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"questions": "Unable to keep food down from past 48 hours. not interested in eating. Very lethargic",
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"email": "[email protected]",
"name": "Bayview Pet Services (Newmarket, ON)"
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} | {'bday': '2012-10-27', 'name': 'Lyon', 'breed': 'Domestic Shorthair', 'owner': 'Irwin', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Bayview Pet Services (Newmarket, ON)', 'email': '[email protected]', 'address': 'Canada - Newmarket', 'clinician': 'Bayview Pet Services'} | Temp 100.5*F
Unable to keep food down, been vomiting since 2 days. hiding, lethargic.
Dint drink any water today, asked owner to feed him but he only ate about 2 teaspoons of food today.
Feline Leukemia/ FIV NEGATIVE
Blood work ALT 131 U/L (normal 6 - 109)
Creatine Kinase 591 U/L (normal 25-336)
Na/K ratio 41 (normal 27-38)
Potassium 3.8 (normal 4.0-5.8)
WBC 2.95 (range 5.50- 19.60 10^9/L)
Seg neutrophils 1.86 ( range 2.50- 12.50 10^9/L)
Lymphocytes 0.94 (1.15-7.50 10^9/L)
| Unable to keep food down from past 48 hours. not interested in eating. Very lethargic | standard | [
"Gi signs - Systemic vs general",
"non-specific-ADR"
] | [
"Lethargic/tired",
"Vomiting",
"Very sick",
"Hyporexia",
"Drinking less",
"Feline"
] | [] | [
131,
256,
280,
607,
619,
2327
] | [] | [
"Neutropenia"
] | [] | [
675
] | [] | [
"Blood test: Chemistry - basic profile",
"Blood test: Complete Blood Count (CBC)",
"FeLv/FIV test (feline leukaemia/feline immunodeficiency virus)"
] | [] | [
137,
1068,
1153
] | [] |
38,131 | {
"accept_tos": "true",
"consult_info": {
"case_info": "Started losing weight, 9/4 vomiting/eating very little bloated, received supportvie care. Radiographs performed please review 9/16/24 \r\nReturned today for recheck lethargy, still abdomen is bloated no vomiting, barely eating. Gums Pale, Pyrexia, coughing sounds vongested upper airway\r\n9/12/24 received ultrasound wnl\r\nBloodwork: hypoproteniemia, GGT elevated, Neutropenia, Lymp 15.15 K/uL ",
"channel_id": null,
"questions": "Please compare to rads from 9/16/24",
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},
"hospital": {
"address": "United States - Selden",
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"email": "[email protected]",
"name": "Animal Emergency Service, Long Island"
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"patient": {
"bday": "2015-01-01",
"breed": "Domestic Shorthair",
"gender": "F",
"name": "Tethi",
"neutered": "ALTERED",
"owner": "Alessandra Nieves ",
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"weight": ""
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"recommendation_custom_text": "Endoscopic +/- surgical examination may be a consideration if no improvement in the patient's clinical status.",
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Hindlimb Hip - hip OA, no lameness",
"custom_sort": 7,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 366,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Resp Parenchymal - resp signs, CVP/CDP (not alveolar), no cardiomegaly",
"custom_sort": 4,
"diagnosis_custom_fields": null,
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"elapsedTime": null,
"id": 733,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
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},
{
"attention": false,
"consult_name": "Hepatomegaly - Mild(likely incidental)",
"custom_sort": 5,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 879,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Intestines - Feline, vom/diarrhea, pancreatitis/triaditis, no GI cause noted",
"custom_sort": 2,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": "Given the normal appearance of the GI tract and clinical history provided, clinical signs are most consistent with a systemic disease. Gastroenterocolitis due to inflammation, dietary indiscretion, toxin, infectious or parasitic causes cannot be ruled out.",
"elapsedTime": 33.409,
"id": 1179,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": "Viral profiling, abdominal ultrasound; (+/- FNA of liver if hepatomegaly is present) should be considered in addition to the blood work done.",
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Resp Bronchial Feline - BPP + CVP/CDP, bronchopneumonia",
"custom_sort": 3,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 1303,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
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}
],
"diagnosis": [
{
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"confidence": 100,
"diagnosis_name": "Neutropenia",
"history": false,
"id": 675,
"source": "ai",
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}
],
"findings": [
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ opacity noted over the silhouette of the urinary bladder. ",
"finding_normal_text": "The urinary bladder is within normal limits. ",
"group": "abdomen",
"history": false,
"id": 11,
"signal_name": "bladder-bladder-stone",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a ___s1_ fracture of the ___s2_. ",
"finding_normal_text": "No appendicular fractures are noted. ",
"group": "musculoskeletal",
"history": false,
"id": 17,
"signal_name": "fracture-limb-fracture",
"source": "rules"
},
{
"attention": false,
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"custom_fields": {
"___s1_": [
"appears mildly enlarged"
],
"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The liver ___s1_.",
"finding_normal_text": "The liver is unremarkable. ",
"group": "abdomen",
"history": false,
"id": 20,
"signal_name": "liver-hepatomegaly",
"source": "labelling"
},
{
"attention": false,
"confidence": "3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A bronchial pattern is present. ",
"finding_normal_text": "Bronchial Pulmonary Pattern",
"group": "thorax",
"history": false,
"id": 715,
"signal_name": "lung-pulmonary-pattern",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a bone lesion with evidence of ___s1_ identified in ___s2_. ",
"finding_normal_text": "No aggressive osseous lesions identified. ",
"group": "musculoskeletal",
"history": false,
"id": 723,
"signal_name": "bone-lesion-lesion",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___s1_ opacity foreign body is present in the ___s2_ esophagus.",
"finding_normal_text": ".",
"group": "thorax",
"history": false,
"id": 733,
"signal_name": "esophagus-foreign-body",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There appears to be a generalized enlargement of the heart ___s1_",
"finding_normal_text": "The cardiac silhouette is normal in size and shape. ",
"group": "thorax",
"history": false,
"id": 880,
"signal_name": "general-cardiomegaly",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The heart measures above the normal range ___s1_",
"finding_normal_text": "The cardiac silhouette is normal in size and shape. ",
"group": "thorax",
"history": false,
"id": 947,
"signal_name": "heart-vhs",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "In the ___s1_ abdomen, there is displacement of ___s2_.",
"finding_normal_text": "There is no evidence of a mass or mass effect within the abdomen. ",
"group": "abdomen",
"history": false,
"id": 1932,
"signal_name": "peritoneal-mass-effect",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_",
"finding_normal_text": "The serosal detail of the abdomen is normal. ",
"group": "abdomen",
"history": false,
"id": 1933,
"signal_name": "peritoneal-limited-detail",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"normal"
],
"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The spleen is visualized in the cranioventral abdomen and has a ___s1_ appearance.",
"finding_normal_text": "Spleen Visible",
"group": "abdomen",
"history": false,
"id": 1937,
"signal_name": "spleen-visible",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There ___s1_ noted in the ___s2_ thorax ___s3_ ",
"finding_normal_text": "No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ",
"group": "thorax",
"history": false,
"id": 2141,
"signal_name": "lung-thoracic-mass",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ fracture of the ___s2_ rib ___s3_. ",
"finding_normal_text": "No evidence of rib fracture is observed.",
"group": "musculoskeletal",
"history": false,
"id": 2159,
"signal_name": "fracture-rib-fracture",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.",
"finding_normal_text": "The diaphragm is unremarkable. ",
"group": "thorax",
"history": false,
"id": 2160,
"signal_name": "lung-diaphragmatic-hernia",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"left and right"
],
"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There are degenerative changes affecting the ___s1_ coxofemoral joint. ",
"finding_normal_text": "There are no degenerative changes noted in the coxofemoral joints. ",
"group": "musculoskeletal",
"history": false,
"id": 2231,
"signal_name": "hip-neck-thicking",
"source": "labelling"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"left",
"right"
],
"___s2_": [
"unstructured interstitial"
],
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ . ",
"finding_normal_text": "Lung Fields Opacity",
"group": "thorax",
"history": false,
"id": 2280,
"signal_name": "lung-fields-opacity",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of pleural fluid and gas. ",
"finding_normal_text": "The pleural space is normal. ",
"group": "thorax",
"history": false,
"id": 2284,
"signal_name": "pleural-space",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"severe"
],
"___s2_": [
"digested food admixed with unidentified soft tissue material"
],
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . ",
"finding_normal_text": "The stomach appears empty. ",
"group": "abdomen",
"history": false,
"id": 2285,
"signal_name": "stomach-distension-find",
"source": "labelling"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"caudal"
],
"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a mineralized focal soft tissue nodule located in the ___s1_ abdomen likely representing a Bate's body (idiopathic fat necrosis). ",
"finding_normal_text": "Bate's body",
"group": "abdomen",
"history": false,
"id": 2293,
"signal_name": "bates-body",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "rmn, rmg, skd",
"finding_normal_text": "The visualized kidneys are within normal limits. ",
"group": "abdomen",
"history": false,
"id": 2295,
