'clinician': 'Animal Emergency Service of Long Island'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'has had pneumonia 3 times this year, shallow breathing past 1-2 hours, e/d normally. Hypersalivating, no v/d, seems nauseous. Not currently on any medications.\r\n\r\n(LB)', 'questions': 'history of pneumonia', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1290, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 320, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 111.236, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'diagnosis_custom_text': 'Alveolar pattern identified as described. Differentials are pneumonia/pneumonitis including bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, parasitic infection (heartworm, lungworm, Toxo). A mediastinal shift suggests a partial collapse of the lobe affected.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of pneumonia is indicated with supportive care (including supplemental oxygen). Consider respiratory lavage for cytological exam, culture and sensitivity to further investigate the described alveolar pattern in the lungs. Repeat thoracic radiographs in 24-48 hours to monitor pulmonary parenchymal response to treatment.', 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 500, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 7.737, 'consult_name': 'Intestines - FB small (incidental)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 689, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Axial sternum - Inter-sternabral narrowing, incidental', 'diagnosis_custom_text': 'Inter-sternebral narrowing and degenerative changes noted. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 730, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - Possible TMS', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1240, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 54.235, 'consult_name': 'Gastric - Small FB, symptomatic', 'diagnosis_custom_text': 'Gastric foreign body/material as described above, may or may not pass on its own. No other gastrointestinal abnormalities are noted. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recheck fasting abdominal radiographs in 12-24 hours to monitor progression of the gastric and intestinal foreign body/material. Anti-nausea medication and IV fluids may be useful in treating the nausea.', 'recommendation_custom_fields': None}], 'signals': [{'id': 531, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hypersalivation'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is spondylosis deformans noted in the thoracic & lumbar spine. ', 'elapsedTime': 4.392, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small amount of mineral']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['cranially positioned']}, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2257, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mediastinal-shift', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Mediastinal shift', 'finding_abnormal_text': 'There is a mediastinal shift with the heart displaced to the ___s1_.'}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['left'], '___s3_': ['alveolar pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2421, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'sternal-degeneration', 'custom_fields': None, 'finding_normal_text': 'Sternal degeneration', 'finding_abnormal_text': 'There are degenerative changes noted in the sternum. '}, {'id': 2483, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is moderate distention of the stomach and it contains a small, mineralized opacity with a gravel to sand like appearance.', 'elapsedTime': 3.949, 'signal_name': 'gastric-fb', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['small', 'mineralized'], '___s3_': ['with a gravel like appearance']}, 'finding_abnormal_text': 'There is ___s1_ distention of the stomach and it contains a ___s2_ opacity ___s3_.'}, {'id': 2491, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Inter-sternebral narrowing', 'custom_fields': {'___s1_': ['7-8']}, 'finding_normal_text': 'Inter-sternebral narrowing', 'finding_abnormal_text': 'There is narrowing noted between sternebrae ___s1_. '}, {'id': 2559, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a small soft tissue opacity nodule noted in the right cranioventral lung field at the level of rib 5-6. ', 'elapsedTime': 14.605, 'signal_name': 'Nodule', 'custom_fields': {'___s1_': ['right cranioventral']}, 'finding_normal_text': 'Pulmonary nodule', 'finding_abnormal_text': 'There is a small soft tissue opacity nodule noted in the ___s1_ lung field. '}], 'diagnosis': [{'id': 2056, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia'}], 'questions': [], 'recommendations': [], 'report_findings': 'Thorax\nThere is a mediastinal shift with the heart displaced to the left. There is a severe increased opacity in the left cranioventral lung field, characterized as a alveolar pattern . There is a small soft tissue opacity nodule noted in the right cranioventral lung field at the level of rib 5-6. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distention of the stomach and it contains a small, mineralized opacity with a gravel to sand like appearance. There is small amount of mineral foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic & lumbar spine. There is narrowing noted between sternebrae 7-8. There are degenerative changes noted in the cranially positioned elbow. There are degenerative changes noted in the sternum. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nAlveolar pattern identified as described, with differentials including pneumonia/pneumonitis, mediastinal shift suggests partial collapse of affected lobe. \nSuspicious pulmonary mass identified, with overlying soft tissue structures not completely ruled out. \nDegenerative changes in the elbow noted. \nGastric foreign body/material may or may not pass on its own, with no other gastrointestinal abnormalities noted. \nSmall intestinal foreign material likely to pass on its own, with no evidence of obstruction noted. \nInter-sternebral narrowing and degenerative changes noted, likely incidental. \nSpondylosis deformans noted, likely incidental.\n\nRecommendations:\nSummary:\nMedical management of pneumonia is indicated with supportive care, including supplemental oxygen. Consider respiratory lavage for cytological exam, culture, and sensitivity to further investigate the described alveolar pattern in the lungs. Repeat thoracic radiographs in 24-48 hours to monitor pulmonary parenchymal response to treatment. Consider CT scan and/or additional radiographic views for further investigation of the thoracic structure. Otherwise, recheck radiographs can be performed to monitor for progression. Correlate with orthopedic examination for further evaluation of the degenerative changes in the elbow. Recheck fasting abdominal radiographs in 12-24 hours to monitor progression of the gastric and intestinal foreign body/material. Anti-nausea medication and IV fluids may be useful in treating the nausea. Correlate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2024-08-22', 'name': 'Cinnamon', 'breed': 'Pit Bull Mix', 'owner': 'Behrens', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Service, Long Island', 'email': '[email protected]', 'address': 'United States - Selden', 'clinician': 'Animal Emergency Service of Long Island'}

has had pneumonia 3 times this year, shallow breathing past 1-2 hours, e/d normally. Hypersalivating, no v/d, seems nauseous. Not currently on any medications. (LB)

history of pneumonia

standard

[]

['Hypersalivation', 'Respiratory distress', 'Canine Medium/Large Breed']

[]

[531, 2179, 2656]

[]

['Pneumonia']

[]

[2056]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-01-02', 'name': 'Logan', 'breed': 'Boxer', 'owner': 'Ventura', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Service, Long Island', 'email': '[email protected]', 'address': 'United States - Selden', 'clinician': 'Animal Emergency Service of Long Island'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for episode of collapse / seizure. Has been acting off/lethargic for the past few days. 4 days ago he was vomiting but the past 2 days he has been eating and keeping food down. Today his owner found him collapsed, twitching, episode lasted less than 1 min. After x-ray heart was scanned and pericardial effusion appreciated. 175mL non-clotting blood pulled from pericardial space. Patient much more stable after pericardoiocentesis. No vpcs noted on EKG after pericardiocentesis. ', 'questions': 'heart based mass, abdominal mass, other', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level', 'history_signalment_inconsistencies', 'signalment_not_conclusion', 'overcall_high_radiographic', 'one'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'enthesopathy', 'joint-luxation', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'joint-effusion', 'Implant Motion/Infection', 'surgical-device', 'agressive-bone-lesion-discospondylitis', 'microcardia']}, 'groups': [{'id': 1006, 'state': 'empty', 'source': 'labelling'}, {'id': 1022, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1096, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1272, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 213, 'state': 'normal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Negative Thorax - No thoracic masses', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 9, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 411, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Neuro - No cause for seizures', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 8, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 890, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Peritoneal - small effusion vs peritonitis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1139, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Splenomegaly - Irregular margins', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1324, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Gen - poss pattern, coughing, panting, dyspnoea/syncope', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The cardiac silhouette appears enlarged making cardiac disease a realistic potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded. Pericardial effusion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 628, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Seizure(s)'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical, thoracic and lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': {'___s1_': ['with a prominent appearing aorta on the VD view.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2561, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'irregular-splenic-margins', 'custom_fields': None, 'finding_abnormal_text': 'The margins of the spleen have an irregular appearance'}], 'diagnosis': [{'id': 411, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Pericardial effusion'}], 'questions': [{'id': 2671, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2672, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-thorax'}], 'internal_notes': 'The main complaint was having seizures or Syncope. There was finding of pericardial effusion. Most common cause of p.effusion in an elderly dog is a heart base tumor. No recommendation was made regarding further exploring the likely diagnosis.\nNo indication for Diuretic trial that was recommended. Especially with the findings of p.effusion.\nIn this case there is an immediate life risk from cardia tamponade, Possibly leading to Syncope. Further drainage can be performed base on the need, But we need to rule out heart base neoplasia ASAP . \nAbdominocentesis should have been recommended to explore the suspected abdominal effusion (loss of detail)\nIn general - too many recommendation but not emphasizing the important diagnostics needed based on the medical history. \nEcho and thoracic Ultrasound should be performed ASAP to find the cause of the symptoms.\n', 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart with a prominent appearing aorta on the VD view. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. There is a mild accumulation of fecal material in the colon. There is moderate loss of serosal detail in the abdomen. The margins of the spleen have an irregular appearance. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the cervical, thoracic and lumbar spine. There are degenerative changes noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2581, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Peritoneal pericardial diaphragmatic hernia', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cardiac silhouette appears enlarged making cardiac disease a realistic potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded. Pericardial effusion cannot be ruled out.\nNo evidence of pulmonary metastatic disease.\nNo radiographic evidence for the reported seizures is noted.\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nThe area in the abdomen with unclear organ margins and slight loss of serosal detail may represent a small amount of abdominal fluid or a focal peritonitis.\nSpleen with irregular border margins. Differentials include benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases).\nSpondylosis deformans. Likely incidental.\nMild fecal retention. Rule out constipation.\nOsteoarthritis of the stifles.\n\nRecommendations:\nIdeally, an echocardiogram and blood pressure measurement (as soon as possible) are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim. Also consider pre-diuretic lab-work (CBC/chemistry) and monitoring renal values during treatment. Serial thoracic radiographs to monitor for responsiveness to treatment (e.g. every 6-12 hours depending on progression) are also recommended.\nConsider biochemistry profile, CBC, and urinalysis to evaluate for extra-cranial causes of seizures. An abdominal ultrasound to assess the abdomen and/or abdominal organs may provide additional information.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider an abdominal ultrasound for further investigation of the area in the abdomen with unclear organ margins and slight loss of serosal detail.\nRecommend abdominal ultrasound with FNA sampling for further diagnostics.\nConsider rectal exam to rule out constipation.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifles."}

{'bday': '2017-01-02', 'name': 'Logan', 'breed': 'Boxer', 'owner': 'Ventura', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Animal Emergency Service, Long Island', 'email': '[email protected]', 'address': 'United States - Selden', 'clinician': 'Animal Emergency Service of Long Island'}

Patient presented for episode of collapse / seizure. Has been acting off/lethargic for the past few days. 4 days ago he was vomiting but the past 2 days he has been eating and keeping food down. Today his owner found him collapsed, twitching, episode lasted less than 1 min. After x-ray heart was scanned and pericardial effusion appreciated. 175mL non-clotting blood pulled from pericardial space. Patient much more stable after pericardoiocentesis. No vpcs noted on EKG after pericardiocentesis.

heart based mass, abdominal mass, other

standard

['neoplasia-abdomen', 'neoplasia-thorax']

['Collapsed', 'Lethargic/tired', 'Vomiting', 'Seizure(s)', 'Canine Medium/Large Breed']

[]

[65, 131, 256, 628, 2656]

[]

['Pericardial effusion']

[]

[411]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-07-07', 'name': 'Simba Thrasher', 'breed': 'Bengal', 'owner': 'Robert Chalmers', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Princess Animal Hospital ', 'email': '[email protected]', 'clinician': 'Princess Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Simba a 9y MN DSH. Presented on July 5th for vomiting, diarrhea and anorexia. Vomiting started last night, he vomited food last night and just bile this morning, not interested in food or water. No history of FB, no food changes, no plants in the house. Upon PE Simba was lethargic, dry mucous membranes, pink, 2 sec CRT with mild skin tenting. Suspected resorptive lesions, no other abnormalities. NSF on BW ', 'questions': 'I would like to rule out FB and a possible mass effect. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1021, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'normal', 'source': 'labelling'}], 'consult': [{'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarrhea)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No abdominal masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1135, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - SPN, VAN, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 619, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Thirst decreased'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. Vertebral anomaly is noted at T13. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a gastroenterocolitis. No evidence of foreign body or intestinal obstruction noted in the radiographs provided. Differentials include inflammatory, dietary indiscretion, toxin, infectious, parasitic causes or hemorrhagic diarrhea syndrome.\nNo apparent masses noted in the abdomen.\nSpondylosis deformans and vertebral anomaly noted. Likely incidental.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat fasted radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern.\nCorrelate this finding with physical exam for clinical significance.'}

{'bday': '2015-07-07', 'name': 'Simba Thrasher', 'breed': 'Bengal', 'owner': 'Robert Chalmers', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Princess Animal Hospital ', 'email': '[email protected]', 'clinician': 'Princess Animal Hospital'}

Simba a 9y MN DSH. Presented on July 5th for vomiting, diarrhea and anorexia. Vomiting started last night, he vomited food last night and just bile this morning, not interested in food or water. No history of FB, no food changes, no plants in the house. Upon PE Simba was lethargic, dry mucous membranes, pink, 2 sec CRT with mild skin tenting. Suspected resorptive lesions, no other abnormalities. NSF on BW

I would like to rule out FB and a possible mass effect.

expert

['Gi signs - Systemic vs general', 'screening-thorax']

['Diarrhea', 'Lethargic/tired', 'Vomiting', 'Anorexia', 'Drinking less', 'Feline']

[]

[76, 131, 256, 606, 619, 2327]

[]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-12-31', 'name': 'chanel', 'breed': 'Mixed - Large', 'owner': 'martinez', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P presents today for lethargy, anorexia and trembling. Symptoms began after a walk yesterday.', 'questions': 'pyometra vs heat stress vs other', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 320, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 423, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 7.208, 'consult_name': 'Repros - No UTD, vaginal discharge', 'diagnosis_custom_text': 'The uterus is not visualized in the provided images. Mild accumulation of fluid, estrus, or early pregnancy cannot be completely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Abdominal ultrasound should also be considered for further assessment of the reproductive tract. ', 'recommendation_custom_fields': None}, {'id': 476, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Constipation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 620, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears enlarged. ', 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left'], '___s3_': ['interstitial to alveolar']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'A pleural fissure line is noted in the left and right, cranioventral and caudodorsal thorax.', 'elapsedTime': 6.922, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['left and right', 'cranioventral', 'caudodorsal']}}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The fecal material noted in the colon is very radiopaque and geometrically shaped, consistent with chronicity.', 'elapsedTime': 18.552, 'signal_name': 'Chronic Fecal Material', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2686, 'source': 'labelling', 'signal_name': 'reproductive-vaginal-disch'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears enlarged. There is radiopaque material within the stomach which has the appearance of kibble/food. There is an accumulation of fecal material in the colon. The fecal material noted in the colon is very radiopaque and geometrically shaped, consistent with chronicity. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThere is a moderate increased opacity in the left cranioventral lung field, characterized as a interstitial to alveolar pattern. A pleural fissure line is noted in the left and right cranioventral and caudodorsal thorax. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'prostate-mineralization', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'utd-secondary-to-fetus', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe uterus is not visualized in the provided images. Mild accumulation of fluid, estrus, or early pregnancy cannot be completely ruled out.\nAlveolar pattern identified as described. Differentials are pneumonia/pneumonitis including bronchopneumonia (bacterial, viral, fungal) or aspiration pneumonia, parasitic infection (heartworm, lungworm, Toxo).\nFecal retention noted is consistent with constipation.\nThe pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nAbdominal ultrasound should also be considered for further assessment of the reproductive tract and the liver.\nGiven the clinical signs complete bloodwork and a UA are highly recommended. \nIf signs of respiratory disease develop, consider respiratory lavage for cytological exam, culture and sensitivity to further investigate the described alveolar pattern in the lungs.\nTreatment for constipation/obstipation is indicated at this time.\nCorrelate with history for the clinical significance of the noted pleural fissure line.\n'}

{'bday': '2016-12-31', 'name': 'chanel', 'breed': 'Mixed - Large', 'owner': 'martinez', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}

P presents today for lethargy, anorexia and trembling. Symptoms began after a walk yesterday.

pyometra vs heat stress vs other

expert

['reproductive-vaginal-disch']

['Lethargic/tired', 'Anorexia', 'Tremors/shaking/trembling', 'Lameness', 'Canine Medium/Large Breed']

[]

[131, 606, 620, 2185, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-08-15', 'name': 'Rea^Norman^^^', 'breed': 'English Bulldog', 'owner': 'Shelly', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient has been vomiting for 2 weeks. Has not eaten today. ', 'questions': 'Patient has been vomiting for 2 weeks. Has not eaten today. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['rugal folds']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}], 'diagnosis': [], 'questions': [], 'recommendations': [], 'report_findings': 'Abdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of rugal folds. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs may be consistent with a gastroenteritis. No obstructive pattern is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nOsteoarthritis of the stifles.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern and lab testing for pancreatitis.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifles.'}

{'bday': '2019-08-15', 'name': 'Rea^Norman^^^', 'breed': 'English Bulldog', 'owner': 'Shelly', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Walker Animal Hospital-SVP', 'email': '[email protected]', 'address': 'United States - Walker', 'clinician': 'Walker Animal Hospital'}

Patient has been vomiting for 2 weeks. Has not eaten today.

