Datasets:

itaylotan

/

flow_artifacts__2024_09_29__11_55_20__dataset

like 0

{'patient': {'bday': '2018-04-27', 'name': 'Engelhardt^Remy^^^', 'breed': 'Brindle Boxer', 'owner': 'Christine', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Heart & Paw - Marlton', 'email': '[email protected]', 'address': 'United States - Marlton', 'clinician': 'Katie Higgins VMD'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented for a one-day history of right hindlimb lameness. Owner reports she has been sluggish, yelping, and unable to jump on the bed. Physical exam revealed weight-bearing right hind limb lameness, and crepitus of the right stifle. Patient was painful on right stifle extension.', 'questions': 'Suspected right CCL tear with secondary OA with hip OA bilaterally as well. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 363, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hindlimb Hip - hip OA, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Degenerative changes in the hips may be contributing to the reported signs.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1072, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Axial spine- Tail Fracture', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Old tail fracture/fracture of caudal vertebra as described. Likely incidental.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '.', 'recommendation_custom_fields': None}, {'id': 1420, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Stifle - acute lameness, SEF, SOA', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 629, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2473, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Crepitus - joint'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left and right'], '___s3_': ['.']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle ___s3_'}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'An old fracture is noted at the caudal vertebrae of the tail. ', 'elapsedTime': 4.602, 'signal_name': 'tail', 'custom_fields': {'___s1_': ['fracture']}, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nMild degenerative changes are present in both the left and right coxofemoral joints. There is also a moderate increase in soft tissue opacity observed in both the left and right stifle joints, accompanied by degenerative changes. An old fracture is noted in the caudal vertebrae of the tail. No other abnormalities are detected in the rest of the musculoskeletal system observed.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': "Primary Conclusions:\nThe radiographic findings demonstrate increased soft tissue opacity in the stifle corresponding with the patient's history of acute lameness, suggesting acute intra-articular injury and stifle instability. These findings are highly indicative of a cranial cruciate ligament injury or rupture. Additionally, the presence of osteoarthritis in the stifles suggests a more chronic component of instability or injury. Concurrent degenerative changes observed in the hips may also be contributing to the clinical symptoms reported.\n\nPrimary Recommendations:\nRecommend correlation with orthopedic examination to evaluate for cranial drawer sign, and consider an orthopedic consultation to discuss both surgical and nonsurgical interventions for the stifle instability and associated intra-articular pathology. Long-term management strategies for osteoarthritis should also be considered. Additionally, initiate analgesic therapy and monitor the patient's response to the treatment regimen.\n\nAdditional Conclusions:\nChronic fracture of the caudal vertebrae noted, likely an incidental finding."}

{'bday': '2018-04-27', 'name': 'Engelhardt^Remy^^^', 'breed': 'Brindle Boxer', 'owner': 'Christine', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Heart & Paw - Marlton', 'email': '[email protected]', 'address': 'United States - Marlton', 'clinician': 'Katie Higgins VMD'}

Patient presented for a one-day history of right hindlimb lameness. Owner reports she has been sluggish, yelping, and unable to jump on the bed. Physical exam revealed weight-bearing right hind limb lameness, and crepitus of the right stifle. Patient was painful on right stifle extension.

Suspected right CCL tear with secondary OA with hip OA bilaterally as well.

standard

['lameness-hindLimb']

['Lethargic/tired', 'Pain - musculoskeletal', 'Lameness', 'Hindlimb lameness', 'Crepitus', 'Canine Medium/Large Breed']

[]

[131, 629, 2185, 2345, 2473, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-07-04', 'name': 'Steadman^Scout', 'breed': 'Poodle - Standard', 'owner': 'Steadman^Marjorie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'address': 'United States - Northbrook', 'clinician': 'EVS Pet Urgent Care '}, 'accept_tos': 'true', 'consult_info': {'case_info': "Scout presented today for vomiting for around 3 days. Possible ate part of a bone. Doesn't think there is anything else she could have gotten into. No history of diarrhea. On exam, Scout is BAR. On abdominal palpation is extremely uncomfortable .I discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. I recommend baseline blood work and abdominal radiographs to help determine a cause. Owner approved.\r\n\r\n", 'questions': 'See above', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'excluded', 'source': 'rules'}, {'id': 1023, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'excluded', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 476, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'Colon - Constipation', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 899, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Splenomegaly - Mild', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'elapsedTime': 10.265, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Given the normal appearance of the GI tract and clinical history of vomiting, clinical signs may be consistent with a gastroenteritis. No obstructive pattern or foreign body is visible although a GI obstruction cannot be completely excluded on radiographs. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion should be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 622, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2184, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver ___s1_.'}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen ___s1_ ___s2_'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_'}, {'id': 1937, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spleen-visible', 'custom_fields': {'___s1_': ['prominent']}, 'finding_normal_text': 'Spleen Visible', 'finding_abnormal_text': 'The spleen is visualized in the cranioventral abdomen and has a ___s1_ appearance.'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib ___s3_. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2671, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-abdomen'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe spleen is located in the cranioventral part of the abdomen and appears prominent. There is a moderate amount of fecal material accumulated in the colon. No other abnormalities are observed in the abdomen.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2487, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-distension', 'is_locked_out': False}, {'id': 2507, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gall-bladder-visualized', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': "Primary Conclusions:\nThe gastrointestinal tract demonstrates a normal radiographic appearance in the context of the patient's reported vomiting. The clinical presentation may suggest gastroenteritis. There is no radiographic evidence of an obstructive pattern or foreign body; however, the possibility of a gastrointestinal obstruction cannot be definitively excluded based solely on radiographs. Differential diagnoses should include gastroenteritis potentially related to infectious agents, systemic diseases, or dietary indiscretion.\n\nPrimary Recommendations:\nMedical management is recommended for the addressed clinical manifestations. Should there be no improvement following medical intervention, it is advisable to conduct follow-up radiographic examinations and/or an abdominal ultrasound to further evaluate the gastrointestinal patterns. Additionally, laboratory testing for pancreatitis and hypoadrenocorticism should be considered.\n\nAdditional Conclusions:\nThere is mild splenomegaly, which could be attributed to congestion and/or sedation. Differential considerations for the splenomegaly include benign processes such as extramedullary hematopoiesis (EMH) and lymphoid hyperplasia, as well as infiltrative diseases like round cell neoplasia, and potential infectious causes, such as tick-borne diseases. These etiologies cannot be excluded based on the current imaging findings.\n\nAdditional Recommendations:\nAn abdominal ultrasound is recommended to further evaluate the mildly enlarged spleen, if clinically indicated."}

{'bday': '2020-07-04', 'name': 'Steadman^Scout', 'breed': 'Poodle - Standard', 'owner': 'Steadman^Marjorie', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'address': 'United States - Northbrook', 'clinician': 'EVS Pet Urgent Care '}

Scout presented today for vomiting for around 3 days. Possible ate part of a bone. Doesn't think there is anything else she could have gotten into. No history of diarrhea. On exam, Scout is BAR. On abdominal palpation is extremely uncomfortable .I discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. I recommend baseline blood work and abdominal radiographs to help determine a cause. Owner approved.

See above

standard

['Vomiting-FB/obstruction', 'neoplasia-abdomen']

['Dietary indiscretion', 'Vomiting', 'Pain - abdominal', 'Suspected foreign body ingestion', 'Canine Medium/Large Breed']

[]

[92, 256, 622, 2184, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-09-19', 'name': 'Gallardo Aleman^Kora^^^', 'breed': 'Pomeranian', 'owner': 'Gallardo Aleman', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Pet Care Now', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'AEC of South Florida'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet has a history of seizures, one when was about 2 months and another one 5 months ago and had one seizure today. On presentation patient is BAR no neurologic deficit Patient is intact and three years old. ', 'questions': 'Seizures, possible liver shunts.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 192, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 144.836, 'consult_name': 'Hepatic - Small', 'isAddressingConcern': True, 'diagnosis_custom_text': 'The liver appears small. This may be secondary to conformation, vascular anomaly (such as liver shunts) or cirrhosis cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider biochemical profile, urinalysis, and bile acids testing to confirm adequate hepatic function of the small liver. Additional imaging may be required to completely rule out liver shunts such as abdominal ultrasound, CT scan, or nuclear scintigraphy.', 'recommendation_custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 359, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - fp patella lux, positioning', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 628, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Seizure(s)'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib ___s3_. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2262, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'small-liver', 'custom_fields': None, 'finding_normal_text': 'Small Liver', 'finding_abnormal_text': 'The liver appears small with the gastric axis displaced cranially. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['kibble/food']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}, {'id': 2710, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Patella luxation false positive', 'custom_fields': None, 'finding_normal_text': 'normal', 'finding_abnormal_text': 'Suspected patella luxation, though the appearance may be secondary to positioning.'}], 'diagnosis': [], 'questions': [{'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears small with the gastric axis displaced cranially. There is mild distension of the stomach with the presence of radiopaque material which has the appearance of normal ingesta. There is a moderate accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nSuspected patella luxation, though the appearance may be secondary to positioning. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2373, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs-fp', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2710, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Patella luxation false positive', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe liver appears small. This may be secondary to conformation, vascular anomaly (such as liver shunts) or cirrhosis cannot be ruled out.\nGastric material is consistent with food/recent meal.\nPresumed patella displacement from positioning.\n\nRecommendations:\nConsider biochemical profile, urinalysis, and bile acids testing to confirm adequate hepatic function of the small liver. Additional imaging may be required to completely rule out liver shunts such as abdominal ultrasound, CT scan, or nuclear scintigraphy.\nIf there is concern for patellar luxation, consider repeat radiographs with pelvic limbs extended caudally.'}

{'bday': '2021-09-19', 'name': 'Gallardo Aleman^Kora^^^', 'breed': 'Pomeranian', 'owner': 'Gallardo Aleman', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Pet Care Now', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'AEC of South Florida'}

Pet has a history of seizures, one when was about 2 months and another one 5 months ago and had one seizure today. On presentation patient is BAR no neurologic deficit Patient is intact and three years old.

Seizures, possible liver shunts.

standard

['spine-neurological-ivdd-pain']

['Seizure(s)', 'Canine Small Breed']

[]

[628, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-01-10', 'name': 'Frankie^ocegueda^^^', 'breed': 'Poodle', 'owner': 'Luiz', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Affordable Pet Clinic, Katy', 'email': '[email protected]', 'clinician': 'Affordable Pet Clinic Katy'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O noticed pt has been having a hard stomach yesterday. o states that it has happened before to pt ', 'questions': 'pain? constipation?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1027, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': 'Mild fecal retention.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1211, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - No cause for abdominal pain. ', 'diagnosis_custom_text': 'No definitive radiographic evidence for clinical signs described. Consider discomfort as a possible differential. Sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, IBD and constipation. Referred spinal pain is also a consideration.\n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal u/s, full cbc with CPLI , pre and post prandial bile acids and full urinalysis. Consider a neurologic exam. In addition, a more detailed clinical history may be useful.', 'recommendation_custom_fields': None}], 'signals': [{'id': 508, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'Abdominal distension'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is an accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is evidence of mineralized disc material noted at L6-L7. The rest of the observed musculoskeletal system is within normal limits. \nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMild fecal retention was noted. No definitive radiographic evidence for clinical signs was described. The presence of a mineralized disc may indicate IVDD. Consider discomfort as a possible differential, including sources such as pancreatitis, liver disease, neoplasia, cystitis, IBD, constipation, and referred spinal pain. \n\nRecommendations:\nCorrelate with clinical history to rule out constipation. \nRecommend abdominal ultrasound, full complete blood count with cPLI, pre and post-prandial bile acids, and full urinalysis. Consider a neurologic exam and, correlate with physical exam findings and consider advanced imaging such as MRI for further investigation of the mineralized disc. Additionally, a more detailed clinical history may be useful.'}

{'bday': '2018-01-10', 'name': 'Frankie^ocegueda^^^', 'breed': 'Poodle', 'owner': 'Luiz', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

O noticed pt has been having a hard stomach yesterday. o states that it has happened before to pt

pain? constipation?

standard

['screening-abdomen']

['Abdominal distension', 'Canine Medium/Large Breed']

[]

[508, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-11-12', 'name': 'Tubby', 'breed': 'English Bulldog', 'owner': 'Smith', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Hanover Veterinary Clinic', 'email': '[email protected]', 'clinician': "Eve O'Neil, DVM"}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presented with a ~10d history of coughing intermittently throughout the day. Cough was most intense 5 days ago and has reduced in intensity since that time. Housemate dog (6 y/o M/N English Bulldog) was recently treated for an aspiration pneumonia and is currently asymptomatic. Both patients were also treated for concurrent pneumonia in January 2023.', 'questions': 'ddx pneumonia vs. neoplasia vs. other?', 'specialty_area': ''}}

{'tags': {'userTags': ['partial_unacceptable', 'expert', 'findings_completed'], 'difficulty': 'expert', 'consults_mode': 'coded', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['Incomplete study/missing orthogonal view', 'liver-mass', 'splenic-mass', 'splenic-nodule', 'peritoneal-mass', 'globoid-heart', 'Peritoneal pericardial diaphragmatic hernia', 'lung-bronchial-interstitial']}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1006, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1019, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1020, 'state': 'inprogress', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1271, 'state': 'empty', 'source': 'rules'}, {'id': 1272, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 9, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 255, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The distension noted in the esophagus may be secondary to aerophagia. Megaesophagus,\xa0esophagitis and esophageal dysmotility\xa0cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 329, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Resp Parenchymal - fp patterns', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 338, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Neoplasia - Cranial mediastinal fat vs mass', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Opacity noted in the cranial thorax suspected to be a fatty deposition. However, due to its appearance and the displaced trachea a mediastinal mass in this region cannot be completely ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 667, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'consult_name': 'Subcut - Subcutaneous mass', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 727, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Resp Trachea - brachycephalic breed, hypoplastic trachea', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': '', 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Cardiomegaly Left - possible pattern, coughing/panting/dyspnea/syncope', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The cardiac silhouette appears enlarged making cardiac disease a realistic differential. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider an echocardiogram and blood pressure measurement.', 'recommendation_custom_fields': None}, {'id': 1252, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 8, 'consult_name': 'Spine - TID/CID, VAN+SPN, breed conformation', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2657, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'thoracolumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 762, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is generalized narrowing of the trachea. ', 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['generalized']}, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 799, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['caudal thoracic']}, 'finding_normal_text': 'Esophageal Distension', 'finding_abnormal_text': 'There is ___s1_ distention of the ___s2_ esophagus.\r\n\r\n'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is radiopaque material within the stomach which has the appearance of digested kibble/food. ', 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 2141, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': 'There is a large, ill defined, soft tissue structure noted in the cranioventral thorax, mediastinal fat cannot be ruled. ', 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['large', 'ill defined', 'soft tissue'], '___s2_': ['cranioventral']}, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['multiple thoracic vertebrae']}, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2268, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a mass of soft tissue opacity associated with the subcutaneous tissue of the elbow. ', 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['subcutaneous tissue']}, 'finding_normal_text': 'No evidence of dermal or subcutaneous masses observed. ', 'finding_abnormal_text': 'There is a mass of ___s1_ opacity associated with the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the thoracic spine']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2314, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-displacement', 'custom_fields': {'___s1_': ['right lateral'], '___s2_': ['intra-thoracic']}, 'finding_normal_text': 'Tracheal displacement', 'finding_abnormal_text': 'There is ___s1_ displacement of the ___s2_ trachea. '}, {'id': 2365, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'parenchymal-pattern-fp', 'custom_fields': None, 'finding_normal_text': 'Parenchymal Pattern false positive', 'finding_abnormal_text': 'The increased opacity noted within the lung fields is suspected to be artifactual or due to superimposition of normal structures. '}, {'id': 2367, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'Symmetrical widening of the mediastinum is may be consistent with fatty deposition. ', 'signal_name': 'mediastinal-fat', 'custom_fields': None, 'finding_normal_text': 'Mediastinal fat', 'finding_abnormal_text': 'Symmetrical widening of the mediastinum is most consistent with fatty deposition. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 2056, 'state': 'normal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Pneumonia'}], 'questions': [{'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}], 'internal_notes': 'No pneumonia- lung changes either age or breed related, no BPP, hypoplastic trachea= breed', 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart ___s1_. The increased opacity noted within the lung fields is suspected to be artifactual or due to superimposition of normal structures. Symmetrical widening of the mediastinum is may be consistent with fatty deposition. There is generalized narrowing of the trachea. There is right lateral displacement of the intra-thoracic trachea. There is focal distention of the caudal thoracic esophagus. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested kibble/food. There are no other abnormalities noted in the rest of the observed abdomen.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic and thoracolumbar spine. Vertebral anomaly is noted at multiple thoracic vertebrae. There is intervertebral disc space narrowing at multiple areas in the thoracic spine. There are degenerative changes noted in the left and right elbow. There is a mass of soft tissue opacity associated with the subcutaneous tissue of the elbow. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2314, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'tracheal-displacement', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOpacity noted in the cranial thorax suspected to be a fatty deposition. However, due to its appearance and the displaced trachea a mediastinal mass in this region cannot be completely ruled out.\nThe cardiac silhouette appears enlarged making cardiac disease a realistic differential. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.\nThe trachea measures under normal range which is consistent with a hypoplastic trachea. However, given the breed of the patient, this may be considered normal.\nThe distension noted in the esophagus may be secondary to aerophagia. Megaesophagus,\xa0esophagitis and esophageal dysmotility\xa0cannot be ruled out.\nThe increased opacity noted within the lung fields is suspected to be artifactual or due to superimposition of normal structures.\nDegenerative changes in the elbow.\nSubcutaneous mass as described.\nEvidence of disc space narrowing associated with vertebral anomalies and spondylosis is likely an incidental finding due to breed conformation.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nConsider an ultrasound and/or CT of the cranial thorax to confirm the diagnosis of the opacity suspected to be a fatty deposition and to rule out a mediastinal mass.\nConsider an echocardiogram and blood pressure measurement.\nCorrelate with clinical signs to determine clinical significance of the narrowing trachea.\nCorrelate with clinical signs and exam to further investigate the distension noted in the esophagus.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.\nCorrelate with physical exam and consider tissue sampling of the described subcutaneous/cutaneous mass to determine etiology.\nCorrelate with physical examination for clinical significance of spine abnormalities.'}

{'bday': '2011-11-12', 'name': 'Tubby', 'breed': 'English Bulldog', 'owner': 'Smith', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Hanover Veterinary Clinic', 'email': '[email protected]', 'clinician': "Eve O'Neil, DVM"}

Patient presented with a ~10d history of coughing intermittently throughout the day. Cough was most intense 5 days ago and has reduced in intensity since that time. Housemate dog (6 y/o M/N English Bulldog) was recently treated for an aspiration pneumonia and is currently asymptomatic. Both patients were also treated for concurrent pneumonia in January 2023.

ddx pneumonia vs. neoplasia vs. other?

expert

['Resp signs - general', 'screening-thorax']

['Coughing', 'Canine Medium/Large Breed', 'Brachycephalic']

[]

[69, 2656, 2657]

[]

[]

['Pneumonia']

[]

[2056]

[]

[]

[]

[]

{'patient': {'bday': '2021-09-14', 'name': 'Sanchez^Louie', 'breed': 'Siberian Husky', 'owner': 'Sanchez^Louie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for acute symptoms of dyspnea.\r\nWas doing well previously. \r\nOutdoor dog with some superficial abrasions of the front and back limbs. \r\n', 'questions': 'Traumatic Pneumothorax vs Open dx', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 333, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Parenchymal - pleural effusion, CVP/CDP, lung lobe collapse', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The clinical signs are attributed to the large volume of pleural gas with no clear pulmonary lesion detected, nor is there vascular distention or cardiomegaly. There is collapse of the described lung which may be atelectasis or a pulmonary lesion is possible.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 343, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Pleural - trauma, resp signs, PNX, no rib fracture', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 489, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 21.372, 'consult_name': 'Subcut - Swelling, trauma', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Superficial abrasions as reported in history', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 7, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pneumothorax', 'custom_fields': None, 'finding_normal_text': 'Pleural Gas', 'finding_abnormal_text': 'There is evidence of pleural gas. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2280, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-fields-opacity', 'custom_fields': {'___s1_': ['entire'], '___s2_': ['lung lobe collapse']}, 'finding_normal_text': 'Lung Fields Opacity', 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ . '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 2332, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Wound - abrasion'}], 'questions': [{'id': 2675, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-general'}], 'recommendations': [{'id': 2174, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'Spontaneous pneumothorax-c'}], 'report_findings': 'Thorax\nThere is increased opacity throughout the entire lung field, characterized as a lung lobe collapse . There is evidence of pleural gas. The rest of the observed thorax is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nTraumatic pneumothorax.\nThe clinical signs are attributed to the large volume of pleural gas with no clear pulmonary lesion detected, nor is there vascular distention or cardiomegaly. There is collapse of the described lung which may be atelectasis or a pulmonary lesion is possible.\nSuperficial abrasions as reported in history.\n\nRecommendations:\nsupplemental oxygen therapy and thoracocentesis for the management of traumatic pneumothorax.\n\nConsider thoracentesis and fluid analysis followed by recheck radiographs for further investigation \nMedical management is required for soft tissue injury.\ntraumatic injury likely based on history. tracking FB etc less likely, infectious disease leading to pneumothorax unlikely given the clinical history, ruptured congenital bulla not excluded (inflated views post drainage may be of use.'}

{'bday': '2021-09-14', 'name': 'Sanchez^Louie', 'breed': 'Siberian Husky', 'owner': 'Sanchez^Louie', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for acute symptoms of dyspnea. Was doing well previously. Outdoor dog with some superficial abrasions of the front and back limbs.

Traumatic Pneumothorax vs Open dx

standard

['trauma-general']

['Dyspnoea', 'Canine Medium/Large Breed']

[]

[50, 2656]

[]

['Wound - abrasion']

[]

[2332]

[]

['Spontaneous pneumothorax C ']

[]

[2174]

[]

{'patient': {'bday': '2023-03-20', 'name': 'Williams^Blue', 'breed': 'Border Collie', 'owner': 'Robin E. Wiliams', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'I-20 Animal Hospital', 'email': '[email protected]', 'address': 'United States - Hudson Oaks', 'clinician': 'I-20 Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Recheck x-rays from this morning.\r\nHistory: Pt came in around 9:30pm acting lethargic and "drunk. O thinks pt could have gotten into a feminine product, or could have chewed and swallowed some memory foam from a pillow pt tore up yesterday.\r\n', 'questions': 'R/O foreign body', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 218, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1378, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - Moderate GAD with gas, GI signs', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 2184, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2702, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Thorax'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver ___s1_.'}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen ___s1_ ___s2_'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib ___s3_. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['gas']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2675, 'source': 'ai', 'attention': False, 'signal_name': 'trauma-general'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe stomach shows moderate distension due to gas. No additional abnormalities are noted in the remainder of the observed abdomen.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2732, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Spinal fracture', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe etiology of the patient's clinical manifestations remains elusive based on the radiographic images reviewed.\nModerate gastric distension with gas is noted, which may suggest aerophagia, gastritis, or potential outflow obstruction. There is no radiographic evidence of mechanical intestinal obstruction.\n\nRecommendations:\nFurther evaluation is recommended, including a comprehensive biochemistry profile, complete blood count (CBC), urinalysis, and abdominal ultrasound to investigate the non-specific clinical signs presented. Additionally, obtaining a more detailed clinical history could prove beneficial. \n\nRecommendations:\nRepeat fasting abdominal radiographs in 12-24 hours are recommended to reassess the pattern of gastric distension. Depending on clinical signs and patient history, further evaluation with abdominal ultrasound or endoscopy may be warranted for a comprehensive investigation."}

{'bday': '2023-03-20', 'name': 'Williams^Blue', 'breed': 'Border Collie', 'owner': 'Robin E. Wiliams', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Recheck x-rays from this morning. History: Pt came in around 9:30pm acting lethargic and "drunk. O thinks pt could have gotten into a feminine product, or could have chewed and swallowed some memory foam from a pillow pt tore up yesterday.