"signal_name": "kidney-margins",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "urolithiasis",
"finding_normal_text": "No evidence of urolithiasis. ",
"group": "abdomen",
"history": false,
"id": 2296,
"signal_name": "urolithiasis",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "cid, tid, spn, van",
"finding_normal_text": "The spine is radiographically normal. ",
"group": "musculoskeletal",
"history": false,
"id": 2297,
"signal_name": "spine",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is intervertebral disc space narrowing at ___s1_. ",
"finding_normal_text": "No significant intervertebral disc space narrowing is identified. ",
"group": "musculoskeletal",
"history": false,
"id": 2298,
"signal_name": "intervertebral-disc-space",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___ opacity is noted within the ____ trachea. ",
"finding_normal_text": "No definitive evidence of a radiopaque foreign body within the airway is identified.",
"group": "thorax",
"history": false,
"id": 2599,
"signal_name": "Tracheal Foreign Body",
"source": "rules"
}
],
"groups": [
{
"id": 1005,
"source": "rules",
"state": "empty"
},
{
"id": 1021,
"source": "rules",
"state": "abnormal"
},
{
"id": 1022,
"source": "rules",
"state": "abnormal"
},
{
"id": 1023,
"source": "rules",
"state": "abnormal"
},
{
"id": 1025,
"source": "rules",
"state": "abnormal"
},
{
"id": 1026,
"source": "rules",
"state": "abnormal"
},
{
"id": 1029,
"source": "rules",
"state": "inprogress"
},
{
"id": 1031,
"source": "rules",
"state": "inprogress"
},
{
"id": 1032,
"source": "rules",
"state": "abnormal"
},
{
"id": 1035,
"source": "rules",
"state": "empty"
},
{
"id": 1043,
"source": "rules",
"state": "partial"
},
{
"id": 1044,
"source": "rules",
"state": "empty"
},
{
"id": 1053,
"source": "rules",
"state": "partial"
},
{
"id": 1095,
"source": "rules",
"state": "inprogress"
},
{
"id": 1274,
"source": "rules",
"state": "abnormal"
}
],
"internal_notes": null,
"questions": [
{
"attention": false,
"id": 2680,
"signal_name": "non-specific-ADR",
"source": "labelling"
},
{
"attention": false,
"id": 2681,
"signal_name": "follow-up-thorax",
"source": "labelling"
},
{
"attention": false,
"id": 2682,
"signal_name": "follow-up-abdomen",
"source": "labelling"
}
],
"recommendations": [],
"report_conclusions": "Primary Conclusions:\nSignificant gastric distension noted, containing food, fluid, and gas, which raises concerns in the context of the patient's clinical history. Potential etiologies include gastric outflow obstruction or the presence of a foreign body. Additionally, gastroenteritis remains a differential diagnosis. These findings are in agreement with those observed in the prior imaging study. Alternative diagnoses, given the persistence of the clinical signs may include severe food allergies, IBD, GI neoplasia, such as GI lymphoma, or other infiltrative or malabsorptive diseases. Given the bloodwork changes, this may correlate to lymphoma, or may be a left-shift. A pathology review of the blood smear is recommended. \n\nPrimary Recommendations:\nConsideration for endoscopic and/or surgical evaluation may be warranted should there be no clinical improvement in the patient's condition. A GI panel (TLI, PLI, cobalamine, folate) is also recommended. \n\nAdditional Conclusions:\nRadiographic findings reveal a bronchial pattern accompanied by a parenchymal pattern, which is most consistent with chronic lower airway disease/chronic bronchitis. The presence of concurrent underlying asthma cannot be excluded. The pulmonary changes observed are indicative of pathology but do not pinpoint a specific etiology; differential considerations include infectious, inflammatory, or neoplastic causes.\n\nThe liver is mildly enlarged, which could be within normal limits for this patient or may indicate mild congestion. The spleen's visualization does not deviate from some normal variations, yet the possibility of an infiltrative disease cannot be ruled out.\n\nThere is evidence of degenerative joint disease affecting the hips.\n\nAdditional Recommendations:\nFor a more comprehensive assessment of the pulmonary changes, a respiratory lavage is recommended for cytological examination, culture, and sensitivity testing. Computed tomography (CT) of the chest could provide further insights.\n\nThe clinical significance of the mildly enlarged liver should be correlated with the results of the blood work. If the ultrasound confirms liver enlargement, obtaining an FNA sample is recommended. It is also suggested to correlate these findings with an orthopedic examination to cover all potential aspects of the patient's condition.",
"report_findings": "Thorax\nThe thoracic radiograph reveals a bronchial pattern and increased opacity throughout the left and right lung fields, which is characterized as an unstructured interstitial pattern. No other abnormalities are noted in the thorax.\n\nAbdomen\nA mineralized focal soft tissue nodule is present in the caudal abdomen, likely representing a Bates body, which is associated with idiopathic fat necrosis. The liver is mildly enlarged. The spleen, located in the cranioventral abdomen, appears normal. There is severe distension of the stomach containing radiopaque material, suggestive of digested food mixed with unidentified soft tissue material. No other abnormalities are observed in the abdomen.\n\nMusculoskeletal\nDegenerative changes are noted in both the left and right coxofemoral joints. The rest of the musculoskeletal system does not show any abnormalities.",
"signals": [
{
"attention": false,
"confidence": 3,
"history": false,
"id": 69,
"signal_name": "Coughing",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 131,
"signal_name": "Lethargic/tired",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 140,
"signal_name": "Losing weight",
"source": "ai"
},
{
"attention": false,
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"history": false,
"id": 256,
"signal_name": "Vomiting",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": true,
"id": 280,
"signal_name": "Very sick",
"source": "labelling"
},
{
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"history": true,
"id": 545,
"signal_name": "Pyrexia/hyperthermia",
"source": "labelling"
},
{
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"history": false,
"id": 607,
"signal_name": "hyporexia",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 674,
"signal_name": "Mucous membranes abnormal - pale",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2327,
"signal_name": "feline",
"source": "labelling"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2392,
"signal_name": "hypoalbuminemia",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2404,
"signal_name": "liver-enzymes-elevated",
"source": "ai"
}
],
"tags": {
"consults_mode": "text",
"consults_sorting": "manual",
"difficulty": "standard",
"findings_mode": "text",
"unansweredAdditionalSignals": [],
"userTags": [
"standard_level"
]
}
} | {'bday': '2015-01-01', 'name': 'Tethi', 'breed': 'Domestic Shorthair', 'owner': 'Alessandra Nieves ', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Animal Emergency Service, Long Island', 'email': '[email protected]', 'address': 'United States - Selden', 'clinician': 'Animal Emergency Service of Long Island'} | Started losing weight, 9/4 vomiting/eating very little bloated, received supportvie care. Radiographs performed please review 9/16/24
Returned today for recheck lethargy, still abdomen is bloated no vomiting, barely eating. Gums Pale, Pyrexia, coughing sounds vongested upper airway
9/12/24 received ultrasound wnl
Bloodwork: hypoproteniemia, GGT elevated, Neutropenia, Lymp 15.15 K/uL | Please compare to rads from 9/16/24 | standard | [
"non-specific-ADR",
"follow-up-thorax",
"follow-up-abdomen"
] | [
"Coughing",
"Lethargic/tired",
"Losing weight",
"Vomiting",
"Very sick",
"Fever/pyrexia",
"Hyporexia",
"Mucous membranes abnormal - pale",
"Feline",
"hypoalbuminemia",
"Elevated liver enzymes"
] | [] | [
69,
131,
140,
256,
280,
545,
607,
674,
2327,
2392,
2404
] | [] | [
"Neutropenia"
] | [] | [
675
] | [] | [] | [] | [] | [] |
37,875 | {
"accept_tos": "true",
"consult_info": {
"case_info": "Elevated WBC, Intact female, possible pyometra ",
"channel_id": null,
"questions": "Elevated WBC, Intact female, possible pyometra ",
"specialty_area": ""
},
"hospital": {
"address": "United States - Canyon Lake",
"clinician": "Michael Yousef",
"email": "[email protected]",
"name": "Canyon Lake Veterinary Hospital"
},
"patient": {
"bday": "2014-01-17",
"breed": "POODLE",
"gender": "F",
"name": "Dinger^lulu",
"neutered": "UNALTERED",
"owner": "Dinger^Jeannie",
"species": "Canine",
"species_other": "",
"weight": ""
}
} | {
"additionalSignals": [
{
"attention": false,
"confidence": -3,
"history": false,
"id": 6,
"is_locked_out": true,
"signal_name": "lung-pleural-effusion",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 7,
"is_locked_out": true,
"signal_name": "lung-pneumothorax",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 9,
"is_locked_out": true,
"signal_name": "spondylosis-spondylosis",
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},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 10,
"is_locked_out": false,
"signal_name": "knee-joint-effusion",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
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"id": 11,
"is_locked_out": true,
"signal_name": "bladder-bladder-stone",
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},
{
"attention": false,
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"id": 12,
"is_locked_out": true,
"signal_name": "stomach-n-distention",
"source": "ray"
},
{
"attention": false,
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"is_locked_out": true,
"signal_name": "stomach-n-dilatation",
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},
{
"attention": false,
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"id": 14,
"is_locked_out": true,
"signal_name": "intestines-small-foreign-body",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 15,
"is_locked_out": true,
"signal_name": "intestines-small-obstruction",
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},
{
"attention": false,
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"id": 16,
"is_locked_out": true,
"signal_name": "fracture-pelvis-fracture",
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},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 17,
"is_locked_out": true,
"signal_name": "fracture-limb-fracture",
"source": "ray"
