instruct-pix2pix-BioMedCLIP-concat-newdata-data1/data_json/effusion_mask_json/valid_effusion.json

{"volume_path": "dataset/valid_fixed/valid_4/valid_4_a/valid_4_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_4/valid_4_a/valid_4_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_4_a_1.nii.gz", "findings": "There is minimal pleural effusion on the right. No pleural effusion was detected on the left. Atelectesis is observed in the middle lobe and lower lobe of the right lung. A malignant mass is observed around the lower lobe bronchi of the left lung. There is atelectesis in the anteromediobasal segment of the lower lobe of the left lung. Ground glass areas are observed in the lower lobe of the left lung, especially in the peripheral areas. The appearance of the described frosted glass areas is not specific. In addition, millimetric nodules are also observed in this localization. It is understood that ground glass appearances and millimetric nodules appear in this examination. The described appearances evaluated together with the mass in the pulmonary hilus were primarily evaluated in favor of a pneumonic infiltration. The appearance and distribution of the described findings are not in the manner observed in Covid-19 pneumonia. No mass or infiltrative lesion was detected in the right lung.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_4/valid_4_b/valid_4_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_4/valid_4_b/valid_4_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_4_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 1 cm in the mediastinum appear stable. The pleural effusion present in the right hemithorax is stable. When examined in the lung parenchyma window; Pleuroparenchymal opacities starting from the central and extending to the pleura in the lower lobes of both lungs, significant thickening of the bronchial wall, and the mass appearance of the left lower lobe bronchi are stable. Hypodense lesions suspicious for liver metastasis and increased size in the liver entering the cross-section area have a stable appearance. In the right adrenal gland genus, the 28x17 mm lesion suspicious for metastasis is stable. The left adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. No significant difference was observed between the studies.", "impression": " Stable mass surrounding the bronchi of the lower lobe of the left lung.  Pleuroparenchymal opacities with bronchial pleural extension in the bilateral lower lobes, thickening of the bronchial wall, nonspecific ground glass densities, and right pleural effusion.  Multiple mass lesions in the liver suspicious for metastases and hepatomegaly.  Suspected right adrenal metastatic lesion.  Stable lymph nodes in the mediastinum."}
{"volume_path": "dataset/valid_fixed/valid_12/valid_12_a/valid_12_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_12/valid_12_a/valid_12_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_12_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal, and no significant pathological wall thickening was detected in the non-contrast examination. A few calcified lymph nodes with a short axis smaller than 1 cm were observed in the left hilar region. In addition, lymph nodes measuring 1 cm in the short axis of the largest were observed in the upper-lower paratracheal prevascular aorticopulmonary region. When examined in the lung parenchyma window; Interlobular septal thickenings and alveolar consolidation areas were observed in the upper lobe of the left lung. The appearance may be secondary to cardiac pathology. Infectious process can be considered in the separate diagnosis. Clinical laboratory correlation and post-treatment control are recommended. There are patches of ground glass density increases in both lungs. A few parenchymal nodules, the largest of which was 8 mm in diameter, were observed in the right lung. Between the bilateral pleural leaves, pleural effusion with a thickness of 24 mm on the right and 37 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. A few dense 6 mm diameter calculi were observed in the gallbladder lumen in the upper abdominal sections that entered the study area. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures.", "impression": " Patchy ground-glass density increases in both lungs, parenchymal nodules in the right lung.  Diffuse septal thickenings and areas of alveolar consolidation in the upper lobe of the left lung secondary to cardiac pathology? Infectious process?. Clinical-laboratory correlation and post-treatment control are recommended.  Bilateral pleural effusion, atelectatic changes.  Cholelithiasis.  Degenerative changes in bone structure."}