Patient has been vomiting for 2 weeks. Has not eaten today.

standard

[]

['Vomiting', 'Hyporexia', 'Canine Medium/Large Breed', 'Brachycephalic']

[]

[256, 607, 2656, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-10-23', 'name': 'Hernandez^Saint', 'breed': 'Bulldog French', 'owner': 'Hernandez^Tirza', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for acute symptoms of yelping, wobbly, whimpering, some loose stools, panting, having trouble walking.\r\nNo vomiting.\r\nCurrently on probiotics.\r\nWas doing well previously.', 'questions': 'IVDD vs Mineralized Disc vs Soft Tissue Injury vs Hemivertebrae vs Other', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['axial-fracture', 'Distal fabella displacement']}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 253, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Colon - hematochezia/diarrhea, normal gut', 'diagnosis_custom_text': 'A cause for the described clinical signs is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, gastroenterocolitis or other cause should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Cardiomegaly Left - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': 'The VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1309, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 46.134, 'consult_name': 'Spine disc space - TID/CID and mineralized disc', 'diagnosis_custom_text': 'Evidence of disc space narrowing and mineralized discs as indicated. Either of these findings may indicate IVDD at the specified site. No congenital vertebral anomalies detected.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical and neurological examination. An MRI/ CT scan or myelogram can be useful for a more definitive diagnosis of IVDD. A neurology consult maybe considered.', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 177, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 248, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Struggling to stand'}, {'id': 273, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Unsteady'}, {'id': 292, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}, {'id': 2658, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The heart measures above the normal range.', 'elapsedTime': 6.604, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L6-L7']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2402, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mineralized-disk', 'custom_fields': {'___s1_': ['L1-L2', 'L3-L4', 'L4-L5', 'L5-L6', 'L6-L7']}, 'finding_normal_text': 'mineralized disk', 'finding_abnormal_text': 'There is evidence of mineralized disc material noted at ___s1_.'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is intervertebral disc space narrowing at L6-L7. There is evidence of mineralized disc material noted at L1-L2, L3-L4, L4-L5, L5-L6, and L6-L7. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of disc space narrowing and mineralized discs as described. Either of these findings may indicate IVDD at the specified site. No congenital vertebral anomalies detected.\nThe VHS is calculated above normal range, however the cardiac silhouette appears to be normal in size. This does not rule out cardiomyopathy.\nA cause for the described clinical signs is not determined from the radiographs. Given the history, colitis due to dietary indiscretion, stress, parasite, gastroenterocolitis or other cause should be considered.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nCorrelate with physical and neurological examination. A MRI/ CT scan or myelogram can be useful for a more definitive diagnosis of IVDD. A neurology consult maybe considered.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.\nConsider fecal testing and blood work for further investigation of the reported clinical signs. Medical management is indicated at this time.'}

{'bday': '2020-10-23', 'name': 'Hernandez^Saint', 'breed': 'Bulldog French', 'owner': 'Hernandez^Tirza', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}

Presented for acute symptoms of yelping, wobbly, whimpering, some loose stools, panting, having trouble walking. No vomiting. Currently on probiotics. Was doing well previously.

IVDD vs Mineralized Disc vs Soft Tissue Injury vs Hemivertebrae vs Other

standard

['spine-neurological-ivdd-pain']

['Diarrhea', 'Panting', 'Struggling to stand', 'Unsteady', 'Whining/whimpering/groaning', 'Canine Medium/Large Breed', 'Brachycephalic', 'Chondrodysplastic']

[]

[76, 177, 248, 273, 292, 2656, 2657, 2658]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-05-17', 'name': 'Lim^Bailey', 'breed': 'Yorkshire Terrier Mix', 'owner': 'Lim^Galen', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Conejo Valley Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Thousand Oaks', 'clinician': 'Conejo Valley Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Breathing disetress. HM 5/6 \r\nCyanotic \r\n\r\ncurrently on oxygen and furosemide given IM \r\n\r\nAnother image of lateral of taken but not included in symptoms ', 'questions': 'heart failure \r\nother lung issue? ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'partial', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1037, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1272, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 302, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Trachea - no cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 434, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Bladder - Urolithiasis (UBC+RMN), no URC , no obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1075, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Gastric - Food bloat', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly GEN - Unstructured interstitial, CHF', 'diagnosis_custom_text': 'Generalized cardiomegaly and unstructured interstitial pattern throughout the lungs as described. Possible differentials include: valvular disease leading to insufficiency, DCM with pulmonary edema or pulmonary hypertension.\xa0Compression of the mainstem bronchi by the enlarged heart may be contributing to the reported clinical signs and cyanosis. Pericardial effusion cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1115, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - venous congestion, heart failure', 'diagnosis_custom_text': 'Hepatomegaly likely secondary to venous congestion caused by concurrent congestive heart failure.\xa0Other etiologies including vacuolar or EMH/nodular hyperplasia, infiltrative neoplasia, or acute hepatitis cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 677, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Cyanotic mucous membrane'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': {'___s1_': ['a large mineralized']}, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 19, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the shoulders. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ shoulder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 699, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Renal Mineralization', 'finding_abnormal_text': 'There is increased opacity noted over the silhouette of the ___s1_ kidney. '}, {'id': 714, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': {'___s1_': ['entire'], '___s2_': ['patchy interstitial to alveolar pattern']}, 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 880, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': {'___s1_': ['with a prominent appearing aorta on the VD view.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2259, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['thoracic inlet']}, 'finding_normal_text': 'Redundant Tracheal Membrane', 'finding_abnormal_text': 'There is increased soft tissue opacity within the ___s1_ region of the trachea. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2449, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['right', 'cranioventral']}, 'finding_normal_text': 'Pleural Fissure', 'finding_abnormal_text': 'A pleural fissure line is noted in the ___s1_ thorax.'}, {'id': 2469, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'narrowed-mainstem-bronchi', 'custom_fields': None, 'finding_normal_text': 'Narrowed mainstem bronchi', 'finding_abnormal_text': 'There is compression of the mainstem bronchi. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [{'id': 995, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'oxygen-therapy'}, {'id': 1021, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'furosemide'}], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart with notable left atrial enlargement. There is compression of the mainstem bronchi and dorsal deviation of the trachea. There is increased soft tissue opacity within the thoracic inlet region of the trachea. A pleural fissure line is noted in the right cranioventral thorax. There is increased opacity throughout the entire lung field, characterized as a patchy interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is severe distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. There is a large mineralized opacity noted over the silhouette of the urinary bladder. There is increased opacity noted over the silhouette of the left kidney. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the left and right shoulder. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'narrowed-mainstem-bronchi', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGeneralized cardiomegaly and unstructured interstitial pattern throughout the lungs, with most likely differential being degenerative valve disease with decompensation resulting in congestive heart failure. Pericardial effusion cannot be ruled out but is much less likely given signalment.\nTracheal redundancy may be an early stage of collapsing trachea, likely incidental if the patient is not coughing.\nHepatomegaly likely secondary to venous congestion caused by concurrent congestive heart failure, with other etiologies including vacuolar or EMH/nodular hyperplasia, infiltrative neoplasia, or acute hepatitis not ruled out.\nCystic calculi and nephrolithiasis, likely chronic renal disease. Opacity overlying the renal silhouette is representative of renal mineralization and likely chronic renal disease.\nSevere distension of the stomach with soft tissue opacity material and no evidence of torsion is consistent with possible food bloat. Foreign material cannot be definitively ruled out.\nDegenerative changes in the shoulder.\n\nRecommendations:\n- For further assessment, an echocardiogram and blood pressure measurement are recommended. Diuretics should be considered as a mainstay for reducing pulmonary edema, along with supportive care such as oxygen therapy. Additional cardiac medication should also be considered, along with pre-diuretic lab-work and monitoring renal values during treatment. \n- Consider dissolution diet or cystotomy/nephrolithotomy based on additional clinical input. Correlate with biochemistry, urinalysis, and abdominal ultrasound to investigate kidney function.\n- Consider medical management and follow-up radiographs to check for passage of material through the GI tract.\n- Correlate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.'}

{'bday': '2013-05-17', 'name': 'Lim^Bailey', 'breed': 'Yorkshire Terrier Mix', 'owner': 'Lim^Galen', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Conejo Valley Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Thousand Oaks', 'clinician': 'Conejo Valley Veterinary Hospital'}

Breathing disetress. HM 5/6 Cyanotic currently on oxygen and furosemide given IM Another image of lateral of taken but not included in symptoms

heart failure other lung issue?

expert

['Resp signs - heart/lungs']

['Dyspnoea', 'Mucous membranes abnormal - cyanosed', 'Heart Murmur', 'Canine Small Breed']

[]

[50, 677, 2175, 2654]

[]

[]

[]

[]

[]

['Oxygen therapy', 'Furosemide']

[]

[995, 1021]

[]

{'patient': {'bday': '2022-08-05', 'name': 'Borja^Ryah^^^', 'breed': 'Shih Tzu', 'owner': 'Sandy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Sumner Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for dyspnea and tachypnea. She did vomit this morning and did not eat. Unable to hear a heart murmur or stertor.', 'questions': 'Suspect pneumonia. R/O: CHF vs. other', 'specialty_area': ''}}

{'tags': {'userTags': ['unaddressed_concerns', 'three'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['summation-structures', 'fluid-wispy', 'focal-loss-detail', 'splenic-mass', 'peritoneal-mass', 'liver-mass', 'splenic-nodule', 'pulmonary-vessel-congestion']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'partial', 'source': 'labelling'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 733, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - resp signs, CVP/CDP (not alveolar), no cardiomegaly', 'diagnosis_custom_text': 'Given the history of vomiting, the changes noted in the lungs are suspicious for aspiration pneumonia. Consideration should also be given to other infectious, inflammatory, or neoplastic causes. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': 'The cardiovascular structures are unremarkable with no evidence of enlargement or congestion.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 666, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 714, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': {'___s1_': ['mixed interstitial to alveolar pattern']}, 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'internal_notes': "If aspiration pneumonia is a primary differential, shouldn't it be discussed to find underlying \ncause of vomiting?\nBarium study? bloodwork for pancreatitis? \nTreatment not only for pulmonary disease but also gastritis.", 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThere is increased opacity throughout the lung fields, characterized as a mixed interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the history of vomiting, the changes noted in the lungs are suspicious for aspiration pneumonia. Consideration should also be given to other infectious, inflammatory, or neoplastic causes.\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion.\n\nRecommendations:\nConsider respiratory lavage for cytological exam, culture and sensitivity to further investigate the changes in the lungs. A CT scan may also yield additional information.'}

{'bday': '2022-08-05', 'name': 'Borja^Ryah^^^', 'breed': 'Shih Tzu', 'owner': 'Sandy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Sumner Veterinary Hospital'}

Presented for dyspnea and tachypnea. She did vomit this morning and did not eat. Unable to hear a heart murmur or stertor.

Suspect pneumonia. R/O: CHF vs. other

expert

['Vomiting-FB/obstruction', 'Resp signs - heart/lungs']

['Dyspnoea', 'Vomiting', 'Anorexia', 'Tachypnoea', 'Canine Small Breed']

['Heart Murmur']

[50, 256, 606, 666, 2654]

[2175]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-06-25', 'name': 'Nutulapati^Simba^^^', 'breed': 'Labrador Retriever', 'owner': 'Harshith', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Gables Animal Clinic', 'email': '[email protected]', 'address': 'United States - Coral Gables', 'clinician': 'Gables Animal Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Mild muscle atrophy over hind quarters, seems painful on extension of hips but no clinical signs per owner', 'questions': 'Mild muscle atrophy over hind quarters, seems painful on extension of hips but no clinical signs per owner', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 404, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'M/S GEN - Muscle atrophy cause unknown, suspected', 'diagnosis_custom_text': 'Muscle atrophy noted as described. This may be secondary to disuse or neurogenic causes. Additionally given the obliquity of the radiographs this may be artifactual as well.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with history and physical examination. Neurologic examination and advanced imaging may be considered for further investigation.', 'recommendation_custom_fields': None}], 'signals': [{'id': 587, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Muscular atrophy - unspecified'}, {'id': 629, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2272, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is mild atrophy of the musculature over the right hind limb. ', 'elapsedTime': 6.183, 'signal_name': 'muscle-atrophy', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['right', 'hind limb']}, 'finding_normal_text': 'Musculature of the limbs appears symmetrical.', 'finding_abnormal_text': 'There is ___s1_ atrophy of the musculature over the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is mild atrophy of the musculature over the right hind limb. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMuscle atrophy noted as described. This may be secondary to disuse or neurogenic causes. Additionally given the obliquity of the radiographs this may be artifactual as well.\n\nRecommendations:\nCorrelate with history and physical examination. Neurologic examination and advanced imaging may be considered for further investigation.'}

{'bday': '2021-06-25', 'name': 'Nutulapati^Simba^^^', 'breed': 'Labrador Retriever', 'owner': 'Harshith', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Gables Animal Clinic', 'email': '[email protected]', 'address': 'United States - Coral Gables', 'clinician': 'Gables Animal Clinic'}

Mild muscle atrophy over hind quarters, seems painful on extension of hips but no clinical signs per owner

Mild muscle atrophy over hind quarters, seems painful on extension of hips but no clinical signs per owner

standard

['neoplasia-musculoskeletal']

['Muscular atrophy', 'Pain - musculoskeletal', 'Canine Medium/Large Breed']

[]

[587, 629, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2007-08-02', 'name': 'Williams^Chloe', 'breed': 'Domestic Longhair', 'owner': 'Williams', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Chloe presented for one drop of blood on the floor noted by the O, O thinks its from bladder, P is on Prednisolone 5 mg once a day since 2019 April, P is dx with Lymphoma. ', 'questions': 'Abdominal mass (lymphoma), under stress P was open mouth breathing. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'normal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 733, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - resp signs, CVP/CDP (not alveolar), no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 846, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Bladder - Urinary sediment', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Negative - Met check, no abd masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1135, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - SPN, VAN, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 39, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Bleeding (unspecified)'}, {'id': 177, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 274, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'Urinating abnormally'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2540, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'geriatric-patient'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': {'___s1_': ['a sediment like increased']}}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2280, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['unstructured interstitial']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 28, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - abdominal'}, {'id': 655, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Lymphoma (site unspecified)'}], 'questions': [{'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [{'id': 1354, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'corticosteroid1'}, {'id': 2197, 'state': 'abnormal', 'source': 'ai', 'recommendation_name': 'Lymphoma-c'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. Vertebral anomaly is noted at ,T13. There is degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. There is a sediment like increased opacity noted over the silhouette of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nThorax\nThere is increased opacity throughout the lung fields, characterized as a unstructured interstitial . The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMineralization noted over the urinary bladder may be consistent with urinary sediment. \nThe changes noted in the lungs are indicative of pathology but are not diagnostic for a specific etiology. Consideration is given to infectious, inflammatory, or neoplastic causes. \nNo apparent masses noted in the abdomen. \nGastric material noted is consistent with food/recent meal. \nDegenerative joint disease of the hips, spondylosis deformans, and vertebral anomaly noted. Likely incidental.\n\nRecommendations:\nSummary:\nCorrelate with urinalysis and consider abdominal ultrasound for further investigation of the mineralization noted over the urinary bladder.\nConsider respiratory lavage for cytological exam, culture and sensitivity to further investigate the changes in the lungs. Additionally, a CT scan may yield additional information.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\nCorrelate this finding with physical exam for clinical significance.'}

{'bday': '2007-08-02', 'name': 'Williams^Chloe', 'breed': 'Domestic Longhair', 'owner': 'Williams', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}

Chloe presented for one drop of blood on the floor noted by the O, O thinks its from bladder, P is on Prednisolone 5 mg once a day since 2019 April, P is dx with Lymphoma.

Abdominal mass (lymphoma), under stress P was open mouth breathing.

expert

['neoplasia-abdomen', 'neoplasia-thorax', 'screening-abdomen']

['Bleeding (unspecified)', 'Panting', 'Urination abnormal - hematuria', 'Feline', 'Geriatric patient']

[]

[39, 177, 274, 2327, 2540]

[]

['Mass lesion - abdominal', 'Lymphoma (site unspecified)']

[]

[28, 655]

[]

['Corticosteroid', 'Lymphoma']

[]

[1354, 2197]

[]

{'patient': {'bday': '2016-09-05', 'name': 'Jorgensen^Bruno', 'breed': 'American Pit Bull Terrier', 'owner': 'Jorgensen^Hannah', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Ark Animal Hospital of Chalfont', 'email': '[email protected]', 'address': 'United States - Chalfont', 'clinician': 'Ark Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Intermittently limping on left front leg, has been going on for a month or two. No obvious limping in hospital but O has videos of him almost NWB on left front leg at home. Normal PE in hospital, no swelling or pain palpated along joints. ', 'questions': 'Trying to localize pain causing limping, arthritis vs neoplasia vs other. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1037, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 377, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 53.199000000000005, 'consult_name': 'Forelimb Shoulder - SAR causing lameness', 'diagnosis_custom_text': 'Arthropathy of the shoulder may be contributing to the reported lameness. No radiographic evidence of a bone lesion was noted in the images provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. This does not rule out a soft tissue injury or neuropathy.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2346, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'lameness-forelimb'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 19, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the shoulders. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ shoulder. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2677, 'source': 'labelling', 'signal_name': 'lameness-frontLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere are degenerative changes noted in the left and right shoulder. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nArthropathy of the shoulder may be contributing to the reported lameness. No radiographic evidence of a bone lesion was noted in the images provided. The study is negative for fractures, luxation or subluxation, and soft tissue swelling. However, this does not rule out a soft tissue injury or neuropathy.\n\nRecommendations:\nCorrelate with orthopedic examination and consider analgesic and exercise restriction to monitor response to therapy for the reported lameness.'}

{'bday': '2016-09-05', 'name': 'Jorgensen^Bruno', 'breed': 'American Pit Bull Terrier', 'owner': 'Jorgensen^Hannah', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Ark Animal Hospital of Chalfont', 'email': '[email protected]', 'address': 'United States - Chalfont', 'clinician': 'Ark Animal Hospital'}

Intermittently limping on left front leg, has been going on for a month or two. No obvious limping in hospital but O has videos of him almost NWB on left front leg at home. Normal PE in hospital, no swelling or pain palpated along joints.