R/O foreign body

standard

['trauma-general']

['Lethargic/tired', 'Suspected foreign body ingestion', 'Canine Medium/Large Breed', 'Follow-up/re-examination Thorax']

[]

[131, 2184, 2656, 2702]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-08-30', 'name': 'Thomas^Molly', 'breed': 'Retriever, Labrador', 'owner': 'Thomas^Staci', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'address': 'United States - Nampa', 'clinician': 'Viking Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for acute neurologic event characterized by ataxia, nystagmus and falling over. BP on presentation 244mmHg, recheck 10 minutes later 240mmHg. CBC unremarkable, chem shows low potassium and phosphorus. Fundic exam shows focal retinal hemorrhages. ', 'questions': 'Concerns for possible pheohromocytoma given possible mass near kidneys? ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1053, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hepatomegaly- benign', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 213, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Negative Thorax - No thoracic masses', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No evidence of pulmonary metastatic disease or any other pathology noted.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 742, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Neuro - No cause for non-specific neuro signs', 'isAddressingConcern': False, 'diagnosis_custom_text': 'A cause for the reported neurological signs is not determined in the images provided. No evidence of masses or neoplastic process is appreciated. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Negative - Met check, no abd masses', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No clear evidence of masses noted in the abdomen, although an abdominal mass cannot be completely ruled out from these radiographs.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 591, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Weakness'}, {'id': 601, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Gait abnormality - ataxia'}, {'id': 653, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Nystagmus'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2671, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2672, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2373, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs-fp', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA cause for the reported neurological signs is not determined in the images provided. No evidence of masses or neoplastic process is appreciated.\nThe VHS is calculated above the normal range. However, the cardiac silhouette appears to be normal in size, which does not rule out cardiomyopathy.\nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar, or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nNo clear evidence of masses noted in the abdomen, although an abdominal mass cannot be completely ruled out from these radiographs.\nNo evidence of pulmonary metastatic disease or any other pathology noted.\n\nRecommendations:\nAdvanced imaging, such as MRI, may be useful for further investigation of the reported neuro signs. Correlate with neurological exam and blood work.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease.\nConsider abdominal ultrasound to investigate further the enlarged liver +/- FNA sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2015-08-30', 'name': 'Thomas^Molly', 'breed': 'Retriever, Labrador', 'owner': 'Thomas^Staci', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for acute neurologic event characterized by ataxia, nystagmus and falling over. BP on presentation 244mmHg, recheck 10 minutes later 240mmHg. CBC unremarkable, chem shows low potassium and phosphorus. Fundic exam shows focal retinal hemorrhages.

Concerns for possible pheohromocytoma given possible mass near kidneys?

standard

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

['Weakness', 'Ataxia', 'Nystagmus']

[]

[591, 601, 653]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-01', 'name': 'test', 'breed': 'American Shorthair', 'owner': 'test', 'gender': 'F', 'weight': '12', 'species': 'Feline', 'neutered': 'ALTERED'}, 'hospital': {'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'clinician': 'Orr Rubin'}, 'consult_info': {'case_info': 'test please ignore', 'questions': 'test please ignore', 'channel_id': 'specialist_stat', 'specialty_area': 'Internal medicine'}}

{}

{'bday': '2024-01-01', 'name': 'test', 'breed': 'American Shorthair', 'owner': 'test', 'gender': 'F', 'weight': '12', 'species': 'Feline', 'neutered': 'ALTERED'}

{'name': 'My Pet Hospital on Pinecrest', 'email': '[email protected]', 'clinician': 'Orr Rubin'}

test please ignore

test please ignore

unknown

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-09-11', 'name': 'Hatchett^Coco', 'breed': 'Yorkshire Terrier', 'owner': 'Hatchett^Brandy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'pt was attacked, had abdominal hernia repair, laceration repair shoulder region, and hosp for the 24hrs in oxygen. RR has improved ', 'questions': 'this is a follow up study, pt does have bandage around body as well as fentanyl patch ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'inprogress', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'ready', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'ready', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1291, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 4, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 221, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 3, 'consult_name': 'Peritoneal - LAD+Gas, post op', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Free fluid and gas noted in the abdomen is consistent with the history of recent surgery (hernia repair).\xa0The subcutaneous gas noted is consistent with external puncture wounds from the attack.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 402, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'Axial ribs - Traumatic rib fracture', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Continue with medical management and supportive external bandage. If indicated, consider surgical options when stable for the repair of traumatic rib fractures.', 'recommendation_custom_fields': None}, {'id': 1216, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'elapsedTime': 9.021, 'consult_name': 'Resp pleural - trauma, resp signs, PNX, +Rib fractures', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Mild traumatic pneumothorax with rib fractures as indicated, seems to be improving when compared to previous study.\xa0The increased opacity noted in the lung is consistent with pulmonary contusion secondary to the reported trauma.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Continuation of supplemental oxygen therapy. If a flail chest is present then stabilization is required.\xa0\xa0Respiratory monitoring and supportive care including\xa0 judicious use of IV fluids, and analgesics are indicated.', 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 259, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2582, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'Abdominal Wall Trauma'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2702, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Thorax'}, {'id': 2703, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Abdomen'}, {'id': 2704, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Follow-up/re-examination M/S'}], 'findings': [{'id': 7, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pneumothorax', 'custom_fields': None, 'finding_normal_text': 'Pleural Gas', 'finding_abnormal_text': 'There is evidence of pleural gas. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 871, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-gas', 'custom_fields': None, 'finding_normal_text': 'Peritoneal gas', 'finding_abnormal_text': 'There is evidence of free gas in the peritoneum. '}, {'id': 879, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': 'There is gas noted in the soft tissue of the dorsal thorax and ventral abdomen. ', 'elapsedTime': 15.685, 'signal_name': 'subcutaneous-gas', 'custom_fields': {'___s1_': ['dorsal', 'thorax']}, 'finding_normal_text': 'Subcutaneous gas', 'finding_abnormal_text': 'There is gas noted in the soft tissue of the ___s1_. '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': {'___s1_': ['an acute'], '___s2_': ['right', ',3rd', ',4th', ',5th']}, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['left'], '___s3_': ['unstructured interstitial pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': True, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 2334, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Wound - laceration'}], 'questions': [{'id': 2674, 'source': 'labelling', 'attention': True, 'signal_name': 'trauma-fractures'}, {'id': 2675, 'source': 'labelling', 'attention': True, 'signal_name': 'trauma-general'}, {'id': 2681, 'source': 'labelling', 'attention': True, 'signal_name': 'follow-up-thorax'}, {'id': 2682, 'source': 'labelling', 'attention': True, 'signal_name': 'follow-up-abdomen'}], 'recommendations': [{'id': 995, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'recommendation_name': 'oxygen-therapy'}], 'report_findings': 'Thorax\nThere is a mild increased opacity in the left cranioventral lung field, characterized as a unstructured interstitial pattern. There is evidence of pleural gas. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material. There is evidence of free gas in the peritoneum. There is moderate loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is an acute fracture of the right 3rd ,4th and 5th rib. There is gas noted in the soft tissue of the dorsal thorax and ventral abdomen. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2270, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2586, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs', 'is_locked_out': False}, {'id': 2594, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMild traumatic pneumothorax with rib fractures as indicated, seems to be improving when compared to previous study.\xa0The increased opacity noted in the lung is consistent with pulmonary contusion secondary to the reported trauma.\nTraumatic rib fractures as described.\nFree fluid and gas noted in the abdomen is consistent with the history of recent surgery (hernia repair).\xa0The subcutaneous gas noted is consistent with external puncture wounds from the attack.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nContinuation of supplemental oxygen therapy. If a flail chest is present then stabilization is required.\xa0\xa0Respiratory monitoring and supportive care including\xa0 judicious use of IV fluids, and analgesics are indicated.\nContinue with medical management and supportive external bandage. If indicated, consider surgical options when stable for the repair of traumatic rib fractures.'}

{'bday': '2014-09-11', 'name': 'Hatchett^Coco', 'breed': 'Yorkshire Terrier', 'owner': 'Hatchett^Brandy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

pt was attacked, had abdominal hernia repair, laceration repair shoulder region, and hosp for the 24hrs in oxygen. RR has improved

this is a follow up study, pt does have bandage around body as well as fentanyl patch

standard

['trauma-fractures', 'trauma-general', 'follow-up-thorax', 'follow-up-abdomen']

['Bitten/attacked by other animal', 'Traumatic injury', 'Abdominal Wall Trauma', 'Canine Small Breed', 'Follow-up/re-examination Thorax', 'Follow-up/re-examination Abdomen', 'Follow-up/re-examination M/S']

[]

[37, 259, 2582, 2654, 2702, 2703, 2704]

[]

['Wound - laceration']

[]

[2334]

[]

['Oxygen therapy']

[]

[995]

[]

{'patient': {'bday': '2014-09-07', 'name': 'Brown^Brandy', 'breed': 'MIXED', 'owner': 'Brown', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'St Mary and St Takla Animal Clinic', 'email': '[email protected]', 'address': 'United States - South River', 'clinician': 'St Mary and St Takla animal clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Mammary tumor check for metastasis', 'questions': 'mammary tumor check for metastasis', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1053, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Hepatomegaly- benign', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Cardiomegaly Left - asymptomatic, no LAE', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 312, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - Multiple masses', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Spine - TID/CID with spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1057, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Negative - Met check, no abd masses', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1225, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Subcut - mammary infection vs. skin vs. neoplasia', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2386, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'met-check'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The heart measures above the normal range ', 'elapsedTime': 5.51, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There are multiple, small, soft tissue, opacity noted in the right thorax superimposed with heart on left lateral view.', 'elapsedTime': 35.422, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['are multiple', 'small', 'soft tissue', 'opacity'], '___s2_': ['right']}, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2268, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'subcutaneous-mass', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['mammary tissue', 'on the ventral', 'abdomen']}, 'finding_normal_text': 'No evidence of dermal or subcutaneous masses observed. ', 'finding_abnormal_text': 'There is a mass of ___s1_ opacity associated with the ___s2_. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L5-L6']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}], 'diagnosis': [{'id': 1971, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - mammary'}], 'questions': [{'id': 2671, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2672, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range. Small soft tissue opacities are noted in the lung field, better noted on the left lateral view, superimposed with the heart . The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nSpondylosis deformans in the lumbar spine and intervertebral disc space narrowing at L5-L6. There is a mass of soft tissue opacity associated with the mammary tissue on the ventral abdomen. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2373, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs-fp', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of increased soft tissue opacity in the mammary tissue and reported clinical signs may suggest mammary neoplasia, mastitis or skin disorder.\nMultiple pulmonary masses. Differentials may include primary neoplasia, metastatic neoplasia, infectious causes, or granulomas.\nThe cardiac silhouette appears enlarged, with no evidence of left atrial enlargement and no evidence of decompensation.\nNo apparent masses were noted in the abdomen.\nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar, or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nDisc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nConsider FNA sampling +/- biopsy of the mammary tissue to rule out neoplasia.\nConsider CT scan and additional diagnostics for a more definitive diagnosis for the described pulmonary masses.\nAn echocardiogram with blood pressure measurement and radiographic monitoring every 9 to 12 months could be considered for further evaluation. Consultation with a cardiologist could be considered for medical recommendations.\nConsider abdominal ultrasound for oncological staging and to further investigate the enlarged liver. +/- FNA sampling or, more likely, a biopsy may be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider advanced imaging such as MRI if clinical signs associated with disc degeneration develop.'}

{'bday': '2014-09-07', 'name': 'Brown^Brandy', 'breed': 'MIXED', 'owner': 'Brown', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'St Mary and St Takla Animal Clinic', 'email': '[email protected]', 'address': 'United States - South River', 'clinician': 'St Mary and St Takla animal clinic'}

Mammary tumor check for metastasis

mammary tumor check for metastasis

standard

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

['Metastasis check', 'Canine Medium/Large Breed']

[]

[2386, 2656]

[]

['Mass lesion - mammary']

[]

[1971]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-11-04', 'name': 'Raizer^Jack', 'breed': 'Boxer', 'owner': 'Raixer', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'address': 'United States - Northbrook', 'clinician': 'EVS Pet Urgent Care '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P fell from the bed last night r leg painful and limping\r\nPE: non WB hind right. Bilateral swelling, crepitous and medial buttress of the stifles. ', 'questions': 'see above', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'elapsedTime': 7.214, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'diagnosis_custom_text': 'Osteoarthritis of the stifles along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 575, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - limb, upper'}, {'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2473, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Crepitus - joint'}, {'id': 2530, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2545, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness-non-weight-bearing'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left and right']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nA moderately increased soft tissue opacity in the stifle joint was noted in the left and right stifles. Degenerative changes are noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2667, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-spine', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the stifles along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\n\nRecommendations:\nCorrelate with orthopedic examination to assess for cranial drawer in the stifle.'}

{'bday': '2014-11-04', 'name': 'Raizer^Jack', 'breed': 'Boxer', 'owner': 'Raixer', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'address': 'United States - Northbrook', 'clinician': 'EVS Pet Urgent Care '}

P fell from the bed last night r leg painful and limping PE: non WB hind right. Bilateral swelling, crepitous and medial buttress of the stifles.

see above

standard

['lameness-hindLimb']

['Mass/swelling - limb', 'Lameness', 'Hindlimb lameness', 'Crepitus', 'Fell/dropped', 'Non-weight bearing lameness', 'Canine Medium/Large Breed']

[]

[575, 2185, 2345, 2473, 2530, 2545, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-09-15', 'name': 'Cummings^Paddy', 'breed': 'Pit Bull', 'owner': 'Cummings^Sara', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Crossroads Animal Hospital - CO', 'email': '[email protected]', 'address': 'United States - Windsor', 'clinician': 'Allison Brekke'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Chronic arthritis and suspected CCL tears. Marked ALP elevations >2000. A radiograph was performed to rule out osteosarcoma.', 'questions': 'Please comment on the hip and stifle.', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'normal', 'source': 'labelling'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'partial', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 352, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 364, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Hindlimb Hip - chronic hip dysplasia, HOA and HIC', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 786, 'state': 'normal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatic - Elevated enzymes, normal liver', 'diagnosis_custom_text': 'A cause for the described liver enzyme elevation is not determined in this study. No evidence of bone neoplasia is noted, and the liver is normal in appearance; however, this does not rule out pathology.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2345, 'source': 'labelling', 'history': True, 'confidence': 2, 'signal_name': 'lameness-hind-limb'}, {'id': 2404, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical, thoracic and lumbar']}}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are factors affecting assessment of stifle effusion on the lateral views. However, there appears to be moderate increased soft tissue opacity in the stifle joint noted in the left stifle on the VD view. ', 'elapsedTime': 46.597, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 764, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['right']}}, {'id': 2231, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}], 'diagnosis': [{'id': 1302, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Arthritis'}], 'questions': [{'id': 2673, 'source': 'ai', 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2678, 'source': 'labelling', 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the cervical, thoracic and lumbar spine. There is evidence of hip incongruity of the right hip. There is degenerative changes affecting the left and right coxofemoral joint. There are factors affecting assessment of stifle effusion on the lateral views. However, there appears to be moderate increased soft tissue opacity in the stifle joint noted in the left stifle on the VD view. There are degenerative changes noted in the left stifle. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of kibble/food. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2229, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-dysplasia', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nOsteoarthritis of the indicated stifle along with increased soft tissue opacity is most consistent with chronic stifle instability and intra-articular injury, commonly associated with cranial cruciate ligament injury/rupture. \nOsteoarthritis of the hips secondary to hip dysplasia noted. \nThe cause for the described liver enzyme elevation is not determined in this study. No evidence of bone neoplasia is noted, and the liver is normal in appearance; however, this does not rule out pathology. \nSpondylosis deformans noted, likely incidental. \nGastric material noted is consistent with food/recent meal.\n\nRecommendations:\nCorrelate with orthopedic examination to assess for cranial drawer in the stifle.\nCorrelate with orthopedic examination for further evaluation of osteoarthritis secondary to hip dysplasia.\nConsider abdominal ultrasound and FNA sampling of the liver if indicated for further investigation.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.'}

{'bday': '2013-09-15', 'name': 'Cummings^Paddy', 'breed': 'Pit Bull', 'owner': 'Cummings^Sara', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Crossroads Animal Hospital - CO', 'email': '[email protected]', 'address': 'United States - Windsor', 'clinician': 'Allison Brekke'}

Chronic arthritis and suspected CCL tears. Marked ALP elevations >2000. A radiograph was performed to rule out osteosarcoma.

Please comment on the hip and stifle.

expert

['neoplasia-musculoskeletal', 'lameness-hindLimb']

['Hindlimb lameness', 'Elevated liver enzymes', 'Canine Medium/Large Breed']

[]

[2345, 2404, 2656]

[]

['Arthritis']

[]

[1302]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-06-03', 'name': 'Aladar', 'breed': 'Shepherd Mix', 'owner': 'Rogers,Stacey', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Youngsville Animal Hospital', 'email': '[email protected]', 'address': 'United States - Youngsville', 'clinician': 'Katie Smith'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient began coughing in mid August 2024. Dry cough started at 1-2 times daily and increased in frequency to 6-8 coughing fits per day on 9/3/24. Bloodwork on 9/3/24: CBC WNL, T4 WNL, Chem had elevated Ca (11.6), and SDMA was WNL. Radiographs taken on 9/3/24. No response to Doxycyline or Clavamox. Repeat radiographs attached for today. Masses present on both.', 'questions': 'Concerns about multiple mass-like opacities in the thorax. Differentials include metastasis (primary), fungal infection, etc. Can masses be aspirated by u/s? Radiologist differentials?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 296, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 11.129, 'consult_name': 'Resp Bronchial - chronic bronchitis', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Bronchial pattern consistent with chronic bronchitis. Considerations to neoplasia, allergic bronchitis, and other causes.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Tracheal wash with cytology/culture may be helpful for confirmation of bronchitis. Therapy often uses anti-inflammatory dosages of glucocorticoids as a cornerstone plus other symptomatic care.', 'recommendation_custom_fields': None}, {'id': 1105, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 31.311, 'consult_name': 'Resp neoplasia - Suspected heart base mass', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Suspicious opacity noted at the heart base. Differentials include a heart base mass, tracheobronchial lymph node enlargement or focal pulmonary infiltrate. Potential etiologies include neoplasia, fungal infection or less likely inflammatory process.\xa0 \xa0\nThere is a diffuse unstructured interstitial to nodular pattern noted throughout the lungs. Changes noted in the lungs are also concerning for metastatic disease given the age of the patient. Fungal etiologies cannot be entirely ruled out but are considered much less likely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend an thoracic ultrasound to confirm presence of heart base mass. A bronchoscopy and airway wash, submitting for cytology and culture, may also be considered.\xa0\n\xa0Tissue sampling of the lungs could be considered for confirmation of metastasis. An abdominal ultrasound could be considered to evaluate for a primary.', 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2386, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'met-check'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['thoracic'], '___s3_': ['.']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is ___s1_ spondylosis deformans noted in the ___s2_ spine ___s3_ '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver ___s1_.'}, {'id': 714, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': {'___s1_': ['entire'], '___s2_': ['unstructured interstitial to nodular pattern']}, 'finding_normal_text': '', 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .'}, {'id': 715, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'A bronchial pattern is present. ', 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None, 'finding_normal_text': 'Bronchial Pulmonary Pattern', 'finding_abnormal_text': 'A bronchial pattern is present. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 2141, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There are multiple masses/nodules noted in the entire, and in a suspected mass in the heart base region of the thorax.', 'elapsedTime': 82.842, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['are multiple'], '___s2_': ['entire', 'heart base region of the']}, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib ___s3_. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}], 'diagnosis': [{'id': 2136, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Mass lesion - thoracic'}], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2683, 'source': 'labelling', 'attention': False, 'signal_name': 'screening-thorax'}], 'recommendations': [{'id': 77, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'Blood test: Biochemistry - full profile'}, {'id': 1068, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'blood-test-complete-blood-count-cbc-'}], 'report_findings': 'Thorax\nA bronchial pattern is present. There is a suspected mass in the heart base region. There is a suspect mass on the dorsal region of the cranial sternebrae, probably associated with sternal lymph node enlargement. There is increased opacity throughout the lung field, characterized as an unstructured interstitial to nodular pattern. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere is mild spondylosis deformans noted in the thoracic spine . The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': "Conclusions:\nSuspicious opacity noted at the heart base. Differentials include a heart base mass, tracheobronchial lymph node enlargement or focal pulmonary infiltrate. There is a diffuse unstructured interstitial to nodular pattern noted throughout the lungs. Potential etiologies include neoplasia, fungal infection, or less likely inflammatory process.\nSuspect enlarged sternal lymph node, reactive vs. neoplastic.\nChanges noted in the lungs are also concerning for metastatic disease, given the patient's age.\nSpondylosis deformans. Likely incidental.\n\nRecommendations:\nRecommend a thoracic ultrasound to confirm the presence of a heart base mass and an enlarged sternal lymph node. A bronchoscopy and airway wash, submitted for cytology and culture, may also be considered. If an enlarged lymph node is confirmed, recommend FNA and cytological evaluation."}

{'bday': '2016-06-03', 'name': 'Aladar', 'breed': 'Shepherd Mix', 'owner': 'Rogers,Stacey', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Youngsville Animal Hospital', 'email': '[email protected]', 'address': 'United States - Youngsville', 'clinician': 'Katie Smith'}

Patient began coughing in mid August 2024. Dry cough started at 1-2 times daily and increased in frequency to 6-8 coughing fits per day on 9/3/24. Bloodwork on 9/3/24: CBC WNL, T4 WNL, Chem had elevated Ca (11.6), and SDMA was WNL. Radiographs taken on 9/3/24. No response to Doxycyline or Clavamox. Repeat radiographs attached for today. Masses present on both.