{"volume_path": "dataset/valid_fixed/valid_19/valid_19_a/valid_19_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_19/valid_19_a/valid_19_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_19_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: The diameter of the ascending aorta is 40 mm and shows slight dilatation. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; On the left, there is a pleural effusion area with loculation measuring 2 cm at its thickest point between the pleural leaves. Subsegmental atelectasis areas are noted in the left lung inferior lingular segment and lower lobe. Nonspecific parenchymal nodules measuring 4.5 mm in diameter in the upper lobe of the right lung and 5 mm in diameter in the posterobasal segment of the lower lobe of the left lung were observed in both lung parenchyma. No mass-infiltration was detected in both lung parenchyma. In the upper abdominal sections that entered the examination area, a 14 mm diameter calculus was observed in the gallbladder lumen. No lytic-destructive lesion was detected in bone structures.", "impression": "Sequelae changes in the left lung. Millimetric size nonspecific parenchymal nodules in both lungs, loculated pleural effusion in the left hemithorax."}
{"volume_path": "dataset/valid_fixed/valid_27/valid_27_a/valid_27_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_27/valid_27_a/valid_27_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_27_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Millimetric sized calcific nodules are observed in the walls of the trachea main bronchi Tracheopathya osteochondroplastica. Mediastinal lymphadenomegaly is observed in the mediastinum, with a narrow diameter of 14 mm in the upper right, bilateral lower paratracheal larger one. Calcific plaques are observed in the walls of the aortic arch, ascending, descending and abdominal aorta. The cardiothoracic index increased in favor of the heart. The AP diameter of the ascending aorta is 4.7 cm and wider than normal. Pericardial effusion measuring 2.7 cm in its thickest part is observed. There are bilateral pleural effusions measuring 2.5 cm in the thickest part on the right and 1.8 cm in the thickest part on the left, and passive atelectasis in the lung parenchyma adjacent to the effusion. More prominent patchy consolidations are observed in the upper lobes of both lung parenchyma. In addition, there is a slightly thick-walled air cyst of 4.3 cm in the laterobasal segment of the lower lobe of the right lung. Compressive atelectasis and pleuroparenchymal density increases are observed in the lower lobes of both lungs. There is mosaic attenuation consistent with small airway or small vessel disease in both lung parenchyma. Interlobular septa are thick secondary to cardiac stasis?. Bilateral adrenal glands appear natural. Bones appear osteopenic. There is a bifid costa appearance in the anterior part of the 2nd rib on the left. Dense costochondral calcifications are observed.", "impression": " Cardiomegaly.  Ectasia, pericardial effusion, bilateral pleural effusions in the ascending aorta.  More prominent patchy consolidations in the upper lobes of both lung parenchyma, infective process?  Thick-walled air cyst in the right lung lower lobe laterobasal segment"}
{"volume_path": "dataset/valid_fixed/valid_27/valid_27_b/valid_27_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_27/valid_27_b/valid_27_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_27_b_1.nii.gz", "findings": "There is bilateral minimal pleural effusion. The pleural effusion measured 28 mm at its thickest point. There is also pericardial effusion. Pericardial effusion measured 24 mm at its thickest point. No pleural or pericardial effusion was detected. Ground glass appearances and consolidations are observed in both lungs. Findings are observed in central and peripheral areas. The findings described are not specific. However, it was learned that the patient was followed up with the diagnosis of Covid-19 pneumonia, and these appearances are compatible with this diagnosis. No mass was detected in both lungs. There is free fluid in the perihepatic region. Liver contours are irregular. It is recommended that the patient be evaluated for liver parenchymal disease. In addition, in the posterior segment of the right lobe of the liver, there is a hypodense area with barely distinguishable borders. It is recommended to evaluate with contrast-enhanced examination for a possible mass.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_31/valid_31_a/valid_31_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_31/valid_31_a/valid_31_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_31_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. Ventilation of both lungs is normal. No mass or infiltrative lesion was detected in both lungs. There are several millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. No pericardial effusion or thickening was detected. The widths of the mediastinal main vascular structures are normal. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. In the neighborhood of the lower lobe of the left lung, an appearance measuring 25 mm in its thickest part and evaluated primarily in favor of loculated pleural effusion is observed. No pleural thickening was detected. Pleural effusion and thickening were not observed on the right. No upper abdominal free fluid-collection was observed in the sections. No enlarged lymph nodes in pathological dimensions were detected. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. Thoracic vertebral corpus heights, alignments and densities are normal. Intervertebral disc distances are preserved. The neural foramina are open.", "impression": "View evaluated in favor of loculated pleural effusion on the left"}