Trying to localize pain causing limping, arthritis vs neoplasia vs other.

standard

['lameness-frontLimb']

['Lameness', 'Forelimb lameness', 'Canine Medium/Large Breed']

[]

[2185, 2346, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-01-26', 'name': 'Ansardo^Peanut^^^', 'breed': 'Chihuahua', 'owner': 'Ansardi', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'address': 'United States - Metairie', 'clinician': 'Pet Care Center'}, 'accept_tos': 'true', 'consult_info': {'case_info': "P first presented a year ago (July 27,2023) for a cough. P had crackles with no murmur. HW test neg. Not on prevention. Severe dental disease. X-rays at the time were not very diagnostic. Mild pulmonary edema, collapsing trachea, possible cardiomegaly. \r\n\r\nP returned today for cough that gets worse at night. O says it comes and goes. \r\n\r\nP is morbidly obese. O's are smokers. P is not on heartworm prevention. X-rays do not look drastically different from a year ago. opacity near heart base is larger", 'questions': 'Cardiogenic vs pneumonia vs neoplasia\r\n\r\n1st view in R, 3rd is L', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 303, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': 'The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pneumonia or neoplasia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 837, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Bronchial - bronchiectasis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1135, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - SPN, VAN, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2357, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'disease-dental'}, {'id': 2536, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'lung-crackles-sounds'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bronchiectasis', 'custom_fields': {'___s1_': ['cranioventral lung field']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T9']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 4, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'lung-pulmonary-edema'}, {'id': 2019, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Tracheal collapse'}, {'id': 4748, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Obese'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. Vertebral anomaly is noted at T9. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nBronchial pattern noted characterized by bronchiectasis in the cranioventral lung field. There is increased soft tissue opacity within the cervical region of the trachea. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pneumonia or neoplasia.\nBronchiectasis identified consistent with a chronic bronchitis. Differentials may include allergic bronchitis, chronic infectious bronchitis, or other inflammatory causes.\nChanges in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea.\nSpondylosis deformans and vertebral anomaly noted. Likely incidental.\n\nRecommendations:\nConsider tracheal wash with cytology/culture for confirmation, and therapy with anti-inflammatory dosages of glucocorticoids for the identified bronchiectasis.\nConsider symptomatic therapy for tracheal collapse. Limiting stress/excitement, avoiding neck leashes and collars, the judicious use of antitussives such as hydrocodone, and possibly anti-inflammatory medications may be considered.\nCorrelate this finding with physical exam for clinical significance.'}

{'bday': '2013-01-26', 'name': 'Ansardo^Peanut^^^', 'breed': 'Chihuahua', 'owner': 'Ansardi', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'address': 'United States - Metairie', 'clinician': 'Pet Care Center'}

P first presented a year ago (July 27,2023) for a cough. P had crackles with no murmur. HW test neg. Not on prevention. Severe dental disease. X-rays at the time were not very diagnostic. Mild pulmonary edema, collapsing trachea, possible cardiomegaly. P returned today for cough that gets worse at night. O says it comes and goes. P is morbidly obese. O's are smokers. P is not on heartworm prevention. X-rays do not look drastically different from a year ago. opacity near heart base is larger

Cardiogenic vs pneumonia vs neoplasia 1st view in R, 3rd is L

expert

['Resp signs - heart/lungs', 'neoplasia-thorax']

['Coughing', 'Dental disease', 'Lung crackles/lung sounds', 'Canine Small Breed', 'Chondrodysplastic']

['Heart Murmur']

[69, 2357, 2536, 2654, 2658]

[2175]

['Pulmonary Edema', 'Tracheal collapse', 'Obese']

[]

[4, 2019, 4748]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-09-02', 'name': 'Pope^Rags^^^', 'breed': 'Abyssinian', 'owner': 'James Pope', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Emily Moren'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Domestic shorthair. Hospitalized for vomiting, pyrezia, lethargy.', 'questions': 'Please comment on AI flag for cardiomegaly.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 748, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 25.792, 'consult_name': 'Negative Thorax - Cardiac/lung Screening, normal', 'isAddressingConcern': True, 'diagnosis_custom_text': 'The cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. Feline cardiac disease may be subtle without obvious changes to the cardiac silhouette.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider an echocardiogram to rule out cardiomyopathy if clinically indicated.', 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 5.050000000000001, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Given the appearance of the GI tract and the clinical history provided, clinical signs may be consistent with gastroenteritis. No obstructive pattern or foreign body is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 545, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere are incongruity and degenerative changes in the caudally positioned elbow. No other abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe cardiovascular structures are unremarkable with no evidence of enlargement or congestion. The lungs are clear with no evidence of pathology. Feline cardiac disease may be subtle without obvious changes to the cardiac silhouette.\nGiven the appearance of the GI tract and the clinical history provided, clinical signs may be consistent with gastroenteritis. No obstructive pattern or foreign body is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.\nDegenerative changes in the elbow.\n\nRecommendations:\nConsider an echocardiogram to rule out cardiomyopathy if clinically indicated.\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern and lab testing for pancreatitis.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.'}

{'bday': '2021-09-02', 'name': 'Pope^Rags^^^', 'breed': 'Abyssinian', 'owner': 'James Pope', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Emily Moren'}

Domestic shorthair. Hospitalized for vomiting, pyrezia, lethargy.

Please comment on AI flag for cardiomegaly.

standard

['screening-thorax']

['Lethargic/tired', 'Vomiting', 'Fever/pyrexia', 'Feline']

[]

[131, 256, 545, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-07-04', 'name': 'Duda^Shamus', 'breed': 'Siamese Mix', 'owner': 'Duda^Colleen', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': '2 days not eating or drinking, vomiting and diarrhea and weight loss and lethargy.', 'questions': 'rule out neoplasia vs foreign material.', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 263, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 26.143, 'consult_name': 'Systemic - No cause for weight loss, decreased appetite', 'diagnosis_custom_text': 'A specific cause for the weight loss and lethargy described could not be determined from the images provided. No evidence of neoplasia is observed.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 458, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Bladder - Bladder stones, fp', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 939, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'diagnosis_custom_text': 'Mildly distended small intestinal segments noted. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction.\xa0Differentials include inflammatory, dietary indiscretion, toxin, infectious, parasitic causes or a systemic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 140, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Losing weight'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['gas']}}], 'diagnosis': [{'id': 2443, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. There is an accumulation of fecal material in the colon. There is a portion of the small intestine that is mildly distended with gas. Increased opacity is noted over the silhouette of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nMildly distended small intestinal segments noted. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction.\xa0Differentials include inflammatory, dietary indiscretion, toxin, infectious, parasitic causes or a systemic disease.\nThe opacity over the bladder is suspected to be secondary to summation of structures or possible mineralization of surrounding structures rather than true urolithiasis.\nMild fecal retention. Rule out constipation.\nA specific cause for the weight loss and lethargy described could not be determined from the images provided. No evidence of neoplasia is observed.\n\nRecommendations:\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider follow-up radiographs in 12-24 hours or potential abdominal ultrasound if clinical signs persist for further investigation of the changes noted in the intestines.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion for urinary bladder calculi.\nCorrelate with clinical history to rule out constipation.\nConsider further work up including biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful."}

{'bday': '2016-07-04', 'name': 'Duda^Shamus', 'breed': 'Siamese Mix', 'owner': 'Duda^Colleen', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}

2 days not eating or drinking, vomiting and diarrhea and weight loss and lethargy.

rule out neoplasia vs foreign material.

standard

['Gi signs - Systemic vs general']

['Diarrhea', 'Lethargic/tired', 'Losing weight', 'Vomiting', 'Anorexia', 'Feline']

[]

[76, 131, 140, 256, 606, 2327]

[]

['Neoplasia']

[]

[2443]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-02-03', 'name': 'louie', 'breed': 'Chihuahua', 'owner': 'arkus', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': ' Sunshine Pet Hospital', 'email': '[email protected]', 'address': 'United States - Aurora', 'clinician': 'mayurirebala'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for limping. Has a chronic history of obesity. Blood work has elevation ALKP. NO symptoms of PU/PD or lethargy . HIstory of MPLs', 'questions': 'Heaptomegaly causing abdominal mass effect??', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1038, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'normal', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 209, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.', 'recommendation_custom_fields': None}, {'id': 227, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'M/S GEN - unlabeled study', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 356, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 78.78299999999999, 'consult_name': 'Hindlimb Stifle - stifle arthritis, lameness', 'diagnosis_custom_text': 'Osteoarthritis of the stifle.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 880, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 89.445, 'consult_name': 'limited evaluation', 'diagnosis_custom_text': 'Limited evaluation of the stifle/appendicular skeleton due to partial/incomplete study.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Due to limited evaluation, consider additional radiographic views of the appendicular skeleton or advanced imaging if a more thorough evaluation is needed. ', 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - Met check, no abd masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 141, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lump/swelling'}, {'id': 2185, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2404, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2654, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver appears enlarged. ', 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in the ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['cranial']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [{'id': 1543, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Patellar luxation - medial'}, {'id': 4748, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Obese'}], 'questions': [{'id': 2671, 'source': 'ai', 'signal_name': 'neoplasia-abdomen'}, {'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2676, 'source': 'labelling', 'signal_name': 'lameness-general'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. There is mild distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the cranial stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia), with the possibility of infiltrative neoplasia or acute hepatitis. No apparent masses noted in the abdomen. Osteoarthritis of the stifle observed, with limited evaluation of the stifle/appendicular skeleton due to partial/incomplete study. Laterality cannot be determined due to the absence of labels in the provided images. Gastric material is most consistent with digested food, but the presence of non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nSummary:\nConsider an abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider medical management including rest for osteoarthritis of the stifle.\nDue to limited evaluation, consider additional radiographic views of the appendicular skeleton or advanced imaging if a more thorough evaluation if the reported limping is needed.\nConsider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.'}

{'bday': '2013-02-03', 'name': 'louie', 'breed': 'Chihuahua', 'owner': 'arkus', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': ' Sunshine Pet Hospital', 'email': '[email protected]', 'address': 'United States - Aurora', 'clinician': 'mayurirebala'}

Presented for limping. Has a chronic history of obesity. Blood work has elevation ALKP. NO symptoms of PU/PD or lethargy . HIstory of MPLs

Heaptomegaly causing abdominal mass effect??

standard

['neoplasia-abdomen', 'neoplasia-musculoskeletal', 'lameness-general']

['Mass/swelling - abdomen', 'Lameness', 'Elevated liver enzymes', 'Canine Small Breed', 'Brachycephalic']

[]

[141, 2185, 2404, 2654, 2657]

[]

['Patellar luxation - medial', 'Obese']

[]

[1543, 4748]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-02-21', 'name': 'Varona^Kona', 'breed': 'American Miniature Shepherd', 'owner': 'Varona^Jessica', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Town & Country Animal Hospital in Miami', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'Tcah Vets'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Since at least 4/2024 (2months of age) P has been dribbling urine. Treated with antibiotics after urine cultures, with no symptoms improvement. ', 'questions': 'Congenital abnormalities vs Neurological disorders vs open', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 436, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 11.125, 'consult_name': 'Bladder - URC', 'diagnosis_custom_text': 'Ureter attaching caudal to the bladder.Ectopic ureter may be considered as primary differential however neurological disorders and other causes can not be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '\xa0Consider cystoscopy for further investigation of\xa0the suspected ectopic ureter', 'recommendation_custom_fields': None}], 'signals': [{'id': 124, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urinary incontinence'}, {'id': 2656, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Abdomen\nLeft caudal ureter is mildy distended and seems to prolonged caudal to the bladder. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nLimited contrast images available for evaluation.\nUreter seemingly attaching caudal to the bladder. Ectopic ureter may be considered as primary differential; however, neurological disorders and other causes can not be ruled out.\n\nRecommendations:\nConsider cystoscopy/ abdominal CT for further investigation of\xa0the suspected ectopic ureter.'}

{'bday': '2024-02-21', 'name': 'Varona^Kona', 'breed': 'American Miniature Shepherd', 'owner': 'Varona^Jessica', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Town & Country Animal Hospital in Miami', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'Tcah Vets'}

Since at least 4/2024 (2months of age) P has been dribbling urine. Treated with antibiotics after urine cultures, with no symptoms improvement.

Congenital abnormalities vs Neurological disorders vs open

standard

['spine-neurological-ivdd-pain', 'urinary-stones']

['Urination abnormal - incontinence', 'Canine Medium/Large Breed']

[]

[124, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-01-27', 'name': 'PHILLIPS^MANNY^^^', 'breed': 'French Bulldog', 'owner': 'JOE', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'PET CAME IN FOR STRAINING, VOMITING & DIARRHEA NO BLOOD NOTED. PET WAS EATING LESS BUT STILL DRINKING WATER, Pet has been less active , had a temperature of 103.4,cbc/chem+17 wnl ', 'questions': 'Pet has a history of bladder stones,pet is intact', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'normal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1041, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 246, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - Gastroenterocolitis(vom+/diarroea)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 19.309, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with orthopedic examination for further evaluation of osteoarthritis of the hips and stifles.', 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'elapsedTime': 33.844, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 428, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 101.137, 'consult_name': 'Renal - RMG', 'diagnosis_custom_text': 'The kidneys are at the upper limits of normal which may represent an acute kidney injury. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with a biochemistry profile and urinalysis. Consider an abdominal ultrasound for further investigation of the enlarged kidney and to rule out radiolucent stones, cystitis, neoplastic disease and polyps in the bladder.', 'recommendation_custom_fields': None}, {'id': 895, 'state': 'normal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 34.243, 'consult_name': 'Bladder - No evidence of bladder calculi or debris as suggested by history', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 1135, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Spine - SPN, VAN, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1232, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Reprod - PMG, intact male , symptomatic', 'diagnosis_custom_text': 'Prostatomegaly as described may be contributing to the reported straining. In an intact male, this may be secondary to hyperplasia, hypertrophy, prostatitis, neoplasia, prostatic or paraprostatic cyst. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 243, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Straining to defaecate'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 545, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'id': 797, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-renomegaly', 'custom_fields': {'___s1_': ['left']}}, {'id': 1635, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['multiple thoracic vertebrae']}}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left']}}, {'id': 2252, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 2189, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urolithiasis - renal (nephrolithiasis)'}], 'questions': [{'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe prostate is prominent. The left kidney measures above normal range. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. Vertebral anomaly is noted at multiple thoracic vertebrae. There is degenerative changes affecting the left coxofemoral joint. There are degenerative changes noted in the left stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 707, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'prostate-mineralization', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2254, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'utd-secondary-to-fetus', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2451, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a gastroenterocolitis. No evidence of foreign body or intestinal obstruction noted in the radiographs provided. Differentials include inflammatory, dietary indiscretion, toxin, infectious, parasitic causes or hemorrhagic diarrhea syndrome.\nProstatomegaly as described may be contributing to the reported straining. With reported fever and if pain noted on rectal palpation, prostatitis should be considered high in the differential list. In an intact male, additional differentials include hyperplasia, hypertrophy, neoplasia, prostatic or paraprostatic cyst. \nThe kidneys are at the upper limits of normal which may represent an acute kidney injury. Other differentials include pyelonephritis, neoplasia, and hydronephrosis.\nNo evidence of urinary bladder calculi or debris are noted in the images provided.\nOsteoarthritis of the stifles.\nDegenerative joint disease of the hips.\nSpondylosis deformans and vertebral anomaly noted. Likely incidental.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern.\nFor further assessment of the prostate and renal changes, consider abdominal ultrasound. A FNA sample +/- biopsy should be considered if the prostatic parenchyma appears abnormal. Correlate with rectal exam and clinical signs.\nCorrelate with a biochemistry profile and urinalysis and abdominal ultrasound to rule out radiolucent stones, cystitis, neoplastic disease and polyps in the bladder.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the hips and stifles.\nCorrelate this finding with physical exam for clinical significance.'}

{'bday': '2014-01-27', 'name': 'PHILLIPS^MANNY^^^', 'breed': 'French Bulldog', 'owner': 'JOE', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}

PET CAME IN FOR STRAINING, VOMITING & DIARRHEA NO BLOOD NOTED. PET WAS EATING LESS BUT STILL DRINKING WATER, Pet has been less active , had a temperature of 103.4,cbc/chem+17 wnl

Pet has a history of bladder stones,pet is intact

expert

['urinary-stones']

['Diarrhea', 'Lethargic/tired', 'Straining to defaecate', 'Vomiting', 'Fever/pyrexia', 'Hyporexia', 'Canine Small Breed', 'Brachycephalic']

[]

[76, 131, 243, 256, 545, 607, 2654, 2657]

[]

['Urolithiasis - renal (nephrolithiasis)']

[]