Concerns about multiple mass-like opacities in the thorax. Differentials include metastasis (primary), fungal infection, etc. Can masses be aspirated by u/s? Radiologist differentials?

standard

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

['Coughing', 'Metastasis check', 'Canine Medium/Large Breed']

[]

[69, 2386, 2656]

[]

['Mass lesion - thoracic']

[]

[2136]

[]

['Blood test: Chemistry - full profile', 'Blood test: Complete Blood Count (CBC)']

[]

[77, 1068]

[]

{'patient': {'bday': '2024-05-26', 'name': 'Farley^Luna', 'breed': 'Bulldog, French', 'owner': 'Farley^Wesley', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Carroll County Animal Hospital on Columbia Drive ', 'email': '[email protected]', 'address': 'United States - Carrollton', 'clinician': 'Adrian Nunn'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'jumped from owners arms', 'questions': 'repair options?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1019, 'state': 'ready', 'source': 'rules'}, {'id': 1029, 'state': 'empty', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1293, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 1109, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'elapsedTime': 212.074, 'consult_name': 'M/S Limb Fracture - acute fracture, swelling, no subcut gas (closed fracture)', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend analgesics and stabilization with strict cage rest and an\xa0orthopedic consultation to explore the best surgical correction options for this patient. The elbow joint should be immobilized/splinting is recommended until surgical repair can be performed. Generally, surgical stabilization involves precise realignment of the bone fragments and stabilizing using pins, screws, and/or bone plates.', 'recommendation_custom_fields': None}], 'signals': [{'id': 259, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2530, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2654, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a complete, displaced, oblique fracture of the lateral epicondyle of the right humerus. ', 'elapsedTime': 9.781, 'signal_name': 'fracture-limb-fracture', 'custom_fields': {'___s1_': ['complete', 'displaced', 'oblique'], '___s2_': ['right']}, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'elbow']}, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is a complete, displaced, oblique fracture of the lateral epicondyle of the right humerus. There is soft tissue swelling involving the right elbow. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 879, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nEvidence of appendicular fracture as described with associated soft tissue swelling. Consistent with history of trauma and local hemorrhage/hematoma.\n\nRecommendations:\nRecommend analgesics and stabilization with strict cage rest and an\xa0orthopedic consultation to explore the best surgical correction options for this patient. The elbow joint should be immobilized/splinting is recommended until surgical repair can be performed. Generally, surgical stabilization involves precise realignment of the bone fragments and stabilizing using pins, screws, and/or bone plates.'}

{'bday': '2024-05-26', 'name': 'Farley^Luna', 'breed': 'Bulldog, French', 'owner': 'Farley^Wesley', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

jumped from owners arms

repair options?

standard

['trauma-fractures']

['Traumatic injury', 'Fell/dropped', 'Canine Small Breed', 'Brachycephalic']

[]

[259, 2530, 2654, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2007-09-22', 'name': 'BK', 'breed': 'DSH', 'owner': 'Eric Wehner', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Service, Long Island', 'email': '[email protected]', 'address': 'United States - Selden', 'clinician': 'Dr. Jeremy Sebor'}, 'accept_tos': '1', 'consult_info': {'case_info': "Indoor only. Has seasonal allergies - hx of URI. Friday night, p seemed uncomfortable and slight effort in the breathing. Saturday the breathing picked up and became labored with respiratory noises - this is new and hasn't happened before. Today the breathing seems worse, now is a constant effort and slight labored breathing. Otherwise acting normal, still e/d ok. No other med hx. mm- lt pink.", 'questions': '', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1021, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1028, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1031, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1033, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1036, 'state': 'partial', 'source': 'labelling'}, {'id': 1037, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1043, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1274, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 232, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': ' Random - Bates body', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 379, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Forelimb Shoulder - SAR, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Spine - TID/CID with spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Presence of disc space narrowing associated with bridging ventral spondylosis is suggestive of disc degeneration.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 429, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Renal - SKD', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 733, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Parenchymal - resp signs, CVP/CDP (not alveolar), no cardiomegaly', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider respiratory lavage for cytological exam, culture and sensitivity to further investigate the changes in the lungs. A CT scan may also yield additional information. Consider additional views of thoracic radiographs.', 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 242, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Straining (unspecified)'}, {'id': 2179, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar'], '___s2_': ['with bridging noted.']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine ___s2_ '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 19, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'shoulder-arthropathy', 'custom_fields': {'___s1_': ['caudally positioned']}, 'finding_normal_text': 'There are no degenerative changes noted in the shoulders. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ shoulder. '}, {'id': 20, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': {'___s1_': ['appears mildly enlarged']}, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver ___s1_.'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 798, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'Small Kidney', 'finding_abnormal_text': 'The ___s1_ kidney measures below normal range. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2279, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'cranioventral-lung-opacity', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['left'], '___s3_': ['interstitial to alveolar pattern']}, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity in the ___s2_ cranioventral lung field, characterized as a ___s3_ . '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2293, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bates-body', 'custom_fields': {'___s1_': ['mid']}, 'finding_normal_text': "Bate's body", '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). "}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['multiple areas in the lumber spine']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 2025, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Respiratory tract infection'}], 'questions': [{'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2670, 'source': 'labelling', 'attention': False, 'signal_name': 'resp signs - upper vs lower'}], 'recommendations': [], 'report_findings': 'Thorax\nThe cardiac silhouette is incompletely delineated and there is a mild, diffuse, bronchointerstitial pattern. Obvious cardiomegaly is not supported by the normal position of the carina. A thin, pleural fissure is noted summating with the caudal heart. The rest of the observed thorax is within normal limits.\n\nAbdomen\nWhile normal in size, the liver has a similar opacity to the falciform fat. \nThere is a mineralized focal soft tissue nodule located in the mid abdomen likely representing a Bate\'s body (idiopathic fat necrosis). A similar, smaller feature is noted ventral to T13, within the peritoneal cavity. The kidneys are subjectively smaller and rounder than typical. The small bowel is at the upper limit of normal for size but given the lack of gastrointestinal signs is likely normal for the patient. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the thoracic and lumbar spine with bridging noted. There is intervertebral disc space narrowing at multiple areas in the thoracic and lumber spine. The most severe region is at L7-S1 where the space is nearly completely collapsed. Multifocal end plate sclerosis is noted. There is severe periarticular osseous proliferation associated with the more caudal scapulohumeral joint with multifocal large "joint mice" in the cranial and caudal aspect of the joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2494, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': "Primary Conclusions:\nThe diffuse, mild bronchointerstitial pattern is non-specific with differentials including feline asthma, infectious etiologies such as mycoplasma infection or lungworm infection, or, less likely bacterial bronchopneumonia. The decreased delineation of the heart is likely due to the surrounding abnormal lung. A small volume of pleural fluid is possible given the thin pleural fissures. While overt cardiomegaly is not evident, a ventrodorsal projection would be needed for full evaluation and to rule out cardiogenic edema. \n\nPrimary Recommendations:\nEchocardiography would allow a more definitive evaluation of the heart, particularly if a murmur or arrhythmia is noted. \nConsider respiratory lavage for cytological exam, culture and sensitivity to further investigate the changes in the lungs. A CT scan may also yield additional information. Consider additional views of thoracic radiographs.\n\nAdditional Conclusions:\nThe small kidney(s) may indicate chronic renal disease.\nThe decreased conspicuity of the liver from the falciform fat could indicate a degree of hepatic lipidosis. \nDegenerative changes in the shoulder.\nPresence of disc space narrowing associated with bridging ventral spondylosis is suggestive of disc degeneration.\nNodular fat necrosis (Bate's body) noted in the abdomen. Likely incidental.\n\nAdditional Recommendations:\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the small kidney(s).\nAbdominal ultrasound would be useful to better assess the liver. \nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the shoulder.\nConsider advanced imaging such as MRI if clinical signs associated with disc degeneration develop."}

{'bday': '2007-09-22', 'name': 'BK', 'breed': 'DSH', 'owner': 'Eric Wehner', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Indoor only. Has seasonal allergies - hx of URI. Friday night, p seemed uncomfortable and slight effort in the breathing. Saturday the breathing picked up and became labored with respiratory noises - this is new and hasn't happened before. Today the breathing seems worse, now is a constant effort and slight labored breathing. Otherwise acting normal, still e/d ok. No other med hx. mm- lt pink.

standard

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

['Dyspnoea', 'Straining (unspecified)', 'Respiratory distress', 'Feline']

[]

[50, 242, 2179, 2327]

[]

['Respiratory tract infection']

[]

[2025]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-09-10', 'name': 'Fielder', 'breed': 'Mixed - Small', 'owner': 'Daisy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Night Watch Elite Animal Emergency (TX)', 'email': '[email protected]', 'address': 'United States - San Antonio', 'clinician': 'NightWatch'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'ingested cat toy coil possibly, induced vomiting, nothing produced', 'questions': 'concerns for FB ingestion ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 488, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Intestines - No Fb visible, poss ingestion', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1344, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Gastric - Food vs foreign, no GAD, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 251, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food admixed with unidentified soft tissue material. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Primary Conclusions:\nThe radiographic evaluation reveals no evidence of an intestinal foreign body or obstruction. However, a gastric foreign body may be present. And the possibility of occult foreign material cannot be entirely excluded based on the radiographs alone.\n\nPrimary Recommendations:\nShould concerns persist regarding a gastrointestinal foreign body, an abdominal ultrasound is advisable. In the event of emerging clinical signs, consider obtaining follow-up radiographs or conducting a barium study.\n\nAdditional Conclusions:\nGastric contents observed, likely representing digested food. The presence of non-obstructive foreign bodies or foreign material intermixed with food remains a differential consideration.\n\nAdditional Recommendations:\nConsider scheduling repeat fasting abdominal radiographs within 12-24 hours to evaluate gastric emptying and exclude the possibility of an obstructive foreign body, if clinically indicated.'}

{'bday': '2021-09-10', 'name': 'Fielder', 'breed': 'Mixed - Small', 'owner': 'Daisy', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

ingested cat toy coil possibly, induced vomiting, nothing produced

concerns for FB ingestion

standard

['Vomiting-FB/obstruction']

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

[]

[251, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2009-08-19', 'name': 'Deguara^Chloe', 'breed': 'Chihuahua', 'owner': 'Deguara', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'address': 'United States - Bohemia', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Anorexia 5 days, syncopal events, Hx of degenerative mitral valve disease stage B1, no appreciable PH on echo on 8/19/24. Suspicious for liver mass on AFAST. Chem: Glucose 141 (60-125), ALP 219 (10-150), ALT 238 (5-107), BUN 143 (6-31), Creat 6.7 (0.4-1.8), Phos 9.7 (2.1-6.3), Anion Gap 28 (8-25), rest of chemistry unremarkable ', 'questions': 'Screening for Metastasis', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1028, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1272, 'state': 'empty', 'source': 'labelling'}, {'id': 1290, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': 'Hepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). A hepatic mass, Infiltrative neoplasia, acute hepatitis or hepatomegaly secondary to heart disease cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 213, 'state': 'normal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No thoracic masses', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 272, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly Left - Mitral valve disease, asymptomatic, echo done', 'diagnosis_custom_text': 'The changes noted in the cardiac silhouette are consistent with the reported findings from the echocardiogram. No evidence of congestive heart failure noted at this time.\xa0Compression of the mainstem bronchi by the enlarged heart may be contributing to the reported syncope episodes,', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 429, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Renal - SKD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 438, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Resp Trachea - +/- resp signs, hypoplastic trachea', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 690, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Axial sternum - Sternal degeneration, incidental', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 99, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Fainting episodes'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2386, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'met-check'}, {'id': 2404, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'liver-enzymes-elevated'}, {'id': 2654, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['in the cervico-thoracic region']}, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 798, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'kidney-small', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Small Kidney', 'finding_abnormal_text': 'The ___s1_ kidney measures below normal range. '}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': {'___s1_': ['with a prominent appearing aorta visible on the VD view.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2421, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'sternal-degeneration', 'custom_fields': None, 'finding_normal_text': 'Sternal degeneration', 'finding_abnormal_text': 'There are degenerative changes noted in the sternum. '}, {'id': 2469, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'narrowed-mainstem-bronchi', 'custom_fields': None, 'finding_normal_text': 'Narrowed mainstem bronchi', 'finding_abnormal_text': 'There is compression of the mainstem bronchi. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 405, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mitral valve disorder'}, {'id': 520, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Azotaemia (unspecified)'}, {'id': 527, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyperglycaemia'}, {'id': 974, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Neoplasm - hepatic (liver)'}, {'id': 2275, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Prostatomegaly'}], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2671, 'source': 'labelling', 'signal_name': 'neoplasia-abdomen'}, {'id': 2683, 'source': 'labelling', 'signal_name': 'screening-thorax'}], 'recommendations': [{'id': 1154, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'abdominal-ultrasound'}], 'report_findings': 'Thorax\nThe heart measures above the normal range with a prominent appearing aorta visible on the VD view. There is evidence of left atrial enlargement. There is compression of the mainstem bronchi. There is focal narrowing of the trachea in the cervico-thoracic region . The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. The left kidney measures below normal range. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere are degenerative changes noted in the sternum. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2469, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'narrowed-mainstem-bronchi', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nNo evidence of pulmonary metastatic disease.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). A hepatic mass, infiltrative neoplasia, acute hepatitis or hepatomegaly secondary to heart disease cannot be ruled out.\nThe changes noted in the cardiac silhouette are consistent with the reported findings from the echocardiogram. No evidence of congestive heart failure noted at this time.\xa0Compression of the mainstem bronchi by the enlarged heart may be contributing to the reported syncope episodes,.\nThe narrowing of the trachea is consistent with a hypoplastic trachea.\nThe small kidney(s) may indicate chronic renal disease.\nSternal degeneration. Likely incidental.\n\nRecommendations:\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nDepending on progression of clinical signs, an echocardiogram or radiographic monitoring, and a blood pressure measurement could be considered every 6-9 months.\nFor further investigation of the narrowed trachea, a CT scan or tracheoscopy may be helpful for a definitive diagnosis. Limiting stress/excitement/exercise, weight management to avoiding overheating are often helpful in similar cases.\nCorrelate with biochemistry profile and urinalysis and consider an abdominal ultrasound for further investigation of the small kidney(s).'}

{'bday': '2009-08-19', 'name': 'Deguara^Chloe', 'breed': 'Chihuahua', 'owner': 'Deguara', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Anorexia 5 days, syncopal events, Hx of degenerative mitral valve disease stage B1, no appreciable PH on echo on 8/19/24. Suspicious for liver mass on AFAST. Chem: Glucose 141 (60-125), ALP 219 (10-150), ALT 238 (5-107), BUN 143 (6-31), Creat 6.7 (0.4-1.8), Phos 9.7 (2.1-6.3), Anion Gap 28 (8-25), rest of chemistry unremarkable

Screening for Metastasis

standard

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

['Syncopal/fainting episodes', 'Hyporexia', 'Metastasis check', 'Elevated liver enzymes', 'Canine Small Breed']

[]

[99, 607, 2386, 2404, 2654]

[]

['Mitral valve disorder', 'Azotemia (unspecified)', 'Hyperglycemia', 'Neoplasm - hepatic (liver)', 'PDx: prostatomegaly']

[]

[405, 520, 527, 974, 2275]

[]

['Abdominal ultrasound']

[]

[1154]

[]

{'patient': {'bday': '2015-08-29', 'name': 'White^Toby', 'breed': 'American Staffordshire', 'owner': 'White^James', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Cactus Pet Hospital 6439', 'email': '[email protected]', 'address': 'United States - Las Vegas', 'clinician': 'Cactus Pet'}, 'accept_tos': 'true', 'consult_info': {'case_info': "P presents with very painful abdomen on palpation. Can't hold food or water down past 24 hrs, hx of eating things", 'questions': 'Foreign body?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 424, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Repros - PMG, intact male, asymptomatic', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 879, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Hepatomegaly - Mild(likely incidental)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1135, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Spine - SPN, VAN, incidental', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1257, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Small intestines - 2 pops (less confident), sfb', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 622, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2184, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign-Body-Ingestion'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 15, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-obstruction', 'custom_fields': None, 'finding_normal_text': 'Two Populations of Small Intestine', 'finding_abnormal_text': 'There is presence of distension of a portion of small intestine and a population of non-distended intestine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['cloth/material like']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 1635, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None, 'finding_normal_text': 'Prostate Visible', 'finding_abnormal_text': 'The prostate is prominent. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['T13']}, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2289, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-obstruction', 'custom_fields': None, 'finding_normal_text': 'The contrast is moving through the gastrointestinal tract. No obstructive pattern is observed. ', 'finding_abnormal_text': 'The contrast medium is indicating an obstruction at the ___s1_.'}, {'id': 2290, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'cs-foreign-body', 'custom_fields': None, 'finding_normal_text': 'The contrast does not indicate presence of a foreign body within the GI tract. ', 'finding_abnormal_text': 'The contrast appears to be highlighting a foreign body in the ___s1_. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. There is presence of distension of a portion of small intestine and a population of non-distended intestine. There is cloth/material like foreign material located within the small intestine. The prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. Vertebral anomaly is noted at T13. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 707, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'prostate-mineralization', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'prostate-visible', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2289, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cs-obstruction', 'is_locked_out': False}, {'id': 2290, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cs-foreign-body', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2451, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2586, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs', 'is_locked_out': False}, {'id': 2594, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe changes noted in the small intestines are suspicious for two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot be definitively ruled out. Some foreign material is noted and therefore a small intestinal foreign body obstruction must be considered.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\nThe liver appears mildly enlarged. This may be considered normal for the patient or may represent mild congestion.\nSpondylosis deformans and vertebral anomaly noted. Likely incidental.\n\nRecommendations:\nRecommend abdominal ultrasound for further investigation of distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. Correlate with rectal exam and clinical signs for clinical significance of the enlarged prostate.\nCorrelate with blood work for clinical significance and consider abdominal ultrasound for further investigation of the mildly enlarged liver.\nCorrelate this finding with physical exam for clinical significance.'}

{'bday': '2015-08-29', 'name': 'White^Toby', 'breed': 'American Staffordshire', 'owner': 'White^James', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'Cactus Pet Hospital 6439', 'email': '[email protected]', 'address': 'United States - Las Vegas', 'clinician': 'Cactus Pet'}

P presents with very painful abdomen on palpation. Can't hold food or water down past 24 hrs, hx of eating things

Foreign body?

standard

['Vomiting-FB/obstruction']

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

[]

[256, 622, 2184, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-06-05', 'name': 'Kim^Orpheus', 'breed': 'Bichon Frise', 'owner': 'Kim^Orpheus', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for vomiting this AM 2-3am - vomited up some fur from a plush toy.\r\nAte this morning ~11 am - vomited 2x.\r\nDefecate 2-3x throughout today. Last stool was a little soft.\r\nA little more lethargic.\r\nAdopted Saturday from a family member.\r\nVaccines not started yet', 'questions': 'r/o Intestinal foreign body vs Open dx', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 222, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Peritoneal - Juvenile LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Colon - Foreign body', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small', 'mineral']}}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'colon-foreign-material', 'custom_fields': {'___s1_': ['a small amount of mineral'], '___s2_': ['ascending', 'descending']}}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2569, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'False positive limited abdominal detail', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is small mineral foreign material located within the small intestine. There is a small amount of mineral opacity foreign material located within the ascending and descending colon. There is mild loss of serosal detail in the abdomen. The loss of detail noted in the abdomen is suspected to be artifactual and related to summation of structures or exposure settings. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis or a systemic illness causing secondary GI signs can not be ruled out completely.\nAbdominal detail loss presumably from immaturity, ascites not excluded.\nColonic foreign body as described.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material.\nMonitor for passage of described colonic foreign body in the stool.'}

{'bday': '2024-06-05', 'name': 'Kim^Orpheus', 'breed': 'Bichon Frise', 'owner': 'Kim^Orpheus', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Presented for vomiting this AM 2-3am - vomited up some fur from a plush toy. Ate this morning ~11 am - vomited 2x. Defecate 2-3x throughout today. Last stool was a little soft. A little more lethargic. Adopted Saturday from a family member. Vaccines not started yet

r/o Intestinal foreign body vs Open dx

standard

['Vomiting-FB/obstruction']

['Vomiting', 'Canine Small Breed']

[]

[256, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2013-07-24', 'name': 'Stover^Ava', 'breed': 'Chihuahua', 'owner': 'Stover^Laura', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Tyler Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Tyler', 'clinician': 'Tyler Animal Emergency Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient presents for: vomiting and diarrhea\r\nSigns and symptoms: vomiting and diarrhea since today \r\nEvents leading up to problem: pt had bm accident yesterday that was mushy, bloody and mucuosy, today pt vomited 3 times clear liquid, not interested in food \r\nAllergies: NKA \r\nMedications: none \r\nLast oral intake food/water: yesterday \r\nPertinent past history: attacked by multiple dogs throughout the years ', 'questions': 'R/O foreign body VS AHDS VS gastroenteritis VS other ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1019, 'state': 'partial', 'source': 'rules'}, {'id': 1022, 'state': 'partial', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 714, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 62.78, 'consult_name': 'Intestines - Hemorrhagic gastro enteritis (vom+diarr).', 'diagnosis_custom_text': 'A cause for the described clinical signs is not determined from the radiographs. The changes noted in the small intestines is suspicious for a two populations of small intestine. This most commonly represents a mechanical obstruction though severe enteritis cannot always be ruled out. No obvious foreign body is noted.Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential. Dietary indiscretion, inflammatory, infectious, parasite, colitis due to stress or other cause cannot be ruled out.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider fecal testing and blood work for further investigation of the reported hematochezia.\xa0Recommend abdominal ultrasound for further investigation of hepatomegaly and distended small intestines and confirmation of a possible intestinal obstruction prior\xa0 to abdominal exploratory surgery. For hepatomegaly, a FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.Medical management of the clinical signs is indicated at this time.', 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2475, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Hematochezia'}, {'id': 2654, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 702, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 787, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2166, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None}, {'id': 2230, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2455, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'abnormal-gas-SI', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar 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 digested food admixed with unidentified soft tissue material. There is an abnormal gas pattern noted in the small intestine. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2268, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2455, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'abnormal-gas-SI', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nA cause for the described clinical signs is not determined from the radiographs. The changes noted in the small intestines are suspicious for a two populations of small intestine, most commonly representing a mechanical obstruction though severe enteritis cannot always be ruled out. Given the history, hemorrhagic diarrhea syndrome is considered as a primary differential, with dietary indiscretion, inflammatory, infectious, parasite, colitis due to stress or other cause also being possible. No obvious foreign body is noted.\nHepatomegaly is consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia), with infiltrative neoplasia or acute hepatitis not entirely ruled out.\nGastric material may represent food, however, foreign material cannot be entirely ruled out. Spondylosis deformans noted is likely incidental.\n\nRecommendations:\nSummary:\nConsider fecal testing and blood work for further investigation of the reported hematochezia. Recommend abdominal ultrasound for further investigation of hepatomegaly and distended small intestines and confirmation of a possible intestinal obstruction prior to abdominal exploratory surgery. For hepatomegaly, a FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance. Medical management of the clinical signs is indicated at this time. Also, correlate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying. Correlate with physical exam to determine clinical significance of the spondylosis deformans identified."}

{'bday': '2013-07-24', 'name': 'Stover^Ava', 'breed': 'Chihuahua', 'owner': 'Stover^Laura', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient presents for: vomiting and diarrhea Signs and symptoms: vomiting and diarrhea since today Events leading up to problem: pt had bm accident yesterday that was mushy, bloody and mucuosy, today pt vomited 3 times clear liquid, not interested in food Allergies: NKA Medications: none Last oral intake food/water: yesterday Pertinent past history: attacked by multiple dogs throughout the years

R/O foreign body VS AHDS VS gastroenteritis VS other

standard

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

['Bitten/attacked by other animal', 'Diarrhea', 'Vomiting', 'Hematochezia', 'Canine Small Breed']

[]

[37, 76, 256, 2475, 2654]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-07-04', 'name': 'Wilt^Simon', 'breed': 'Domestic Shorthair (DSH)', 'owner': 'Wilt^Ali', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'address': 'United States - Northbrook', 'clinician': 'EVS Pet Urgent Care '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Simon presented today for V/D. He had ingested gift wrapping ribbon and vomited some up and the owner had pulled some from his rectum- about 8-12" slowly. Wants to know if still any ribbon there. Cat continues to have diarrhea.\r\nOn exam, the P Is painful in cranial abdomen. Discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. recommend baseline blood work and abdominal radiographs to help determine a cause.', 'questions': 'See above', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1025, 'state': 'partial', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'elapsedTime': 10.967, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'diagnosis_custom_text': 'There is foreign material noted in the GI tract (stomach and small intestines) therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material. Recheck fasting abdominal radiographs in 12-24 hours to monitor progression of the gastric foreign body/material.', 'recommendation_custom_fields': None}], 'signals': [{'id': 76, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Diarrhea-c'}, {'id': 251, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 622, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['small', 'mineral']}}, {'id': 739, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': {'___s1_': ['small', 'mineralized'], '___s2_': ['with irregular margins']}}, {'id': 744, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2684, 'source': 'labelling', 'signal_name': 'screening-abdomen'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe stomach contains a small mineralized opacity with irregular margins. There is small mineral foreign material located within the small intestine. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is evidence of hip incongruity of the left and right hip. No other abnormal musculoskeletal findings are noted.\n\nThorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nForeign material noted in the GI tract (stomach and small intestines), therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis, or a systemic illness causing secondary GI signs cannot be ruled out completely.\nIncongruity of the hips.\n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further investigate the identified intestinal foreign material. Recheck fasting abdominal radiographs in 12-24 hours to monitor progression of the gastric foreign body/material.\nCorrelate with orthopedic examination for further evaluation of the hips.\n'}

{'bday': '2022-07-04', 'name': 'Wilt^Simon', 'breed': 'Domestic Shorthair (DSH)', 'owner': 'Wilt^Ali', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'UNALTERED', 'species_other': ''}

{'name': 'EVS Pet Urgent Care of Northbrook', 'email': '[email protected]', 'address': 'United States - Northbrook', 'clinician': 'EVS Pet Urgent Care '}

Simon presented today for V/D. He had ingested gift wrapping ribbon and vomited some up and the owner had pulled some from his rectum- about 8-12" slowly. Wants to know if still any ribbon there. Cat continues to have diarrhea. On exam, the P Is painful in cranial abdomen. Discussed with the owner that the clinical signs could be a result of inflammation, infection, or obstruction. recommend baseline blood work and abdominal radiographs to help determine a cause.