{"volume_path": "dataset/valid_fixed/valid_33/valid_33_a/valid_33_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_33/valid_33_a/valid_33_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_33_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour are normal. Cal dimensions have increased. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; patchy ground glass densities in both lungs mosaic attenuation patterns vascular dilatation at the described levels small airway disease?, small vessel disease? Clinical laboratory correlation and close follow-up are recommended due to the current pandemic in terms of infectious processes with accompanying infections. There is an effusion measuring 15 mm in thickness in the right hemithorax. Multiple lymph nodes are observed in the mediastinum, especially in the paratracheal area and in the aorticopulmonary window, the largest of which was 10 mm in size, showing a slight dimensional reduction of 14 mm in the previous examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Left kidney is not observed. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Small vessel disease?, small airway disease? Due to the current pandemic, close follow-up and clinical laboratory correlation are recommended in terms of differential diagnosis of infectious processes with accompanying infections.  A smear-like effusion of 15 mm in the right hemithorax.  Cardiomegaly.  Lymph nodes in the mediastinum with slight dimensional reductions but not significantly different in number."}
{"volume_path": "dataset/valid_fixed/valid_44/valid_44_a/valid_44_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_44/valid_44_a/valid_44_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_44_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. In particular, both atria are observed to be wider than normal. Pericardial effusion was not detected. There is bilateral minimal pleural effusion. Atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 34 mm and wider than normal. There are atheromatous plaques in the aorta and coronary arteries. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. Emphysematous changes and occasional atelectasis were observed in both lungs. In addition, peripheral and centrally located consolidations and ground-glass appearances are observed in both lungs. These views are not specific. However, during the pandemic process, these appearances were thought to be compatible with Covid-19 pneumonia. No mass was detected in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries, increased pulmonary artery diameters.  Emphysematous changes and atelectasis in both lungs.  Consolidations and ground glass appearances in both lungs.  Bilateral minimal pleural effusion."}
{"volume_path": "dataset/valid_fixed/valid_57/valid_57_a/valid_57_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_57/valid_57_a/valid_57_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_57_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Numerous lymph nodes were observed in the pretracheal, aorta, pulmonary window, prevascular area, and subcarinal area, the largest of which was 20x14 mm in size in the subcarinal area. When examined in the lung parenchyma window; Consolidation-peribronchovascular thickenings including areas of density increase in ground glass density and air bronchogram were observed in the right lung middle lobe and lower lobe, left lung lower lobe and lingular segments. Effusion and pleural thickenings up to 16 mm on the right and 6 mm on the left were observed bilaterally. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Pericholecytic minimal fluid is present. Diffuse osteodegenerative changes were observed.", "impression": "Consolidation-consolidation with prominent air bronchogram in the lower lobes of both lungs-clear pleural effusion on the right bilateral with density increases in ground glass density. Multiple lymph nodes in the pretracheal, aortopulmonary window, subcarinal area"}
{"volume_path": "dataset/valid_fixed/valid_60/valid_60_b/valid_60_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_60/valid_60_b/valid_60_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_60_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Diffuse irregular thickening due to the primary mass in the pleura in the right hemithorax, and signs of extension to the extrathoracic area, muscle planes, and subcutaneous fat tissue anteriorly and laterally are stable. There was no significant difference in metastatic nodular appearance in both lungs. In the right lung, pleuroparenchymal consolidations starting from the central and extending to the periphery, being more prominent in the lower lobe, and a significant increase in ground glass densities are observed. There is minimal aeration in the anterior parts of the right lung. There is a displaced fracture in the posterior 7th rib on the right. On the left hemithorax, an effusion with a diameter of 33 mm is observed at its widest part. The upper abdomen partially enters the section. The liver capsule is irregular and nodular in appearance. There are diffuse nodular densities surrounding the intestinal loops, especially in the left upper quadrant. At this level, free fluid partially penetrating the section or loculated collection appearance is observed. Detailed evaluation can be done with Abdomen examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Follow-up mesothelioma.  Increased parenchymal consolidation and infiltrations in the right lung, newly developed pleural effusion on the left, and a displaced fracture in the 7th rib on the right.  Free or loculated fluid surrounding the intestinal loops in the left upper quadrant in the upper abdominal sections, apart from this, no significant difference was found in the signs of involvement of the primary disease."}