[2189]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-18', 'name': 'Bird^Maisi^^^', 'breed': 'Golden Retriever', 'owner': 'Bird', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'address': 'United States - Metairie', 'clinician': 'Pet Care Center'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute vomiting, history of eating socks', 'questions': 'P does chew on a bone in her kennel, suspect this is the foreign material. Concerned about mixed population SI.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 83.342, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': 'There is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No evidence of an obstructive pattern is noted in the radiographs provided, however, it may be too early to see an ensuing mechanical obstruction. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs can not be ruled out completely. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs an monitoring of the patient is indicated at this time. If there is no response to medical management, consider follow-up fasted radiographs to further investigate the identified intestinal foreign material.', 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 51.571000000000005, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider an abdominal ultrasound for further investigation. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2184, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small amount of mineral', 'bone like']}}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['rugal folds']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of rugal folds. There is small amount of mineral bone like foreign material located within the small intestine. There is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No evidence of an obstructive pattern is noted in the radiographs provided, however, it may be too early to see an ensuing mechanical obstruction. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs cannot be ruled out completely. A small, soft-tissue opacity, is noted within the stomach, which may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out. Mild fecal retention noted, rule out constipation.\n\nRecommendations:\nMedical management of the reported clinical signs and monitoring of the patient is indicated at this time. If there is no response to medical management, consider follow-up fasted radiographs to further investigate the identified intestinal foreign material. Additionally, consider an abdominal ultrasound for further investigation. Correlate with clinical history to rule out constipation.'}

{'bday': '2024-01-18', 'name': 'Bird^Maisi^^^', 'breed': 'Golden Retriever', 'owner': 'Bird', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Pet Care Center- Main (SVP)', 'email': '[email protected]', 'address': 'United States - Metairie', 'clinician': 'Pet Care Center'}

Acute vomiting, history of eating socks

P does chew on a bone in her kennel, suspect this is the foreign material. Concerned about mixed population SI.

expert

['Vomiting-FB/obstruction']

['Vomiting', 'Suspected foreign body ingestion', 'Canine Medium/Large Breed']

[]

[256, 2184, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-08-08', 'name': 'Lucy^Hale', 'breed': 'Lab mix', 'owner': 'Hayden Hale', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'address': 'United States - San Antonio', 'clinician': 'NightWatch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Increase in RR and trouble breathing reported. P recently was on antibiotics and steroids for a possible URI ; but d/c now and P started to develop inappetence and RR distress today. recent medical hx is grade 1 Heart murmur , \r\n\r\nno vomit diarrhea , sneeze, cough', 'questions': 'R/O URI, pneumonia, other', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 275, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 67.108, 'consult_name': 'Cardiomegaly Right - asymptomatic', 'diagnosis_custom_text': 'Right sided heart enlargement with no evidence of failure or pulmonary involvement. Consider pulmonary hypertension or heartworm disease. Pulmonic stenosis cannot be ruled out. The observed lungs appear normal. Clinical respiratory signs may result from a metabolic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider an echocardiogram to further investigate the cardiac changes. A blood pressure measurement is suggested. Heartworm testing may be recommended if clinical history warrants. Supportive care is recommended at this time. Correlate with bloodwork to test for metabolic acidosis/alkalosis.', 'recommendation_custom_fields': None}, {'id': 304, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Upper - normal thorax & trachea, upper airway disease likely', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Coughing'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 177, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 666, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2179, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2321, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cardiac-silhouette', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [{'id': 2056, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [{'id': 961, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antibiotic'}, {'id': 1354, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'corticosteroid1'}], 'report_findings': 'Thorax\nThere is evidence of right heart enlargement. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': "Conclusions:\nA lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely. \nRight sided heart enlargement with no evidence of failure or pulmonary involvement. Consider pulmonary hypertension or heartworm disease. Pulmonic stenosis cannot be ruled out. The observed lungs appear normal. Clinical respiratory signs may result from a metabolic disease. \nA small, soft-tissue opacity, is noted within the stomach. This may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out.\n\nRecommendations:\nA more detailed upper airway exam may be useful for further investigation of the reported clinical signs. Consider an echocardiogram and blood pressure measurement to further investigate the cardiac changes. Heartworm testing may be recommended if clinical history warrants. Supportive care is recommended at this time. Correlate with bloodwork to test for metabolic acidosis/alkalosis. Correlate with the history of the patient's last meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying. "}

{'bday': '2017-08-08', 'name': 'Lucy^Hale', 'breed': 'Lab mix', 'owner': 'Hayden Hale', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'address': 'United States - San Antonio', 'clinician': 'NightWatch'}

Increase in RR and trouble breathing reported. P recently was on antibiotics and steroids for a possible URI ; but d/c now and P started to develop inappetence and RR distress today. recent medical hx is grade 1 Heart murmur , no vomit diarrhea , sneeze, cough

R/O URI, pneumonia, other

standard

['Resp signs - heart/lungs', 'resp signs - upper vs lower']

['Panting', 'Anorexia', 'Tachypnoea', 'Heart Murmur', 'Respiratory distress', 'Canine Medium/Large Breed']

['Coughing', 'Diarrhea']

[177, 606, 666, 2175, 2179, 2656]

[69, 76]

['Pneumonia']

[]

[2056]

[]

['Antibiotic', 'Corticosteroid']

[]

[961, 1354]

[]

{'patient': {'bday': '2023-11-23', 'name': 'Ferguson_Rocket', 'breed': 'Black Mouth Cur', 'owner': 'Breanna', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Crosslake Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Crosslake', 'clinician': 'Crosslake Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Rocket, a 9 mo old male neutered black mouth cur mix presented on 9/4/24 for acute lameness in his right hindlimb. The lameness began last night (9/3/24) after he ran up the wooden stairs outside and the owners heard a crack. The dog would not bear weight on the right hindlimb following the injury. He had otherwise been doing well up until this point with good appetite and energy level. No vomiting, diarrhea or other lameness.', 'questions': 'Concern for panosteitis as primary pain was palpated on right distal femur, especially on flexion of the limb. No evidence of cranial drawer or tibial thrust on examination.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 365, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip subluxation', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 747, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 210.709, 'consult_name': 'M/S GEN - HOD vs Panosteitis, lame/pain, juv', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No bony changes and/or radiographic evidence of panosteitis are apparent in the current radiographs. Radiographic changes may not be apparent early on in the disease process. Soft tissue injury or neuropathy can also not be ruled out at this time.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 177, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Panting'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2545, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'The imaging shows evidence of incongruity of the left and right hips. No other abnormalities are noted in the observed musculoskeletal structures.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Case conclusions:\nRadiographic findings are indicative of hip subluxation and joint laxity.\nThe radiographs reviewed do not demonstrate any osseous alterations indicative of panosteitis. It is important to note that radiographic signs may not be visible in the early stages of the disease. Additionally, the possibility of soft tissue injury or neuropathy cannot be excluded based on the current imaging.\n\nCase recommendations:\nRecommend further orthopedic assessment to evaluate the extent of hip subluxation and joint laxity.'}

{'bday': '2023-11-23', 'name': 'Ferguson_Rocket', 'breed': 'Black Mouth Cur', 'owner': 'Breanna', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Crosslake Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Crosslake', 'clinician': 'Crosslake Veterinary Hospital'}

Rocket, a 9 mo old male neutered black mouth cur mix presented on 9/4/24 for acute lameness in his right hindlimb. The lameness began last night (9/3/24) after he ran up the wooden stairs outside and the owners heard a crack. The dog would not bear weight on the right hindlimb following the injury. He had otherwise been doing well up until this point with good appetite and energy level. No vomiting, diarrhea or other lameness.

Concern for panosteitis as primary pain was palpated on right distal femur, especially on flexion of the limb. No evidence of cranial drawer or tibial thrust on examination.

standard

['lameness-hindLimb']

['Panting', 'Lameness', 'Hindlimb lameness', 'Non-weight bearing lameness', 'Canine Medium/Large Breed']

[]

[177, 2185, 2345, 2545, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-07-27', 'name': 'levine^missy', 'breed': 'PUG', 'owner': 'levine^julie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Assessment: Senior patient. \r\n OA; being controlled by gabapentin/Librella. \r\n History of CDS; being controlled by trazadone/gabapentin\r\n Acute onset of vomiting-r/o-indiscriminate diet/fbo/underlying metabolic disease (crf/dm/hepatic/pancreatitis/other...)IBD/viral or bacterial enteritis/neoplasia/mets/parasitic/other...\r\n Wheezy lungs; r/o-obesity/other...\r\n ALT = 1403 U/L\r\n CPLI= ABNORMAL\r\n 1.5 cc Cerenia s.c. 0.8 cc Famotidine s.c. \r\n 200 cc's LRS s.c.", 'questions': 'acute onset of vomiting last 24 hours. Vomit is yellow. Pet is also acting uncomfortable on dog bed and is circling a lot and lying down and then standing right back up again; going on all night. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1037, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': 'Presence of disc material in the vertebral canal with ventral spondylosis noted.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam findings and consider advanced imaging such as MRI for further investigation of the spinal abnormalities, if warranted.', 'recommendation_custom_fields': None}, {'id': 431, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Renal - RMN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', 'diagnosis_custom_text': 'The liver margins appear rounded. This may represent mild congestion or a benign hepatopathy.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1103, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 1.489, 'consult_name': 'Intestines - Pancreatitis, normal GIT, pancreatitis test pos', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Confirm with abdominal ultrasound. Recommend supportive medical management for pancreatitis and close monitoring of patient.', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 269, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Unable to settle'}, {'id': 2186, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2404, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2456, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Wheezing'}, {'id': 2542, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The liver margins appear rounded. ', 'elapsedTime': 9.169, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 699, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-mineralization', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is evidence of mineralized disc material in the vertebral canal at L1-L2. ', 'elapsedTime': 23.681, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L1-L2']}}], 'diagnosis': [{'id': 1302, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Arthritis'}, {'id': 2319, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Obesity'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [{'id': 967, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antiemetic'}, {'id': 985, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'NSAID'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. There is evidence of mineralized disc material in the vertebral canal at L1-L2. There are degenerative changes noted in the left and right shoulder. There are degenerative changes noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver margins appear rounded. There is increased opacity noted over the silhouette of the left and right kidney. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nClinical signs are most consistent with pancreatitis, with no evidence of intestinal foreign body or obstruction noted. Other differentials include gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious or parasitic causes. \nRenal mineralization and likely chronic renal disease are noted. \nThe liver margins appear rounded, possibly representing mild congestion or a benign hepatopathy. \nPresence of disc material in the vertebral canal with ventral spondylosis noted. \nCardiovascular structures are unremarkable with no evidence of enlargement or congestion, and the lungs are clear with no evidence of pathology. \nDegenerative changes in the shoulder and osteoarthritis of the stifles are also noted.\n\nRecommendations:\nConfirm with abdominal ultrasound and recommend supportive medical management for pancreatitis and close monitoring of the patient.\nConsider biochemistry profile and urinalysis, and if there is suspicion for renal disease, consider abdominal ultrasound.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the spinal abnormalities, if warranted.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulders and of osteoarthritis of the stifles.'}

{'bday': '2008-07-27', 'name': 'levine^missy', 'breed': 'PUG', 'owner': 'levine^julie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}

Assessment: Senior patient. OA; being controlled by gabapentin/Librella. History of CDS; being controlled by trazadone/gabapentin Acute onset of vomiting-r/o-indiscriminate diet/fbo/underlying metabolic disease (crf/dm/hepatic/pancreatitis/other...)IBD/viral or bacterial enteritis/neoplasia/mets/parasitic/other... Wheezy lungs; r/o-obesity/other... ALT = 1403 U/L CPLI= ABNORMAL 1.5 cc Cerenia s.c. 0.8 cc Famotidine s.c. 200 cc's LRS s.c.

acute onset of vomiting last 24 hours. Vomit is yellow. Pet is also acting uncomfortable on dog bed and is circling a lot and lying down and then standing right back up again; going on all night.

standard

['Gi signs - Systemic vs general', 'Resp signs - general']

['Vomiting', 'Unable to settle', 'Pain', 'Elevated liver enzymes', 'Wheezing', 'Pancreatic Lipase tests/ cPLI/fPLI positive', 'Canine Small Breed', 'Brachycephalic']

[]

[256, 269, 2186, 2404, 2456, 2542, 2654, 2657]

[]

['Arthritis', 'Obesity']

[]

[1302, 2319]

[]

['Antiemetic', 'Non-steroidal antiinflammatory drug (NSAID)']

[]

[967, 985]

[]

{'patient': {'bday': '2011-06-26', 'name': 'HAMPTON^CoCo', 'breed': 'Yorkshire Terrier', 'owner': 'HAMPTON^', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient has history of not finishing food in the mornings. Patient not eating at all since Monday morning. Vomiting since Monday morning. Most recent episode of vomiting was about 11:30 am today. Diarrhea (very dark stool, no blood) noticed yesterday. Patient still drinking water but unable to keep down. \r\n\r\nPatient somewhat lethargic since Monday. Patient shaking off/ on since Monday. \r\n\r\nNo suspected toxin ingestion. No hx of pica. ', 'questions': 'Mineral opacity in stomach region, any foreign material?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'excluded', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 704, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 52.349, 'consult_name': 'Gastric - True FB, symptomatic', 'diagnosis_custom_text': 'Gastric foreign body is suspected to be causing the described clinical signs; concerning that it may not pass on its own. Tremors/shaking may be secondary to GI discomfort.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Endoscopy or surgical exploration may be a consideration, dependent on the gastric material present. ', 'recommendation_custom_fields': None}, {'id': 1210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Black stool, no cause noted', 'diagnosis_custom_text': 'Black stool/melena is suggestive of an upper GI bleed or source of ingested blood. This may come from trauma caused by the gastric foreign body, a bleeding ulcer, mass, intestinal parasites, bleeding tendency, or other problems.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'If there is no history of ingesting blood, consider medical management with gastric-protectant medications. Consider a gastroscope, fecal testing, and blood work, including coagulation profiles, to further investigate for a cause of the melena.', 'recommendation_custom_fields': None}], 'signals': [{'id': 38, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Black or tarry motions/stools'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 620, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'The stomach contains a metallic opacity with half circle shape. ', 'elapsedTime': 13.888, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe stomach contains a metallic opacity with half circle shape. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGastric foreign body is suspected to be causing the described clinical signs; concerning that it may not pass on its own. Tremors/shaking may be secondary to GI discomfort.\nBlack stool/melena is suggestive of an upper GI bleed or source of ingested blood. This may come from trauma caused by the gastric foreign body, a bleeding ulcer, mass, intestinal parasites, bleeding tendency, or other problems.\n\nRecommendations:\nEndoscopy or surgical exploration may be a consideration, dependent on the gastric material present.\nIf there is no history of ingesting blood, consider medical management with gastric-protectant medications. Consider a gastroscope, fecal testing, and blood work, including coagulation profiles, to further investigate for a cause of the melena.'}

{'bday': '2011-06-26', 'name': 'HAMPTON^CoCo', 'breed': 'Yorkshire Terrier', 'owner': 'HAMPTON^', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}

Patient has history of not finishing food in the mornings. Patient not eating at all since Monday morning. Vomiting since Monday morning. Most recent episode of vomiting was about 11:30 am today. Diarrhea (very dark stool, no blood) noticed yesterday. Patient still drinking water but unable to keep down. Patient somewhat lethargic since Monday. Patient shaking off/ on since Monday. No suspected toxin ingestion. No hx of pica.

Mineral opacity in stomach region, any foreign material?

standard

['Vomiting-FB/obstruction']

['Black or tarry motions/stools', 'Diarrhea', 'Lethargic/tired', 'Vomiting', 'Anorexia', 'Tremors/shaking/trembling', 'Canine Small Breed']

[]

[38, 76, 131, 256, 606, 620, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-09-07', 'name': 'kennedy^beretta', 'breed': 'Pit Bull Mix', 'owner': 'kennedy^', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Follow up on previously sent xrays. pet has been hospitalized for 24 hours on supportive care NPO. no vomiting or diarrhea noted. ', 'questions': '+/- FB ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'ready', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 723, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - follow up, empty', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Comparing to previous images, the material noted in the stomach appears to have passed. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2356, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Fasted'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2704, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Follow-up/re-examination M/S'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2265, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None, 'finding_normal_text': 'Urinary Bladder Distension', 'finding_abnormal_text': 'There is distension of the urinary bladder. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2682, 'source': 'labelling', 'attention': False, 'signal_name': 'follow-up-abdomen'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is distension of the urinary bladder. Wire foreign the body noted caudal to the stomach and dorsal to the spleen within the mid-abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nSpondylosis deformans is noted in the lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2270, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nCompared to previous images, the material noted in the stomach appears to have passed. No obstructive pattern or foreign body is visible although a GI obstruction cannot be completely excluded on radiographs. \nIncidental finding of a metallic wire in the abdomen. Unable to localize or determine if this finding is related to the reported clinical signs.\nThe urinary bladder is distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nContinue medical management of the reported previous gastrointestinal signs. \nConsider follow up radiographs and/or abdominal ultrasound to determine location of the metallic wire identified.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.'}

{'bday': '2012-09-07', 'name': 'kennedy^beretta', 'breed': 'Pit Bull Mix', 'owner': 'kennedy^', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}

Follow up on previously sent xrays. pet has been hospitalized for 24 hours on supportive care NPO. no vomiting or diarrhea noted.