See above

expert

['Vomiting-FB/obstruction', 'screening-abdomen']

['Diarrhea', 'Foreign body ingestion', 'Vomiting', 'Pain - abdominal', 'Feline']

[]

[76, 251, 256, 622, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2010-07-01', 'name': 'Wolf^Buckey', 'breed': 'Siamese', 'owner': 'Wolf', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Shores Animal Hospital (FL)', 'email': '[email protected]', 'clinician': 'Shores Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'New patient presents for chroinc (11 year) history of coughing. Owners presumed it was asthma but have never been diagnosed. Typically is seen at vaccine clinics only. Coughing in the past happened inconsistently with coughing fits lasting for a couple weeks at a time. More recently coughing is noted to have gotten progressively worse with more coughing throughout the day and lasting longer then a typical episode. ', 'questions': 'Looks like there may be a primary lung mass. Supportive care options for this?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'excluded', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'excluded', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1038, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine - incidental spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 293, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 6.033, 'consult_name': 'Resp Bronchial - Feline, bronchitis, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical history and/or additional diagnostics and consider medical management for lower airway disease/bronchitis, if warranted.', 'recommendation_custom_fields': None}, {'id': 311, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 37.129, 'consult_name': 'Resp Neoplasia - Solitary mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider CT scan for a more definitive diagnosis, otherwise, recheck radiographs in one month to monitor for the progression of the described pulmonary mass. Consider oncologist consultation for supportive care options once a diagnosis is confirmed.', 'recommendation_custom_fields': None}, {'id': 329, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 7, 'consult_name': 'Resp Parenchymal - fp patterns', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 374, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Forelimb Elbow - arthritis, no lameness', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 441, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Intestines - Functional ileus', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 8, 'elapsedTime': 1.845, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': 'Mild fecal retention. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 20, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'A mild bronchial pattern is present. ', 'elapsedTime': 3.205, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There appears to be material noted in the GI tract that is suspected to be located in the ascending colon.', 'elapsedTime': 53.419, 'signal_name': 'fecal-impaction', 'custom_fields': None}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': {'___s1_': ['cranially positioned']}}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['ill defined'], '___s2_': ['left', 'caudodorsal']}}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2285, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2365, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'parenchymal-pattern-fp', 'custom_fields': None}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'ileus-diffuse-distension-SI', 'custom_fields': {'___s1_': ['gas']}}, {'id': 2599, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There are degenerative changes noted in the cranially positioned elbow. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There appears to be material noted in the GI tract that is suspected to be located in the ascending colon. There is diffuse distension of the small intestine with gas. The rest of the observed abdomen is within normal limits.\n\nThorax\nA mild bronchial pattern is present. The increased opacity noted within the lung fields is suspected to be artifactual or due to superimposition of normal structures. There is a ill defined mass noted in the left caudodorsal thorax. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2257, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-shift', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2302, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ununited-anconeal-process', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2364, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fragmented-medial-coronoid', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2375, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'angular-limb-deformity', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nPulmonary mass with differentials including primary neoplasia, abscess, cyst, or infectious/inflammatory process. Bronchial pattern consistent with lower airway disease/bronchitis, differentials include feline asthma, chronic inhaled irritants, bacterial or parasitic infections. \nHepatomegaly consistent with benign hepatopathy, infiltrative neoplasia or acute hepatitis cannot be ruled out. \nDiffuse distension of the GI tract with no evidence of obstruction consistent with functional ileus, possibly due to enteritis, administration of parasympatholytics and sedatives, peritonitis, blunt abdominal trauma, or electrolyte imbalance. \nSpondylosis deformans noted, likely incidental. \nDegenerative changes in the elbow. Increased lung opacity suspected to be artifactual or due to superimposition of normal structures. \nMild fecal retention.\n\nRecommendations:\nSummary:\nConsider CT scan for a more definitive diagnosis, otherwise, recheck radiographs in one month to monitor for the progression of the described pulmonary mass. Consider oncologist consultation for supportive care options once a diagnosis is confirmed.\nCorrelate with clinical history and/or additional diagnostics and consider medical management for lower airway disease/bronchitis, if warranted.\nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nConsider repeat radiographs and/or abdominal ultrasound to further investigate for ileus. Medical management of the clinical signs (if any) may be indicated at this time.\nCorrelate with physical exam to determine clinical significance of the spondylosis deformans identified.\nCorrelate with orthopedic examination for further evaluation of the degenerative changes in the elbow.\nCorrelate with clinical history to rule out constipation.'}

{'bday': '2010-07-01', 'name': 'Wolf^Buckey', 'breed': 'Siamese', 'owner': 'Wolf', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Shores Animal Hospital (FL)', 'email': '[email protected]', 'clinician': 'Shores Animal Hospital'}

New patient presents for chroinc (11 year) history of coughing. Owners presumed it was asthma but have never been diagnosed. Typically is seen at vaccine clinics only. Coughing in the past happened inconsistently with coughing fits lasting for a couple weeks at a time. More recently coughing is noted to have gotten progressively worse with more coughing throughout the day and lasting longer then a typical episode.

Looks like there may be a primary lung mass. Supportive care options for this?

expert

['Resp signs - general']

['Coughing', 'Feline']

[]

[69, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2018-02-14', 'name': 'Towner^Levi^^^', 'breed': 'Domestic Shorthair', 'owner': 'Benny Towner', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Heart & Paw - East Market', 'email': '[email protected]', 'address': 'United States - Philadelphia', 'clinician': 'Laura Hultzapple'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Tuesday night P suddenly started meowing like he was in pain. Was trying to move himself on an elevated platform but seemed weak. O noted P was too weak to reposition himself. P was also panting and pooped during this episode. This lasted for roughly 10 minutes and then P seemed to recover. O placed him on the bed and began cleaning up. Within 20 minutes, P seemed much improved and was eating. O reports P has been normal since then. \r\nBCS 8/9. BW pending. No murmur heard. ', 'questions': 'Any concern for cardiac dz? No murmur heard. Pulse normal. Ambulating normal, and not painful on exam. \r\n\r\nBW/UA results pending. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'coded', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1273, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 208, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Gastric - Post prandial ', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 210, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'elapsedTime': 20.466, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Concern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy. Possibilities may also include poor perfusion due to decreased cardiac output or possible aortic thromboembolic disease.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 227, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'M/S GEN - unlabeled study', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 229, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Spine - incidental spondylosis', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Spondylosis deformans. Likely incidental however lumbosacral stenosis may be considered if signs return/persist.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Rest and pain management would be a treatment protocol if symptoms return, otherwise an orthopedic/neurological consultation may be considered upon definitive diagnosis.', 'recommendation_custom_fields': None}], 'signals': [{'id': 145, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Meowing '}, {'id': 177, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Panting'}, {'id': 591, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Weakness'}, {'id': 2175, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'Heart-Murmur'}, {'id': 2186, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pain'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2352, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lab-work-pending'}, {'id': 2535, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': -3, 'signal_name': 'eating-normally'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is mild-moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested kibble/food . ', 'elapsedTime': 22.336, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['kibble/food']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 4746, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Overweight'}], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [{'id': 2099, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'blood-ruleout-c'}], 'report_findings': 'Thorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is mild-moderate distension of the stomach with the presence of radiopaque material which has the appearance of ingesta. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy. Possibilities may also include poor perfusion due to decreased cardiac output or possible aortic thromboembolic disease.\nSpondylosis deformans. Likely incidental however lumbosacral stenosis may be considered if signs return/persist.\nGastric material is consistent with food/recent meal.\nLabels are not noted in the provided images, therefore laterality cannot be determined.\n\nRecommendations:\nConsider an echocardiogram to rule out cardiomyopathy.\nRest and pain management would be a treatment protocol if symptoms return, otherwise an orthopedic/neurological consultation may be considered upon definitive diagnosis.'}

{'bday': '2018-02-14', 'name': 'Towner^Levi^^^', 'breed': 'Domestic Shorthair', 'owner': 'Benny Towner', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Heart & Paw - East Market', 'email': '[email protected]', 'address': 'United States - Philadelphia', 'clinician': 'Laura Hultzapple'}

Tuesday night P suddenly started meowing like he was in pain. Was trying to move himself on an elevated platform but seemed weak. O noted P was too weak to reposition himself. P was also panting and pooped during this episode. This lasted for roughly 10 minutes and then P seemed to recover. O placed him on the bed and began cleaning up. Within 20 minutes, P seemed much improved and was eating. O reports P has been normal since then. BCS 8/9. BW pending. No murmur heard.

Any concern for cardiac dz? No murmur heard. Pulse normal. Ambulating normal, and not painful on exam. BW/UA results pending.

standard

['Resp signs - heart/lungs']

['Feline', 'Lab work pending']

['Vocalizing ', 'Panting', 'Weakness', 'Heart Murmur', 'Pain', 'Eating normally']

[2327, 2352]

[145, 177, 591, 2175, 2186, 2535]

['Overweight']

[]

[4746]

[]

['blood work and additional diagnosis to rule out']

[]

[2099]

[]

{'patient': {'bday': '2019-09-07', 'name': 'Garrity^Maui', 'breed': 'CHIHUAHUA', 'owner': 'Garrity^Tim', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Present for labored breathing. Hx of cardiomegaly. Currently not on any treatment.\r\nPE: mm: purple, labored breathing, tachypnea, murmur \r\nCBC = NSF \r\nChem = ALT 257 (10-118) TBIL 0.7 (0.1-0.6) BUN 26 (7-25) GLU 208 (60-110)\r\n', 'questions': 'r/o: cardiovascular (CHF vs others) vs respiratory vs others', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'inprogress', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1272, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 239, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 4, 'consult_name': 'Gastric - Small FB', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1099, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 1, 'consult_name': 'Cardiomegaly GEN - Unstructured interstitial, CHF', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1115, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 3, 'consult_name': 'Hepatomegaly - venous congestion, heart failure', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1279, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': 2, 'consult_name': 'Resp Trachea - TNW, no cough, incidental', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 666, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Tachypnoea'}, {'id': 677, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Cyanotic mucous membrane'}, {'id': 2175, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2179, 'source': 'labelling', 'history': True, 'attention': True, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 714, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-diffuse-parenchymal', 'custom_fields': {'___s1_': ['entire'], '___s2_': ['mixed interstitial to alveolar pattern']}, 'finding_abnormal_text': 'There is increased opacity throughout the ___s1_ lung field, characterized as a ___s2_ .'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['at the carina']}, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2483, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'gastric-fb', 'custom_fields': {'___s1_': ['severe'], '___s2_': ['mineralized'], '___s3_': ['with rounded margins']}, 'finding_abnormal_text': 'There is ___s1_ distention of the stomach and it contains a ___s2_ opacity ___s3_.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}], 'recommendations': [{'id': 2143, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'preop-cardio-c'}], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. There is focal narrowing of the trachea at the carina . There is increased opacity throughout the entire lung field, characterized as a mixed interstitial to alveolar pattern . The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is severe distention of the stomach and it contains a mineralized opacity with rounded margins. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nGeneralized cardiomegaly and unstructured interstitial pattern throughout the lungs as described. Possible differentials include: valvular disease leading to insufficiency, DCM with pulmonary edema or pulmonary hypertension.\nTracheal narrowing as noted above. Based on the lack of clinical symptoms, this finding is likely incidental.\nHepatomegaly likely secondary to venous congestion caused by concurrent congestive heart failure.\nGastric foreign body as described which may or may not pass on its own.\n\nRecommendations:\nFor further assessment, an echocardiogram and blood pressure measurement would be optimal. Given patient clinical signs, recommend treatment for congestive heart failure. Diuretics, as pre-load reducer, are a mainstay of reducing pulmonary edema. Supportive care such as oxygen therapy may be indicated. Additional cardiac medication should also be considered. Also consider pre-diuretic lab-work (CBC/chemistry) and monitoring renal values during treatment. Serial thoracic radiographs to monitor for responsiveness to treatment (eg. every 6-12 hours depending on progression) are also recommended.\nCorrelate with history of possible clinical symptoms associated with tracheal collapse, e.g. coughing, shortness of breath, exercise intolerance etc.\nAbdominal ultrasound with FNA and cytology can be considered if clinically warranted.\nRecommend supportive care and follow up radiographs in 12-24 hours to monitor passage of the gastric foreign body.'}

{'bday': '2019-09-07', 'name': 'Garrity^Maui', 'breed': 'CHIHUAHUA', 'owner': 'Garrity^Tim', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Present for labored breathing. Hx of cardiomegaly. Currently not on any treatment. PE: mm: purple, labored breathing, tachypnea, murmur CBC = NSF Chem = ALT 257 (10-118) TBIL 0.7 (0.1-0.6) BUN 26 (7-25) GLU 208 (60-110)

r/o: cardiovascular (CHF vs others) vs respiratory vs others

expert

['Resp signs - heart/lungs', 'Resp signs - general']

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

[]

[50, 666, 677, 2175, 2179, 2654]

[]

[]

[]

[]

[]

['Pre-op, cardiomegaly']

[]

[2143]

[]

{'patient': {'bday': '2019-09-05', 'name': 'Pensula^Jimmy^^^', 'breed': 'Affenpinscher', 'owner': 'Isabella', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Sumner Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'corgi. Rads yesterday and in night. This AM: 5 ml/kg barium with canned food (ate well), then 1 and 3 hr post rads. Modified contrast series. Treated as O/P yesterday for vomiting. VOmited thru cerenia. Vomited again this morning. BAR, vocal, seems to be feeling better. ', 'questions': 'delayed gastric emptying, but no obstructive pattern', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'partial', 'source': 'rules'}, {'id': 1029, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 264, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Intestines - Contrast, no 2 pops, no FB', 'isAddressingConcern': False, 'diagnosis_custom_text': 'The contrast appears to be slowly passing through the intestinal tract as expected with no evidence of obstruction, foreign body, or plication.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1158, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 4.567, 'consult_name': 'Gastric - follow-up, persistent foreign body', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Compared to the previous images, the contrast appears to be highlighting material within the stomach. This may represent food however foreign material cannot be entirely ruled out.\xa0Consider pyloric hypertrophy, foreign body, gastro-duodenal intussusception or functional ileus .', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Recommend abdominal ultrasound prior to surgical exploration of the abdomen or endoscopy dependent on the type of gastric material present. Repeat radiographs after 12 hours if patient status remains stable should be considered', 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 292, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 2532, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'barium-study'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2703, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Follow-up/re-examination Abdomen'}], 'findings': [{'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 739, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-foreign-material', 'custom_fields': {'___s1_': ['soft tissue'], '___s2_': ['with irregular margins']}, 'finding_normal_text': 'Gastric Foreign Material', 'finding_abnormal_text': 'The stomach contains a ___s1_ opacity ___s2_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2290, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'The contrast appears to be highlighting a foreign body in the stomach. ', 'elapsedTime': 9.833, 'signal_name': 'cs-foreign-body', 'custom_fields': None, 'finding_normal_text': 'The contrast does not indicate presence of a foreign body within the GI tract. ', 'finding_abnormal_text': 'The contrast appears to be highlighting a foreign body in the ___s1_. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}, {'id': 2682, 'source': 'labelling', 'attention': False, 'signal_name': 'follow-up-abdomen'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe stomach contains a soft tissue opacity with irregular margins. The contrast appears to be highlighting a foreign body in the stomach. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': False}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': False}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 2141, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2290, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'cs-foreign-body', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': True}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': True, 'confidence': 2, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nCompared to the previous images, the contrast appears to be highlighting material within the stomach. This may represent food however foreign material cannot be entirely ruled out.\xa0Consider pyloric hypertrophy, foreign body, gastro-duodenal intussusception or functional ileus. \nThe contrast appears to be slowly passing through the intestinal tract as expected with no evidence of obstruction, foreign body, or plication.\n\nRecommendations:\nRecommend abdominal ultrasound prior to surgical exploration of the abdomen or endoscopy dependent on the type of gastric material present. Repeat radiographs after 12 hours if patient status remains stable should be considered.'}

{'bday': '2019-09-05', 'name': 'Pensula^Jimmy^^^', 'breed': 'Affenpinscher', 'owner': 'Isabella', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

corgi. Rads yesterday and in night. This AM: 5 ml/kg barium with canned food (ate well), then 1 and 3 hr post rads. Modified contrast series. Treated as O/P yesterday for vomiting. VOmited thru cerenia. Vomited again this morning. BAR, vocal, seems to be feeling better.

delayed gastric emptying, but no obstructive pattern

standard

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

['Vomiting', 'Whining/whimpering/groaning', 'Barium study', 'Canine Small Breed', 'Follow-up/re-examination Abdomen']

[]

[256, 292, 2532, 2654, 2703]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-01-12', 'name': 'jones^leo', 'breed': 'Tonkinese', 'owner': 'jones', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Columbia Pike Animal Hospital & Emergency', 'email': '[email protected]', 'address': 'United States - Annandale', 'clinician': 'CPA TECHS'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Leo is presented in ER CPAH for heavy breathing with right nasal discharge, P was neutered yesterday, eat twice today. ', 'questions': 'nasal discharge, wheezing and seems congested, with watery eyes. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'partial', 'source': 'rules'}, {'id': 1031, 'state': 'partial', 'source': 'rules'}, {'id': 1033, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}], 'consult': [{'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 30.513, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'diagnosis_custom_text': 'Concern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy. Maturity may play a role in the appearance of the heart.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 304, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Upper - normal thorax & trachea, upper airway disease likely', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 840, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'elapsedTime': 4.683, 'consult_name': 'Resp parenchymal - Lower respiratory signs in a kitten/puppy, normal thorax', 'diagnosis_custom_text': 'Early aspiration or underlying infectious or inflammatory causes cannot be completely ruled out. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 150, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 2180, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Abnormal Respiration'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}, {'id': 2388, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'post-op'}, {'id': 2456, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wheezing'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 880, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2255, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2297, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.\n\nThorax\nThere appears to be a generalized enlargement of the heart. The rest of the observed thorax is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2365, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'parenchymal-pattern-fp', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2432, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'globoid-heart', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nA lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses. Given the history, an upper airway etiology is considered likely.\nEarly aspiration or underlying infectious or inflammatory causes cannot be completely ruled out.\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy. Maturity may play a role in the appearance of the heart.\n\nRecommendations:\nA more detailed upper airway exam may be useful for further investigation of the reported clinical signs.\nConsider supportive care and repeat radiographs in 2-3 days if there is no clinical improvement for further investigation of the described respiratory signs.\nConsider an echocardiogram to rule out cardiomyopathy.'}

{'bday': '2024-01-12', 'name': 'jones^leo', 'breed': 'Tonkinese', 'owner': 'jones', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Leo is presented in ER CPAH for heavy breathing with right nasal discharge, P was neutered yesterday, eat twice today.

nasal discharge, wheezing and seems congested, with watery eyes.

expert

['Resp signs - heart/lungs']

['Dyspnoea', 'Discharge - nasal', 'Abnormal respiration', 'Feline', 'Post-op', 'Wheezing']

[]

[50, 150, 2180, 2327, 2388, 2456]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2016-08-10', 'name': 'SHAFFER^SNOOKY', 'breed': 'American Shorthair', 'owner': 'SHAFFER^', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'address': 'United States - Burleson ', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute onset respiratory distress but also has past history of intermittent cough / gag. No crackles on ausc, but had incr BV sounds. Had significant respiratory distress on presentation, much better with O2. Rads taken 2 hrs after admin of butorphanol and start of O2.', 'questions': ' Is this asthma and pneumonia or only pneumonia? Possible mass effect in cranial mediastinum?', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1007, 'state': 'partial', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1273, 'state': 'partial', 'source': 'rules'}, {'id': 1274, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 208, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Gastric - Post prandial ', 'diagnosis_custom_text': 'Gastric material is consistent with food/recent meal. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 273, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Cardiomegaly - Abnormal vhs, no cardiomegaly', 'diagnosis_custom_text': 'The cardiac silhouette appears to be mildly enlarged. Cardiomyopathy cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 293, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Resp Bronchial - Feline, bronchitis, symptomatic', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 338, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Resp Neoplasia - Cranial mediastinal fat vs mass', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2179, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Respiratory-Distress'}, {'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 715, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None, 'finding_normal_text': 'Bronchial Pulmonary Pattern', 'finding_abnormal_text': 'A bronchial pattern is present. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in the ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart.'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['kibble/food']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There is a ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2367, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'mediastinal-fat', 'custom_fields': None, 'finding_normal_text': 'Mediastinal fat', 'finding_abnormal_text': 'Symmetrical widening of the mediastinum is most consistent with fatty deposition. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2663, 'source': 'labelling', 'signal_name': 'Resp signs - general'}, {'id': 2672, 'source': 'labelling', 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nA bronchial pattern is present. Symmetrical widening of the mediastinum is most consistent with fatty deposition. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is radiopaque material within the stomach which has the appearance of kibble/food. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'confidence': 2, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nBronchial pattern is consistent with lower airway disease/bronchitis. Differentials include feline asthma, chronic inhaled irritants, infectious etiologies (bacterial) and parasitic (including heartworm disease).\nOpacity noted in the cranial thorax suspected to be a fatty deposition. However, due to its appearance a mediastinal mass in this region cannot be completely ruled out.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nGastric material is consistent with food/recent meal.\n\nRecommendations:\nCorrelate with clinical history and/or additional diagnostics and consider medical management for lower airway disease/bronchitis.\nConsider an ultrasound and/or CT of the cranial thorax to confirm the diagnosis of the opacity suspected to be a fatty deposition and to rule out a mediastinal mass.\nConsider an echocardiogram and blood pressure measurement for further investigation to rule out underlying cardiac disease given that cats can have subtle changes on radiographs with heart disease. Since there is no edema, any heart condition would not have caused the respiratory distress. \nConsider abdominal ultrasound to further investigate the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2016-08-10', 'name': 'SHAFFER^SNOOKY', 'breed': 'American Shorthair', 'owner': 'SHAFFER^', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Acute onset respiratory distress but also has past history of intermittent cough / gag. No crackles on ausc, but had incr BV sounds. Had significant respiratory distress on presentation, much better with O2. Rads taken 2 hrs after admin of butorphanol and start of O2.

Is this asthma and pneumonia or only pneumonia? Possible mass effect in cranial mediastinum?

standard

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

['Coughing', 'Respiratory distress', 'Feline']

[]

[69, 2179, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-11-11', 'name': 'Eberle^RUGER', 'breed': 'Lab. Retriever, Mix', 'owner': 'Eberle^Danielle', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Newaukum Valley Veterinary Services', 'email': '[email protected]', 'address': 'United States - Chehalis', 'clinician': 'Newaukum Valley Veterinary Services'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Jumped out of the back of a truck on Sunday and is unable to walk. Normal reflexes but decrease in bilateral hind leg CP.', 'questions': 'Just want further anatomical description of pelvic fracture. ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1016, 'state': 'empty', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1040, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'excluded', 'source': 'rules'}, {'id': 1054, 'state': 'excluded', 'source': 'rules'}, {'id': 1095, 'state': 'excluded', 'source': 'rules'}, {'id': 1096, 'state': 'excluded', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Hepatomegaly- benign', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 366, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Hindlimb Hip - hip OA, no lameness', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 780, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Bladder - No evidence of bladder rupture', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1316, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Pelvis - Sacroiliac luxation and pelvic fractures', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 204, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Reluctant to walk'}, {'id': 259, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Traumatic-injury'}, {'id': 2344, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'paresis-pelvic'}, {'id': 2526, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'decreased-concious-proprioception'}, {'id': 2530, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'patient-fell'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': None, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 16, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is an oblique fracture of the right symphysis ischii continuos with an incomplete fracture of the right, ischiatic table. ', 'elapsedTime': 109.936, 'signal_name': 'fracture-pelvis-fracture', 'custom_fields': {'___s1_': ['right', 'ischium']}, 'finding_normal_text': 'Pelvic Fracture', 'finding_abnormal_text': 'There is a fracture of the ___s1_. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2193, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Stifle', 'custom_fields': None, 'finding_normal_text': 'The stifles are within normal limits. ', 'finding_abnormal_text': 'soa, sef, plx'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2374, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tail', 'custom_fields': None, 'finding_normal_text': 'The tail is normal in appearance with no evidence of fracture, luxation/subluxation, or aggressive lesions.', 'finding_abnormal_text': 'A ___s1_ is noted at the caudal vertebrae of the tail. '}, {'id': 2499, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Sacroiliac-luxation', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'Sacroiliac luxation', 'finding_abnormal_text': 'A "stair-step" lesion is seen on the ___s1_ sacroiliac arch. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2674, 'source': 'labelling', 'attention': False, 'signal_name': 'trauma-fractures'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe liver appears enlarged. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is an oblique fracture of the right symphysis of the ischium with an incomplete fracture of the right ischiatic table. There are degenerative changes affecting the right coxofemoral joint. A "stair-step" lesion is seen on the left sacroiliac arch. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2319, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone-na', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2374, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tail', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2489, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-gas', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2508, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pelvic-fracture-fp', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2637, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Distal fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThe changes described in the pelvis are suggestive of sacroiliac luxation and pelvic fractures.\nNo evidence of bladder rupture is noted.\nDegenerative joint disease of the hips.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\n\nRecommendations:\nAnalgesics and cage confinement is recommended. Orthopedic consultation to discuss surgical vs. non-surgical treatment options is recommended.\nConsider a contrast cystogram if there is concern for possible bladder rupture.\nCorrelate with orthopedic examination for further evaluation of degenerative joint disease of the hips.\nConsider abdominal ultrasound to further investigate the enlarged liver +/- FNA sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.'}

{'bday': '2019-11-11', 'name': 'Eberle^RUGER', 'breed': 'Lab. Retriever, Mix', 'owner': 'Eberle^Danielle', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Jumped out of the back of a truck on Sunday and is unable to walk. Normal reflexes but decrease in bilateral hind leg CP.