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{
"attention": false,
"confidence": 0,
"history": false,
"id": 19,
"is_locked_out": false,
"signal_name": "shoulder-arthropathy",
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},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 20,
"is_locked_out": true,
"signal_name": "liver-hepatomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 699,
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"signal_name": "kidney-mineralization",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 700,
"is_locked_out": false,
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},
{
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"confidence": -3,
"history": false,
"id": 701,
"is_locked_out": true,
"signal_name": "vert-lumbar-narrowing",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 702,
"is_locked_out": false,
"signal_name": "spleen-splenomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 708,
"is_locked_out": false,
"signal_name": "urethra-calculi",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 712,
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"signal_name": "lung-cranioventral-parenchymal",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 713,
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"signal_name": "lung-caudodorsal-parenchymal",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 715,
"is_locked_out": true,
"signal_name": "lung-pulmonary-pattern",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 723,
"is_locked_out": true,
"signal_name": "bone-lesion-lesion",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 733,
"is_locked_out": true,
"signal_name": "esophagus-foreign-body",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 738,
"is_locked_out": true,
"signal_name": "intestines-small-fm-foreign-material",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 762,
"is_locked_out": false,
"signal_name": "elbow-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 764,
"is_locked_out": false,
"signal_name": "knee-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 783,
"is_locked_out": false,
"signal_name": "right-heart-enlargement",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 787,
"is_locked_out": true,
"signal_name": "tracheal-narrowing",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 790,
"is_locked_out": true,
"signal_name": "hip-luxation",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 797,
"is_locked_out": true,
"signal_name": "kidney-renomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 798,
"is_locked_out": true,
"signal_name": "kidney-small",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 799,
"is_locked_out": true,
"signal_name": "esophagus-distension",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 870,
"is_locked_out": false,
"signal_name": "tarsal-metatarsal-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 871,
"is_locked_out": true,
"signal_name": "peritoneal-gas",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 873,
"is_locked_out": true,
"signal_name": "bronchiectasis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 879,
"is_locked_out": true,
"signal_name": "subcutaneous-gas",
"source": "ray"
},
{
"attention": false,
"confidence": -2,
"history": false,
"id": 880,
"is_locked_out": true,
"signal_name": "general-cardiomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 947,
"is_locked_out": true,
"signal_name": "heart-vhs",
"source": "ray"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 1605,
"is_locked_out": true,
"signal_name": "stomach-n-gastric-material",
"source": "ray"
},
{
"attention": false,
"confidence": 2,
"history": false,
"id": 1633,
"is_locked_out": true,
"signal_name": "uterus-distension",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 1932,
"is_locked_out": true,
"signal_name": "peritoneal-mass-effect",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 1933,
"is_locked_out": true,
"signal_name": "peritoneal-limited-detail",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 1937,
"is_locked_out": false,
"signal_name": "spleen-visible",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2141,
"is_locked_out": true,
"signal_name": "lung-thoracic-mass",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2158,
"is_locked_out": true,
"signal_name": "vert-anomaly-class",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2159,
"is_locked_out": true,
"signal_name": "fracture-rib-fracture",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2160,
"is_locked_out": true,
"signal_name": "lung-diaphragmatic-hernia",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2166,
"is_locked_out": true,
"signal_name": "heart-left-atrial-enlarge",
"source": "ray"
},
{
"attention": false,
"confidence": 2,
"history": false,
"id": 2215,
"is_locked_out": true,
"signal_name": "body-score",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2230,
"is_locked_out": true,
"signal_name": "hip-subluxation",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2231,
"is_locked_out": true,
"signal_name": "hip-neck-thicking",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2252,
"is_locked_out": false,
"signal_name": "patellar-luxation",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2255,
"is_locked_out": false,
"signal_name": "pulmonary-vessel-congestion",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2259,
"is_locked_out": true,
"signal_name": "redundant-tracheal-membrane",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2267,
"is_locked_out": false,
"signal_name": "distal-extremity-arthritis",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2271,
"is_locked_out": false,
"signal_name": "joint-luxation",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2272,
"is_locked_out": false,
"signal_name": "muscle-atrophy",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2275,
"is_locked_out": false,
"signal_name": "soft-tissue-swelling",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2301,
"is_locked_out": false,
"signal_name": "osteochondritis-dissecans",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2303,
"is_locked_out": false,
"signal_name": "hypertrophic-osteodystrophy",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2304,
"is_locked_out": false,
"signal_name": "panosteitis",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2313,
"is_locked_out": false,
"signal_name": "craniomandibular-osteopathy",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2384,
"is_locked_out": false,
"signal_name": "surgical-device",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2414,
"is_locked_out": false,
"signal_name": "caudal-vena-cana-sm",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2415,
"is_locked_out": false,
"signal_name": "microcardia",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2417,
"is_locked_out": false,
"signal_name": "enthesopathy",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2446,
"is_locked_out": false,
"signal_name": "carpal-metacarpal-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2579,
"is_locked_out": false,
"signal_name": "Tortuous vessels",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2580,
"is_locked_out": false,
"signal_name": "Implant Motion/Infection",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2617,
"is_locked_out": false,
"signal_name": "joint-effusion",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2641,
"is_locked_out": true,
"signal_name": "spondylosis-dish",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2642,
"is_locked_out": true,
"signal_name": "spondylosis-bridging",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2645,
"is_locked_out": false,
"signal_name": "agressive-bone-lesion-discospondylitis",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2666,
"is_locked_out": false,
"signal_name": "Hypertrophic osteopathy (Marie's disease)",
"source": "labelling"
}
],
"consult": [
{
"attention": false,
"consult_name": "Hepatomegaly- benign",
"custom_sort": 2,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 184,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Repros - UTD, early preg/pyo",
"custom_sort": 1,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 422,
"isAddressingConcern": true,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Gastric - Food vs foreign, no GAD, asymptomatic(not clear kibble)",
"custom_sort": 3,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 1344,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
"state": "abnormal"
}
],
"diagnosis": [
{
"attention": false,
"confidence": 100,
"diagnosis_name": "Pyometra",
"history": false,
"id": 1954,
"source": "ai",
"state": "abnormal"
}
],
"findings": [
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ opacity noted over the silhouette of the urinary bladder. ",
"finding_normal_text": "The urinary bladder is within normal limits. ",
"group": "abdomen",
"history": false,
"id": 11,
"signal_name": "bladder-bladder-stone",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a ___s1_ fracture of the ___s2_. ",
"finding_normal_text": "No appendicular fractures are noted. ",
"group": "musculoskeletal",
"history": false,
"id": 17,
"signal_name": "fracture-limb-fracture",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"appears mildly enlarged"
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"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The liver ___s1_.",
"finding_normal_text": "The liver is unremarkable. ",
"group": "abdomen",
"history": false,
"id": 20,
"signal_name": "liver-hepatomegaly",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a bone lesion with evidence of ___s1_ identified in ___s2_. ",
"finding_normal_text": "No aggressive osseous lesions identified. ",
"group": "musculoskeletal",
"history": false,
"id": 723,
"signal_name": "bone-lesion-lesion",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___s1_ opacity foreign body is present in the ___s2_ esophagus.",
"finding_normal_text": ".",
"group": "thorax",
"history": false,
"id": 733,
"signal_name": "esophagus-foreign-body",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ narrowing of the trachea ___s2_ . ",
"finding_normal_text": "The trachea is unremarkable with normal diameter. ",
"group": "thorax",
"history": false,
"id": 787,
"signal_name": "tracheal-narrowing",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There appears to be a generalized enlargement of the heart ___s1_",
"finding_normal_text": "The cardiac silhouette is normal in size and shape. ",