+/- FB

standard

['Vomiting-FB/obstruction', 'follow-up-abdomen']

['Fasted', 'Canine Medium/Large Breed', 'Follow-up/re-examination M/S']

[]

[2356, 2656, 2704]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-05-17', 'name': 'Macy', 'breed': 'Great Pyrenees', 'owner': 'Turner, Doris', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'North Bay Animal Hospital - Lynn Haven', 'email': '[email protected]', 'clinician': 'North Bay Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Neck pain - whining when lifting head towards ceiling. Not eating, no physical wounds.', 'questions': 'Please review for neck abnormalities or traumas. The lateral throat is a Left view', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1014, 'state': 'inprogress', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'abnormal', 'source': 'rules'}, {'id': 1096, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 291, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 58.339, 'consult_name': 'Cardiac - Hypovolemia, microcardia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider bloodwork to investigate further.', 'recommendation_custom_fields': None}, {'id': 734, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Upper - Pharyngeal/Laryngeal abnormality', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1203, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Subcut - Submandibular swelling, no trauma', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Spine disc space - No evidence of IVDD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '\xa0Consider medical management with analgesics and/or muscle relaxants and if pain persists or neurologic signs develop, consider advanced imaging such as a myelogram or MRI for further investigation.', 'recommendation_custom_fields': None}], 'signals': [{'id': 71, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Crying'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2442, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain - neck'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the submandibular region']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None}, {'id': 2415, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'microcardia', 'custom_fields': None}, {'id': 2494, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'laryngeal-opacity', 'custom_fields': None}, {'id': 2690, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'submandibular-swelling', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the submandibular region. There is increased opacity in the region of the larynx. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThe cardiac silhouette appears small in size. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nGeneral\nSoft tissue swelling is noted in the submandibular region.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling is noted in the submandibular region. Differentials include; sialocele, lymphadenopathy, hypoproteinemia edema (if pitting), cellulitis, abscess, snake/insect bite, neoplasia or other cause. Rule out trauma, overlap of normal anatomy or poor patient positioning.\nIrregularity of the soft tissues in the region of the pharynx/larynx. Differentials may include primary neoplasia, cyst, polyp, granuloma, or severe laryngitis, though superimposition of structures cannot be completely ruled out.\nNo radiographic evidence for IVDD is noted on the current images. Partial disc herniation or fibrocartilaginous infarct cannot be entirely ruled out.\nMicrocardia and a small caudal vena cava are consistent with hypovolemia.\n\nRecommendations:\nRecommend an ultrasound-guided FNA with cytology and blood work to further investigate. MRI/CT scan can also be considered.\nRecommend a sedated laryngeal exam and tissue sampling for further investigation of the irregularity noted in the larynx. A CT scan may also yield additional information.\nConsider medical management with analgesics and/or muscle relaxants and if pain persists or neurologic signs develop, consider advanced imaging such as a myelogram or MRI for further investigation.\nConsider bloodwork to investigate further.'}

{'bday': '2017-05-17', 'name': 'Macy', 'breed': 'Great Pyrenees', 'owner': 'Turner, Doris', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'North Bay Animal Hospital - Lynn Haven', 'email': '[email protected]', 'clinician': 'North Bay Animal Hospital'}

Neck pain - whining when lifting head towards ceiling. Not eating, no physical wounds.

Please review for neck abnormalities or traumas. The lateral throat is a Left view

expert

['spine-neurological-ivdd-pain']

['Crying/yelping', 'Hyporexia', 'Pain - neck', 'Canine Medium/Large Breed']

[]

[71, 607, 2442, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-05-17', 'name': 'Carballo^Ashley', 'breed': 'YORKSHIRE_TERRIER', 'owner': 'Carballo^Alexander', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital of Bird Road', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P has been vomiting and having bloody diarrhea for 2-3 days. P likes to chew on toys.\r\n\r\nP tested + for pancreatitis\r\ndehydrated\r\n\r\nCurrently treating with IV fluids, cerenia and famotidine', 'questions': 'Foreign body? pyometra? ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 253, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - hematochezia/diarrhea, normal gut', 'diagnosis_custom_text': 'A specific cause for the described clinical signs is not determined from the radiographs.\xa0Given the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a pancreatitis.\xa0\xa0No complete obstructive pattern is identified although an obstruction cannot be completely excluded radiographically.\xa0Other differentials include hemorrhagic gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious or parasitic causes.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider fecal testing and blood work for further investigation of the reported clinical signs. Medical management is indicated at this time.', 'recommendation_custom_fields': None}, {'id': 423, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Repros - No UTD, vaginal discharge', 'diagnosis_custom_text': 'The uterus is not visualized in the provided images. Mild accumulation of fluid, estrus, or early pregnancy cannot be completely ruled out.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound for further assessment of the reproductive tract.', 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 92, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2475, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2482, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'dehydration'}, {'id': 2542, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'pancreatic-lipase'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['rugal folds']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [{'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}, {'id': 612, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2686, 'source': 'labelling', 'signal_name': 'reproductive-vaginal-disch'}], 'recommendations': [{'id': 48, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Fluid therapy administration - intravenous (IV)'}, {'id': 967, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Antiemetic'}, {'id': 1387, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'antacid'}], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of rugal folds. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe uterus is not visualized in the provided images. Mild accumulation of fluid, estrus, or early pregnancy cannot be completely ruled out. \nA specific cause for the described clinical signs is not determined from the radiographs. Given the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with pancreatitis. No complete obstructive pattern is identified although an obstruction cannot be completely excluded radiographically. Other differentials include hemorrhagic gastroenteritis due to inflammatory, dietary indiscretion, toxin, infectious or parasitic causes. \nA small, soft-tissue opacity is noted within the stomach, which may represent food/fluid or rugal folds in the stomach; however, foreign material cannot be entirely ruled out.\n\nRecommendations:\nSummary:\n- Recommend abdominal ultrasound for further assessment of the reproductive tract.\n- Consider fecal testing and blood work for further investigation of the reported clinical signs. Medical management is indicated at this time.\n- Correlate with history of the patient's last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered."}

{'bday': '2022-05-17', 'name': 'Carballo^Ashley', 'breed': 'YORKSHIRE_TERRIER', 'owner': 'Carballo^Alexander', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'My Pet Hospital of Bird Road', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}

P has been vomiting and having bloody diarrhea for 2-3 days. P likes to chew on toys. P tested + for pancreatitis dehydrated Currently treating with IV fluids, cerenia and famotidine

Foreign body? pyometra?

expert

['Vomiting-FB/obstruction', 'Gi signs - Systemic vs general', 'reproductive-vaginal-disch']

['Diarrhea', 'Dietary indiscretion', 'Vomiting', 'Hematochezia', 'Dehydration', 'Pancreatic Lipase tests/ cPLI/fPLI positive', 'Canine Small Breed']

[]

[76, 92, 256, 2475, 2482, 2542, 2654]

[]

['Pancreatitis', 'Foreign body']

[]

[149, 612]

[]

['Fluid therapy administration - intravenous (IV)', 'Antiemetic', 'Antacid']

[]

[48, 967, 1387]

[]

{'patient': {'bday': '2024-05-31', 'name': 'Koon^Daisy', 'breed': 'GOLDEN RETRIEVER', 'owner': 'Koon^Sam', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Westside Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Lithia Springs', 'clinician': 'Westside Animal Emergency Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'S-O found pet having tremors and lying on her back..difficulty walking..not moving, wobbly and falling over..no meds or drugs at the house.\r\nO-P is lateral on exam, not responsive\r\nEENT-mm tacky\r\nABD-palpable bladder\r\nM/S-nonambulatory, jerky movements\r\nR/O-tHC toxicity\r\nTHC test+++', 'questions': 'O said there is no change of marajuana in the house', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'diagnosis_custom_text': "The cause of the patient's described clinical signs is not identified in the radiographs provided. THC toxicity and ingestion cannot be entirely ruled out radiographically.", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'THC treatment includes medical management and supportive care to stop the vomiting and nausea, agitation, tremors, or seizures, administering Intravenous (IV) fluids, +/- activated charcoal to reduce the amount of THC absorbed.\xa0Respiratory rate, heart rate, blood pressure, and body temperature should be monitored. For young patients, blood glucose should also be monitored.Temperature therapy, involving warming or cooling may be warranted. Consider further work-up including biochemistry profile, CBC, urinalysis and abdominal ultrasound.', 'recommendation_custom_fields': None}, {'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 248, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Struggling to stand'}, {'id': 273, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Unsteady'}, {'id': 604, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Recumbency'}, {'id': 620, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tremors/shaking/trembling'}, {'id': 2468, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'BAR - Bright Alert Responsive'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2701, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Possible Wobblers'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['dorsal', 'neck']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 1146, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Intoxication (poisoning), drug - acetaminophen (paracetamol)'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is an accumulation of fecal material in the colon. There is moderate loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is gas noted in the soft tissue of the dorsal neck. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided. THC toxicity and ingestion cannot be ruled out radiographically.\nMild fecal retention. Rule out constipation.\nAbdominal detail loss presumably from immaturity, ascites not excluded.\n\nRecommendations:\nTHC treatment includes medical management and supportive care to stop the vomiting and nausea, agitation, tremors, or seizures, administering Intravenous (IV) fluids, +/- activated charcoal +/- intralipid in severe cases .\xa0\n\nRespiratory rate, heart rate, blood pressure, and body temperature should be monitored. For young patients, blood glucose should also be monitored.Temperature therapy, involving warming or cooling may be warranted. \n\nConsider further work-up including biochemistry profile, CBC, urinalysis and abdominal ultrasound.\n\nCorrelate with clinical history to rule out constipation."}

{'bday': '2024-05-31', 'name': 'Koon^Daisy', 'breed': 'GOLDEN RETRIEVER', 'owner': 'Koon^Sam', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Westside Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Lithia Springs', 'clinician': 'Westside Animal Emergency Clinic'}

S-O found pet having tremors and lying on her back..difficulty walking..not moving, wobbly and falling over..no meds or drugs at the house. O-P is lateral on exam, not responsive EENT-mm tacky ABD-palpable bladder M/S-nonambulatory, jerky movements R/O-tHC toxicity THC test+++

O said there is no change of marajuana in the house

expert

['Gi signs - Systemic vs general', 'spine-neurological-ivdd-pain', 'non-specific-ADR']

['Reluctant to move/walk', 'Struggling to stand', 'Unsteady', 'Recumbency', 'Tremors/shaking/trembling', 'Bright Alert Responsive (BAR)', 'Canine Medium/Large Breed']

['Possible Wobblers']

[204, 248, 273, 604, 620, 2468, 2656]

[2701]

['Intoxication (poisoning), drug - acetaminophen (paracetamol)']

[]

[1146]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-07-29', 'name': 'Quarenghi^Felix', 'breed': 'Shorthair, Domestic', 'owner': 'Quarenghi^Crystal', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'address': 'United States - Warner Robins', 'clinician': 'MGVEX'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Has not had food or water in two days, sleeps all day and has been urinating orange spots in random places. Patient is indoor/outdoor. ', 'questions': 'N/A', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'normal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'inprogress', 'source': 'rules'}, {'id': 1038, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiomegaly - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 420, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Bladder - Normal urinary tract, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlation with biochemistry profile, CBC, urinalysis, +/- urine culture is recommended. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.', 'recommendation_custom_fields': None}], 'signals': [{'id': 276, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urine looks abnormal'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2274, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'growth-plate-abnormalities', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2676, 'source': 'ai', 'signal_name': 'lameness-general'}, {'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2274, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'growth-plate-abnormalities', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cause for the patient's urinary issues are not noted.\nThe VHS is calculated above normal range. Cardiomyopathy is a consideration. \nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\n\nRecommendations:\nCorrelation with biochemistry profile, CBC, urinalysis, +/- urine culture is recommended. An abdominal ultrasound could be considered as a normal radiograph does not rule out radiolucent stones, cystitis, neoplastic disease and polyps.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance."}

{'bday': '2023-07-29', 'name': 'Quarenghi^Felix', 'breed': 'Shorthair, Domestic', 'owner': 'Quarenghi^Crystal', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'address': 'United States - Warner Robins', 'clinician': 'MGVEX'}

Has not had food or water in two days, sleeps all day and has been urinating orange spots in random places. Patient is indoor/outdoor.

standard

['lameness-general', 'urinary-stones']

['Abnormal urine - other', 'Anorexia']

[]

[276, 606]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-07-11', 'name': 'ARNDEL^OLLIE', 'breed': 'Pembroke Welsh Corgi', 'owner': 'ARNDEL^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt thrown up multiple times today. last vomit at 4pm had blue plastic in it. known to eat foreign objects, has eaten socks. No diarrhea, decreased appetite. less energy since this afternoon.', 'questions': 'Any obvious GIFB?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'excluded', 'source': 'labelling'}, {'id': 1025, 'state': 'excluded', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1032, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 366, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 488, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - No Fb visible, poss ingestion', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 92, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 607, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}], 'diagnosis': [{'id': 612, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Foreign body'}], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is degenerative changes affecting the right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2229, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided, however, presence of occult foreign material cannot completely be excluded radiographically. Degenerative joint disease of the hips is also noted.\n\nRecommendations:\nSummary:\nConsider abdominal ultrasound to look for non-obstructive, soft tissue opacity or gastrointestinal foreign body. Follow up with radiographs or barium study if clinical signs develop or persist. Correlate with orthopedic examination for further evaluation of degenerative joint disease of the hips.'}

{'bday': '2021-07-11', 'name': 'ARNDEL^OLLIE', 'breed': 'Pembroke Welsh Corgi', 'owner': 'ARNDEL^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}

Pt thrown up multiple times today. last vomit at 4pm had blue plastic in it. known to eat foreign objects, has eaten socks. No diarrhea, decreased appetite. less energy since this afternoon.

Any obvious GIFB?

standard

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Lethargic/tired', 'Vomiting', 'Hyporexia', 'Canine Small Breed']

['Diarrhea']

[92, 131, 256, 607, 2654]

[76]

['Foreign body']

[]

[612]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-07-21', 'name': 'laskarzewski^buddy', 'breed': 'Terrier Mix', 'owner': 'laskarzewski^karen', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Veterinary Urgent and Well Care Center', 'email': '[email protected]', 'address': 'United States - Planeville', 'clinician': 'Veterinary Urgent Well Care'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Diagnosed with cancer lethargic past week can't have any bowl movements hind end weaker ", 'questions': 'Hind end not been able to move as much over the past week', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level', 'unaddressed_concerns', 'four'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Gall bladder emphysema', 'microcardia', 'caudal-vena-cana-sm', 'Fragmented-fabella', 'Tibia Displacement', 'muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'craniomandibular-osteopathy', 'enthesopathy', 'Vertebral Subluxation', 'distal-extremity-arthritis', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'joint-effusion', 'Implant Motion/Infection', 'surgical-device', 'tympanic-bulla', 'pulmonary-vessel-congestion', 'Tortuous vessels', 'fluid-distension-SI']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'empty', 'source': 'labelling'}, {'id': 1022, 'state': 'partial', 'source': 'labelling'}, {'id': 1023, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'partial', 'source': 'labelling'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'labelling'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}, {'id': 1292, 'state': 'abnormal', 'source': 'labelling'}], 'consult': [{'id': 309, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - Sternal lymph node', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Soft tissue mass noted in the thorax is most consistent with sternal/cranial mediastinal lymphadenopathy. Consider neoplastic infiltration versus reactive lymphadenopathy.\xa0Overlying soft tissue structures cannot be completely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 451, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Splenomegaly - Lymphoma- hmg, smg', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Hepato- and splenomegaly in presence of lymphadenopathy would be highly suggestive of lymphoma or another round cell tumor infiltrate. Given the history, benign hyperplasia, systemic infectious disease or unrelated hepato- and splenomegaly considered less likely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 833, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Rugal folds vs GMT vs mass', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1126, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'M/S Bone Lesion - Lytic bone lesion of spine, suspect neoplasia', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The changes noted in the\xa0spinous processes of the lumbar spine are most consistent with a malignant neoplasia or pathologic process. These changes may account for the musculoskeletal signs reported.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'A CT scan or MRI should be considered for further investigation.', 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 512, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 591, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Weakness'}, {'id': 2344, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'paresis-pelvic'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2368, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-mass', 'custom_fields': None, 'finding_normal_text': 'Liver mass', 'finding_abnormal_text': 'There is the appearance of a mass associated with the liver. '}, {'id': 2561, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'irregular-splenic-margins', 'custom_fields': None, 'finding_abnormal_text': 'The margins of the spleen have an irregular appearance'}, {'id': 2564, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Sternal lymph node', 'custom_fields': None, 'finding_normal_text': 'Sternal lymph node', 'finding_abnormal_text': 'There is a rounded soft tissue opacity noted in the region of the cranial sternum.'}, {'id': 2568, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Gastric wall thickening', 'custom_fields': None, 'finding_normal_text': 'Gastric wall thickening', 'finding_abnormal_text': 'There appears to be thickening of the gastric wall. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'internal_notes': 'Spinous processes of the lumbar spine have a lytic appearance consistent on all laterals- rule out multiple myeloma>>> hind-end weakness\n\nDid not directly address the weakness and inability to have a bowel movement.\nFrom pain? nerve impingement? other...', 'recommendations': [], 'report_findings': 'Thorax\nThere is a rounded soft tissue opacity noted in the region of the cranial sternum. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is the appearance of a nodule / mass associated with the liver. There is radiopaque material within the stomach which has the appearance of rugal folds. There appears to be thickening of the gastric wall. The margins of the spleen have an irregular appearance. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is a bone lesion with evidence of focal, moth-eaten lytic pattern identified in the spinous processes of the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2229, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2668, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ruin-lesion', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe changes noted in the\xa0spinous processes of the lumbar spine are most consistent with a malignant neoplasia or pathologic process. These changes may account for the musculoskeletal signs reported.\nSoft tissue mass noted in the thorax is most consistent with sternal/cranial mediastinal lymphadenopathy. Consider neoplastic infiltration versus reactive lymphadenopathy.\xa0Overlying soft tissue structures cannot be completely ruled out.\nHepato- and splenomegaly in presence of lymphadenopathy would be highly suggestive of lymphoma or another round cell tumor infiltrate. Given the history, benign hyperplasia, systemic infectious disease or unrelated hepato- and splenomegaly considered less likely.\nSoft tissue opacity noted in the stomach. This may represent rugal folds, however thickening of the gastric wall, gastric mass, or gastric material cannot be ruled out.\n\nRecommendations:\nA CT scan or MRI should be considered for further investigation.\nCorrelate with clinical history and additional diagnostics for clinical significance of the described sternal lymphadenopathy.\nConsider abdominal ultrasound and FNA sampling for further investigation of the lymphadenopathy, hepato- and splenomegaly.\nConsider abdominal ultrasound and endoscopy for further investigation of the soft tissue opacity noted in the stomach.'}