Just want further anatomical description of pelvic fracture.

standard

['trauma-fractures']

['Reluctant to move/walk', 'Traumatic injury', 'Pelvic limb paresis', 'Decreased conscious proprioception', 'Fell/dropped', 'Canine Medium/Large Breed']

[]

[204, 259, 2344, 2526, 2530, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2024-05-29', 'name': 'Cram^Ella', 'breed': 'Bulldog, English', 'owner': 'Cram^Melissa', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Bristol Animal Hospital', 'email': '[email protected]', 'address': 'United States - Bristol', 'clinician': 'Bristol Animal Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Acute honking cough started Sunday after playing with another dog on Saturday. Normal energy level and still eating well. Mild serous discharge noted as well from nostrils. Louder upper respiratory noise noted at home. PE: Heart and lungs auscult normally; no obvious discharge from nose or eyes at the clinic; otherwise unremarkable exam; Temp- 102.8F - rectal with her not anxious or seemingly overexcited.\r\n\r\nSymptoms:\r\ncoughing: Cough, ', 'questions': 'r/o pneumonia', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1007, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 222, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Peritoneal - Juvenile LAD', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 228, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Spine - incidental VAN', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 303, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Resp Trachea - cough, redundant tracheal membrane', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1117, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Negative Thorax - Normal lungs, resp signs, metabolic disease', 'isAddressingConcern': True, 'diagnosis_custom_text': 'The observed lungs are clear with no evidence of pathology. Clinical respiratory signs are likely due to the suspected redundant tracheal membrane.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 150, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Nose discharge/Nasal discharge'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}, {'id': 2657, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'brachycephalic'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['cranial'], '___s3_': ['.']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2158, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-anomaly-class', 'custom_fields': {'___s1_': ['T9', 'T13']}, 'finding_normal_text': 'Vertebral Anomaly', 'finding_abnormal_text': 'Vertebral anomaly is noted at ___s1_. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2259, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'redundant-tracheal-membrane', 'custom_fields': {'___s1_': ['cervical']}, 'finding_normal_text': 'Redundant Tracheal Membrane', 'finding_abnormal_text': 'There is increased soft tissue opacity within the ___s1_ region of the trachea. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2569, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'False positive limited abdominal detail', 'custom_fields': None, 'finding_abnormal_text': 'The loss of detail noted in the abdomen is suspected to be artifactual and related to summation of structures or exposure settings.'}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}], 'recommendations': [], 'report_findings': 'Thorax\nThere is increased soft tissue opacity within the cervical region of the trachea. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material and a mineral material (gravel-sign). There is mild loss of serosal detail in the cranial abdomen. The loss of detail noted in the abdomen is suspected to be artifactual and related to the summation of structures or exposure settings. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nVertebral anomaly is noted at T9 and T13. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1633, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2459, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spina-bifida', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe observed lungs are clear, and there is no evidence of pathology. Clinical respiratory signs are likely due to the suspected redundant tracheal membrane - changes in the trachea are concerning for chondromalacia and may be an early stage of collapsing trachea.\nGastric material and foreign bodies may be related to delayed gastric emptyin and non-obstructive foreign material.\nAbdominal detail loss presumably from immaturity, ascites not excluded.\nVertebral anomaly. Likely incidental.\n\nRecommendations:\nSupportive care is recommended at this time. Correlate with bloodwork to test for metabolic acidosis/alkalosis.\nRecheck fasting abdominal radiographs in 12-24 hours to monitor progression of the gastric foreign body/material.\nConsider symptomatic therapy for tracheal collapse. Limiting stress/excitement, avoiding neck leashes and collars, the judicious use of antitussives such as hydrocodone, and possibly anti-inflammatory medications may be considered.\nCorrelate with physical exam for clinical significance of the vertebral anomaly.'}

{'bday': '2024-05-29', 'name': 'Cram^Ella', 'breed': 'Bulldog, English', 'owner': 'Cram^Melissa', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Acute honking cough started Sunday after playing with another dog on Saturday. Normal energy level and still eating well. Mild serous discharge noted as well from nostrils. Louder upper respiratory noise noted at home. PE: Heart and lungs auscult normally; no obvious discharge from nose or eyes at the clinic; otherwise unremarkable exam; Temp- 102.8F - rectal with her not anxious or seemingly overexcited. Symptoms: coughing: Cough,

r/o pneumonia

standard

['Resp signs - general']

['Coughing', 'Discharge - nasal', 'Canine Medium/Large Breed', 'Brachycephalic']

[]

[69, 150, 2656, 2657]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2019-09-05', 'name': 'BUGAJSKI^CODY', 'breed': 'GOLDEN RETRIEVER', 'owner': 'BUGAJSKI', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Animal Emergency Clinic of Pasadena', 'email': '[email protected]', 'address': 'United States - Pasadena', 'clinician': 'Kristie Villicana'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'ON/OFF LAMENESS ON RIGHT HIND LIMB OVER PAST FEW YEARS. LAMENESS WORSENING. \r\nON EXAM: UNABLE TO EXAMINE AS PET IS TOO HYPER. BUT PET IS AMB X 4 LIMBS, HAS MILD LAMENESS ON RIGHT HIND', 'questions': 'R/O ANYTHING OF CONCERN', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'craniomandibular-osteopathy', 'enthesopathy', 'joint-luxation', 'distal-extremity-arthritis', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'agressive-bone-lesion-discospondylitis']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'abnormal', 'source': 'rules'}, {'id': 1041, 'state': 'abnormal', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 352, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Hindlimb Stifle - Chronic cruciate, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Osteoarthritis of the indicated stifle along with increased soft tissue opacity noted is most consistent with chronic stifle instability and intra-articular injury. This is commonly associated with cranial cruciate ligament injury/rupture.\xa0\xa0This does not rule out a concurrent soft tissue injury or neuropathy at this time.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 363, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Hindlimb Hip - hip OA, lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Degenerative changes in the hips.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1266, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Negative M/S - No evidence of IVDD', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2345, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lameness-hind-limb'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 10, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-joint-effusion', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['left and right']}, 'finding_normal_text': 'No stifle effusion is identified. ', 'finding_abnormal_text': 'There is a ___s1_ increased soft tissue opacity in the stifle joint noted in the ___s2_ stifle. '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 764, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'knee-osteophytosis', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There is no evidence of degenerative changes within the stifle. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ stifle. '}, {'id': 870, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'The tarsal joints are unremarkable, no evidence of degenerative changes.', 'finding_abnormal_text': 'There is degenerative joint disease affecting the ___s1_ tarsus. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': False, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThere are degenerative changes affecting the left and right coxofemoral joint. There is a moderate increased soft tissue opacity in the stifle joint noted in the left and right stifle. There are degenerative changes noted in the left and right stifle. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-joint-effusion', 'is_locked_out': True}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': True}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe radiographic findings suggest osteoarthritis of the specified stifle, accompanied by increased soft tissue opacity. These observations are indicative of chronic stifle instability and intra-articular damage, which are frequently associated with injury or rupture of the cranial cruciate ligament. While these findings are prominent, the presence of concurrent soft tissue injuries or neuropathy cannot be excluded at this stage. Additionally, there are degenerative changes observed in the hips.\nNo radiographic signs of intervertebral disc disease (IVDD) are evident in the reviewed images. However, the possibility of a partial disc herniation or a fibrocartilaginous infarct cannot be completely excluded.\n\nRecommendations:\nRecommend correlation with an orthopedic examination to evaluate for the presence of a cranial drawer sign in the stifle. Consideration for analgesic administration is advised, with subsequent monitoring of the therapeutic response.\nFurther evaluation with MRI/CT imaging or myelography is recommended if supported by clinical findings.'}

{'bday': '2019-09-05', 'name': 'BUGAJSKI^CODY', 'breed': 'GOLDEN RETRIEVER', 'owner': 'BUGAJSKI', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

ON/OFF LAMENESS ON RIGHT HIND LIMB OVER PAST FEW YEARS. LAMENESS WORSENING. ON EXAM: UNABLE TO EXAMINE AS PET IS TOO HYPER. BUT PET IS AMB X 4 LIMBS, HAS MILD LAMENESS ON RIGHT HIND

R/O ANYTHING OF CONCERN

standard

['lameness-hindLimb']

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

[]

[2185, 2345, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-08-23', 'name': 'Mistry^Zeffy', 'breed': 'Tabby', 'owner': 'Mistry^Chitra', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burrard Animal Hospital + Emergency', 'email': '[email protected]', 'address': 'Canada - Vancouver', 'clinician': 'Parmjit Dhillon'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Stranguria, inappropriate urination - started 3-4 days ago. 3 days ago did receive convenia, cartrophen and sent home with buprenorphine. Since then symptoms have not improved and hematuria has developed. Hx of UTIs\r\nNo sedation for xrays. Obese cat', 'questions': 'Bladder stones, other bladder/kidney abnormality. Blood work normal, urinalysis pending', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1015, 'state': 'abnormal', 'source': 'rules'}, {'id': 1022, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'ready', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hepatomegaly- benign', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 387, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Spine - TID/CID with spondylosis', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 846, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Bladder - Urinary sediment', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 265, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Stranguria'}, {'id': 274, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Urinating abnormally'}, {'id': 681, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Urination abnormal - inappropriate urination'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbar']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': {'___s1_': ['a sediment like increased']}, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['L7-S1']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [{'id': 2230, 'state': 'abnormal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Urinary tract infection (UTI) - bacterial'}, {'id': 4748, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Obese'}], 'questions': [], 'recommendations': [{'id': 959, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'Analgesic'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThe liver appears enlarged. There is a sediment like increased opacity noted over the silhouette of the urinary bladder. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the lumbar spine. There is intervertebral disc space narrowing at L7-S1. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2360, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'HMG-false-positive', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2643, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-severe', 'is_locked_out': False}, {'id': 2644, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hmg-mild', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nMineralization noted over the urinary bladder may be consistent with urinary sediment/small stones.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nPresence of disc space narrowing associated with ventral spondylosis is suggestive of disc degeneration.\n\nRecommendations:\nCorrelate with urinalysis and consider abdominal ultrasound for further investigation of the mineralization noted over the urinary bladder. This will also allow further investigation of the hepatomegaly. A FNA sampling, or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with physical exam findings and consider advanced imaging such as MRI for further investigation of the disc space narrowing associated with ventral spondylosis if there are appropriate clinical signs. '}

{'bday': '2014-08-23', 'name': 'Mistry^Zeffy', 'breed': 'Tabby', 'owner': 'Mistry^Chitra', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Stranguria, inappropriate urination - started 3-4 days ago. 3 days ago did receive convenia, cartrophen and sent home with buprenorphine. Since then symptoms have not improved and hematuria has developed. Hx of UTIs No sedation for xrays. Obese cat

Bladder stones, other bladder/kidney abnormality. Blood work normal, urinalysis pending

standard

[]

['Urination abnormal - stranguria', 'Urination abnormal - hematuria', 'Urination abnormal - inappropriate urination', 'Feline']

[]

[265, 274, 681, 2327]

[]

['PDx: Urinary tract infection (UTI)', 'Obese']

[]

[2230, 4748]

[]

['Analgesic']

[]

[959]

[]

{'patient': {'bday': '2021-09-07', 'name': 'Pletcher^Miller^^^', 'breed': 'Golden Retriever', 'owner': 'Riley', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Sumner Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Sumner', 'clinician': 'Sumner Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Vomited several times tonight and acting painful. Ate some wood chips. ', 'questions': 'r/o obstruction vs passable intestinal material. ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1013, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 424, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Repros - PMG, intact male, asymptomatic', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1237, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 109.457, 'consult_name': 'Intestines - foreign material, likely sand impaction', 'isAddressingConcern': True, 'diagnosis_custom_text': 'A moderate amount of mineral opaque foreign material is noted within the intestines. There is mild distension of some of the small intestinal segments but no complete obstructive pattern is appreciated. An obstruction cannot be completely ruled out radiographically. Based on history and radiographic appearance, this is most consistent with a sand impaction. A partial obstruction is not excluded.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1242, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 8.22, 'consult_name': 'Colon Feline - Constipation suspected', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Correlate with clinical exam to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.', 'recommendation_custom_fields': None}], 'signals': [{'id': 92, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': "Eaten something shouldn't have"}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['sand like']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 1635, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'prostate-visible', 'custom_fields': None, 'finding_normal_text': 'Prostate Visible', 'finding_abnormal_text': 'The prostate is prominent. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2669, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Mild small intestinal distention', 'custom_fields': {'___s1_': ['mildly'], '___s2_': ['gas']}, 'finding_normal_text': ' Mild/moderate (dropdown) gas/fluid (dropdown) distension of a portion of small intestine.', 'finding_abnormal_text': 'There is a portion of the small intestine that is ___s1_ distended with ___s2_.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Abdomen\nThere is gravel like opaque foreign material located within the small intestine. There is a portion of the small intestine that is mildly distended with gas. \nThere is a mild accumulation of fecal material in the colon. \nThe prostate is prominent. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 707, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'prostate-mineralization', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'prostate-visible', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2451, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nA moderate amount of gravel like opaque foreign material is noted within the intestines. There is modrate distension of some of the small intestinal segments but no complete obstructive pattern is appreciated. An obstruction cannot be completely ruled out radiographically. Based on history and radiographic appearance, this is most consistent with intestinal impaction with a gravel like foreign material. A partial obstruction is not excluded.\nEvidence of fecal retention is noted in the colon.\nIncreased size of the prostate gland is likely secondary to benign hypertrophy being an intact male.\n\nRecommendations:\nRecommend supportive care which may include anti-nausea, pain medications and subcutaneous fluids, with close monitoring of the patient for any change in clinical status. Recheck fasting abdominal radiographs in 12-24 hours to assess for progression of intestinal pattern. Surgical intervention may be necessary if causing an obstruction.\nCorrelate with clinical exam to rule out constipation. Consider intravenous fluids, enemas, oral stool softeners, or other treatments as indicated if constipation is confirmed clinically.\nCorrelate with rectal exam and clinical signs for clinical significance of the enlarged prostate.'}

{'bday': '2021-09-07', 'name': 'Pletcher^Miller^^^', 'breed': 'Golden Retriever', 'owner': 'Riley', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

Vomited several times tonight and acting painful. Ate some wood chips.

r/o obstruction vs passable intestinal material.

standard

['Vomiting-FB/obstruction']

['Dietary indiscretion', 'Canine Medium/Large Breed']

[]

[92, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2022-02-20', 'name': 'Apodaca^Russ', 'breed': 'Domestic Shorthair', 'owner': 'Apodaca^Mariah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for lethargy, anorexia for the past 2.5 days.\r\nIndoor only.\r\nVaccines UTD.\r\nNo vomiting / diarrhea but vomit up hairballs intermittently.\r\nRecently adopted another outdoor cat and had some exposure for the past 2-3 days.\r\nUsually gets gabapentin before veterinary visits.', 'questions': 'temp 104.6, fleas noted\r\nFelv/fiv: neg/neg\r\n\r\nFUO - r/o Mycoplasma felis vs Bite Wound Abscess vs Open dx', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'inprogress', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'partial', 'source': 'rules'}, {'id': 1044, 'state': 'abnormal', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1273, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 218, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Negative - No cause for non-system-specific signs, ADR/ weight loss/anorexia/ lethargy', 'diagnosis_custom_text': "The cause of the patient's described clinical signs is not identified in the radiographs provided. The cause of the patient's described fever is not identified in the radiographs provided. Some differentials for causes of fever including urinary tract infections, upper respiratory infections, inflammatory causes (pancreatitis, polyarthritis, auto-immune, etc.), paraneoplastic syndromes should be considered.\n\n", 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Symptomatic treatment may be necessary. Consider further work up including biochemistry profile, CBC, blood smear (dye stain), urinalysis and abdominal ultrasound, +/- PCR testing (mycoplasma specifically)\xa0to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful and/or follow up evaluation may be indicated.', 'recommendation_custom_fields': None}], 'signals': [{'id': 37, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Bitten'}, {'id': 131, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 545, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 606, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Anorexia'}, {'id': 607, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 2327, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}], 'diagnosis': [{'id': 1043, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Mycoplasma haemocanis (Haemobartonella canis) infection'}, {'id': 1106, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Abscess'}], 'questions': [{'id': 2680, 'source': 'labelling', 'signal_name': 'non-specific-ADR'}], 'recommendations': [], 'report_findings': 'Thorax\nThere appears to be a generalized enlargement of the heart. 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.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': True}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2501, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'focal-loss-detail', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe cause of the patient's described clinical signs is not identified in the radiographs provided. The cause of the patient's described fever is not identified in the radiographs provided. Some differentials for causes of fever including urinary tract infections, upper respiratory infections, inflammatory causes (pancreatitis, polyarthritis, auto-immune, etc.), paraneoplastic syndromes should be considered.\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy.\n\nRecommendations:\nSymptomatic treatment may be necessary. Consider further work up including biochemistry profile, CBC, blood smear, urinalysis and abdominal ultrasound, +/- PCR testing (mycoplasma specifically)\xa0to further investigate the reported non-specific signs. In addition, a more detailed clinical history may also be helpful and/or follow up evaluation may be indicated.\nConsider an echocardiogram to rule out cardiomyopathy."}

{'bday': '2022-02-20', 'name': 'Apodaca^Russ', 'breed': 'Domestic Shorthair', 'owner': 'Apodaca^Mariah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for lethargy, anorexia for the past 2.5 days. Indoor only. Vaccines UTD. No vomiting / diarrhea but vomit up hairballs intermittently. Recently adopted another outdoor cat and had some exposure for the past 2-3 days. Usually gets gabapentin before veterinary visits.

temp 104.6, fleas noted Felv/fiv: neg/neg FUO - r/o Mycoplasma felis vs Bite Wound Abscess vs Open dx

standard

['non-specific-ADR']

['Bitten/attacked by other animal', 'Lethargic/tired', 'Fever/pyrexia', 'Anorexia', 'Hyporexia', 'Feline']

[]

[37, 131, 545, 606, 607, 2327]

[]

['Mycoplasma haemocanis (Haemobartonella canis) infection', 'Abscess']

[]

[1043, 1106]

[]

[]

[]

[]

[]

{'patient': {'bday': '2023-02-04', 'name': 'Chwedczuk^MJ', 'breed': 'German Shepherd', 'owner': 'Chwedczuk^Anna', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'address': 'United States - Bohemia', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Patient came to AVCS for vomiting several times throughout the day', 'questions': 'blockage', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'basic', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'inprogress', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 245, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Intestines - Gastroenteritis, foreign material', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Negative Thorax - Cardiac/lung Screening, normal', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 738, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is some radio-opaque foreign material located within the small intestine.', 'elapsedTime': 6.391, 'signal_name': 'intestines-small-fm-foreign-material', 'custom_fields': {'___s1_': ['radio-opaque']}, 'finding_normal_text': 'Small Intestinal Foreign Material', 'finding_abnormal_text': 'There is ___s1_ foreign material located within the small intestine.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nVertebral heart score of 11.0. The remaining observed thorax is within normal limits.\n\nAbdomen\nThere is some radio-opaque foreign material located within the small intestine. There is no overt evidence of obstruction at this time. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2373, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs-fp', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2699, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sio-colon', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nThere is foreign material noted in the GI tract therefore dietary indiscretion should be a primary consideration. No obstructive pattern is noted. Gastroenteritis, pancreatitis or a systemic illness causing secondary GI signs can not be ruled out completely.\nThe lungs are clear with no evidence of pathology. Consider advanced cardiac diagnostics for further investigation into the vertebral heart score. \n\nRecommendations:\nMedical management of the reported clinical signs is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to ensure passage of the described intestinal foreign material and lab testing for pancreatitis.'}

{'bday': '2023-02-04', 'name': 'Chwedczuk^MJ', 'breed': 'German Shepherd', 'owner': 'Chwedczuk^Anna', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Patient came to AVCS for vomiting several times throughout the day

blockage

basic

['Vomiting-FB/obstruction']

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

[]