"group": "thorax",
"history": false,
"id": 880,
"signal_name": "general-cardiomegaly",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The heart measures above the normal range ___s1_",
"finding_normal_text": "The cardiac silhouette is normal in size and shape. ",
"group": "thorax",
"history": false,
"id": 947,
"signal_name": "heart-vhs",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"digested food admixed with unidentified soft tissue material"
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"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is radiopaque material within the stomach which has the appearance of ___s1_. ",
"finding_normal_text": "The stomach is empty.",
"group": "abdomen",
"history": false,
"id": 1605,
"signal_name": "stomach-n-gastric-material",
"source": "labelling"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"mild"
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"___s2_": [
"fluid"
],
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ distension of the uterus with ___s2_.",
"finding_normal_text": "No evidence of uterine distension or presence of fetuses are detected. ",
"group": "abdomen",
"history": false,
"id": 1633,
"signal_name": "uterus-distension",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "In the ___s1_ abdomen, there is displacement of ___s2_.",
"finding_normal_text": "There is no evidence of a mass or mass effect within the abdomen. ",
"group": "abdomen",
"history": false,
"id": 1932,
"signal_name": "peritoneal-mass-effect",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_",
"finding_normal_text": "The serosal detail of the abdomen is normal. ",
"group": "abdomen",
"history": false,
"id": 1933,
"signal_name": "peritoneal-limited-detail",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There ___s1_ noted in the ___s2_ thorax ___s3_ ",
"finding_normal_text": "No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ",
"group": "thorax",
"history": false,
"id": 2141,
"signal_name": "lung-thoracic-mass",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ fracture of the ___s2_ rib ___s3_. ",
"finding_normal_text": "No evidence of rib fracture is observed.",
"group": "musculoskeletal",
"history": false,
"id": 2159,
"signal_name": "fracture-rib-fracture",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.",
"finding_normal_text": "The diaphragm is unremarkable. ",
"group": "thorax",
"history": false,
"id": 2160,
"signal_name": "lung-diaphragmatic-hernia",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of left atrial enlargement.",
"finding_normal_text": "No left atrial enlargement is present.",
"group": "thorax",
"history": false,
"id": 2166,
"signal_name": "heart-left-atrial-enlarge",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of hip incongruity of the ___s1_ hip. ",
"finding_normal_text": "There is adequate acetabular coverage of the femoral heads with no subluxation noted. ",
"group": "musculoskeletal",
"history": false,
"id": 2230,
"signal_name": "hip-subluxation",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There are degenerative changes affecting the ___s1_ coxofemoral joint. ",
"finding_normal_text": "There are no degenerative changes noted in the coxofemoral joints. ",
"group": "musculoskeletal",
"history": false,
"id": 2231,
"signal_name": "hip-neck-thicking",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The pulmonary vessels appear congested. ",
"finding_normal_text": "The pulmonary vessels are normal in appearance. ",
"group": "thorax",
"history": false,
"id": 2255,
"signal_name": "pulmonary-vessel-congestion",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "cvp-cdp-bpp-tms",
"finding_normal_text": "Lung fields are clear. ",
"group": "thorax",
"history": false,
"id": 2278,
"signal_name": "lung-fields",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of pleural fluid and gas. ",
"finding_normal_text": "The pleural space is normal. ",
"group": "thorax",
"history": false,
"id": 2284,
"signal_name": "pleural-space",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
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"signal_name": "urolithiasis",
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"finding_normal_text": "The spine is radiographically normal. ",
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"signal_name": "spine",
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"finding_abnormal_text": "hoa, hlx, pfx, not hic",
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"finding_abnormal_text": "An area of lucency associated with the implant is noted ____. ",
"finding_normal_text": "No evidence of implant motion/failure or infection identified.",
"group": "musculoskeletal",
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"id": 2580,
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],
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"report_findings": "Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears mildly enlarged. There is radiopaque material within the stomach which has the appearance of normal ingesta admixed with unidentified soft tissue material. There is mild distension of the uterus with 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.",
"signals": [
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2634,
"signal_name": "Neutrophilia",
"source": "ai"
},
{
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"tags": {
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} | {'bday': '2014-01-17', 'name': 'Dinger^lulu', 'breed': 'POODLE', 'owner': 'Dinger^Jeannie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''} | {'name': 'Canyon Lake Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Canyon Lake', 'clinician': 'Michael Yousef'} | Elevated WBC, Intact female, possible pyometra | Elevated WBC, Intact female, possible pyometra | standard | [
"reproductive-vaginal-disch"
] | [
"Neutrophilia",
"Canine Medium/Large Breed"
] | [] | [
2634,
2656
] | [] | [
"Possible Pyometra"
] | [] | [
1954
] | [] | [] | [] | [] | [] |
29,563 | {
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"channel_id": null,
"questions": "Difficult to regulate glucose accurately, . Sometimes bacteruria- responds to antibiotic. Constant blood in urine - now she is straining to urinate Last year ultrasound showed no bladder lesions",
"specialty_area": ""
},
"hospital": {
"address": null,
"clinician": "Albert H Nelmapius DVM",
"email": "[email protected]",
"name": "Safari Animal Cinic"
},
"patient": {
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"name": "Pixie",
"neutered": "ALTERED",
"owner": "Rutland",
"species": "Canine",
"species_other": "",
"weight": ""
}
} | {
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"report_findings": "Musculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is radiopaque material within the stomach which has the appearance of rugal folds. There is a large distension of the urinary bladder. The rest of the observed abdomen is within normal limits.",
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} | {'bday': '2010-01-01', 'name': 'Pixie', 'breed': 'Australian Cattle Dog', 'owner': 'Rutland', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Safari Animal Cinic', 'email': '[email protected]', 'clinician': 'Albert H Nelmapius DVM'} | Type 2 Diabetes- on insulin
Spinal disc disease
Chronic hematuria/cystitis | Difficult to regulate glucose accurately, . Sometimes bacteruria- responds to antibiotic. Constant blood in urine - now she is straining to urinate Last year ultrasound showed no bladder lesions | standard | [
"urinary-stones"
] | [
"Canine Medium/Large Breed"
] | [] | [
2656
] | [] | [
"Diabetes mellitus (DM)",
"PDx: IVDD",
"Haematuria",
"Cystitis"
] | [] | [
561,
1422,
2192,
2236
] | [] | [
"Insulin"
] | [] | [
1362
] | [] |
29,726 | {
"accept_tos": "true",
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"case_info": "Patient presented for chronic cough that started in the past 1-2 months, has been getting worse. Patient has a known MCT on the arm that has remained stable. Patient is still doing ok other than the worsening cough symptoms. Concerned about neoplasia vs infectious. Patient is also not on HW prevention, Heartworm test sent today. Blood work done in June was within normal limits ",
"channel_id": null,
"questions": "Suspect neoplasia ",
"specialty_area": ""
},
"hospital": {
"address": null,
"clinician": "Britany Hines",
"email": "[email protected]",
"name": "Ebenezer Animal Hospital"
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"patient": {
"bday": "2012-07-04",
"breed": "Pit Bull Mix",
"gender": "F",
"name": "Sheehan^Bella^^^",
"neutered": "ALTERED",
"owner": "Zach Sheehan",
"species": "Canine",
"species_other": "",
"weight": ""
}
} | {
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"history": false,
"id": 2446,
"is_locked_out": false,
"signal_name": "carpal-metacarpal-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2448,
"is_locked_out": false,
"signal_name": "pulmonary-vessel-mineralization",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2449,
"is_locked_out": false,
"signal_name": "pleural-fissure",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2453,
"is_locked_out": false,
"signal_name": "hyperinflation-lungs",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2557,
"is_locked_out": false,
"signal_name": "cranial-mediastinal-mass",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2558,
"is_locked_out": false,
"signal_name": "Bulla",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2559,
"is_locked_out": false,
"signal_name": "Nodule",
"source": "labelling"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2563,
"is_locked_out": false,
"signal_name": "Tracheobronchial lymph node",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2564,
"is_locked_out": false,
"signal_name": "Sternal lymph node",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2565,
"is_locked_out": false,
"signal_name": "Multiple nodules",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2567,
"is_locked_out": false,
"signal_name": "Pulmonary Minerazliation",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2599,
"is_locked_out": false,
"signal_name": "Tracheal Foreign Body",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2641,
"is_locked_out": true,
"signal_name": "spondylosis-dish",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2642,
"is_locked_out": true,
"signal_name": "spondylosis-bridging",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2664,