{'bday': '2013-07-21', 'name': 'laskarzewski^buddy', 'breed': 'Terrier Mix', 'owner': 'laskarzewski^karen', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Veterinary Urgent and Well Care Center', 'email': '[email protected]', 'address': 'United States - Planeville', 'clinician': 'Veterinary Urgent Well Care'}

Diagnosed with cancer lethargic past week can't have any bowl movements hind end weaker

Hind end not been able to move as much over the past week

standard

['lameness-hindLimb']

['Lethargic/tired', 'Defaecation abnormal - decreased frequency', 'Weakness', 'Pelvic limb paresis', 'Canine Small Breed']

[]

[131, 512, 591, 2344, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-05-09', 'name': 'Guharoy^Rico', 'breed': 'LABRADOR RETRIEVER', 'owner': 'Guharoy', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute pain for past 2 days, wimpering at random times. yelped once when owner touched ear. on exam - resistant to neck dorsal extension and right flexion/rotation. Both ears dirty - mixed otitis externa confirmed AU', 'questions': 'Looking to rule out any skeletal/vertebral causes for neck pain.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 843, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative M/S - No cause for neck/back pain', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1087, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Skull - No cause for ocular discharge', 'diagnosis_custom_text': 'A cause for the described otitis is not determined from this study. This does not rule out infection, foreign body, or neoplasia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical exam and consider therapy for otitis external. Sample collection, culture and sensitivity maybe considered if warranted.', 'recommendation_custom_fields': None}], 'signals': [{'id': 292, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 624, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - aural (ear)'}, {'id': 2186, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2442, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - neck'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2707, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Chronic otitis externa'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 242, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Otitis externa'}], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2689, 'source': 'labelling', 'signal_name': 'Skull-question'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the described pain is not identified on the films provided, however, the reported clinical signs and lack of other abnormalities suggest partial prolapse of an intervertebral disc. This does not rule out other infectious/inflammatory causes affecting the spinal cord. \nA cause for the described otitis is not determined from this study, and this does not rule out infection, foreign body, or neoplasia.\n\nRecommendations:\nConsider medical management with anti-inflammatories and muscle relaxants and exercise restriction. If pain persists or neurologic signs develop, consider advanced imaging such as a myelogram or MRI for further investigation.\nCorrelate with physical exam and consider therapy for otitis externa. Sample collection, culture, and sensitivity may be considered if warranted.'}

{'bday': '2014-05-09', 'name': 'Guharoy^Rico', 'breed': 'LABRADOR RETRIEVER', 'owner': 'Guharoy', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}

Acute pain for past 2 days, wimpering at random times. yelped once when owner touched ear. on exam - resistant to neck dorsal extension and right flexion/rotation. Both ears dirty - mixed otitis externa confirmed AU

Looking to rule out any skeletal/vertebral causes for neck pain.

standard

['neoplasia-musculoskeletal', 'Skull-question']

['Whining/whimpering/groaning', 'Ear pain', 'Pain', 'Pain - neck', 'Canine Medium/Large Breed', 'Chronic otitis externa']

[]

[292, 624, 2186, 2442, 2656, 2707]

[]

['Otitis externa']

[]

[242]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-02-18', 'name': 'Curry^Kyle', 'breed': 'Dachshund Mix', 'owner': 'Curry^Dejora', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'address': 'United States - Carrollton', 'clinician': 'Adrian Nunn'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'case and rads were taken on 7/5/24 but not sent for consult. H/o intermittent pain but no lameness. No neurologic deficients. no wounds or swelling found, Was treated with tramadol, gabapentin, and meloxicam at that time. Improved but now crying out in pain again. ', 'questions': '1', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'excluded', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'excluded', 'source': 'rules'}, {'id': 1096, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 233, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 55.40299999999999, 'consult_name': 'Negative M/S - Pain causing non-specific signs, normal rads, suspect neuro', 'isAddressingConcern': False, 'diagnosis_custom_text': 'No other radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend continuation or alternative supportive care for the reported clinical signs. If empiric therapy and conservative management are not successful, neurologic evaluation with potential myelogram +/—MRI and spinal tap may be necessary for a definitive diagnosis. Re-evaluate as clinically indicated.', 'recommendation_custom_fields': None}, {'id': 388, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 2.01, 'consult_name': 'Spine - Mineralized disc, no TID', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Presence of a mineralized disc may indicate IVDD. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2186, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2658, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'chondrodysplastic'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2402, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mineralized-disk', 'custom_fields': {'___s1_': ['T6-T7']}, 'finding_normal_text': 'mineralized disk', 'finding_abnormal_text': 'There is evidence of mineralized disc material noted at ___s1_.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}, {'id': 2684, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-abdomen'}], 'recommendations': [{'id': 959, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'Analgesic'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. There are no other abnormalities noted in the rest of the observed abdomen.\n\nMusculoskeletal\nThere is evidence of mineralized disc material noted at T1- T2 and T6-T7. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2283, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'feeding-tube', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe presence of a mineralized disc may indicate IVDD.\nNo other radiographic evidence for clinical signs was described. Consider discomfort as a possible differential. Sources of discomfort could include partial vertebral disc herniation and abdominal or other soft tissue origins.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nFor the reported clinical signs, it is recommended that continuation or alternative supportive care be continued. If empiric therapy and conservative management are not successful, neurologic evaluation with potential myelogram +/—MRI and spinal tap may be necessary for a definitive diagnosis. Re-evaluate as clinically indicated.'}

{'bday': '2022-02-18', 'name': 'Curry^Kyle', 'breed': 'Dachshund Mix', 'owner': 'Curry^Dejora', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'address': 'United States - Carrollton', 'clinician': 'Adrian Nunn'}

case and rads were taken on 7/5/24 but not sent for consult. H/o intermittent pain but no lameness. No neurologic deficients. no wounds or swelling found, Was treated with tramadol, gabapentin, and meloxicam at that time. Improved but now crying out in pain again.

1

standard

['spine-neurological-ivdd-pain', 'screening-thorax', 'screening-abdomen']

['Pain', 'Canine Small Breed', 'Chondrodysplastic']

[]

[2186, 2654, 2658]

[]

[]

[]

[]

[]

['Analgesic']

[]

[959]

[]

{'patient': {'bday': '2020-07-14', 'name': 'Paisley^Icebear', 'breed': 'Terrier Mix', 'owner': 'Paisley^Kyle', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'LeVert'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for >24h history of inability to urinate. Radiographs post urinary catheter placement. Some regurgitation during placement under sedation. No free abdominal fluid on AFAST.', 'questions': 'Concern for possible aspiration. Want to confirm that stones retropulsed into bladder.', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1024, 'state': 'ready', 'source': 'rules'}, {'id': 1026, 'state': 'inprogress', 'source': 'rules'}, {'id': 1028, 'state': 'empty', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 319, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Parenchymal - vomiting/retching, CVP(right middle), aspiration pneumonia', 'diagnosis_custom_text': 'Given the history of regurgitating, the pattern in the cranioventral region is most consistent with mild aspiration pneumonia.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider respiratory lavage for cytological exam and culture and sensitivity to further investigate the pattern in the cranioventral region.', 'recommendation_custom_fields': None}, {'id': 433, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Bladder - UBC, no URC, no obstruction', 'diagnosis_custom_text': 'Cystic calculi identified, no obstruction noted. No evidence of urethral calculi, indicating successful retropulsion of calculi.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information. Complete urinalysis and culture is recommended.', 'recommendation_custom_fields': None}], 'signals': [{'id': 57, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': "Can't keep food down"}, {'id': 265, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Stranguria'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Increased opacity is noted over the silhouette of the urinary bladder, best appreciated on the right lateral full body view. ', 'elapsedTime': 19.774, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2279, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['right'], '___s3_': ['interstitial to alveolar']}}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}, {'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [{'id': 58, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'Catheter placement - urethral'}, {'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Abdomen\nIncreased opacity is noted over the silhouette of the urinary bladder, best appreciated on the right lateral full body view. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThere is a mild increased opacity in the right cranioventral lung field, characterized as a interstitial to alveolar pattern. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2283, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'feeding-tube', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nCystic calculi identified, no obstruction noted. No evidence of urethral calculi, indicating successful retropulsion of calculi.\nGiven the history of regurgitating, the pattern in the cranioventral region is most consistent with mild aspiration pneumonia.\n\nRecommendations:\nConsider dissolution diet or cystotomy based on additional clinical input. Abdominal ultrasound may also yield more information. Complete urinalysis and culture is recommended.\nConsider respiratory lavage for cytological exam and culture and sensitivity to further investigate the pattern in the cranioventral region.'}

{'bday': '2020-07-14', 'name': 'Paisley^Icebear', 'breed': 'Terrier Mix', 'owner': 'Paisley^Kyle', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'clinician': 'LeVert'}

Patient presented for >24h history of inability to urinate. Radiographs post urinary catheter placement. Some regurgitation during placement under sedation. No free abdominal fluid on AFAST.

Concern for possible aspiration. Want to confirm that stones retropulsed into bladder.

expert

['Resp signs - general', 'urinary-stones']

['Regurgitating', 'Urination abnormal - stranguria', 'Canine Small Breed']

[]

[57, 265, 2654]

[]

[]

[]

[]

[]

['Catheter placement - urethral', 'Abdominal ultrasound']

[]

[58, 1154]

[]

{'patient': {'bday': '2024-02-14', 'name': 'Stamps^Milo^^^', 'breed': 'Mixed - Large', 'owner': 'Jim Stamps', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Paris Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Paris Veterinary Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Symptoms started this morning of pup cough/gag. Pup has chewed on turtle shells, lava rocks and plastic. Pup ate and held food down with no vomiting. BAR with no fever. On palpation of ventral cervical region pup makes a swallowing sound with air/gurgle sounds. Mild tracheal irritation with cough elicited. ', 'questions': 'Concern is over whether an esophageal foreign body could be present. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Gastric - Small FB', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 713, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Esoph - No regurg, ESD, moderate, esophagitis', 'diagnosis_custom_text': 'Esophageal distention as described.\xa0Causes may include gastroesophageal reflux or esophagitis or esophageal dysmotility. There is no evidence of a foreign body noted.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Symptomatic treatment may be considered. (An) Endoscopy or (a) swallow study may be indicated for further investigation if there is no response to therapy.Differentials may include esophagitis and esophageal dysmotility.', 'recommendation_custom_fields': None}, {'id': 900, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Resp Trachea - redundant tracheal membrane versus mucous', 'diagnosis_custom_text': 'The increased opacity noted in the trachea may represent overlapping normal soft tissue structures, redundant tracheal membrane or may represent mucus within the trachea.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 251, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 545, 'source': 'labelling', 'history': True, 'confidence': -3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 799, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['cranial thoracic'], '___s2_': ['partially']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'On one of the laterals there is an increased soft tissue opacity within the caudal cervical and thoracic inlet region of the trachea. ', 'elapsedTime': 32.179, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is moderate distention of the stomach and soft tissue to radiopaque material admixed with granular mineral opacity material.', 'elapsedTime': 41.159, 'signal_name': 'gastric-fb', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['mineralized'], '___s3_': ['with a gravel like appearance']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}, {'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nOn one of the laterals there is an increased soft tissue opacity within the caudal cervical and thoracic inlet region of the trachea. The cranial thoracic esophagus appears partially distended. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distention of the stomach and soft tissue to radiopaque material admixed with granular mineral opacity material. There are no other abnormalities noted in the rest of the observed abdomen.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2283, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'feeding-tube', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2572, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Hiatal hernia', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nEsophageal distention as described.\xa0Causes may include gastroesophageal reflux or esophagitis or esophageal dysmotility. There is no overt evidence of a foreign body noted.\nGastric foreign body as described which may or may not pass on its own.\nThe increased opacity noted in the trachea may represent overlapping normal soft tissue structures, redundant tracheal membrane or may represent mucus within the trachea.\n\nRecommendations:\nSymptomatic treatment may be considered. Endoscopy or swallow study may be indicated for further investigation if there is no response to therapy. Differentials may include esophagitis and esophageal dysmotility.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.\nConsider tracheoscopy if clinical signs warrant further investigation of the increased opacity noted in the tracheal lumen.'}

{'bday': '2024-02-14', 'name': 'Stamps^Milo^^^', 'breed': 'Mixed - Large', 'owner': 'Jim Stamps', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Paris Veterinary Clinic', 'email': '[email protected]', 'clinician': 'Paris Veterinary Clinic'}

Symptoms started this morning of pup cough/gag. Pup has chewed on turtle shells, lava rocks and plastic. Pup ate and held food down with no vomiting. BAR with no fever. On palpation of ventral cervical region pup makes a swallowing sound with air/gurgle sounds. Mild tracheal irritation with cough elicited.

Concern is over whether an esophageal foreign body could be present.

standard

['resp signs - upper vs lower', 'screening-thorax']

['Coughing', 'Foreign body ingestion', 'Gagging/retching', 'Canine Medium/Large Breed']

['Vomiting', 'Fever/pyrexia']

[69, 251, 521, 2656]

[256, 545]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-09-09', 'name': 'Jarrett^Polo', 'breed': 'Pit Bull Mix', 'owner': 'Jarrett', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'address': 'United States - Locust Grove', 'clinician': 'Jackson'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Labored breathing and crying. ADR. Started today. P is also urinating and defecating on himself. ', 'questions': 'ADR', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1043, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 13.793, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Repeat fasting abdominal radiographs in 6-12 hours to assess gastric emptying and rule out the presence of obstructive foreign material should be considered.', 'recommendation_custom_fields': None}, {'id': 218, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 22.545, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with physical examination and consider further work up including biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful and/or follow up evaluation may be indicated. Re-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs.\n\n', 'recommendation_custom_fields': None}, {'id': 300, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'elapsedTime': 80.05000000000001, 'consult_name': 'Negative Thorax - Normal lungs, large breed', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The lungs and heart are clear with no evidence of pathology. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend symptomatic/ supportive treatment for respiratory signs. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR should be considered.', 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 292, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 681, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Urination abnormal - inappropriate urination'}, {'id': 2330, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': "Not himself/ain't doing right"}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['rugal folds']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2680, 'source': 'labelling', 'attention': False, 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is a mild patchy alveolar interstitial pattern. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is mild distension of the stomach with the presence of radiopaque material which has the appearance of rugal folds . The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2373, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': "Conclusions:\nThe definitive cause of the patient's described clinical signs is not identified in the radiographs provided.\nThe heart and thoracic vasculature has no evidence of pathology.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nCorrelate with physical examination and consider further work up including biochemistry profile, CBC, urinalysis and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful and/or follow up evaluation may be indicated. \n\nRe-evaluation of radiographs in time may also be indicated to further investigate the reported non-specific signs.\n\nConsider echo to exclude further cardiac disease , differentials include pain trial analgesia. \n\nRecommend symptomatic/ supportive treatment for respiratory signs. If the patient does not respond to treatment, endoscopic evaluation, lower airway sampling, and respiratory PCR should be considered.\nRepeat fasting abdominal radiographs in 6-12 hours to assess gastric emptying and rule out the presence of obstructive foreign material should be considered."}

{'bday': '2022-09-09', 'name': 'Jarrett^Polo', 'breed': 'Pit Bull Mix', 'owner': 'Jarrett', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'address': 'United States - Locust Grove', 'clinician': 'Jackson'}

Labored breathing and crying. ADR. Started today. P is also urinating and defecating on himself.