[256, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2014-08-18', 'name': 'Mitchell^Ranger', 'breed': 'Spaniel, Cocker', 'owner': 'Mitchell^Amy', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Viking Veterinary Hospital ', 'email': '[email protected]', 'address': 'United States - Nampa', 'clinician': 'Viking Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': '10 yo, MC, cocker, intermittant cough and urinating while sleeping , grade 3/6 LAS murmur. ', 'questions': 'Tracheal collapse vs La enlargement as cause of cough?\r\n\r\nUrinary stones? ', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level', 'history_signalment_inconsistencies', 'finding_conclusion_inconsistencies', 'three'], 'difficulty': 'expert', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': ['muscle-atrophy', 'panosteitis', 'hypertrophic-osteodystrophy', 'enthesopathy', 'prostate-mineralization', 'laryngeal-opacity', 'palate-canals', 'joint-luxation', 'skull-fracture', 'frontal-sinuses', 'osteochondritis-dissecans', "Hypertrophic osteopathy (Marie's disease)", 'joint-effusion', 'Implant Motion/Infection', 'Larynx-mineralization', 'surgical-device', 'agressive-bone-lesion-discospondylitis']}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1007, 'state': 'empty', 'source': 'labelling'}, {'id': 1013, 'state': 'inprogress', 'source': 'rules'}, {'id': 1020, 'state': 'empty', 'source': 'labelling'}, {'id': 1021, 'state': 'empty', 'source': 'labelling'}, {'id': 1022, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1024, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1033, 'state': 'partial', 'source': 'labelling'}, {'id': 1034, 'state': 'empty', 'source': 'labelling'}, {'id': 1095, 'state': 'empty', 'source': 'labelling'}], 'consult': [{'id': 184, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Hepatomegaly- benign', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 255, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Esoph - No regurg, ESD, moderate, aerophagia', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 304, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Negative Thorax - normal thorax & trachea, upper airway disease likely', 'isAddressingConcern': False, 'diagnosis_custom_text': 'A lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses, tracheal collapse. Given the history, an upper airway etiology is considered likely.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 846, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Bladder - Urinary sediment', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Mineralization noted over the urinary bladder may be consistent with urinary sediment. this maybe the source of the reported abnormal urination though other causes cannot be ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1100, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Cardiomegaly Left - possible pattern, coughing/panting/dyspnea/syncope', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 69, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 681, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Urination abnormal - inappropriate urination'}, {'id': 2175, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Heart-Murmur'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': {'___s1_': ['a sediment like increased']}, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 799, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'esophagus-distension', 'custom_fields': {'___s1_': ['focal'], '___s2_': ['cranial thoracic']}, 'finding_normal_text': 'Esophageal Distension', 'finding_abnormal_text': 'There is ___s1_ distention of the ___s2_ esophagus.\r\n\r\n'}, {'id': 947, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': {'___s1_': ['with a prominent appearing aorta visible on the VD view.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': None, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2451, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'Prostate-fp', 'custom_fields': None, 'finding_normal_text': 'Prostate false positive', 'finding_abnormal_text': 'There is increased soft tissue opacity in the region of the prostate. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 2019, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Tracheal collapse'}], 'questions': [{'id': 2663, 'source': 'ai', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2685, 'source': 'ai', 'attention': False, 'signal_name': 'urinary-stones'}], 'internal_notes': "\n-Bladder Mineralization - In a senior dog, With urinary symptoms it is recommended to rule out TCC vs Bladder stones vs TCC vs normal sediment . (Urine C/S , BRAF TEST, AUS..)\nThe recommendation for the respiratory findings doesn't seem to correlate with the medical history of intermittent cough , There is no complaint of dyspnea or x-ray findings that will warrant Lasix trial. (seems like an copy/paste recommendation to any Cardiomegaly without correlation to the clinical findings. \n\nRespiratory Recommendations given: \nIdeally, an echocardiogram and blood pressure measurement (as soon as possible) are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim. Also consider pre-diuretic lab-work (CBC/chemistry) and monitoring renal values during treatment. Serial thoracic radiographs to monitor for responsiveness to treatment (eg. every 6-12 hours depending on progression) are also recommended.", 'recommendations': [], 'report_findings': 'Thorax\nThe heart measures above the normal range but no distinct chamber enlargement is noted. The pulmonary vasculature is normal. There is focal distention of the cranial thoracic esophagus. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThe liver appears enlarged. There is a sediment like increased opacity noted over the silhouette of the urinary bladder. There is increased soft tissue opacity in the region of the prostate. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'prostate-visible', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2451, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'Prostate-fp', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}], 'report_conclusions': 'Conclusions:\nThe cardiac silhouette appears enlarged making cardiac disease a realistic potential cause of the clinical signs. No definitive evidence of pulmonary edema is noted; however, early congestion and/or pulmonary hypertension cannot be excluded.\nHepatomegaly consistent with a benign hepatopathy (metabolic/endocrine, vacuolar or EMH/nodular hyperplasia). Infiltrative neoplasia or acute hepatitis cannot be ruled out.\nThe distension noted in the esophagus may be secondary to aerophagia. Megaesophagus cannot be ruled out.\nA lower respiratory etiology for the clinical signs is not determined during this evaluation, the results of which are negative for pleural effusion, congestive heart failure, pneumonia, bronchial pattern, masses, tracheal collapse. Given the history, an upper airway etiology is considered likely.\nMineralization noted over the urinary bladder may be consistent with urinary sediment. this maybe the source of the reported abnormal urination though other causes cannot be ruled out.\n\nRecommendations:\nIdeally, an echocardiogram and blood pressure measurement (as soon as possible) are recommended to investigate further. If an echo cannot be done expeditiously, then consider diuretic therapy in the interim. Also consider pre-diuretic lab-work (CBC/chemistry) and monitoring renal values during treatment. Serial thoracic radiographs to monitor for responsiveness to treatment (eg. every 6-12 hours depending on progression) are also recommended.\nConsider abdominal ultrasound to further investigate the enlarged liver +/- FNA sampling or more likely a biopsy, will be necessary for a definitive diagnosis. Correlate with blood work for clinical significance.\nCorrelate with clinical signs and exam to further investigate the distension noted in the esophagus.\nA more detailed upper airway exam and/or additional images of the skull may be useful for further investigation of the reported clinical signs.\nCorrelate with urinalysis and consider abdominal ultrasound for further investigation of the mineralization noted over the urinary bladder.'}

{'bday': '2014-08-18', 'name': 'Mitchell^Ranger', 'breed': 'Spaniel, Cocker', 'owner': 'Mitchell^Amy', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

10 yo, MC, cocker, intermittant cough and urinating while sleeping , grade 3/6 LAS murmur.

Tracheal collapse vs La enlargement as cause of cough? Urinary stones?

expert

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

['Coughing', 'Urination abnormal - inappropriate urination', 'Heart Murmur', 'Canine Medium/Large Breed']

[]

[69, 681, 2175, 2656]

[]

['Tracheal collapse']

[]

[2019]

[]

[]

[]

[]

[]

{'patient': {'bday': '2012-09-21', 'name': 'Trafficano^Ellie', 'breed': 'BOXER', 'owner': 'Trafficano', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Westside Animal Emergency Clinic', 'email': '[email protected]', 'address': 'United States - Lithia Springs', 'clinician': 'Westside Animal Emergency Clinic'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'MM pk. crt < 2 sec. Temp 102.4 f. wt 52.6 LBS. Owner stated Ellie was painful in abdomen and yelped out when he palpated abdomen, approx 1 hr ago . Tense abdominal palpation. Normal appetite. No v/d. RDVM performed bl & xrays 1 week ago. Diagnosed w/ DJD/Spondylosis. Rx Gabapentin 300 mg sid in pm. Owner stated gave 1 does, b/c Ellie was too drowsy. Bl work was normal. Owner declined additional bl. work today. ', 'questions': 'Gi /fb obstruction, DJD, Spondylosis, open', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'excluded', 'source': 'labelling'}, {'id': 1022, 'state': 'excluded', 'source': 'rules'}, {'id': 1023, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'excluded', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'empty', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1054, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 383, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'consult_name': 'Spine - bridging spondylosis, pain', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1379, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'consult_name': 'Gastric-Severe GAD with gas, GI signs', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 545, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Pyrexia/hyperthermia'}, {'id': 622, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - abdominal'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracic', 'lumbar', 'lumbosacral'], '___s2_': ['with bridging noted.']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine ___s2_ '}, {'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver ___s1_.'}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen ___s1_ ___s2_'}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the ___s2_ abdomen ___s3_'}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of a ___s1_ hernia, with ___s2_ ___s3_.'}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2315, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-gas', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['gas']}, 'finding_normal_text': 'stomach-gas', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with ___s2_. '}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [{'id': 1328, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Joint instability'}, {'id': 1336, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Osteoarthritis, secondary'}], 'questions': [{'id': 2671, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-abdomen'}, {'id': 2673, 'source': 'ai', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}], 'recommendations': [{'id': 959, 'state': 'abnormal', 'source': 'ai', 'attention': False, 'recommendation_name': 'Analgesic'}], 'report_findings': 'Abdomen:\nThe stomach shows moderate distension due to gas accumulation. No other abnormalities are observed in the remaining areas of the abdomen.\n\nMusculoskeletal:\nSevere spondylosis deformans is present in the thoracic, lumbar, and lumbosacral spine, with bridging observed. There are no additional abnormalities in the rest of the musculoskeletal system that were noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2262, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'small-liver', 'is_locked_out': False}, {'id': 2263, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2423, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mineralization-gb', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2507, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gall-bladder-visualized', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2608, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Caudal Vena Cava Distention', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2698, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'proximal-duodenum-distension', 'is_locked_out': False}, {'id': 2714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gall bladder emphysema', 'is_locked_out': False}, {'id': 2732, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Spinal fracture', 'is_locked_out': False}], 'report_conclusions': 'Primary Conclusions:\nSevere bridging spondylosis is noted, which may correlate with the clinical symptoms indicative of discogenic pain. There is also a marked gastric distension with gas. Differential considerations include gastritis, gastric atony, outflow obstruction, or pronounced aerophagia. There is no radiological evidence of mechanical intestinal obstruction.\n\nPrimary Recommendations:\nRecommend implementing exercise limitations and administering analgesics. Should symptoms continue, an MRI is advised to further evaluate the spinal alterations observed. Additionally, it is recommended to repeat fasting abdominal radiographs in 12-24 hours to monitor the gastric distension pattern. Based on the clinical presentation and patient history, further diagnostic procedures such as abdominal ultrasound or endoscopy should be considered.'}

{'bday': '2012-09-21', 'name': 'Trafficano^Ellie', 'breed': 'BOXER', 'owner': 'Trafficano', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

MM pk. crt < 2 sec. Temp 102.4 f. wt 52.6 LBS. Owner stated Ellie was painful in abdomen and yelped out when he palpated abdomen, approx 1 hr ago . Tense abdominal palpation. Normal appetite. No v/d. RDVM performed bl & xrays 1 week ago. Diagnosed w/ DJD/Spondylosis. Rx Gabapentin 300 mg sid in pm. Owner stated gave 1 does, b/c Ellie was too drowsy. Bl work was normal. Owner declined additional bl. work today.

Gi /fb obstruction, DJD, Spondylosis, open

standard

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

['Fever/pyrexia', 'Pain - abdominal', 'Canine Medium/Large Breed']

[]

[545, 622, 2656]

[]

['Joint instability', 'PDx: osteoarthritis']

[]

[1328, 1336]

[]

['Analgesic']

[]

[959]

[]

{'patient': {'bday': '2007-07-23', 'name': 'Urbina^Iced Tea', 'breed': 'DSH', 'owner': 'Urbina', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Aquebogue Veterinary Hospital', 'email': '[email protected]', 'address': 'United States - Aquebogue', 'clinician': 'Aquebogue Veterinary Hospital'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Pet was presented to AVH for a dental ', 'questions': 'Dental was done on 7/25 ', 'specialty_area': ''}}

{'tags': {'userTags': ['standard_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'abnormal', 'source': 'rules'}, {'id': 1014, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 210, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 223, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'consult_name': 'Peritoneal - Thin LAD', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': 'Suspicious gas opacities noted in the cranial abdomen may represent gastric material. This may represent food however foreign material cannot be entirely ruled out.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 417, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 1, 'consult_name': 'Skull - oral pain/bleeding, dental disease', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2327, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 9, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['thoracolumbar']}}, {'id': 11, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None}, {'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 733, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are multiple resorptive lesions noted at multiple mandibular and maxillary premolars as well as at the canine roots.', 'elapsedTime': 112.404, 'signal_name': 'dental-tooth-attachment-loss-class', 'custom_fields': None}, {'id': 947, 'source': 'rules', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There are suspicious gas opacities noted at the region of the pylorus. ', 'elapsedTime': 36.881, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': None}, {'id': 1932, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None}, {'id': 1933, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['severe']}}, {'id': 2141, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None}, {'id': 2159, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None}, {'id': 2160, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None}, {'id': 2231, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None}, {'id': 2275, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None}, {'id': 2278, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None}, {'id': 2284, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None}, {'id': 2295, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None}, {'id': 2296, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None}, {'id': 2298, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2300, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None}, {'id': 2306, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None}, {'id': 2307, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None}, {'id': 2308, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2312, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tmj-luxation-subluxation', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2689, 'source': 'labelling', 'signal_name': 'Skull-question'}], 'recommendations': [{'id': 1041, 'state': 'abnormal', 'source': 'labelling', 'recommendation_name': 'oral-exam'}], 'report_findings': 'Musculoskeletal\nThere is spondylosis deformans noted in the thoracolumbar spine. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThere are suspicious gas opacities noted at the region of the pylorus. There is severe loss of serosal detail in the abdomen. The rest of the observed abdomen is within normal limits.\n\nThorax\nThe heart measures above the normal range. The rest of the observed thorax is within normal limits.\n\nDental\nThere are multiple resorptive lesions noted at multiple mandibular and maxillary premolars as well as at the canine roots. There are no other abnormalities noted in the rest of the observed dental.', 'additionalSignals': [{'id': 2, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-bronchial-interstitial', 'is_locked_out': False}, {'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 812, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'dental-tooth-periapical-lucency-class', 'is_locked_out': False}, {'id': 815, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'dental-tooth-attachment-loss-class', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2264, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'irregular-kidney', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2309, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'nasal-cavity', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2311, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-abl', 'is_locked_out': False}, {'id': 2312, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'tmj-luxation-subluxation', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2420, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ear-canal-mineralization', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'pleural-fissure', 'is_locked_out': True}, {'id': 2453, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nEvidence of periodontal disease and feline odontoclastic resorptive lesions were noted.\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental findings versus cardiomyopathy.\nLoss of detail in the abdomen is most consistent with a scant amount of peritoneal effusion. A lack of intra-abdominal fat cannot be ruled out.\nSuspicious gas opacities noted in the cranial abdomen may represent gastric material. This may represent food however foreign material cannot be entirely ruled out.\nBridging spondylosis noted. Likely incidental.\n\nRecommendations:\nSummary:\nConsider general anesthesia, dental radiography, and Comprehensive Oral Health Assessment and Treatment for further evaluation of oral health.\nConsider an echocardiogram to rule out cardiomyopathy.\nAn AFAST +/- abdominal ultrasound is recommended for free fluid if clinically warranted and to rule out peritoneal effusion.\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nCorrelate with physical exam findings to determine the clinical significance of the bridging spondylosis identified."}

{'bday': '2007-07-23', 'name': 'Urbina^Iced Tea', 'breed': 'DSH', 'owner': 'Urbina', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Pet was presented to AVH for a dental

Dental was done on 7/25

standard

['Skull-question']

['Feline']

[]

[2327]

[]

[]

[]

[]

[]

['Oral exam']

[]

[1041]

[]

{'patient': {'bday': '2019-06-21', 'name': 'Bentivegna^Thelma', 'breed': 'Domestic Shorthair', 'owner': 'Bentivegna^Thelma', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Fountain Valley Emergency Pet Hospital', 'email': '[email protected]', 'address': 'United States - Fountain Valley', 'clinician': 'FVEPH'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Presented for dyspnea and coughing.\r\nHas been having 10 asthma attacks a week.\r\nAdopted a kitten a week ago.\r\nDiagnosed of feline asthma feb of this year.\r\nIndoor only.\r\nStill eating/drinking.\r\nCurrently on fluticasone 1 puff BID and prednisone 1mg every 1-5 days PRN, 1 pill a day - increased to BID, 1 pill in the AM and 2 pills in the PM.\r\n\r\nAlbuterol PRN (last dose at 3:30 pm)', 'questions': 'Feline Asthma vs Bronchitis vs Neoplasia vs Open dx', 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1006, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'excluded', 'source': 'rules'}, {'id': 1031, 'state': 'excluded', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1034, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'empty', 'source': 'rules'}, {'id': 1273, 'state': 'abnormal', 'source': 'rules'}, {'id': 1274, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 209, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Gastric - Food vs foreign, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 210, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Cardiomegaly feline - Poss large heart, no clinical signs', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 331, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Resp Pleural - small fissure line', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 665, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 65.316, 'consult_name': 'Resp Bronchial - Feline asthma, BPP, hyperinflation', 'isAddressingConcern': True, 'diagnosis_custom_text': 'Hyperinflated lungs and bronchial markings are concerning for feline asthma/bronchitis. rounded opacities noted are likely bronchial plugs and less likely nodules. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider a tracheal wash for cytology, culture and PCR for further investigation. Often, therapy for nonresponsive asthma is modified by response to therapy; a combination of steroids, antibiotics, and bronchodilators may be considered.', 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 69, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Coughing'}, {'id': 2327, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 715, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'A bronchial pattern is present, together with bronchial plugs. ', 'elapsedTime': 11.843, 'signal_name': 'lung-pulmonary-pattern', 'custom_fields': None, 'finding_normal_text': 'Bronchial Pulmonary Pattern', 'finding_abnormal_text': 'A bronchial pattern is present. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 880, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There appears to be mild generalized enlargement of the heart on the VD', 'elapsedTime': 9.144, 'signal_name': 'general-cardiomegaly', 'custom_fields': {'___s1_': ['.']}, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': {'___s1_': ['left']}, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': {'___s1_': ['left and right']}, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['mild'], '___s2_': ['kibble/food']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2449, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'pleural-fissure', 'custom_fields': {'___s1_': ['cranioventral']}, 'finding_normal_text': 'Pleural Fissure', 'finding_abnormal_text': 'A pleural fissure line is noted in the ___s1_ thorax.'}, {'id': 2453, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'hyperinflation-lungs', 'custom_fields': None, 'finding_normal_text': 'Hyperinflation of lungs', 'finding_abnormal_text': 'There is a generalized flattening of the diaphragm +/- generalized decrease in lung opacity. '}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [], 'questions': [{'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2672, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-thorax'}], 'recommendations': [{'id': 976, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'Corticosteroid'}, {'id': 1354, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'corticosteroid1'}, {'id': 2227, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'Feline asthma'}], 'report_findings': 'Thorax\nThere appears to be mild generalized enlargement of the heart on the VD. A bronchial pattern is present, together with bronchial plugs. There is a generalized flattening of the diaphragm +/- generalized decrease in lung opacity. A pleural fissure line is noted in the cranioventral thorax. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is mild distension of the stomach with the presence of radiopaque material which has the appearance of ingesta. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is evidence of hip incongruity of the left hip. There are degenerative changes affecting the left and right coxofemoral joint. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2229, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-dysplasia', 'is_locked_out': False}, {'id': 2230, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2449, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2453, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'hyperinflation-lungs', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2567, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pulmonary Minerazliation', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nHyperinflated lungs and bronchial markings are concerning for feline asthma/bronchitis. rounded opacities noted are likely bronchial plugs and less likely nodules.\nThe pleural fissure line noted may represent a small amount of pleural fluid. Thickening of the pleura/pleuritis or artifactual appearance cannot be ruled out.\nConcern for an enlarged cardiac silhouette, feline cardiac disease may be subtle without obvious changes to the cardiac silhouette. No evidence of failure is identified. Rule out incidental finding versus cardiomyopathy.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign material or foreign material admixed with food cannot be ruled out.\n\nRecommendations:\nConsider a tracheal wash for cytology, culture and PCR for further investigation. Often, therapy for nonresponsive asthma is modified by response to therapy; a combination of steroids, antibiotics, and bronchodilators may be considered.\nCorrelate with history for the clinical significance of the noted pleural fissure line.\nConsider an echocardiogram to rule out cardiomyopathy.\nRepeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material should be considered.'}

{'bday': '2019-06-21', 'name': 'Bentivegna^Thelma', 'breed': 'Domestic Shorthair', 'owner': 'Bentivegna^Thelma', 'gender': 'F', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

Presented for dyspnea and coughing. Has been having 10 asthma attacks a week. Adopted a kitten a week ago. Diagnosed of feline asthma feb of this year. Indoor only. Still eating/drinking. Currently on fluticasone 1 puff BID and prednisone 1mg every 1-5 days PRN, 1 pill a day - increased to BID, 1 pill in the AM and 2 pills in the PM. Albuterol PRN (last dose at 3:30 pm)

Feline Asthma vs Bronchitis vs Neoplasia vs Open dx

standard

['Resp signs - general', 'neoplasia-thorax']

['Dyspnoea', 'Coughing', 'Feline']

[]

[50, 69, 2327]

[]

[]

[]

[]

[]

['Corticosteroid', 'Corticosteroid', 'Feline asthma']

[]

[976, 1354, 2227]

[]

{'patient': {'bday': '2024-01-15', 'name': 'Canine Companions For Independence^Glodbud II', 'breed': 'Labrador Retriever Mix', 'owner': 'Canine Companions For Independence', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'address': 'United States - Bohemia', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O stated dog has had swollen face since this morning. Swelling has gone down on own so far. Dog also chewed up table leg, vomited up some wood chunks with tint of blood. threw up once in car was continuing to gag. ', 'questions': 'foreign material', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1024, 'state': 'abnormal', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1033, 'state': 'partial', 'source': 'rules'}, {'id': 1053, 'state': 'inprogress', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'elapsedTime': 40.574, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': "Correlate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying. Alternatively, inducing emesis can be considered depending on other clinical input.", 'recommendation_custom_fields': None}, {'id': 248, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'elapsedTime': 13.981, 'consult_name': 'Intestines - Gastroenteritis (dietary indiscretion), concern for 2 pops/obstruction, symptomatic, no FB', 'isAddressingConcern': True, 'diagnosis_custom_text': 'No evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Clinical signs are most likely related to but not limited to a gastroenteritis secondary to dietary indiscretion.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Medical management of the reported clinical signs (including that for esophagitis) is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to rule out an intestinal foreign body.', 'recommendation_custom_fields': None}, {'id': 791, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'elapsedTime': 110.423, 'consult_name': 'Esoph - Regurg, no ESD/EFB, reflux/esophagitis', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Consideration for the gagging is given to esophageal microtrauma from the foreign body described. Other differentials include gastroesophageal reflux or esophagitis. \n', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'An endoscopy or swallow study may be indicated for further investigation if there is no response to therapy. ', 'recommendation_custom_fields': None}], 'signals': [{'id': 251, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'Foreign body ingestion'}, {'id': 256, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 521, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Gagging/retching'}, {'id': 580, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mass/swelling - facial'}, {'id': 2656, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2306, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'palate-canals', 'custom_fields': None, 'finding_normal_text': 'The visible pharyngeal region appears within normal limits.', 'finding_abnormal_text': 'There is increased opacity noted within the pharyngeal region.'}, {'id': 2308, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'frontal-sinuses', 'custom_fields': None, 'finding_normal_text': 'The nasal cavities and frontal sinuses have a normal opacity. ', 'finding_abnormal_text': 'There is a ___s1_ increased opacity noted in the ___s2_ frontal sinus.'}, {'id': 2310, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None, 'finding_normal_text': 'The bones of the skull are within normal limits with no aggressive lesions or fractures noted.', 'finding_abnormal_text': 'There is a fracture noted in the ___s1_ bone of the skull. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}], 'diagnosis': [], 'questions': [{'id': 2659, 'source': 'labelling', 'attention': False, 'signal_name': 'Vomiting-FB/obstruction'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is moderate distension of the stomach with the presence of radiopaque material which has the appearance of digested food admixed with unidentified soft tissue material . The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2306, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'palate-canals', 'is_locked_out': False}, {'id': 2308, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'frontal-sinuses', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2494, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'laryngeal-opacity', 'is_locked_out': False}, {'id': 2496, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Larynx-mineralization', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2554, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Esophageal foreign body, contrast', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2579, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tortuous vessels', 'is_locked_out': False}, {'id': 2603, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pharynx Narrowing', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}, {'id': 2693, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nGastric material. This may represent food however foreign material cannot be entirely ruled out.\nNo evidence of intestinal foreign body or intestinal obstruction noted in the radiographs provided. Presence of occult foreign material cannot completely be excluded radiographically. Clinical signs are most likely related to but not limited to a gastroenteritis secondary to dietary indiscretion.\nConsideration for the gagging is given to esophageal microtrauma from the foreign body described. Other differentials include gastroesophageal reflux or esophagitis.\n\nRecommendations:\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying. Alternatively, inducing emesis can be considered depending on other clinical input.\nMedical management of the reported clinical signs (including that for esophagitis) is indicated at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to rule out an intestinal foreign body.\nAn endoscopy or swallow study may be indicated for further investigation if there is no response to therapy."}

{'bday': '2024-01-15', 'name': 'Canine Companions For Independence^Glodbud II', 'breed': 'Labrador Retriever Mix', 'owner': 'Canine Companions For Independence', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

O stated dog has had swollen face since this morning. Swelling has gone down on own so far. Dog also chewed up table leg, vomited up some wood chunks with tint of blood. threw up once in car was continuing to gag.

foreign material

standard

['Vomiting-FB/obstruction']

['Foreign body ingestion', 'Vomiting', 'Gagging/retching', 'Mass/swelling - facial', 'Canine Medium/Large Breed']

[]