"is_locked_out": false,
"signal_name": "Heart base mass",
"source": "labelling"
}
],
"consult": [
{
"attention": false,
"consult_name": "Resp Neoplasia - Tracheobronchial lymph node",
"custom_sort": null,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": "Mass lesion and soft tissue mass noted in the region of the carina consistent with tracheobronchial lymphadenopathy is most likely a primary lung tumor; other differentials may include bronchopneumonia, hemorrhage, or unusual atelectasis.",
"elapsedTime": null,
"id": 308,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": "Consider thoracic ultrasound and FNA sampling for further assessment of the mass lesion noted in the lung lobe, with CT investigation of the thorax providing additional information.",
"source": "labelling",
"state": "abnormal"
}
],
"diagnosis": [
{
"attention": false,
"confidence": 100,
"diagnosis_name": "Mast cell tumour - cutaneous (grade unspecified)",
"history": false,
"id": 794,
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"confidence": 100,
"diagnosis_name": "neoplasia",
"history": false,
"id": 2443,
"source": "ai",
"state": "abnormal"
}
],
"findings": [
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The liver appears enlarged. ",
"finding_normal_text": "The liver is unremarkable. ",
"group": "abdomen",
"history": false,
"id": 20,
"signal_name": "liver-hepatomegaly",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": null,
"custom_text": "There is increased opacity throughout the lung fields, characterized as a interstitial pattern.",
"elapsedTime": null,
"finding_abnormal_text": "There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .",
"finding_normal_text": null,
"group": "thorax",
"history": false,
"id": 714,
"signal_name": "lung-diffuse-parenchymal",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a bone lesion with evidence of ___s1_ identified in ___s2_. ",
"finding_normal_text": "No aggressive osseous lesions identified. ",
"group": "musculoskeletal",
"history": false,
"id": 723,
"signal_name": "bone-lesion-lesion",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___s1_ opacity foreign body is present in the ___s2_ esophagus.",
"finding_normal_text": ".",
"group": "thorax",
"history": false,
"id": 733,
"signal_name": "esophagus-foreign-body",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ narrowing of the trachea ___s2_ . ",
"finding_normal_text": "The trachea is unremarkable with normal diameter. ",
"group": "thorax",
"history": false,
"id": 787,
"signal_name": "tracheal-narrowing",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. ",
"finding_normal_text": "The diaphragm is unremarkable. ",
"group": "thorax",
"history": false,
"id": 2160,
"signal_name": "lung-diaphragmatic-hernia",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of pleural fluid and gas. ",
"finding_normal_text": "The pleural space is normal. ",
"group": "thorax",
"history": false,
"id": 2284,
"signal_name": "pleural-space",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . ",
"finding_normal_text": "The stomach appears empty. ",
"group": "abdomen",
"history": false,
"id": 2285,
"signal_name": "stomach-distension-find",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "cid, tid, spn, van",
"finding_normal_text": "The spine is radiographically normal. ",
"group": "musculoskeletal",
"history": false,
"id": 2297,
"signal_name": "spine",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of degenerative joint disease. ",
"finding_normal_text": "There is no evidence of degenerative joint disease. ",
"group": "musculoskeletal",
"history": false,
"id": 2299,
"signal_name": "degenerative-joint-disease",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": null,
"custom_text": "There is a rounded soft tissue opacity noted in the region of the carina and the caudodorsal thorax. ",
"elapsedTime": null,
"finding_abnormal_text": "There is a rounded soft tissue opacity noted in the region of the carina. ",
"finding_normal_text": "Tracheobronchial lymph node",
"group": "thorax",
"history": false,
"id": 2563,
"signal_name": "Tracheobronchial lymph node",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___ opacity is noted within the ____ trachea. ",
"finding_normal_text": "No definitive evidence of a radiopaque foreign body within the airway is identified.",
"group": "thorax",
"history": false,
"id": 2599,
"signal_name": "Tracheal Foreign Body",
"source": "rules"
}
],
"groups": [
{
"id": 1005,
"source": "rules",
"state": "empty"
},
{
"id": 1006,
"source": "labelling",
"state": "abnormal"
},
{
"id": 1021,
"source": "rules",
"state": "partial"
},
{
"id": 1031,
"source": "rules",
"state": "inprogress"
},
{
"id": 1095,
"source": "rules",
"state": "inprogress"
}
],
"internal_notes": "No BPP, most likely primary lung neoplasia, less likely infectious/inflammatory causes",
"questions": [
{
"attention": false,
"id": 2672,
"signal_name": "neoplasia-thorax",
"source": "labelling"
},
{
"attention": false,
"id": 2683,
"signal_name": "screening-thorax",
"source": "labelling"
}
],
"recommendations": [
{
"attention": false,
"id": 1099,
"recommendation_name": "cbc-chemistry-profile",
"source": "labelling",
"state": "normal"
},
{
"attention": false,
"id": 1339,
"recommendation_name": "heartworm-test",
"source": "labelling",
"state": "abnormal"
}
],
"report_conclusions": "Conclusions:\nMass lesion and soft tissue mass noted in the region of the carina consistent with tracheobronchial lymphadenopathy is most likely a primary lung tumor; other differentials may include bronchopneumonia, hemorrhage, or unusual atelectasis.\n\nRecommendations:\nConsider thoracic ultrasound and FNA sampling for further assessment of the mass lesion noted in the lung lobe, with CT investigation of the thorax providing additional information.",
"report_findings": "Thorax\nThere is a rounded soft tissue opacity noted in the region of the carina and the caudodorsal thorax. There is increased opacity throughout the lung fields, characterized as a interstitial 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\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.",
"signals": [
{
"attention": false,
"confidence": 3,
"history": false,
"id": 69,
"signal_name": "Coughing",
"source": "labelling"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2387,
"signal_name": "cough-chronic",
"source": "ai"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2656,
"signal_name": "medium-large-breed",
"source": "labelling"
}
],
"tags": {
"consults_mode": "coded",
"consults_sorting": "auto",
"difficulty": "standard",
"findings_mode": "coded",
"unansweredAdditionalSignals": [
"Incomplete study/missing orthogonal view",
"liver-mass",
"splenic-mass",
"splenic-nodule",
"peritoneal-mass"
],
"userTags": [
"missed/mislabeled_radiographic"
]
}
} | {'bday': '2012-07-04', 'name': 'Sheehan^Bella^^^', 'breed': 'Pit Bull Mix', 'owner': 'Zach Sheehan', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Ebenezer Animal Hospital', 'email': '[email protected]', 'clinician': 'Britany Hines'} | Patient presented for chronic cough that started in the past 1-2 months, has been getting worse. Patient has a known MCT on the arm that has remained stable. Patient is still doing ok other than the worsening cough symptoms. Concerned about neoplasia vs infectious. Patient is also not on HW prevention, Heartworm test sent today. Blood work done in June was within normal limits | Suspect neoplasia | standard | [
"neoplasia-thorax",
"screening-thorax"
] | [
"Coughing",
"Chronic cough",
"Canine Medium/Large Breed"
] | [] | [
69,
2387,
2656
] | [] | [
"Mast cell tumour - cutaneous/subcutaneous",
"Neoplasia"
] | [] | [
794,
2443
] | [] | [
"Heartworm test"
] | [
"CBC/chemistry profile - normal"
] | [
1339
] | [
1099
] |
37,431 | {
"accept_tos": "true",
"consult_info": {
"case_info": "Pt presented for right forelimb limping which started a few hours ago. According to Owner pt has not had any known trauma. Pt is weight baring on leg but noticeable swelling near the wrist. ",
"channel_id": null,
"questions": "Fracture vs growth plate injury vs soft tissue injury vs neoplasia vs other",
"specialty_area": ""
},
"hospital": {
"address": "United States - San Antonio",
"clinician": "NightWatch",
"email": "[email protected]",
"name": "Night Watch Elite Animal Emergency (TX)"
},
"patient": {
"bday": "2024-07-02",
"breed": "Chihuahua",
"gender": "M",
"name": "Noah^Ramirez",
"neutered": "UNALTERED",
"owner": "Ramiro Ramirez",
"species": "Canine",
"species_other": "",
"weight": ""
}
} | {
"additionalSignals": [
{
"attention": false,
"confidence": 0,
"history": false,
"id": 6,
"is_locked_out": false,
"signal_name": "lung-pleural-effusion",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 7,
"is_locked_out": false,
"signal_name": "lung-pneumothorax",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 9,
"is_locked_out": false,
"signal_name": "spondylosis-spondylosis",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 10,
"is_locked_out": false,
"signal_name": "knee-joint-effusion",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 11,
"is_locked_out": false,
"signal_name": "bladder-bladder-stone",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 12,
"is_locked_out": false,
"signal_name": "stomach-n-distention",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 13,
"is_locked_out": false,
"signal_name": "stomach-n-dilatation",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 14,
"is_locked_out": false,
"signal_name": "intestines-small-foreign-body",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 15,
"is_locked_out": false,
"signal_name": "intestines-small-obstruction",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 16,
"is_locked_out": false,
"signal_name": "fracture-pelvis-fracture",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 17,
"is_locked_out": true,
"signal_name": "fracture-limb-fracture",
"source": "ray"
},
{
"attention": false,
"confidence": -2,
"history": false,
"id": 19,
"is_locked_out": true,
"signal_name": "shoulder-arthropathy",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 20,
"is_locked_out": false,
"signal_name": "liver-hepatomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 699,
"is_locked_out": false,
"signal_name": "kidney-mineralization",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 700,
"is_locked_out": false,
"signal_name": "vert-cervical-narrowing",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 701,
"is_locked_out": false,