ADR

standard

['non-specific-ADR']

['Dyspnoea', 'Whining/whimpering/groaning', 'Urination abnormal - inappropriate urination', "Ain't doin right (ADR)", 'Canine Medium/Large Breed']

[]

[50, 292, 681, 2330, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2008-12-31', 'name': 'Domingo^Morey', 'breed': 'Ibizan Hound', 'owner': 'Morey', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'address': 'United States - San Antonio', 'clinician': 'NightWatch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Fast growing mass on left side chest/ Mass opened 2-3 days ago ', 'questions': 'Changes in lung fields / Any abnormal patterns in thorax ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 213, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Negative Thorax - No thoracic masses', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Subcut - Subcutaneous mass', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Subcutaneous mass associated with the subcutaneous tissue, on the ventral and on the left thorax.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1267, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Resp bronchial - BRI, no cough, incidental', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 570, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - skin (cutaneous)/subcutaneous (site unspecified)'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 2, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-bronchial-interstitial', 'custom_fields': None, 'finding_normal_text': 'Bronchointerstitial Pattern', 'finding_abnormal_text': 'There is mildly increased opacity in the lung fields indicative of a bronchointerstitial pattern. '}, {'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2268, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a mass of soft tissue opacity associated with the subcutaneous tissue, on the ventral and on the left thorax. ', 'elapsedTime': 33.711, 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['subcutaneous tissue', 'on the ventral', 'on the left', 'thorax']}, 'finding_normal_text': 'No evidence of dermal or subcutaneous masses observed. ', 'finding_abnormal_text': 'There is a mass of ___s1_ opacity associated with the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}], 'diagnosis': [], 'questions': [{'id': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is mildly increased opacity in the lung fields indicative of a bronchointerstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. \n\nThere is a mass of soft tissue opacity associated with the subcutaneous tissue, on the ventral and on the left thorax. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSubcutaneous mass associated with the subcutaneous tissue, on the ventral and on the left thorax.\nNo evidence of pulmonary metastatic disease.\nA bronchinterstial pattern is noted on the images. If there are no respiratory clinical symptoms noted, this is likely an incidental finding and may be an age-related change.\n\nRecommendations:\nCorrelate with physical exam and consider tissue sampling of the described subcutaneous/cutaneous mass to determine etiology.\n\nCorrelate with clinical history for relevance of the radiographic finding.'}

{'bday': '2008-12-31', 'name': 'Domingo^Morey', 'breed': 'Ibizan Hound', 'owner': 'Morey', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'address': 'United States - San Antonio', 'clinician': 'NightWatch'}

Fast growing mass on left side chest/ Mass opened 2-3 days ago

Changes in lung fields / Any abnormal patterns in thorax

standard

['screening-thorax']

['Mass/swelling - skin (cutaneous)/subcutaneous', 'Canine Medium/Large Breed']

[]

[570, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-01-11', 'name': 'James ^Manic', 'breed': 'Jack Russel Terrier (Wire-Hair', 'owner': 'James ^Johnnie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Conejo Valley Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Thousand Oaks', 'clinician': 'Conejo Valley Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Over one week duration of left hind limb swelling. No pain on palpation. ', 'questions': 'Neoplasia vs. fungal ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'labelling'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1292, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 213, 'state': 'normal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Negative Thorax - No thoracic masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 234, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 64.481, 'consult_name': 'Subcut - Lnn, reactive vs neoplastic', 'diagnosis_custom_text': 'Prominent lymph node and limb swelling associated with bone lesion described. Possible reactive lymph node versus neoplastic.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 357, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Hindlimb Stifle - fp stifle effusion(questionable), rotation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 399, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'M/S Bone Lesion - Lytic bone lesion, suspect osteomyelitits', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['questionable'], '___s2_': ['left']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': {'___s1_': ['proliferation'], '___s2_': ['the left', 'mid', 'tibia']}, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the left', 'hind limb']}, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2419, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lymphadenomegaly-c', 'custom_fields': {'___s1_': ['left', 'popliteal']}, 'finding_normal_text': 'Lymphadenomegaly', 'finding_abnormal_text': 'The ___s1_ lymph node appears prominent.'}], 'diagnosis': [], 'questions': [{'id': 2673, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nMusculoskeletal\nThere is a bone lesion with evidence of proliferation identified in the left mid-tibia. There is spondylosis deformans noted in the thoracic spine. There is soft tissue swelling involving the left hind limb. There is a questionable increased soft tissue opacity in the stifle joint noted in the left stifle. The left popliteal lymph node appears prominent. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}, {'id': 2722, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Aggressive bone lesion - false positive', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nLytic bone lesion identified most consistent with osteomyelitis; neoplasia cannot be ruled out.\nProminent lymph node and limb swelling associated with bone lesion described. Possible reactive lymph node versus neoplastic.\nNo evidence of pulmonary metastatic disease.\nIncreased opacity noted within the stifle joint is likely a normal variant and less likely pathologic effusion.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nConsider a biopsy and/or culture for a definitive diagnosis of the lytic bone lesion identified, and radiographic monitoring of the lesion should also be considered.\nRecommend palpation of the region of interest and ultrasound to confirm the presence of prominent lymph nodes. Consider FNA with cytology if indicated.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2009-01-11', 'name': 'James ^Manic', 'breed': 'Jack Russel Terrier (Wire-Hair', 'owner': 'James ^Johnnie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Conejo Valley Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Thousand Oaks', 'clinician': 'Conejo Valley Veterinary Hospital'}

Over one week duration of left hind limb swelling. No pain on palpation.

Neoplasia vs. fungal

standard

['neoplasia-musculoskeletal']

['Mass/swelling - limb', 'Canine Small Breed']

[]

[575, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-07-09', 'name': 'Rodrigues^Zogie', 'breed': 'CANINE_OTHER', 'owner': 'Rodrigues^Delaila', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': "Dolly's Animal Clinic ", 'email': '[email protected]', 'clinician': "DOLLY'S ANIMAL CLINIC"}, 'accept_tos': 'true', 'consult_info': {'case_info': "The patient Zogie comes to the clinic today because since yesterday his owner has noticed that he may be in pain, that they have taken him out to the garden of the house and he walks with his bow as if he wants to poop and can't, his owner tells us that his son believes that he has fallen from some furniture because he felt a noise as if he had fallen. His owner arrived last night from vacation and noticed that he was not very happy.", 'questions': 'Pain', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'inprogress', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1096, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 233, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 21.782, 'consult_name': 'Negative M/S - Pain causing non-specific signs, normal rads, suspect neuro', 'diagnosis_custom_text': 'The patients signs could be due to discomfort, sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins.\xa0The study is negative for fractures, luxation or subluxation, and soft tissue swelling.\xa0', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 939, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 10.525, 'consult_name': ' Intestines - Enteritis with Partial Obstruction', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider follow-up radiographs in 12-24 hours or potential abdominal ultrasound if clinical signs persist for further investigation of the changes noted in the intestines.', 'recommendation_custom_fields': None}, {'id': 1111, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 15.127, 'consult_name': 'Gastric - pain/discomfort, suspect GI', 'diagnosis_custom_text': 'Pattern of gastric distension with food and/or gastric foreign material could also be contributing to the discomfort.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider repeat radiographs in 12-24 hours to assess gastric emptying, with consideration for endoscopic examination if indicated. Consider testing for pancreatitis to definitively rule this out.', 'recommendation_custom_fields': None}], 'signals': [{'id': 2186, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pain'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['mineral and food/fecal']}}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are degenerative changes noted in the more dorsal stifle on the right lateral.', 'elapsedTime': 18.178, 'signal_name': 'knee-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild']}}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is a portion of the small intestine that is mildly distended with gas and material.', 'elapsedTime': 7.702, 'signal_name': 'Mild small intestinal distention', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'ai', 'signal_name': 'spine-neurological-ivdd-pain'}, {'id': 2688, 'source': 'ai', 'signal_name': 'straining-constipation'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is mild distension of the stomach with presence of radiopaque material. There is a portion of the small intestine that is mildly distended with gas and material. There is mineral and food/fecal foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the more dorsal stifle on the right lateral. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe patients signs could be due to discomfort, sources of discomfort could include partial vertebral disc herniation, abdominal or other soft tissue origins.\xa0The study is negative for fractures, luxation or subluxation, and soft tissue swelling.\nMildly distended small intestinal segments noted. Consider enteritis, infiltrate or foreign material with possible secondary partial obstruction.\nPattern of gastric distension with food and/or gastric foreign material could also be contributing to the discomfort.\nOsteoarthritis of the stifles.\n\nRecommendations:\nRecommend supportive care for the reported clinical signs. Re-evaluate as clinically indicated to investigate the possible sources of discomfort further. Neurologic evaluation with potential myelogram +/- MRI, spinal tap may be necessary for a definitive diagnosis if empiric therapy and conservative management are not successful.\nIf clinical signs persist, consider follow-up radiographs in 12-24 hours or potential abdominal ultrasound to further investigate the changes noted in the intestines.\nConsider repeat radiographs in 12-24 hours to assess gastric emptying, with consideration for endoscopic examination if indicated. \nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifles.'}

{'bday': '2011-07-09', 'name': 'Rodrigues^Zogie', 'breed': 'CANINE_OTHER', 'owner': 'Rodrigues^Delaila', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': "Dolly's Animal Clinic ", 'email': '[email protected]', 'clinician': "DOLLY'S ANIMAL CLINIC"}

The patient Zogie comes to the clinic today because since yesterday his owner has noticed that he may be in pain, that they have taken him out to the garden of the house and he walks with his bow as if he wants to poop and can't, his owner tells us that his son believes that he has fallen from some furniture because he felt a noise as if he had fallen. His owner arrived last night from vacation and noticed that he was not very happy.

Pain

standard

['spine-neurological-ivdd-pain', 'straining-constipation']

['Pain']

[]

[2186]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-09-16', 'name': 'Piper', 'breed': 'Yorkshire Terrier', 'owner': 'Holubec', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Everhart Animal Hospital', 'email': '[email protected]', 'address': 'United States - Corpus Christi', 'clinician': 'Everhart Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'owner reports losing voice/raspy, and coughing', 'questions': 'Coughing', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'excluded', 'source': 'rules'}, {'id': 1021, 'state': 'excluded', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiomegaly - asymptomatic, no LAE', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 303, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 349, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Aerophagia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 661, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Change in voice (dysphonia)'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical and cranial thoracic']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2315, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['mild']}}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'A suture material is noted in the abdomen consistent with a previous surgical procedure.', 'elapsedTime': 18.572, 'signal_name': 'surgical-device', 'custom_fields': None}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nA suture material is noted in the abdomen consistent with a previous surgical procedure. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is mild distension of the stomach with gas. There are no other abnormalities noted in the rest of the observed abdomen.\n\nThorax\nThe heart measures above the normal range. There is increased soft tissue opacity within the cervical and cranial thoracic region of the trachea. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nChanges in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea. \nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation. \nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. \nThe gas distension observed in the GI tract is most consistent with aerophagia.\n\nRecommendations:\nConsider symptomatic therapy for tracheal collapse, including limiting stress/excitement, avoiding neck leashes and collars, and using antitussives such as hydrocodone and possibly anti-inflammatory medications.\nConsider an echocardiogram with blood pressure measurement and/or radiographic monitoring every 9 to 12 months for further evaluation, and consult with a cardiologist for medication recommendations.\nConsider abdominal ultrasound to further investigate hepatomegaly, and a biopsy will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with clinical signs and exam for clinical significance of gastric gas distension.'}

{'bday': '2015-09-16', 'name': 'Piper', 'breed': 'Yorkshire Terrier', 'owner': 'Holubec', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Everhart Animal Hospital', 'email': '[email protected]', 'address': 'United States - Corpus Christi', 'clinician': 'Everhart Animal Hospital'}

owner reports losing voice/raspy, and coughing

Coughing

standard

['Resp signs - general']

['Coughing', 'Change in voice (dysphonia)', 'Canine Small Breed']

[]

[69, 661, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-07-04', 'name': 'Scales^Uzi', 'breed': 'Other Breed', 'owner': 'Scales^Brian', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'address': 'United States - Locust Grove', 'clinician': 'Woodland Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pt presented unconscious and brown vomitus spilling out of nostrils and mouth. 3 days history of adr', 'questions': 'FBO? Other abnormalities ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'inprogress', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1033, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 320, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - resp signs, alveolar pattern, pneumonia', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 877, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Peritoneal - no evidence of intra-abdominal trauma', 'diagnosis_custom_text': 'No radiographic evidence of intra-abdominal trauma.\xa0Summation of soft tissue structures as described previously is suspected to be overlap of the normal anatomy though a mass or lymphadenopathy in the region cannot be completely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider abdominal ultrasound for further investigation of the summation of abdominal structures to rule out fluid, masses or lymphadenopathy.', 'recommendation_custom_fields': None}, {'id': 880, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'limited evaluation', 'diagnosis_custom_text': 'Limited evaluation of the nasal discharge due to limited images.\xa0 This does not rule infectious or inflammatory causes or foreign body in the upper respiratory regions. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 896, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - no GDV', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1257, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Small intestines - 2 pops (less confident), sfb', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1262, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Negative systemic - Lateral recumbancy/ collapsed', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 150, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 604, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Recumbency'}, {'id': 2330, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': "Not himself/ain't doing right"}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 15, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None, 'finding_normal_text': 'Two Populations of Small Intestine', 'finding_abnormal_text': 'There is presence of distension of a portion of small intestine and a population of non-distended intestine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in the ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['soft tissue']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart.'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There is a ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There is degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['left and right'], '___s3_': ['alveolar pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['severe']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with gas. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2670, 'source': 'labelling', 'signal_name': 'resp signs - upper vs lower'}, {'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is a mild increased opacity in the left and right cranioventral lung field, characterized as an interstitial pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is severe distension of the stomach with gas. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is soft tissue foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2262, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nInterstitial pattern identified, differentials include pneumonia/pneumonitis (bacterial, viral, fungal), aspiration pneumonia, and parasitic infection (heartworm, lungworm, Toxo). \nNo evidence of gastric volvulus, but 360 degree torsion cannot always be ruled out. \nSuspicious changes in the small intestines suggest a mechanical obstruction or severe enteritis, with consideration for small intestinal foreign body obstruction due to foreign material noted. \nNo radiographic evidence of intra-abdominal trauma, with suspicion of overlap of normal anatomy or possibility of mass/lymphadenopathy. \nSpondylosis deformans noted, likely incidental. \nLimited evaluation of nasal discharge due to limited images, not ruling out infectious or inflammatory causes or foreign body in the upper respiratory regions.\n\nRecommendations:\nAcute symptomatic treatment is indicated, including intravenous fluids, supplemental oxygen therapy, and additional emergency medications. Correlate with other radiographic findings, blood work, and potential AFAST and TFAST to determine a possible cause and treat accordingly with close patient monitoring.\nConsider respiratory lavage for cytological exam, culture, and sensitivity to further investigate the described alveolar pattern in the lungs.\nConsider medical management and follow-up radiographs to monitor for gastric volvulus based on the clinical status of the patient.\nRecommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Medical management may also be considered if the patient is closely monitored for any change in status.\nConsider abdominal ultrasound for further investigation of the summation of abdominal structures to rule out fluid, masses, or lymphadenopathy.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2018-07-04', 'name': 'Scales^Uzi', 'breed': 'Other Breed', 'owner': 'Scales^Brian', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Woodland Animal Hospital (ER)', 'email': '[email protected]', 'address': 'United States - Locust Grove', 'clinician': 'Woodland Animal Hospital'}

Pt presented unconscious and brown vomitus spilling out of nostrils and mouth. 3 days history of adr

FBO? Other abnormalities

standard

['Vomiting-FB/obstruction', 'resp signs - upper vs lower', 'non-specific-ADR']

['Collapsed', 'Discharge - nasal', 'Vomiting', 'Recumbency', "Ain't doin right (ADR)"]

[]

[65, 150, 256, 604, 2330]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2006-07-13', 'name': 'De Paolo^Betty^^^', 'breed': 'Domestic Mediumhair', 'owner': 'Misty De Paolo', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Emily Moren'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presents for anorexia and inappropriate urnation. Pet has been lethargic and anorexic for two days. She is not vomiting or having diarrhea. Abdomen is painful on PE. Pt does have a urinary tract infection.', 'questions': 'Suspected pancreatitis. ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1023, 'state': 'empty', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'empty', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1035, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1044, 'state': 'partial', 'source': 'labelling'}, {'id': 1053, 'state': 'partial', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 421, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Bladder Feline - Normal urinary, symptomatic (FLUTD)', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 878, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Gastric - acute vomiting, GAD, fluid-filled', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1106, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 67.281, 'consult_name': 'Intestines - Normal, no cause for GI signs, old/ very sick, poss pancreatitis', 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history provided, clinical signs are consistent with a systemic illness, possibly pancreatitis. Other causes of anorexia and abdominal pain cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Diarrhea-c'}, {'id': 131, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': -3, 'signal_name': 'Vomiting'}, {'id': 280, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Very sick'}, {'id': 606, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 622, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 681, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Urination abnormal - inappropriate urination'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L3-L4']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2315, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate']}}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [{'id': 149, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Pancreatitis'}, {'id': 2229, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Urinary tract infection (UTI)'}], 'questions': [{'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}, {'id': 2685, 'source': 'labelling', 'signal_name': 'urinary-stones'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracic and lumbar spine. There is intervertebral disc space narrowing at L3-L4. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is moderate distension of the stomach with gas. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2370, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'renal-mineralization-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy.\nGiven the normal appearance of the GI tract and clinical history provided, clinical signs are consistent with a systemic illness, possibly pancreatitis. Other causes of anorexia and abdominal pain cannot be ruled out.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nThe cause for the patient's urinary issues are not noted. Given the history and normal radiographic appearance of the urinary tract, feline lower urinary tract disease would be a primary differential.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\nModerate to severe distension of the stomach with fluid is observed. Consider severe gastritis, atony or outflow obstruction. No evidence of an intestinal mechanical obstruction is observed.\n\nRecommendations:\nConsider an echocardiogram to rule out cardiomyopathy.\nSupportive care is recommended. Correlate with a minimum database including blood work, urinalysis, and testing for pancreatitis. Follow-up imaging with abdominal ultrasound or serial radiographs to rule out gastroenteritis, dietary indiscretion, pancreatitis, or a systemic illness causing secondary GI signs.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with a biochemistry profile and urinalysis. Consider an ultrasound as a normal radiograph does not rule out radiolucent stones, neoplastic disease, or polyps.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis.\nConsider repeating fasting abdominal radiographs in 12-24 hours to assess gastric emptying, and depending on clinical signs and history, consider abdominal ultrasound or endoscopy for further investigation. "}

{'bday': '2006-07-13', 'name': 'De Paolo^Betty^^^', 'breed': 'Domestic Mediumhair', 'owner': 'Misty De Paolo', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Emily Moren'}

Presents for anorexia and inappropriate urnation. Pet has been lethargic and anorexic for two days. She is not vomiting or having diarrhea. Abdomen is painful on PE. Pt does have a urinary tract infection.