[251, 256, 521, 580, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2015-02-21', 'name': 'DANIEL^HANK', 'breed': 'Coonhound Mix', 'owner': 'DANIEL^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Burleson Animal Emergency Hospital', 'email': '[email protected]', 'clinician': 'BAEH'}, 'accept_tos': 'true', 'consult_info': {'case_info': "O reports that pt got in an altercation with housemate on Friday. There is a wound on front RIGHT leg. O states they called rDVM & they were told to put H2O2 on the wound. So they have been doing that. Today pt feels hot to the touch & they also woke up to 4 piles of vomit. O said that last night he was eating, but unsure about today. He isn't lethargic & is acting normally. ", 'questions': ' ', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'coded', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1016, 'state': 'inprogress', 'source': 'rules'}, {'id': 1019, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'partial', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'inprogress', 'source': 'rules'}, {'id': 1035, 'state': 'inprogress', 'source': 'rules'}, {'id': 1040, 'state': 'empty', 'source': 'rules'}, {'id': 1044, 'state': 'partial', 'source': 'rules'}], 'consult': [{'id': 489, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': None, 'consult_name': 'Subcut - Swelling, trauma', 'diagnosis_custom_text': 'Soft tissue swelling as described. Consistent with history of trauma and local hemorrhage/hematoma. No bone fractures noted.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 131, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 256, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 296, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Wound'}, {'id': 2656, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 17, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None}, {'id': 723, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None}, {'id': 762, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None}, {'id': 2275, 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': {'___s1_': ['the right', 'front limb']}}, {'id': 2299, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None}, {'id': 2310, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'skull-fracture', 'custom_fields': None}, {'id': 2446, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'carpal-metacarpal-osteophytosis', 'custom_fields': None}, {'id': 2500, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None}, {'id': 2580, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None}, {'id': 2600, 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None}], 'diagnosis': [], 'questions': [{'id': 2675, 'source': 'labelling', 'signal_name': 'trauma-general'}], 'recommendations': [], 'report_findings': 'Musculoskeletal\nThere is soft tissue swelling involving the right front limb. The rest of the observed musculoskeletal system is within normal limits.\n\nAbdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': False}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': False}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': False}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 709, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'retroperitoneal-lymphadenopathy', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 722, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesions-of-the-third-phalanx', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-luxation', 'is_locked_out': False}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1633, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'uterus-distension', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-anomaly-class', 'is_locked_out': False}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'hip-neck-thicking', 'is_locked_out': False}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2291, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'abdominal-hernia', 'is_locked_out': False}, {'id': 2292, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'wire-foreign-body', 'is_locked_out': False}, {'id': 2293, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'bates-body', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2310, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'skull-fracture', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2403, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-deformity', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2419, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lymphadenomegaly-c', 'is_locked_out': False}, {'id': 2421, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'sternal-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2438, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'thymus-present', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': True}, {'id': 2449, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2486, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'spinal-articular-process-arthritis', 'is_locked_out': False}, {'id': 2491, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Inter-sternebral narrowing', 'is_locked_out': False}, {'id': 2492, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sternal-subluxation', 'is_locked_out': False}, {'id': 2499, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Sacroiliac-luxation', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2556, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Abdominal mineralization', 'is_locked_out': False}, {'id': 2566, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subcutaneous foreign body', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2576, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Bone Lucency', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2586, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Subluxation of Ribs', 'is_locked_out': False}, {'id': 2594, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fractured Rib Cartilages', 'is_locked_out': False}, {'id': 2598, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Fracture Healing, callus', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2690, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'submandibular-swelling', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nSoft tissue swelling is consistent with history of trauma and local hemorrhage/hematoma. No bone fractures noted.\n\nRecommendations:\nMedical management as required for soft tissue injury.'}

{'bday': '2015-02-21', 'name': 'DANIEL^HANK', 'breed': 'Coonhound Mix', 'owner': 'DANIEL^', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

O reports that pt got in an altercation with housemate on Friday. There is a wound on front RIGHT leg. O states they called rDVM & they were told to put H2O2 on the wound. So they have been doing that. Today pt feels hot to the touch & they also woke up to 4 piles of vomit. O said that last night he was eating, but unsure about today. He isn't lethargic & is acting normally.

standard

['trauma-general']

['Lethargic/tired', 'Vomiting', 'Wound', 'Canine Medium/Large Breed']

[]

[131, 256, 296, 2656]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2011-09-20', 'name': 'Keelie Ableson', 'breed': 'Miniature Schnauzer', 'owner': 'Ableson', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Beacon Pet Hospital ', 'email': '[email protected]', 'address': 'Canada - Sidney', 'clinician': 'Beaconpet'}, 'accept_tos': 'true', 'consult_info': {'case_info': '- 24 hours onset, hiding, arched back, yelp when picked up. \r\nNormal mentation, ambulatory \r\nCranial nerves normal. \r\nGait - arched back. \r\nPostural - normal. \r\nSpinal reflexes - Withdrawal - Thoracic - Increased Pelvic - increased in increased in 2 digits, reduced in the other digits. \r\nAnal reflex - normal. \r\nNo neck pain, no back pain. ', 'questions': 'Responds well to the treatment.', 'specialty_area': ''}}

{'tags': {'userTags': ['acceptable', 'five'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': ['Tortuous vessels', 'craniomandibular-osteopathy', 'distal-extremity-arthritis']}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'labelling'}, {'id': 1015, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1026, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1029, 'state': 'abnormal', 'source': 'labelling'}, {'id': 1030, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1035, 'state': 'ready', 'source': 'labelling'}, {'id': 1036, 'state': 'ready', 'source': 'labelling'}, {'id': 1044, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1053, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1054, 'state': 'partial', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'labelling'}, {'id': 1096, 'state': 'inprogress', 'source': 'labelling'}], 'consult': [{'id': 386, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Spine - fp TID/CID', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Possible narrowed disc space, though appearance may be secondary to patient positioning or beam divergence. Spondylosis deformans noted. Other sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, IBD and constipation', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'If there is a concern for back pain or neurologic deficits, consider spinal radiographs centered on the region of interest. Correlate with neurologic and orthopedic examination with MRI/ CT scan for definitive diagnosis.\xa0Recommend abdominal u/s, full cbc with pancreatitis testing , pre and post prandial bile acids and full urinalysis.', 'recommendation_custom_fields': None}, {'id': 847, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Bladder - Urine retention, no obstruction, dog', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 849, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': None, 'consult_name': 'Intestines - Limited detail, Gi signs', 'isAddressingConcern': False, 'diagnosis_custom_text': 'Due to the decreased serosal detail in the abdomen from under exposure, thorough evaluation of the GI tract is limited.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 121, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Hunched up'}, {'id': 145, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Meowing '}, {'id': 292, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Whining'}, {'id': 629, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain - musculoskeletal'}, {'id': 631, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pain - spinal'}, {'id': 2186, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Pain'}, {'id': 2442, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Pain - neck'}, {'id': 2654, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'small-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['cervical']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['severe']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2265, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'urinary-bladder-distension', 'custom_fields': None, 'finding_normal_text': 'Urinary Bladder Distension', 'finding_abnormal_text': 'There is distension of the urinary bladder. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': {'___s1_': ['C6-C7']}, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2307, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tympanic-bulla', 'custom_fields': None, 'finding_normal_text': 'The tympanic bulla are normal in appearance. ', 'finding_abnormal_text': 'There is increased opacity noted of the ___s1_ tympanic bulla. '}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2569, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'False positive limited abdominal detail', 'custom_fields': None, 'finding_abnormal_text': 'The loss of detail noted in the abdomen is suspected to be artifactual and related to summation of structures or exposure settings.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2692, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'vert-cervical-narrowing-fp', 'custom_fields': None, 'finding_abnormal_text': ' Suspected narrowed disc space, though appearance may be secondary to patient positioning or beam divergence.'}], 'diagnosis': [], 'questions': [{'id': 2661, 'source': 'labelling', 'attention': False, 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2673, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-musculoskeletal'}, {'id': 2679, 'source': 'labelling', 'attention': False, 'signal_name': 'spine-neurological-ivdd-pain'}], 'internal_notes': 'Poor radiographic detail limits interpretation, but it could be mentioned to do a trial steroid or NSAID and strict rest, so provide \nimmediate relief in case there is IVDD', 'recommendations': [{'id': 270, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'recommendation_name': 'Neurological examination'}], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is severe loss of serosal detail in the abdomen. There is significant distension of the urinary bladder. The loss of detail noted in the abdomen is suspected to be artifactual and related to summation of structures or exposure settings. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThere is spondylosis deformans noted in the cervical spine. There is intervertebral disc space narrowing at C6-C7. Suspected narrowed disc space, though appearance may be secondary to patient positioning, beam divergence or underexposure. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2266, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'axial-fracture', 'is_locked_out': False}, {'id': 2270, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2410, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'summation-structures', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2669, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}, {'id': 2692, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'vert-cervical-narrowing-fp', 'is_locked_out': False}], 'report_conclusions': 'Conclusions:\nPossible narrowed disc space, though appearance may be secondary to patient positioning or beam divergence. Spondylosis deformans noted. Other sources of abdominal discomfort could include but not limited to pancreatitis, liver disease, neoplasia, cystitis, IBD and constipation.\nThe urinary bladder is significantly distended. Suspected to be urinary retention secondary to anxiety or lack of access to urinate outside.\nDue to the decreased serosal detail in the abdomen from under exposure, thorough evaluation of the GI tract is limited.\n\nRecommendations:\nIf there is a concern for back pain or neurologic deficits, consider spinal radiographs centered on the region of interest. Correlate with neurologic and orthopedic examination with MRI/ CT scan for definitive diagnosis.\xa0Recommend abdominal u/s, full cbc with pancreatitis testing , pre and post prandial bile acids and full urinalysis.\nBiochemistry profile and urinalysis may be considered if there is concern for calculi.\nConsider abdominal ultrasound for further investigation of the small intestines.'}

{'bday': '2011-09-20', 'name': 'Keelie Ableson', 'breed': 'Miniature Schnauzer', 'owner': 'Ableson', 'gender': 'F', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

{'name': 'Beacon Pet Hospital ', 'email': '[email protected]', 'address': 'Canada - Sidney', 'clinician': 'Beaconpet'}

- 24 hours onset, hiding, arched back, yelp when picked up. Normal mentation, ambulatory Cranial nerves normal. Gait - arched back. Postural - normal. Spinal reflexes - Withdrawal - Thoracic - Increased Pelvic - increased in increased in 2 digits, reduced in the other digits. Anal reflex - normal. No neck pain, no back pain.

Responds well to the treatment.

standard

['Gi signs - Systemic vs general', 'neoplasia-musculoskeletal', 'spine-neurological-ivdd-pain']

['Hunched up', 'Vocalizing ', 'Whining/whimpering/groaning', 'Pain - musculoskeletal', 'Pain', 'Canine Small Breed']

['Pain - spinal', 'Pain - neck']

[121, 145, 292, 629, 2186, 2654]

[631, 2442]

[]

[]

[]

[]

['Neurological examination']

[]

[270]

[]

{'patient': {'bday': '2015-02-03', 'name': 'Whelan^Cooper', 'breed': 'PITBULL', 'owner': 'Whelan^Nigel', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Atlantic Coast Veterinary Specialists - Bohemia', 'email': '[email protected]', 'address': 'United States - Bohemia', 'clinician': 'Atlantic Coast New York Veterinary Specialists'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'Cooper was presented to us for hard time breathing this morning. He is not drinking or eating properly for last 2 days. He is sneezing and has lethargy as well. UTD on vaccines and F/T preventative. Cooper is getting allergy injections at his rDVM.\r\nCurrent medications: None', 'questions': 'Shortness of breath\r\nPale pink mucus membrane\r\nDry nose with scaly tissues\r\n\r\nDDx: Cardiovascular disease, respiratory disease, allergy, infection, neoplasia.', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1006, 'state': 'abnormal', 'source': 'rules'}, {'id': 1020, 'state': 'abnormal', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1029, 'state': 'abnormal', 'source': 'rules'}, {'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1031, 'state': 'inprogress', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1035, 'state': 'abnormal', 'source': 'rules'}, {'id': 1036, 'state': 'abnormal', 'source': 'rules'}, {'id': 1044, 'state': 'inprogress', 'source': 'rules'}, {'id': 1053, 'state': 'partial', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 219, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 2, 'consult_name': 'Peritoneal - LAD, no trauma', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 458, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 4, 'consult_name': 'Bladder - Bladder stones, fp', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 6, 'consult_name': 'Colon - Fecal retention', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 730, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 3, 'consult_name': 'Resp Neoplasia - Possible TMS', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 837, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 1, 'consult_name': 'Resp Bronchial - bronchiectasis', 'isAddressingConcern': True, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1251, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 7, 'consult_name': 'Spine general - Bridging spondylosis, no pain', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1344, 'state': 'abnormal', 'source': 'labelling', 'attention': False, 'custom_sort': 5, 'consult_name': 'Gastric - Food vs foreign, no GAD, asymptomatic(not clear kibble)', 'isAddressingConcern': False, 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 50, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Breathing difficulty'}, {'id': 131, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lethargic/tired'}, {'id': 230, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Sneezing'}, {'id': 607, 'source': 'labelling', 'history': True, 'attention': False, 'confidence': 3, 'signal_name': 'hyporexia'}, {'id': 674, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Mucous membranes abnormal - pale'}, {'id': 2656, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'medium-large-breed'}], 'findings': [{'id': 9, 'group': 'musculoskeletal', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'spondylosis-spondylosis', 'custom_fields': {'___s1_': ['lumbosacral']}, 'finding_normal_text': 'Spondylosis', 'finding_abnormal_text': 'There is spondylosis deformans noted in the ___s1_ spine. '}, {'id': 11, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is small mineralized opacity noted over the silhouette of the urinary bladder on image 2.', 'elapsedTime': 12.653, 'signal_name': 'bladder-bladder-stone', 'custom_fields': {'___s1_': ['small mineralized']}, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 762, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'elbow-osteophytosis', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the elbows. ', 'finding_abnormal_text': 'There are degenerative changes noted in the ___s1_ elbow. '}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 873, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'bronchiectasis', 'custom_fields': {'___s1_': ['cranioventral lung field']}, 'finding_normal_text': 'There is no evidence of bronchiectasis noted.', 'finding_abnormal_text': 'Bronchial pattern noted characterized by bronchiectasis in the ___s1_.'}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1605, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is radiopaque material within the stomach which has the appearance of digested food.', 'elapsedTime': 5.439, 'signal_name': 'stomach-n-gastric-material', 'custom_fields': {'___s1_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach is empty.', 'finding_abnormal_text': 'There is radiopaque material within the stomach which has the appearance of ___s1_. '}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': {'___s1_': ['moderate']}, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'labelling', 'history': False, 'attention': False, 'confidence': '3', 'custom_text': 'There is a single, ill defined, soft tissue noted in the cranioventral thorax, overlying the heart on image 1. ', 'elapsedTime': 29.936, 'signal_name': 'lung-thoracic-mass', 'custom_fields': {'___s1_': ['is a single', 'ill defined', 'soft tissue'], '___s2_': ['cranioventral'], '___s3_': ['.']}, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ noted in the ___s2_ thorax, ___s3_ '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2255, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pulmonary-vessel-congestion', 'custom_fields': None, 'finding_normal_text': 'The pulmonary vessels are normal in appearance. ', 'finding_abnormal_text': 'The pulmonary vessels appear congested. '}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2500, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fluid-wispy', 'custom_fields': None, 'finding_normal_text': 'Normal Wispy Fluid', 'finding_abnormal_text': 'There is a wispy soft tissue opacity noted over the ___s1_ in the ___s2_ abdomen.'}, {'id': 2580, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Implant Motion/Infection', 'custom_fields': None, 'finding_normal_text': 'No evidence of implant motion/failure or infection identified.', 'finding_abnormal_text': 'An area of lucency associated with the implant is noted ____. '}, {'id': 2599, 'group': 'thorax', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Tracheal Foreign Body', 'custom_fields': None, 'finding_normal_text': 'No definitive evidence of a radiopaque foreign body within the airway is identified.', 'finding_abnormal_text': 'A ___ opacity is noted within the ____ trachea. '}], 'diagnosis': [{'id': 389, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Heart (cardiac) disease'}, {'id': 1003, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Hypersensitivity (allergic) skin disorder - food hypersensitivity'}, {'id': 2025, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'Respiratory tract infection'}, {'id': 2443, 'state': 'abnormal', 'source': 'ai', 'history': False, 'attention': False, 'confidence': 100, 'diagnosis_name': 'neoplasia'}], 'questions': [{'id': 2662, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2663, 'source': 'labelling', 'attention': False, 'signal_name': 'Resp signs - general'}, {'id': 2672, 'source': 'labelling', 'attention': False, 'signal_name': 'neoplasia-thorax'}], 'recommendations': [], 'report_findings': 'Thorax\nA bronchial pattern was noted in the lung field. There is a single, ill defined, soft tissue noted in the cranioventral thorax, overlying the heart on image 1. The rest of the observed thorax is within normal limits.\n\nAbdomen\nThere is radiopaque material within the stomach which has the appearance of digested food. There is a mild accumulation of fecal material in the colon. There is moderate loss of serosal detail in the abdomen. A small mineralized opacity is noted over the silhouette of the urinary bladder in image 2. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nSpondylosis deformans is noted in the lumbosacral spine. The rest of the observed musculoskeletal system is within normal limits.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': True}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': True}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 703, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 705, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'retroperitoneal-fluid', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urethra-calculi', 'is_locked_out': True}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': True}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 873, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 886, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cavitated-pulmonary-mass', 'is_locked_out': False}, {'id': 947, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 2141, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2217, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'potential-contrast-study', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2255, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-congestion', 'is_locked_out': False}, {'id': 2258, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-osteomas', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2265, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'urinary-bladder-distension', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2270, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thin-bcs', 'is_locked_out': False}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2366, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'thoracic-mass-fp', 'is_locked_out': False}, {'id': 2367, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mediastinal-fat', 'is_locked_out': False}, {'id': 2368, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'liver-mass', 'is_locked_out': False}, {'id': 2371, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'bladder-calculi-fp', 'is_locked_out': False}, {'id': 2373, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'heart-vhs-fp', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2500, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fluid-wispy', 'is_locked_out': False}, {'id': 2502, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Ureteral-stone', 'is_locked_out': False}, {'id': 2557, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'cranial-mediastinal-mass', 'is_locked_out': False}, {'id': 2558, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Bulla', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2560, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-nodule', 'is_locked_out': False}, {'id': 2562, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'splenic-mass', 'is_locked_out': False}, {'id': 2563, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheobronchial lymph node', 'is_locked_out': False}, {'id': 2564, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Sternal lymph node', 'is_locked_out': False}, {'id': 2565, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Multiple nodules', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2569, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'False positive limited abdominal detail', 'is_locked_out': False}, {'id': 2570, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Incomplete study/missing orthogonal view', 'is_locked_out': False}, {'id': 2580, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Implant Motion/Infection', 'is_locked_out': False}, {'id': 2599, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tracheal Foreign Body', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2641, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 2, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2645, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'agressive-bone-lesion-discospondylitis', 'is_locked_out': False}, {'id': 2664, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Heart base mass', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe bronchial patterns identified is consistent with chronic bronchitis. Differentials may include allergic bronchitis, chronic infectious bronchitis, or other inflammatory causes.\nThere is a loss of serosal detail in the abdomen, as described. This can be related to the patient's size and radiographic underexposure. However, free fluid in the abdomen is due to low oncotic pressure, portal hypertension, a neoplastic effusion, abdominal hemorrhage, septic or nonseptic peritonitis, or other potential sources can ruled out. \nThe structure identified in the thorax is suspicious of pulmonary mass. Overlying soft tissue structures cannot be completely ruled out.\nThe opacity over the bladder is suspected to be secondary to the summation of structures or possible mineralization of surrounding structures rather than true urolithiasis.\nGastric material. This is most consistent with digested food; however, non-obstructive foreign or foreign material mixed with food cannot be ruled out.\nMild fecal retention. Rule out constipation.\nBridging spondylosis is noted. Likely incidental.\n\nRecommendations:\nConsider tracheal wash with cytology/culture for confirmation and therapy with anti-inflammatory dosages of glucocorticoids for the identified bronchiectasis.\nFor further assessment, abdominal ultrasound / AFAST can be indicated to rule out abdominal effusion. If confirmed, abdominocentesis analysis and cytology of the free fluid in the abdomen can be performed.\nConsider CT scan and/or additional radiographic views for further investigation of the structure identified in the thorax. Otherwise, recheck radiographs can be performed to monitor for progression.\nConsider biochemistry profile and urinalysis +/- abdominal ultrasound if there is suspicion of urinary bladder calculi.\nIf warranted, consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying and rule out the presence of obstructive foreign material.\nConsider a rectal exam to rule out constipation.\nCorrelate with physical exam findings to determine the clinical significance of this bridging spondylosis."}

{'bday': '2015-02-03', 'name': 'Whelan^Cooper', 'breed': 'PITBULL', 'owner': 'Whelan^Nigel', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'ALTERED', 'species_other': ''}

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

Cooper was presented to us for hard time breathing this morning. He is not drinking or eating properly for last 2 days. He is sneezing and has lethargy as well. UTD on vaccines and F/T preventative. Cooper is getting allergy injections at his rDVM. Current medications: None

Shortness of breath Pale pink mucus membrane Dry nose with scaly tissues DDx: Cardiovascular disease, respiratory disease, allergy, infection, neoplasia.

standard

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

['Dyspnoea', 'Lethargic/tired', 'Sneezing', 'Hyporexia', 'Mucous membranes abnormal - pale', 'Canine Medium/Large Breed']

[]

[50, 131, 230, 607, 674, 2656]

[]

['Heart (cardiac) disease', 'Hypersensitivity (allergic) skin disorder - food hypersensitivity', 'Respiratory tract infection', 'Neoplasia']

[]

[389, 1003, 2025, 2443]

[]

[]

[]

[]

[]

{'patient': {'bday': '2021-09-21', 'name': 'Wiggins^Tux', 'breed': 'Shorthair, Domestic', 'owner': 'Wiggins^Sarah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}, 'hospital': {'name': 'Middle Georgia Veterinary Emergency Center', 'email': '[email protected]', 'address': 'United States - Warner Robins', 'clinician': 'MGVEX'}, 'accept_tos': 'true', 'consult_info': {'case_info': 'O is unsure of what may have happened. O noticed P tail drooping this afternoon. P is indoor/outdoor. P is utd on vaccines per O. P is on flea and tick medications. P is eating and drinking normally. \r\n\r\nSymptoms:\r\nlameness: Lameness, ', 'questions': 'N/a', 'specialty_area': ''}}