"signal_name": "vert-lumbar-narrowing",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 702,
"is_locked_out": false,
"signal_name": "spleen-splenomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 708,
"is_locked_out": false,
"signal_name": "urethra-calculi",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 712,
"is_locked_out": false,
"signal_name": "lung-cranioventral-parenchymal",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 713,
"is_locked_out": false,
"signal_name": "lung-caudodorsal-parenchymal",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 715,
"is_locked_out": false,
"signal_name": "lung-pulmonary-pattern",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 723,
"is_locked_out": true,
"signal_name": "bone-lesion-lesion",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 733,
"is_locked_out": false,
"signal_name": "esophagus-foreign-body",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 738,
"is_locked_out": false,
"signal_name": "intestines-small-fm-foreign-material",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 762,
"is_locked_out": false,
"signal_name": "elbow-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 764,
"is_locked_out": false,
"signal_name": "knee-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 783,
"is_locked_out": false,
"signal_name": "right-heart-enlargement",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 787,
"is_locked_out": false,
"signal_name": "tracheal-narrowing",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 790,
"is_locked_out": false,
"signal_name": "hip-luxation",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 797,
"is_locked_out": false,
"signal_name": "kidney-renomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 798,
"is_locked_out": false,
"signal_name": "kidney-small",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 799,
"is_locked_out": false,
"signal_name": "esophagus-distension",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 870,
"is_locked_out": false,
"signal_name": "tarsal-metatarsal-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 871,
"is_locked_out": false,
"signal_name": "peritoneal-gas",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 879,
"is_locked_out": false,
"signal_name": "subcutaneous-gas",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 880,
"is_locked_out": false,
"signal_name": "general-cardiomegaly",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 947,
"is_locked_out": false,
"signal_name": "heart-vhs",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 1605,
"is_locked_out": false,
"signal_name": "stomach-n-gastric-material",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 1635,
"is_locked_out": false,
"signal_name": "prostate-visible",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 1932,
"is_locked_out": false,
"signal_name": "peritoneal-mass-effect",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 1933,
"is_locked_out": false,
"signal_name": "peritoneal-limited-detail",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2141,
"is_locked_out": false,
"signal_name": "lung-thoracic-mass",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2158,
"is_locked_out": false,
"signal_name": "vert-anomaly-class",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2159,
"is_locked_out": false,
"signal_name": "fracture-rib-fracture",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2160,
"is_locked_out": false,
"signal_name": "lung-diaphragmatic-hernia",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2166,
"is_locked_out": false,
"signal_name": "heart-left-atrial-enlarge",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2215,
"is_locked_out": false,
"signal_name": "body-score",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2230,
"is_locked_out": false,
"signal_name": "hip-subluxation",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2231,
"is_locked_out": false,
"signal_name": "hip-neck-thicking",
"source": "ray"
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],
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"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 406,
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"id": 885,
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"recommendation_custom_text": "Recommend analgesics and exercise restriction in addition to repeating radiographs in 7-10 days could be considered for further investigation. A CT may be beneficial as well.",
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}
],
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"custom_fields": null,
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"finding_abnormal_text": "There is a ___s1_ fracture of the ___s2_. ",
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"group": "musculoskeletal",
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"finding_normal_text": "No aggressive osseous lesions identified. ",
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"id": 723,
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"source": "rules"
},
{
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"front paw"
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"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is soft tissue swelling involving ___s1_. ",
"finding_normal_text": "There is no soft tissue swelling. ",
"group": "musculoskeletal",
"history": false,
"id": 2275,
"signal_name": "soft-tissue-swelling",
"source": "labelling"
},
{
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"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of degenerative joint disease. ",
"finding_normal_text": "There is no evidence of degenerative joint disease. ",
"group": "musculoskeletal",
"history": false,
"id": 2299,
"signal_name": "degenerative-joint-disease",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a fracture noted in the ___s1_ bone of the skull. ",
"finding_normal_text": "The bones of the skull are within normal limits with no aggressive lesions or fractures noted.",
"group": "musculoskeletal",
"history": false,
"id": 2310,
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"source": "rules"
},
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"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
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"finding_normal_text": "The carpal joints are unremarkable, no evidence of degenerative changes.",
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"history": false,
"id": 2446,
"signal_name": "carpal-metacarpal-osteophytosis",
"source": "rules"
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"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "An area of lucency associated with the implant is noted ____. ",
"finding_normal_text": "No evidence of implant motion/failure or infection identified.",
"group": "musculoskeletal",
"history": false,
"id": 2580,
"signal_name": "Implant Motion/Infection",
"source": "rules"
},
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"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "Vertebral subluxation is noted at ____. ",
"finding_normal_text": "No evidence of vertebral subluxation is identified.",
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"history": false,
"id": 2600,
"signal_name": "Vertebral Subluxation",
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{
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"source": "rules",
"state": "inprogress"
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"source": "ai"
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{
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],
"recommendations": [],
"report_conclusions": "Conclusions:\nSoft tissue swelling as described. No pathology observed in the associated bony structures. Differentials include cellulitis, edema, dermatitis, or less likely neoplastic disease.\nNormal appearance of regional physes however, this does not rule out occult Salter-Harris fracture or physeal injury.\n\nGiven the young age radiographic interpretation is challenging and joint stability should be interpreted with palpation \n\nRecommendations:\nRecommend medical management for soft tissue injury and tissue sampling if warranted. \nRecommend analgesics and exercise restriction in addition to repeating radiographs in 7-10 days could be considered for further investigation. A CT may be beneficial as well if the lameness worsens. ",
"report_findings": "Musculoskeletal\nThere is soft tissue swelling involving the right front paw. The rest of the observed musculoskeletal system is within normal limits.",
"signals": [
{
"attention": false,
"confidence": 3,
"history": false,
"id": 575,
"signal_name": "Mass/swelling - limb, upper",
"source": "ai"
},
{
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"history": false,
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"signal_name": "lameness-forelimb",
"source": "ai"
},
{
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"history": false,
"id": 2654,
"signal_name": "small-breed",
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}
],
"tags": {
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"consults_sorting": "auto",
"difficulty": "standard",
"findings_mode": "text",
"unansweredAdditionalSignals": [],
"userTags": []
}
} | {'bday': '2024-07-02', 'name': 'Noah^Ramirez', 'breed': 'Chihuahua', 'owner': 'Ramiro Ramirez', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''} | {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'address': 'United States - San Antonio', 'clinician': 'NightWatch'} | Pt presented for right forelimb limping which started a few hours ago. According to Owner pt has not had any known trauma. Pt is weight baring on leg but noticeable swelling near the wrist. | Fracture vs growth plate injury vs soft tissue injury vs neoplasia vs other | standard | [
"neoplasia-musculoskeletal",
"lameness-frontLimb"
] | [
"Mass/swelling - limb",
"Forelimb lameness",
"Canine Small Breed"
] | [] | [
575,
2346,
2654
] | [] | [] | [] | [] | [] | [] | [] | [] | [] |
38,386 | {
"accept_tos": "true",
"consult_info": {
"case_info": "K9 v. K9 ABD, BD/LD",
"channel_id": null,
"questions": "Checking for full extent of tissue damage",
"specialty_area": ""
},
"hospital": {
"address": "United States - Norman",
"clinician": "VERC",
"email": "[email protected]",
"name": "Veterinary Emergency Referral Center"
},
"patient": {
"bday": "2016-01-14",
"breed": "Chihuahua",
"gender": "M",
"name": "VEAL^CHICHI",
"neutered": "ALTERED",