Suspected pancreatitis.

expert

['neoplasia-abdomen', 'urinary-stones']

['Lethargic/tired', 'Very sick', 'Anorexia', 'Pain - abdominal', 'Urination abnormal - inappropriate urination', 'Feline']

['Diarrhea', 'Vomiting']

[131, 280, 606, 622, 681, 2327]

[76, 256]

['Pancreatitis', 'Urinary tract infection (UTI)']

[]

[149, 2229]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-06-23', 'name': 'Combes^Rapheal', 'breed': 'Mixed', 'owner': 'Combes^Carrie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Gardens Animal Hospital', 'email': '[email protected]', 'address': 'United States - Palm Beach Gdns', 'clinician': 'Gardens Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pain during the Night/ Restless/ Barking', 'questions': 'Pain during the Night/ Restless/ Barking', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'elapsedTime': 126.236, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with a physical exam to localize the area of pain. Consider further workup including biochemistry profile, CBC, urinalysis, and abdominal ultrasound to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful, and/or follow-up evaluation may be indicated. Correlate with an orthopedic and neurological examination. Pancreatitis testing and pre and post-prandial bile acids could also be considered.', 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 899, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Splenomegaly - Mild', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 23, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Agitated'}, {'id': 145, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Meowing '}, {'id': 2186, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2330, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': "Not himself/ain't doing right"}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['.']}, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['rugal folds']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2680, 'source': 'labelling', 'attention': False, 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe spleen appears mildly enlarged. There is radiopaque material within the stomach, which has the appearance of rugal folds. There is a mild accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided.\nThe spleen seems slightly enlarged, possibly due to congestion and/or sedation. However, other possible causes, such as extramedullary hematopoiesis (EMH) and lymphoid hyperplasia, infiltrative diseases like round cell neoplasia, and infectious diseases such as tick-borne illnesses, cannot be ruled out.\nA small, soft-tissue opacity, is noted within the stomach. This may represent food/fluid or rugal folds in the stomach; however, foreign material cannot be entirely ruled out.\nMild fecal retention. Rule out constipation.\n\nRecommendations:\nCorrelate with a physical exam to localize the area of pain. Consider further workup, including a biochemistry profile, CBC, urinalysis, and abdominal ultrasound, to investigate the reported non-specific signs further. In addition, a more detailed clinical history may also be helpful, and/or follow-up evaluation may be indicated. Correlate with an orthopedic and neurological examination. Pancreatitis testing and pre- and post-prandial bile acids could also be considered.\nConsider abdominal ultrasound for further investigation of the mildly enlarged spleen to evaluate for potential benign etiologies, infiltrative disease, and infectious etiologies.\nCorrelate with the history of the patient's last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.\nConsider a rectal exam to rule out constipation."}

{'bday': '2022-06-23', 'name': 'Combes^Rapheal', 'breed': 'Mixed', 'owner': 'Combes^Carrie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Gardens Animal Hospital', 'email': '[email protected]', 'address': 'United States - Palm Beach Gdns', 'clinician': 'Gardens Animal Hospital'}

Pain during the Night/ Restless/ Barking

Pain during the Night/ Restless/ Barking

standard

['non-specific-ADR']

['Agitated/restless', 'Vocalizing ', 'Pain', "Ain't doin right (ADR)"]

[]

[23, 145, 2186, 2330]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-01-31', 'name': 'Brandon^Smarty Pants', 'breed': 'Poodle Mix', 'owner': 'Brandon^David', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Parmjit Dhillon'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Attacked by dog- OD exophthalmos and bloody. No other obvious wound noted on face. Bloodwork normal', 'questions': 'r/o other injury', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Skull - trauma, no abnormalities identified, +/- TSS', 'diagnosis_custom_text': 'Soft tissue swelling as noted above. No evidence of fractures, luxation or subluxation of the skull bones is seen. No other evidence of traumatic injury noted.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 47, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Bloody eye'}, {'id': 656, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Ophthalmic (eye) injury'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'Vertebral anomaly is noted at T13. ', 'elapsedTime': 1.814, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is soft tissue swelling involving the right eye. ', 'elapsedTime': 2.072, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2675, 'source': 'labelling', 'signal_name': 'trauma-general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nVertebral anomaly is noted at T13. There is soft tissue swelling involving the right eye. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling noted. No evidence of fractures, luxation, or subluxation of the skull bones. No other evidence of traumatic injury noted. Vertebral anomaly observed, likely incidental.\n\nRecommendations:\nA complete neurologic examination should be performed to examine for evidence of traumatic brain injury. Consider a neurology consultation if neurologic deficits arise. Medical management of soft tissue injury is recommended at this point. Consider CT/MRI scan if there is no response to medical management or if examination suggests more than a soft tissue injury. Correlate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2018-01-31', 'name': 'Brandon^Smarty Pants', 'breed': 'Poodle Mix', 'owner': 'Brandon^David', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Parmjit Dhillon'}

Attacked by dog- OD exophthalmos and bloody. No other obvious wound noted on face. Bloodwork normal

r/o other injury

standard

['trauma-general']

['Bitten/attacked by other animal', 'Bloody eye', 'Ophthalmic (eye) injury', 'Canine Medium/Large Breed']

[]

[37, 47, 656, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-01-03', 'name': 'Swaim^Kouyou', 'breed': 'Mixed - Medium', 'owner': 'Swaim', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': "Freddie's Place Animal Hospital ", 'email': '[email protected]', 'address': 'United States - Vista', 'clinician': 'Freddiesplace'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for vomiting 2x, no bowel movement since last night. Hyporexic this morning (last meal). Ate part of rug tassel and the ear of a teddy bear (4inch estimate). Parvo negative. CBC WNL Chemistry NSF\r\nExam: QAR, MM light pink <2s; TPR WNL abdominal palpation is soft and not overtly painful. ', 'questions': 'Radiographically evident abnormalities; r/o obstruction vs other', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 14.639, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.', 'recommendation_custom_fields': None}, {'id': 248, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 8.987, 'consult_name': 'Intestines - Gastroenteritis (dietary indiscretion), concern for 2 pops/obstruction, symptomatic, no FB', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider an abdominal ultrasound to rule out an intestinal foreign body.', 'recommendation_custom_fields': None}, {'id': 476, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Colon - Constipation', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 251, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 512, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Defaecation abnormal - decreased frequency'}, {'id': 607, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2184, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['significant']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. There is a significant accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Clinical signs are most likely related to, but not limited to a gastroenteritis secondary to dietary indiscretion.\nGastric material. This may represent food, however, foreign material cannot be entirely ruled out.\nFecal retention noted is consistent with constipation.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider an abdominal ultrasound to rule out an intestinal foreign body.\nRepeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nTreatment for constipation/obstipation is indicated at this time, if correlated with physical examination.'}

{'bday': '2023-01-03', 'name': 'Swaim^Kouyou', 'breed': 'Mixed - Medium', 'owner': 'Swaim', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': "Freddie's Place Animal Hospital ", 'email': '[email protected]', 'address': 'United States - Vista', 'clinician': 'Freddiesplace'}

Presented for vomiting 2x, no bowel movement since last night. Hyporexic this morning (last meal). Ate part of rug tassel and the ear of a teddy bear (4inch estimate). Parvo negative. CBC WNL Chemistry NSF Exam: QAR, MM light pink <2s; TPR WNL abdominal palpation is soft and not overtly painful.

Radiographically evident abnormalities; r/o obstruction vs other

standard

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Foreign body ingestion', 'Vomiting', 'Defaecation abnormal - decreased frequency', 'Hyporexia', 'Suspected foreign body ingestion', 'Canine Medium/Large Breed']

[]

[92, 251, 256, 512, 607, 2184, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-07-21', 'name': 'Payne^Shelby', 'breed': 'Maltese', 'owner': 'Payne^Connie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'address': 'United States - Nampa', 'clinician': 'Viking Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': '7 yo, FS, malteese presenting for 2 day hx of coughing. 5/6 heart murmur and resp rate of 44 on presentation. 2:1 La:Ao and occasional B-lines Concerns for CHF? ', 'questions': 'Concerns for CHF?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'excluded', 'source': 'rules'}, {'id': 1020, 'state': 'excluded', 'source': 'rules'}, {'id': 1021, 'state': 'excluded', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 272, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly - Mitral valve disease, asymptomatic, echo done', 'diagnosis_custom_text': 'The changes noted in the cardiac silhouette are consistent with the reported findings from the echocardiogram.\xa0No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Pleural - small fissure line', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 666, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 2175, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['diffuse'], '___s2_': ['in the intra-thoracic region']}}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['right', 'cranioventral']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThe heart measures above the normal range. There is evidence of left atrial enlargement. A pleural fissure line is noted in the right cranioventral thorax. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'narrowed-mainstem-bronchi', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe changes noted in the cardiac silhouette are consistent with the reported findings from the echocardiogram. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded. The pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\n\nRecommendations:\nDepending on progression of clinical signs, consider an echocardiogram or radiographic monitoring, and a blood pressure measurement every 6-9 months. Correlate with history to determine the clinical significance of the noted pleural fissure line.'}

{'bday': '2017-07-21', 'name': 'Payne^Shelby', 'breed': 'Maltese', 'owner': 'Payne^Connie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'address': 'United States - Nampa', 'clinician': 'Viking Veterinary Hospital'}

7 yo, FS, malteese presenting for 2 day hx of coughing. 5/6 heart murmur and resp rate of 44 on presentation. 2:1 La:Ao and occasional B-lines Concerns for CHF?

Concerns for CHF?

standard

['Resp signs - heart/lungs']

['Coughing', 'Tachypnoea', 'Heart Murmur', 'Canine Small Breed']

[]

[69, 666, 2175, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2017-08-08', 'name': 'Bondad^Brando', 'breed': 'Chihuahua Smooth', 'owner': 'Bondad^Pamela', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': "Presented for vomiting (yesterday), blood in stool tonight.\r\nDidnt eat today.\r\nWas drinking more water yesterday.\r\nNo current medications.\r\nIndoor only.\r\nUsually doesn't get into anything around the house.\r\nWas doing well previously.", 'questions': 'Gastroenteritis vs Dietary Indiscretion vs Other\r\nBilateral MLP ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 228, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental VAN', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 248, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Intestines - Gastroenteritis (dietary indiscretion), concern for 2 pops/obstruction, symptomatic, no FB', 'diagnosis_custom_text': 'Gastroenteritis due to dietary indiscretion is considered the most likely source of signs. No complete obstructive pattern or foreign material is identified although an obstruction cannot be completely excluded radiographically.\xa0Given the history, other differentials including, stress, parasite, hemorrhagic diarrhea syndrome, upper GI ulceration, pancreatitis or other cause may still be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time.\xa0Consider fecal testing and blood work (incl. CPLi) for further investigation.\xa0If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to rule out an intestinal foreign body.\xa0', 'recommendation_custom_fields': None}, {'id': 360, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hindlimb Stifle - medial patella luxation', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1160, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Gastric - Soft tissue FB vs. Rugal folds vs. fluid', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 520, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Faecal appearance abnormal - other'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2475, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['rugal folds']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2158, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': [',T13']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'patellar-luxation', 'custom_fields': {'___s1_': ['medial'], '___s2_': ['left and right']}}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 143, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Gastroenteritis'}, {'id': 1543, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Patellar luxation - medial'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2673, 'source': 'labelling', 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is radiopaque material within the stomach which has the appearance of rugal folds. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at T13. There is medial patellar luxation noted in the left and right knee. The rest of the observed musculoskeletal system is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2710, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Patella luxation false positive', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA small, soft-tissue opacity is noted within the stomach. This may represent food/fluid or rugal folds in the stomach however foreign material cannot be entirely ruled out.\nGastroenteritis due to dietary indiscretion is considered the most likely source of signs. No complete obstructive pattern or foreign material is identified although an obstruction cannot be completely excluded radiographically.\xa0Given the history, other differentials including, stress, parasite, hemorrhagic diarrhea syndrome, upper GI ulceration, pancreatitis or other cause may still be considered.\nMedial patellar luxation.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nCorrelate with history of the patients last meal and consider an abdominal ultrasound for further investigation. Alternatively, repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying can also be considered.\nMedical management of the reported clinical signs is indicated at this time.\xa0Consider fecal testing and blood work (incl. CPLi) for further investigation.\xa0If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to rule out an intestinal foreign body.\nCorrelate with palpation of stifles for patellar luxation (grading) and joint laxity. Consider an orthopedic consult to discuss surgical options for medial patellar luxation, if clinically indicated.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2017-08-08', 'name': 'Bondad^Brando', 'breed': 'Chihuahua Smooth', 'owner': 'Bondad^Pamela', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}

Presented for vomiting (yesterday), blood in stool tonight. Didnt eat today. Was drinking more water yesterday. No current medications. Indoor only. Usually doesn't get into anything around the house. Was doing well previously.

Gastroenteritis vs Dietary Indiscretion vs Other Bilateral MLP

expert

['Gi signs - Systemic vs general', 'neoplasia-musculoskeletal']

['Dietary indiscretion', 'Vomiting', 'abnormal fecal appearance', 'Anorexia', 'Hematochezia', 'Canine Small Breed']

[]

[92, 256, 520, 606, 2475, 2654]

[]

['Gastroenteritis', 'Patellar luxation - medial']

[]

[143, 1543]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-07-19', 'name': 'Dix^Dixie', 'breed': 'Yorkshire Terrier', 'owner': 'Dix^Annabella', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute onset of anorexia, Dog ate dirt from a potted plant, may have eaten root as well.', 'questions': 'rule out FB', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 197, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Splenomegaly', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 358, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hindlimb Stifle - stifle arthritis, not primary problem', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 488, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Intestines - No Fb visible, poss ingestion', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 251, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 10, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are degenerative changes noted in the cranially positioned stifle on the right lateral view. ', 'elapsedTime': 23.419, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['cranial']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere are degenerative changes noted in the cranially positioned stifle on the right lateral view. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe spleen appears prominent. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2561, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-splenic-margins', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically.\nSplenomegaly. Differentials include benign etiologies (sedation if applicable, EMH and lymphoid hyperplasia), infiltrative disease (round cell neoplasia) and infectious etiologies (ie: tick borne diseases).\nOsteoarthritis of the stifles.\n\nRecommendations:\nAbdominal ultrasound may be useful to look for non-obstructive, soft tissue opacity or gastrointestinal foreign body. Consider follow up radiographs or barium study if clinical signs develop/persist.\nConsider abdominal ultrasound to further investigate clinical significance of the enlarged spleen and if enlargement is confirmed an FNA sample is recommended to determine etiology.\nMany house plants can be toxic. Consider consulting with animal poison control in regards to type of plant possibly ingested to explore possibility of toxic ingestion.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis of the stifles.'}

{'bday': '2023-07-19', 'name': 'Dix^Dixie', 'breed': 'Yorkshire Terrier', 'owner': 'Dix^Annabella', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}

Acute onset of anorexia, Dog ate dirt from a potted plant, may have eaten root as well.

rule out FB

standard

['Gi signs - Systemic vs general']

['Foreign body ingestion', 'Anorexia', 'Canine Small Breed']

[]

[251, 606, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-02-08', 'name': 'Fredericks^Lucy^^^', 'breed': 'Mixed - Medium', 'owner': 'Ruth', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'William Penn Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Brahim Bouzaout'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Possible seizures when sleeping, trouble breathing, lethargic, sneezing ', 'questions': 'Trouble breathing ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1020, 'state': 'normal', 'source': 'rules'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1096, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 300, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Bronchial - Normal lungs, large breed', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 304, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Upper - normal thorax & trachea, upper airway disease likely', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 411, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 11.399, 'consult_name': 'Neuro - No cause for seizures', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider biochemistry profile, CBC, urinalysis and abdominal ultrasound to evaluate further for extra-cranial causes of seizures.', 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 230, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 628, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Seizure(s)'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nNo cause for the described respiratory signs has been determined from this radiographic study. Bronchitis cannot be ruled out. \nA lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely. \nA cause for the reported seizures is not identified in the images provided.\n\nRecommendations:\nSummary:\nConsider endoscopic evaluation, lower airway sampling, and respiratory PCR if the patient does not respond to medical management for further evaluation.\nA more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs.\nEvaluate further for extra-cranial causes of seizures by considering biochemistry profile, CBC, urinalysis, and abdominal ultrasound.\n'}

{'bday': '2018-02-08', 'name': 'Fredericks^Lucy^^^', 'breed': 'Mixed - Medium', 'owner': 'Ruth', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'William Penn Veterinary Hospital', 'email': '[email protected]', 'clinician': 'Brahim Bouzaout'}

Possible seizures when sleeping, trouble breathing, lethargic, sneezing

Trouble breathing

standard

['Resp signs - general']