{'tags': {'userTags': [], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'auto', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1030, 'state': 'inprogress', 'source': 'rules'}, {'id': 1032, 'state': 'empty', 'source': 'rules'}, {'id': 1041, 'state': 'inprogress', 'source': 'rules'}, {'id': 1054, 'state': 'abnormal', 'source': 'rules'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}], 'consult': [{'id': 1368, 'state': 'abnormal', 'source': 'labelling', 'attention': True, 'custom_sort': None, 'consult_name': 'Negative M/S - Large breed no cause for hindlimb lameness', 'isAddressingConcern': True, 'diagnosis_custom_text': "The cause of the patient's described clinical signs is not identified in the radiographs provided. The study is negative for fractures, luxation or subluxation, soft tissue swelling and stifle effusion. This does not rule out a soft tissue injury or neuropathy at this time. A cranial cruciate ligament injury, meniscal injury or collateral ligament instability of the stifle may be present without causing radiographic changes.\r\n", 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}], 'signals': [{'id': 2185, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'Lameness'}, {'id': 2327, 'source': 'ai', 'history': False, 'attention': False, 'confidence': 3, 'signal_name': 'feline'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2275, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'soft-tissue-swelling', 'custom_fields': None, 'finding_normal_text': 'There is no soft tissue swelling. ', 'finding_abnormal_text': 'There is soft tissue swelling involving ___s1_. '}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}, {'id': 2600, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'attention': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'Vertebral Subluxation', 'custom_fields': None, 'finding_normal_text': 'No evidence of vertebral subluxation is identified.', 'finding_abnormal_text': 'Vertebral subluxation is noted at ____. '}], 'diagnosis': [], 'questions': [{'id': 2678, 'source': 'labelling', 'attention': True, 'signal_name': 'lameness-hindLimb'}], 'recommendations': [], 'report_findings': 'Abdomen\nThe observed abdomen is within normal limits. No abnormal abdomen findings are noted.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': False}, {'id': 7, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pneumothorax', 'is_locked_out': False}, {'id': 9, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-distention', 'is_locked_out': False}, {'id': 13, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': False}, {'id': 14, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': False}, {'id': 15, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': False}, {'id': 16, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': False}, {'id': 699, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-mineralization', 'is_locked_out': False}, {'id': 700, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': False}, {'id': 702, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': False}, {'id': 703, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass', 'is_locked_out': False}, {'id': 708, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': False}, {'id': 713, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': False}, {'id': 723, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': False}, {'id': 738, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': False}, {'id': 740, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'knee-osteophytosis', 'is_locked_out': True}, {'id': 787, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tracheal-narrowing', 'is_locked_out': False}, {'id': 790, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-renomegaly', 'is_locked_out': False}, {'id': 798, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'kidney-small', 'is_locked_out': False}, {'id': 799, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'esophagus-distension', 'is_locked_out': False}, {'id': 870, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-gas', 'is_locked_out': False}, {'id': 873, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'bronchiectasis', 'is_locked_out': False}, {'id': 879, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': True}, {'id': 880, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'general-cardiomegaly', 'is_locked_out': False}, {'id': 947, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-vhs', 'is_locked_out': False}, {'id': 1605, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': False}, {'id': 1635, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': False}, {'id': 1933, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': False}, {'id': 1937, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': False}, {'id': 2158, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': False}, {'id': 2160, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': False}, {'id': 2166, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': False}, {'id': 2215, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'body-score', 'is_locked_out': False}, {'id': 2230, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'hip-subluxation', 'is_locked_out': False}, {'id': 2231, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -2, 'signal_name': 'patellar-luxation', 'is_locked_out': True}, {'id': 2259, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': False}, {'id': 2267, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'distal-extremity-arthritis', 'is_locked_out': False}, {'id': 2268, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'subcutaneous-mass', 'is_locked_out': True}, {'id': 2271, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-luxation', 'is_locked_out': False}, {'id': 2272, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'muscle-atrophy', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': True}, {'id': 2301, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'osteochondritis-dissecans', 'is_locked_out': False}, {'id': 2303, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'hypertrophic-osteodystrophy', 'is_locked_out': False}, {'id': 2304, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'panosteitis', 'is_locked_out': False}, {'id': 2313, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'craniomandibular-osteopathy', 'is_locked_out': False}, {'id': 2384, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'surgical-device', 'is_locked_out': False}, {'id': 2401, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2412, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-mineralization', 'is_locked_out': False}, {'id': 2417, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'enthesopathy', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2449, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'pleural-fissure', 'is_locked_out': False}, {'id': 2483, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2571, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Missing label markers', 'is_locked_out': False}, {'id': 2573, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Tibia Displacement', 'is_locked_out': False}, {'id': 2600, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Vertebral Subluxation', 'is_locked_out': False}, {'id': 2617, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'joint-effusion', 'is_locked_out': False}, {'id': 2638, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fabella displacement', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-dish', 'is_locked_out': False}, {'id': 2642, 'source': 'ray', 'history': False, 'attention': False, 'confidence': 0, 'signal_name': 'spondylosis-bridging', 'is_locked_out': False}, {'id': 2653, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Fragmented-fabella', 'is_locked_out': False}, {'id': 2666, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': "Hypertrophic osteopathy (Marie's disease)", 'is_locked_out': False}, {'id': 2732, 'source': 'labelling', 'history': False, 'attention': False, 'confidence': -3, 'signal_name': 'Spinal fracture', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nThe radiographic evaluation does not reveal any abnormalities that could account for the patient's reported symptoms. Specifically, there are no detectable fractures, luxations, subluxations, soft tissue edema, or signs of stifle effusion. However, the absence of radiographic findings does not exclude the possibility of a soft tissue injury or neuropathic condition. Conditions such as cranial cruciate ligament injury, meniscal damage, or collateral ligament instability in the stifle might still be present, despite the lack of evident changes on the current radiographs.\n\nRecommendations:\nCorrelation with an orthopedic examination, specifically assessing for cranial drawer under sedation, is recommended. Initial medical management targeting the soft tissue injury and restriction of physical activity should be considered. Should the examination indicate injuries beyond soft tissue involvement, or if there is no improvement following initial treatment, further evaluation with sedation-enhanced radiographic views of the affected area is advised, potentially supplemented by an orthopedic consultation."}

{'bday': '2021-09-21', 'name': 'Wiggins^Tux', 'breed': 'Shorthair, Domestic', 'owner': 'Wiggins^Sarah', 'gender': 'M', 'weight': '', 'species': 'Feline', 'neutered': 'ALTERED', 'species_other': ''}

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

O is unsure of what may have happened. O noticed P tail drooping this afternoon. P is indoor/outdoor. P is utd on vaccines per O. P is on flea and tick medications. P is eating and drinking normally. Symptoms: lameness: Lameness,

N/a

standard

['lameness-hindLimb']

['Lameness', 'Feline']

[]

[2185, 2327]

[]

[]

[]

[]

[]

[]

[]

[]

[]

{'patient': {'bday': '2020-08-15', 'name': 'Basallo^Benji', 'breed': 'YORKSHIRE_TERRIER', 'owner': 'Basallo^Roxana', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}, 'hospital': {'name': 'My Pet Hospital of Bird Road', 'email': '[email protected]', 'address': 'United States - Miami', 'clinician': 'My Pet Hospital '}, 'accept_tos': 'true', 'consult_info': {'case_info': 'P present today with V, was eating at home and presented like a syncope for some minutes described the O. Continue with Vomits, BW with high Glucose and fructosamine test was normal. ', 'questions': "spinal problems, heart enlargement vs another's problems ", 'specialty_area': ''}}

{'tags': {'userTags': ['expert_level'], 'difficulty': 'standard', 'consults_mode': 'text', 'findings_mode': 'text', 'consults_sorting': 'manual', 'unansweredAdditionalSignals': []}, 'groups': [{'id': 1005, 'state': 'empty', 'source': 'rules'}, {'id': 1015, 'state': 'empty', 'source': 'rules'}, {'id': 1021, 'state': 'empty', 'source': 'rules'}, {'id': 1025, 'state': 'abnormal', 'source': 'rules'}, {'id': 1026, 'state': 'abnormal', 'source': 'rules'}, {'id': 1027, 'state': 'abnormal', 'source': 'rules'}, {'id': 1031, 'state': 'normal', 'source': 'rules'}, {'id': 1034, 'state': 'empty', 'source': 'rules'}, {'id': 1054, 'state': 'normal', 'source': 'labelling'}, {'id': 1095, 'state': 'inprogress', 'source': 'rules'}, {'id': 1096, 'state': 'abnormal', 'source': 'rules'}], 'consult': [{'id': 237, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 4, 'elapsedTime': 17.736, 'consult_name': 'Gastric - Food vs foreign, symptomatic', 'diagnosis_custom_text': 'Gastric material. This may represent food; however, foreign material cannot be entirely ruled out. Outflow obstruction cannot be ruled out at this stage. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 480, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 6, 'consult_name': 'Colon - Fecal retention', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 748, 'state': 'normal', 'source': 'labelling', 'custom_sort': 2, 'consult_name': 'Negative - Cardiac/lung Screening, normal', 'diagnosis_custom_text': None, 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1058, 'state': 'normal', 'source': 'labelling', 'custom_sort': 1, 'elapsedTime': 10.816, 'consult_name': 'Negative - Normal M/S screening', 'diagnosis_custom_text': 'No musculoskeletal or spinal abnormalities have been identified.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1107, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 5, 'elapsedTime': 21.216, 'consult_name': 'Intestines - Normal, vomiting, gastroenteritis, no HGE', 'diagnosis_custom_text': 'Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion could also be considered.', 'diagnosis_custom_fields': None, 'recommendation_custom_text': None, 'recommendation_custom_fields': None}, {'id': 1205, 'state': 'abnormal', 'source': 'labelling', 'custom_sort': 3, 'elapsedTime': 29.869999999999997, 'consult_name': 'Neuro - No cause for seizures vs. syncope', 'diagnosis_custom_text': 'No radiographic cause is noted for the described episode. ', 'diagnosis_custom_fields': None, 'recommendation_custom_text': 'Consider further testing to rule out syncope (ECG, echocardiogram, and blood pressure monitoring) or extracranial causes if seizures are suspected (blood work, spinal tap, and urinalysis).', 'recommendation_custom_fields': None}], 'signals': [{'id': 65, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Collapsed'}, {'id': 99, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Fainting episodes'}, {'id': 256, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'Vomiting'}, {'id': 2654, 'source': 'ai', 'history': False, 'confidence': 3, 'signal_name': 'small-breed'}, {'id': 2706, 'source': 'labelling', 'history': True, 'confidence': 3, 'signal_name': 'Syncope possible seizure'}], 'findings': [{'id': 11, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bladder-bladder-stone', 'custom_fields': None, 'finding_normal_text': 'The urinary bladder is within normal limits. ', 'finding_abnormal_text': 'There is ___s1_ opacity noted over the silhouette of the urinary bladder. '}, {'id': 17, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-limb-fracture', 'custom_fields': None, 'finding_normal_text': 'No appendicular fractures are noted. ', 'finding_abnormal_text': 'There is a ___s1_ fracture of the ___s2_. '}, {'id': 20, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'liver-hepatomegaly', 'custom_fields': None, 'finding_normal_text': 'The liver is unremarkable. ', 'finding_abnormal_text': 'The liver appears enlarged. '}, {'id': 702, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spleen-splenomegaly', 'custom_fields': None, 'finding_normal_text': 'The spleen appears normal in size and contour. ', 'finding_abnormal_text': 'The spleen appears ___s1_ enlarged ___s2_ '}, {'id': 723, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'bone-lesion-lesion', 'custom_fields': None, 'finding_normal_text': 'No aggressive osseous lesions identified. ', 'finding_abnormal_text': 'There is a bone lesion with evidence of ___s1_ identified in ___s2_. '}, {'id': 733, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'esophagus-foreign-body', 'custom_fields': None, 'finding_normal_text': '.', 'finding_abnormal_text': 'A ___s1_ opacity foreign body is present in the ___s2_ esophagus.'}, {'id': 744, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': None, 'signal_name': 'fecal-impaction', 'custom_fields': {'___s1_': ['mild']}, 'finding_normal_text': 'The colon is unremarkable.', 'finding_abnormal_text': 'There is a ___s1_ accumulation of fecal material in the colon.'}, {'id': 787, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'tracheal-narrowing', 'custom_fields': None, 'finding_normal_text': 'The trachea is unremarkable with normal diameter. ', 'finding_abnormal_text': 'There is ___s1_ narrowing of the trachea ___s2_ . '}, {'id': 880, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'general-cardiomegaly', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'There appears to be a generalized enlargement of the heart ___s1_'}, {'id': 947, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-vhs', 'custom_fields': None, 'finding_normal_text': 'The cardiac silhouette is normal in size and shape. ', 'finding_abnormal_text': 'The heart measures above the normal range ___s1_'}, {'id': 1932, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-mass-effect', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of a mass or mass effect within the abdomen. ', 'finding_abnormal_text': 'In the ___s1_ abdomen, there is displacement of ___s2_.'}, {'id': 1933, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'peritoneal-limited-detail', 'custom_fields': None, 'finding_normal_text': 'The serosal detail of the abdomen is normal. ', 'finding_abnormal_text': 'There is ___s1_ loss of serosal detail in the abdomen. '}, {'id': 2141, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-thoracic-mass', 'custom_fields': None, 'finding_normal_text': 'No pulmonary masses, lymphadenopathy, or mediastinal masses are noted. ', 'finding_abnormal_text': 'There ___s1_ mass noted in the ___s2_ thorax. '}, {'id': 2159, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'fracture-rib-fracture', 'custom_fields': None, 'finding_normal_text': 'No evidence of rib fracture is observed.', 'finding_abnormal_text': 'There is ___s1_ fracture of the ___s2_ rib. '}, {'id': 2160, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-diaphragmatic-hernia', 'custom_fields': None, 'finding_normal_text': 'The diaphragm is unremarkable. ', 'finding_abnormal_text': 'There is evidence of herniation of abdominal organs into the thoracic cavity. The ___s1_ appears herniated into the ___s2_. '}, {'id': 2166, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'heart-left-atrial-enlarge', 'custom_fields': None, 'finding_normal_text': 'No left atrial enlargement is present.', 'finding_abnormal_text': 'There is evidence of left atrial enlargement.'}, {'id': 2230, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-subluxation', 'custom_fields': None, 'finding_normal_text': 'There is adequate acetabular coverage of the femoral heads with no subluxation noted. ', 'finding_abnormal_text': 'There is evidence of hip incongruity of the ___s1_ hip. '}, {'id': 2231, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'hip-neck-thicking', 'custom_fields': None, 'finding_normal_text': 'There are no degenerative changes noted in the coxofemoral joints. ', 'finding_abnormal_text': 'There are degenerative changes affecting the ___s1_ coxofemoral joint. '}, {'id': 2278, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'lung-fields', 'custom_fields': None, 'finding_normal_text': 'Lung fields are clear. ', 'finding_abnormal_text': 'cvp-cdp-bpp-tms'}, {'id': 2284, 'group': 'thorax', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'pleural-space', 'custom_fields': None, 'finding_normal_text': 'The pleural space is normal. ', 'finding_abnormal_text': 'There is evidence of pleural fluid and gas. '}, {'id': 2285, 'group': 'abdomen', 'source': 'labelling', 'history': False, 'confidence': '3', 'custom_text': 'There is moderate distension of the stomach with the presence of radiopaque material, which has the appearance of digested food admixed with unidentified soft tissue and mineralized material. ', 'elapsedTime': 8.456999999999999, 'signal_name': 'stomach-distension-find', 'custom_fields': {'___s1_': ['moderate'], '___s2_': ['digested food admixed with unidentified soft tissue material']}, 'finding_normal_text': 'The stomach appears empty. ', 'finding_abnormal_text': 'There is ___s1_ distension of the stomach with the presence of radiopaque material which has the appearance of ___s2_ . '}, {'id': 2295, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'kidney-margins', 'custom_fields': None, 'finding_normal_text': 'The visualized kidneys are within normal limits. ', 'finding_abnormal_text': 'rmn, rmg, skd'}, {'id': 2296, 'group': 'abdomen', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'urolithiasis', 'custom_fields': None, 'finding_normal_text': 'No evidence of urolithiasis. ', 'finding_abnormal_text': 'urolithiasis'}, {'id': 2297, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'spine', 'custom_fields': None, 'finding_normal_text': 'The spine is radiographically normal. ', 'finding_abnormal_text': 'cid, tid, spn, van'}, {'id': 2298, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'intervertebral-disc-space', 'custom_fields': None, 'finding_normal_text': 'No significant intervertebral disc space narrowing is identified. ', 'finding_abnormal_text': 'There is intervertebral disc space narrowing at ___s1_. '}, {'id': 2299, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'degenerative-joint-disease', 'custom_fields': None, 'finding_normal_text': 'There is no evidence of degenerative joint disease. ', 'finding_abnormal_text': 'There is evidence of degenerative joint disease. '}, {'id': 2300, 'group': 'musculoskeletal', 'source': 'rules', 'history': False, 'confidence': '-3', 'custom_text': None, 'signal_name': 'coxofemoral-pelvis', 'custom_fields': None, 'finding_normal_text': 'The coxofemoral joints and pelvis are unremarkable. ', 'finding_abnormal_text': 'hoa, hlx, pfx, not hic'}], 'diagnosis': [{'id': 527, 'state': 'abnormal', 'source': 'ai', 'history': False, 'confidence': 100, 'diagnosis_name': 'Hyperglycaemia'}], 'questions': [{'id': 2661, 'source': 'labelling', 'signal_name': 'Gi signs - Systemic vs general'}, {'id': 2662, 'source': 'labelling', 'signal_name': 'Resp signs - heart/lungs'}, {'id': 2679, 'source': 'labelling', 'signal_name': 'spine-neurological-ivdd-pain'}], 'recommendations': [], 'report_findings': 'Thorax\nThe observed thorax is within normal limits. No abnormal thoracic findings are noted.\n\nAbdomen\nThere is moderate distention of the stomach with the presence of radiopaque material, which has the appearance of digested food admixed with unidentified soft tissue and mineralized material. There is a mild accumulation of fecal material in the colon. The rest of the observed abdomen is within normal limits.\n\nMusculoskeletal\nThe observed musculoskeletal system is within normal limits. No abnormal musculoskeletal findings are noted.', 'additionalSignals': [{'id': 6, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pleural-effusion', 'is_locked_out': True}, {'id': 7, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pneumothorax', 'is_locked_out': True}, {'id': 9, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-spondylosis', 'is_locked_out': True}, {'id': 10, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-joint-effusion', 'is_locked_out': False}, {'id': 11, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bladder-bladder-stone', 'is_locked_out': True}, {'id': 12, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-distention', 'is_locked_out': True}, {'id': 13, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'stomach-n-dilatation', 'is_locked_out': True}, {'id': 14, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-foreign-body', 'is_locked_out': True}, {'id': 15, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-obstruction', 'is_locked_out': True}, {'id': 16, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-pelvis-fracture', 'is_locked_out': True}, {'id': 17, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-limb-fracture', 'is_locked_out': True}, {'id': 19, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'shoulder-arthropathy', 'is_locked_out': False}, {'id': 20, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'liver-hepatomegaly', 'is_locked_out': True}, {'id': 699, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-mineralization', 'is_locked_out': True}, {'id': 700, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'vert-cervical-narrowing', 'is_locked_out': False}, {'id': 701, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'vert-lumbar-narrowing', 'is_locked_out': True}, {'id': 702, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spleen-splenomegaly', 'is_locked_out': True}, {'id': 708, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'urethra-calculi', 'is_locked_out': False}, {'id': 712, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-cranioventral-parenchymal', 'is_locked_out': True}, {'id': 713, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-caudodorsal-parenchymal', 'is_locked_out': True}, {'id': 714, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lung-diffuse-parenchymal', 'is_locked_out': False}, {'id': 715, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-pulmonary-pattern', 'is_locked_out': True}, {'id': 723, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'bone-lesion-lesion', 'is_locked_out': True}, {'id': 733, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-foreign-body', 'is_locked_out': True}, {'id': 738, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'intestines-small-fm-foreign-material', 'is_locked_out': True}, {'id': 740, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'colon-foreign-material', 'is_locked_out': False}, {'id': 744, 'source': 'labelling', 'history': False, 'confidence': 3, 'signal_name': 'fecal-impaction', 'is_locked_out': False}, {'id': 762, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'elbow-osteophytosis', 'is_locked_out': False}, {'id': 764, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'knee-osteophytosis', 'is_locked_out': False}, {'id': 783, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'right-heart-enlargement', 'is_locked_out': False}, {'id': 787, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'tracheal-narrowing', 'is_locked_out': True}, {'id': 790, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-luxation', 'is_locked_out': True}, {'id': 797, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-renomegaly', 'is_locked_out': True}, {'id': 798, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'kidney-small', 'is_locked_out': True}, {'id': 799, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'esophagus-distension', 'is_locked_out': True}, {'id': 870, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'tarsal-metatarsal-osteophytosis', 'is_locked_out': False}, {'id': 871, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-gas', 'is_locked_out': True}, {'id': 879, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'subcutaneous-gas', 'is_locked_out': False}, {'id': 880, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'general-cardiomegaly', 'is_locked_out': True}, {'id': 947, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-vhs', 'is_locked_out': True}, {'id': 1605, 'source': 'ray', 'history': False, 'confidence': 3, 'signal_name': 'stomach-n-gastric-material', 'is_locked_out': True}, {'id': 1635, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'prostate-visible', 'is_locked_out': False}, {'id': 1932, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'peritoneal-mass-effect', 'is_locked_out': True}, {'id': 1933, 'source': 'ray', 'history': False, 'confidence': -2, 'signal_name': 'peritoneal-limited-detail', 'is_locked_out': True}, {'id': 1937, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'spleen-visible', 'is_locked_out': False}, {'id': 2141, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-thoracic-mass', 'is_locked_out': True}, {'id': 2158, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'vert-anomaly-class', 'is_locked_out': True}, {'id': 2159, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'fracture-rib-fracture', 'is_locked_out': True}, {'id': 2160, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'lung-diaphragmatic-hernia', 'is_locked_out': True}, {'id': 2166, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'heart-left-atrial-enlarge', 'is_locked_out': True}, {'id': 2215, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'body-score', 'is_locked_out': True}, {'id': 2230, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-subluxation', 'is_locked_out': True}, {'id': 2231, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'hip-neck-thicking', 'is_locked_out': True}, {'id': 2252, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'patellar-luxation', 'is_locked_out': False}, {'id': 2259, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'redundant-tracheal-membrane', 'is_locked_out': True}, {'id': 2260, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'fluid-distension-SI', 'is_locked_out': False}, {'id': 2275, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'soft-tissue-swelling', 'is_locked_out': False}, {'id': 2307, 'source': 'labelling', 'history': False, 'confidence': 0, 'signal_name': 'tympanic-bulla', 'is_locked_out': False}, {'id': 2363, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mediastinal-gas-c', 'is_locked_out': False}, {'id': 2401, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pylorus-displacement', 'is_locked_out': False}, {'id': 2402, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'mineralized-disk', 'is_locked_out': False}, {'id': 2414, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'caudal-vena-cana-sm', 'is_locked_out': False}, {'id': 2415, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'microcardia', 'is_locked_out': False}, {'id': 2418, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'lumbosacral-degeneration', 'is_locked_out': False}, {'id': 2436, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'ileus-diffuse-distension-SI', 'is_locked_out': False}, {'id': 2446, 'source': 'ray', 'history': False, 'confidence': 0, 'signal_name': 'carpal-metacarpal-osteophytosis', 'is_locked_out': False}, {'id': 2448, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'pulmonary-vessel-mineralization', 'is_locked_out': False}, {'id': 2454, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'SI-bunching', 'is_locked_out': False}, {'id': 2460, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'atlantoaxial-instability', 'is_locked_out': False}, {'id': 2483, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'gastric-fb', 'is_locked_out': False}, {'id': 2498, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Lumbosacral-stenosis', 'is_locked_out': False}, {'id': 2559, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Nodule', 'is_locked_out': False}, {'id': 2568, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Gastric wall thickening', 'is_locked_out': False}, {'id': 2606, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Chronic Fecal Material', 'is_locked_out': False}, {'id': 2641, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-dish', 'is_locked_out': True}, {'id': 2642, 'source': 'ray', 'history': False, 'confidence': -3, 'signal_name': 'spondylosis-bridging', 'is_locked_out': True}, {'id': 2669, 'source': 'labelling', 'history': False, 'confidence': -3, 'signal_name': 'Mild small intestinal distention', 'is_locked_out': False}], 'report_conclusions': "Conclusions:\nNo musculoskeletal or spinal abnormalities identified. \nCardiovascular structures are unremarkable with no evidence of enlargement or congestion. Lungs are clear with no evidence of pathology. \nNo radiographic cause noted for the described episode. \nGastric material may represent food; however, foreign material cannot be entirely ruled out. Outflow obstruction cannot be ruled out at this stage. Gastroenteritis due to infectious conditions, a systemic illness, and dietary indiscretion could also be considered. \nMild fecal retention noted. Rule out constipation.\n\nRecommendations:\nConsider further testing to rule out syncope (ECG, echocardiogram, and blood pressure monitoring) or extracranial causes if seizures are suspected (blood work, urinalysis, abdominal ultrasound, blood ammonia level, serum bile acid profile).\nCorrelate with information regarding the patient's most recent meal and consider repeat fasting abdominal radiographs in 12-24 hours to assess gastric emptying.\nConsider medical management of the reported clinical signs at this time. If there is no response to medical management, consider repeat radiographs and/or abdominal ultrasound to further assess gastrointestinal pattern and lab testing for pancreatitis.\nCorrelate with clinical history to rule out constipation."}

{'bday': '2020-08-15', 'name': 'Basallo^Benji', 'breed': 'YORKSHIRE_TERRIER', 'owner': 'Basallo^Roxana', 'gender': 'M', 'weight': '', 'species': 'Canine', 'neutered': 'UNALTERED', 'species_other': ''}

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

P present today with V, was eating at home and presented like a syncope for some minutes described the O. Continue with Vomits, BW with high Glucose and fructosamine test was normal.

spinal problems, heart enlargement vs another's problems

standard

['Gi signs - Systemic vs general', 'Resp signs - heart/lungs', 'spine-neurological-ivdd-pain']

['Collapsed', 'Syncopal/fainting episodes', 'Vomiting', 'Canine Small Breed', 'Syncope possible seizure']

[]

[65, 99, 256, 2654, 2706]

[]

['Hyperglycemia']

[]

[527]

[]

[]

[]