"owner": "VEAL^",
"species": "Canine",
"species_other": "",
"weight": ""
}
} | {
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"id": 1933,
"is_locked_out": true,
"signal_name": "peritoneal-limited-detail",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 1937,
"is_locked_out": false,
"signal_name": "spleen-visible",
"source": "ray"
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{
"attention": false,
"confidence": -3,
"history": false,
"id": 2141,
"is_locked_out": true,
"signal_name": "lung-thoracic-mass",
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},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2158,
"is_locked_out": true,
"signal_name": "vert-anomaly-class",
"source": "ray"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2159,
"is_locked_out": true,
"signal_name": "fracture-rib-fracture",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2160,
"is_locked_out": true,
"signal_name": "lung-diaphragmatic-hernia",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2166,
"is_locked_out": true,
"signal_name": "heart-left-atrial-enlarge",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2215,
"is_locked_out": true,
"signal_name": "body-score",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2230,
"is_locked_out": false,
"signal_name": "hip-subluxation",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2231,
"is_locked_out": false,
"signal_name": "hip-neck-thicking",
"source": "ray"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2252,
"is_locked_out": false,
"signal_name": "patellar-luxation",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2255,
"is_locked_out": false,
"signal_name": "pulmonary-vessel-congestion",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2259,
"is_locked_out": true,
"signal_name": "redundant-tracheal-membrane",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2265,
"is_locked_out": false,
"signal_name": "urinary-bladder-distension",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2267,
"is_locked_out": false,
"signal_name": "distal-extremity-arthritis",
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},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2268,
"is_locked_out": true,
"signal_name": "subcutaneous-mass",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2271,
"is_locked_out": false,
"signal_name": "joint-luxation",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2272,
"is_locked_out": false,
"signal_name": "muscle-atrophy",
"source": "labelling"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2275,
"is_locked_out": false,
"signal_name": "soft-tissue-swelling",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2301,
"is_locked_out": false,
"signal_name": "osteochondritis-dissecans",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2303,
"is_locked_out": false,
"signal_name": "hypertrophic-osteodystrophy",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2304,
"is_locked_out": false,
"signal_name": "panosteitis",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2313,
"is_locked_out": false,
"signal_name": "craniomandibular-osteopathy",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2319,
"is_locked_out": false,
"signal_name": "bladder-bladder-stone-na",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2374,
"is_locked_out": false,
"signal_name": "tail",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2384,
"is_locked_out": false,
"signal_name": "surgical-device",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2402,
"is_locked_out": false,
"signal_name": "mineralized-disk",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2414,
"is_locked_out": false,
"signal_name": "caudal-vena-cana-sm",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2415,
"is_locked_out": false,
"signal_name": "microcardia",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2417,
"is_locked_out": false,
"signal_name": "enthesopathy",
"source": "labelling"
},
{
"attention": false,
"confidence": 0,
"history": false,
"id": 2446,
"is_locked_out": false,
"signal_name": "carpal-metacarpal-osteophytosis",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2486,
"is_locked_out": false,
"signal_name": "spinal-articular-process-arthritis",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2489,
"is_locked_out": false,
"signal_name": "urinary-bladder-gas",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2498,
"is_locked_out": false,
"signal_name": "Lumbosacral-stenosis",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2499,
"is_locked_out": false,
"signal_name": "Sacroiliac-luxation",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2502,
"is_locked_out": false,
"signal_name": "Ureteral-stone",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2570,
"is_locked_out": false,
"signal_name": "Incomplete study/missing orthogonal view",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2571,
"is_locked_out": false,
"signal_name": "Missing label markers",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2600,
"is_locked_out": false,
"signal_name": "Vertebral Subluxation",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2617,
"is_locked_out": false,
"signal_name": "joint-effusion",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2641,
"is_locked_out": true,
"signal_name": "spondylosis-dish",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2642,
"is_locked_out": true,
"signal_name": "spondylosis-bridging",
"source": "ray"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2666,
"is_locked_out": false,
"signal_name": "Hypertrophic osteopathy (Marie's disease)",
"source": "labelling"
},
{
"attention": false,
"confidence": -3,
"history": false,
"id": 2732,
"is_locked_out": false,
"signal_name": "Spinal fracture",
"source": "labelling"
}
],
"consult": [
{
"attention": false,
"consult_name": "Axial ribs - Traumatic rib fracture",
"custom_sort": null,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 402,
"isAddressingConcern": true,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
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"state": "abnormal"
},
{
"attention": false,
"consult_name": "Resp Parenchymal - resp signs, trauma, CVP/CDP, pulmonary contusions",
"custom_sort": null,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 699,
"isAddressingConcern": true,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
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},
{
"attention": false,
"consult_name": "Resp pleural - trauma, resp signs, PNX, +Rib fractures",
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"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 1216,
"isAddressingConcern": true,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
"state": "abnormal"
},
{
"attention": false,
"consult_name": "Subcut - Puncture wounds over limbs, subcut gas, soft tissue swelling",
"custom_sort": null,
"diagnosis_custom_fields": null,
"diagnosis_custom_text": null,
"elapsedTime": null,
"id": 1284,
"isAddressingConcern": false,
"recommendation_custom_fields": null,
"recommendation_custom_text": null,
"source": "labelling",
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}
],
"diagnosis": [],
"findings": [
{
"attention": false,
"confidence": "3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of pleural gas. ",
"finding_normal_text": "Pleural Gas",
"group": "thorax",
"history": false,
"id": 7,
"signal_name": "lung-pneumothorax",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ opacity noted over the silhouette of the urinary bladder. ",
"finding_normal_text": "The urinary bladder is within normal limits. ",
"group": "abdomen",
"history": false,
"id": 11,
"signal_name": "bladder-bladder-stone",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a ___s1_ fracture of the ___s2_. ",
"finding_normal_text": "No appendicular fractures are noted. ",
"group": "musculoskeletal",
"history": false,
"id": 17,
"signal_name": "fracture-limb-fracture",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The liver ___s1_.",
"finding_normal_text": "The liver is unremarkable. ",
"group": "abdomen",
"history": false,
"id": 20,
"signal_name": "liver-hepatomegaly",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a bone lesion with evidence of ___s1_ identified in ___s2_. ",
"finding_normal_text": "No aggressive osseous lesions identified. ",
"group": "musculoskeletal",
"history": false,
"id": 723,
"signal_name": "bone-lesion-lesion",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___s1_ opacity foreign body is present in the ___s2_ esophagus.",
"finding_normal_text": ".",
"group": "thorax",
"history": false,
"id": 733,
"signal_name": "esophagus-foreign-body",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ narrowing of the trachea ___s2_ . ",
"finding_normal_text": "The trachea is unremarkable with normal diameter. ",
"group": "thorax",
"history": false,
"id": 787,
"signal_name": "tracheal-narrowing",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"left",
"dorsal",
"thoracic spine",
"thoracic limb",
"lateral",
"thorax"
],
"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is gas noted in the soft tissue of the ___s1_. ",
"finding_normal_text": "Subcutaneous gas",
"group": "musculoskeletal",
"history": false,
"id": 879,
"signal_name": "subcutaneous-gas",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There appears to be a generalized enlargement of the heart ___s1_",
"finding_normal_text": "The cardiac silhouette is normal in size and shape. ",
"group": "thorax",
"history": false,
"id": 880,
"signal_name": "general-cardiomegaly",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The heart measures above the normal range ___s1_",
"finding_normal_text": "The cardiac silhouette is normal in size and shape. ",
"group": "thorax",
"history": false,
"id": 947,
"signal_name": "heart-vhs",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "In the ___s1_ abdomen, there is displacement of ___s2_.",
"finding_normal_text": "There is no evidence of a mass or mass effect within the abdomen. ",
"group": "abdomen",
"history": false,
"id": 1932,
"signal_name": "peritoneal-mass-effect",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_",
"finding_normal_text": "The serosal detail of the abdomen is normal. ",
"group": "abdomen",
"history": false,
"id": 1933,
"signal_name": "peritoneal-limited-detail",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There ___s1_ noted in the ___s2_ thorax ___s3_ ",
"finding_normal_text": "No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ",
"group": "thorax",
"history": false,
"id": 2141,
"signal_name": "lung-thoracic-mass",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"an acute"
],
"___s2_": [
"1st",
"2nd",
"3rd"
],
"___s3_": [
"on the left"
],
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ fracture of the ___s2_ rib ___s3_. ",
"finding_normal_text": "No evidence of rib fracture is observed.",
"group": "musculoskeletal",
"history": false,
"id": 2159,
"signal_name": "fracture-rib-fracture",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.",
"finding_normal_text": "The diaphragm is unremarkable. ",
"group": "thorax",
"history": false,
"id": 2160,
"signal_name": "lung-diaphragmatic-hernia",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of left atrial enlargement.",
"finding_normal_text": "No left atrial enlargement is present.",
"group": "thorax",
"history": false,
"id": 2166,
"signal_name": "heart-left-atrial-enlarge",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "The pulmonary vessels appear congested. ",
"finding_normal_text": "The pulmonary vessels are normal in appearance. ",
"group": "thorax",
"history": false,
"id": 2255,
"signal_name": "pulmonary-vessel-congestion",
"source": "rules"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"the left",
"proximal",
"shoulder"
],
"___s2_": null,
"___s3_": null,
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is soft tissue swelling involving ___s1_. ",
"finding_normal_text": "There is no soft tissue swelling. ",
"group": "musculoskeletal",
"history": false,
"id": 2275,
"signal_name": "soft-tissue-swelling",
"source": "labelling"
},
{
"attention": false,
"confidence": "3",
"custom_fields": {
"___s1_": [
"mild"
],
"___s2_": [
"left"
],
"___s3_": [
"patchy interstitial to alveolar pattern"
],
"___s4_": null
},
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . ",
"finding_normal_text": "Lung fields are clear. ",
"group": "thorax",
"history": false,
"id": 2279,
"signal_name": "cranioventral-lung-opacity",
"source": "labelling"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . ",
"finding_normal_text": "The stomach appears empty. ",
"group": "abdomen",
"history": false,
"id": 2285,
"signal_name": "stomach-distension-find",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "rmn, rmg, skd",
"finding_normal_text": "The visualized kidneys are within normal limits. ",
"group": "abdomen",
"history": false,
"id": 2295,
"signal_name": "kidney-margins",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "urolithiasis",
"finding_normal_text": "No evidence of urolithiasis. ",
"group": "abdomen",
"history": false,
"id": 2296,
"signal_name": "urolithiasis",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "cid, tid, spn, van",
"finding_normal_text": "The spine is radiographically normal. ",
"group": "musculoskeletal",
"history": false,
"id": 2297,
"signal_name": "spine",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is intervertebral disc space narrowing at ___s1_. ",
"finding_normal_text": "No significant intervertebral disc space narrowing is identified. ",
"group": "musculoskeletal",
"history": false,
"id": 2298,
"signal_name": "intervertebral-disc-space",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of degenerative joint disease. ",
"finding_normal_text": "There is no evidence of degenerative joint disease. ",
"group": "musculoskeletal",
"history": false,
"id": 2299,
"signal_name": "degenerative-joint-disease",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "A ___s1_ is noted at the caudal vertebrae of the tail. ",
"finding_normal_text": "The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.",
"group": "musculoskeletal",
"history": false,
"id": 2374,
"signal_name": "tail",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "Vertebral subluxation is noted at ____. ",
"finding_normal_text": "No evidence of vertebral subluxation is identified.",
"group": "musculoskeletal",
"history": false,
"id": 2600,
"signal_name": "Vertebral Subluxation",
"source": "rules"
}
],
"groups": [
{
"id": 1005,
"source": "rules",
"state": "empty"
},
{
"id": 1016,
"source": "rules",
"state": "empty"
},
{
"id": 1019,
"source": "rules",
"state": "abnormal"
},
{
"id": 1021,
"source": "rules",
"state": "abnormal"
},
{
"id": 1029,
"source": "rules",
"state": "partial"
},
{
"id": 1030,
"source": "rules",
"state": "inprogress"
},
{
"id": 1031,
"source": "rules",
"state": "inprogress"
},
{
"id": 1034,
"source": "rules",
"state": "abnormal"
},
{
"id": 1035,
"source": "rules",
"state": "empty"
},
{
"id": 1040,
"source": "rules",
"state": "empty"
},
{
"id": 1053,
"source": "rules",
"state": "partial"
},
{
"id": 1054,
"source": "rules",
"state": "partial"
},
{
"id": 1095,
"source": "rules",
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},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is soft tissue swelling involving ___s1_. ",
"finding_normal_text": "There is no soft tissue swelling. ",
"group": "musculoskeletal",
"history": false,
"id": 2275,
"signal_name": "soft-tissue-swelling",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "cvp-cdp-bpp-tms",
"finding_normal_text": "Lung fields are clear. ",
"group": "thorax",
"history": false,
"id": 2278,
"signal_name": "lung-fields",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is evidence of pleural fluid and gas. ",
"finding_normal_text": "The pleural space is normal. ",
"group": "thorax",
"history": false,
"id": 2284,
"signal_name": "pleural-space",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "There is degenerative joint disease affecting the ___s1_ carpus. ",
"finding_normal_text": "The carpal joints are unremarkable, no evidence of degenerative changes.",
"group": "musculoskeletal",
"history": false,
"id": 2446,
"signal_name": "carpal-metacarpal-osteophytosis",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "An area of lucency associated with the implant is noted ____. ",
"finding_normal_text": "No evidence of implant motion/failure or infection identified.",
"group": "musculoskeletal",
"history": false,
"id": 2580,
"signal_name": "Implant Motion/Infection",
"source": "rules"
},
{
"attention": false,
"confidence": "-3",
"custom_fields": null,
"custom_text": null,
"elapsedTime": null,
"finding_abnormal_text": "Vertebral subluxation is noted at ____. ",
"finding_normal_text": "No evidence of vertebral subluxation is identified.",
"group": "musculoskeletal",
"history": false,
"id": 2600,
"signal_name": "Vertebral Subluxation",
"source": "rules"
}
],
"groups": [
{
"id": 1005,
"source": "rules",
"state": "empty"
},
{
"id": 1030,
"source": "rules",
"state": "inprogress"
},
{
"id": 1032,
"source": "rules",
"state": "empty"
},
{
"id": 1038,
"source": "rules",
"state": "abnormal"
},
{
"id": 1054,
"source": "rules",
"state": "inprogress"
},
{
"id": 1095,
"source": "rules",
"state": "inprogress"
}
],
"internal_notes": null,
"questions": [
{
"attention": false,
"id": 2676,
"signal_name": "lameness-general",
"source": "labelling"
}
],
"recommendations": [],
"report_conclusions": "Conclusions:\nArthritis of the elbows may be contributing to the reported lameness.\n\nRecommendations:\nCorrelate with an orthopedic examination, consider analgesic and exercise restriction, and monitor response to therapy for the reported lameness.",
"report_findings": "Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nMusculoskeletal\nDegenerative changes were observed in both the left and right elbows. The rest of the observed musculoskeletal system is within normal limits.",
"signals": [
{
"attention": false,
"confidence": 3,
"history": true,
"id": 2185,
"signal_name": "Lameness",
"source": "labelling"
},
{
"attention": false,
"confidence": 3,
"history": false,
"id": 2654,
"signal_name": "small-breed",
"source": "labelling"
}
],
"tags": {
"consults_mode": "text",
"consults_sorting": "auto",
"difficulty": "standard",
"findings_mode": "text",
"unansweredAdditionalSignals": [],
"userTags": [
"standard_level"
]
}
} | {'bday': '2015-07-07', 'name': 'Wohler^Waffles^^^', 'breed': 'French Bulldog', 'owner': 'Gregory Wohler', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''} | {'name': 'Gables Animal Clinic', 'email': '[email protected]', 'address': 'United States - Coral Gables', 'clinician': 'Gables Animal Clinic'} | Limping for 2 months. Non weight bearing | Limping | standard | [
"lameness-general"
] | [
"Lameness",
"Canine Small Breed"
] | [] | [
2185,
2654
] | [] | [] | [] | [] | [] | [] | [] | [] | [] |
36,152 | {
"accept_tos": null,
"consult_info": {
"case_info": "test please ignore",
"channel_id": "specialist_stat",
"questions": "test please ignore",
"specialty_area": "Internal medicine"
},
"hospital": {
"address": null,
"clinician": "Orr Rubin",
"email": "[email protected]",
"name": "Example Hospital"
},
"patient": {
"bday": "2024-01-01",
"breed": "African Wild Dog",
"gender": "F",
"name": "test",
"neutered": "ALTERED",
"owner": "test",
"species": "Canine",
"species_other": null,
"weight": "12"
}
} | {
"additionalSignals": null,
"consult": null,
"diagnosis": null,
"findings": null,
"groups": null,
"internal_notes": null,
"questions": null,
"recommendations": null,
"report_conclusions": null,
"report_findings": null,
"signals": null,
"tags": null
} | {'bday': '2024-01-01', 'name': 'test', 'breed': 'African Wild Dog', 'owner': 'test', 'gender': 'F', 'weight': '12', 'species': 'Canine', 'neutered': 'ALTERED'} | {'name': 'Example Hospital', 'email': '[email protected]', 'clinician': 'Orr Rubin'} | test please ignore | test please ignore | unknown | [] | [] | [] | [] | [] | [] | [] | [] | [] | [] | [] | [] | [] |
36,893 | {"accept_tos":"true","consult_info":{"case_info":"S-P had a seizure at 10pm...this is her 1st seizur(...TRUNCATED) | {"additionalSignals":[{"attention":false,"confidence":-3,"history":false,"id":6,"is_locked_out":true(...TRUNCATED) | "{'bday': '2012-09-10', 'name': 'dorsey^missy', 'breed': 'RAT TERRIER', 'owner': 'dorsey^dansai', 'g(...TRUNCATED) | "{'name': 'Westside Animal Emergency Clinic', 'email': '[email protected]', 'addres(...TRUNCATED) | "S-P had a seizure at 10pm...this is her 1st seizure..Hx of diabetes\r\nO-P is QAR\r\nEENT-mild tart(...TRUNCATED) | seizure watch overnight | standard | [
"spine-neurological-ivdd-pain"
] | ["Mass/swelling - skin (cutaneous)/subcutaneous","Seizure(s)","Elevated liver enzymes","Bright Alert(...TRUNCATED) | [] | [
570,
628,
2404,
2468,
2654
] | [] | [
"Diabetes mellitus (DM)"
] | [] | [
561
] | [] | [] | [] | [] | [] |
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