{"volume_path": "dataset/valid_fixed/valid_60/valid_60_c/valid_60_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_60/valid_60_c/valid_60_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_60_c_1.nii.gz", "findings": " Heart contour and size are normal. There are calcific atheroma plaques in the aorta. Stent formations are observed in the anterior descending coronary artery. The widths of the mediastinal main vascular structures are normal. A few lymph nodes with a diameter of 11 mm are observed in the mediastinum and bilateral hilar regions, the largest in the pretracheal area, and no significant difference was found between their number and size. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. The patient who underwent right pleurectomy and diaphragm resection due to mesothelioma had nodular pleural thickness increase consistent with a primary mass whose borders could not be distinguished from the mediastinum on non-contrast examination, starting from the right upper lobe of the lung, and postoperative hyperdense surgical material on the right diaphragmatic face. The mass extends from the intercostal space to the subcutaneous tissue. Right lung aeration is markedly decreased, and there are consolidations in all lobes of the right lung in which air bronchograms are observed, and accompanying soft tissue density lesions in the upper lobes. A 2.5 cm in the previous examination. There is an area of atelectasis and accompanying interlobular septal thickness increases adjacent to the effusion in the posterior segment of the left lung lower lobe. Multiple metastatic nodules are observed in both lungs, and the largest is 10x12 mm in size in the left lung lower lobe superior segment. Some have increased in size. In the left lung lower lobe superior segment and upper lobe anterior segment, lesions in soft tissue density accompanied by peripheral ground glass areas are observed, and it is understood that the lesion observed in the lower lobe has just appeared. First of all, it was evaluated in favor of pneumonic infiltration. Sliding type minimal hiatal hernia is present at the esophagogastric junction. As far as it can be evaluated within the limits of non-contrast CT; there is a capsular implant in the liver and an appearance compatible with the omental cake in the omentum. There is a displaced fracture line in the right 7th rib. No lytic-destructive lesions were observed in the bone structures within the sections. No significant difference was found in the number and size of metastatic nodules in the skin, subcutaneous fat tissue and muscle planes in the posterolateral part of the right thorax, which is partially included in the sections.", "impression": " Mesothelioma on follow-up, consolidation area in the right lung with air bronchograms; increase in size.  Multiple metastatic nodules in both lungs; Some have increased in size.  Lesions of soft tissue density accompanied by peripheral ground glass areas in both upper lobes of the lungs and lower lobe of the left lung. The appearance observed in the lower lobe of the left lung has just emerged. First of all, it was evaluated in favor of pneumonic infiltration.  Left pleural effusion; A minimal decrease is observed in the amount of  Appearance compatible with capsular implants and omental cake in the liver.  Nodular metastatic lesions in the skin, subcutaneous fat tissue and muscle planes on the lateral wall of the right thorax; is stable."}
{"volume_path": "dataset/valid_fixed/valid_63/valid_63_a/valid_63_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_63/valid_63_a/valid_63_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_63_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and heart examination were evaluated as suboptimal because they were unenhanced. Cardiomegaly was observed. Calcifications were observed in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short diameter of up to 8 mm were observed in the mediastinal prevascular area, aortopulmonary window, paratracheal area, and lower paraesophageal area. No lymph node reaching pathological size was detected in the bilateral axillary region and supraclavicular region. When examined in the lung parenchyma window; Loss of aeration was observed in the left lung. In general, patchy consolidations with air bronchograms were observed in the left lung basal. A pleural effusion reaching approximately 1 cm in thickness, extending into the fissure adjacent to the consolidations, was observed. Mosaic attenuation pattern was observed in both lungs. Nonspecific parenchymal nodules, some of which are calcified, the largest reaching approximately 4 mm in diameter, were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the lower pole of the left kidney, which entered the imaging area, an appearance of fat density compatible with angiomyolipoma with a diameter of 10 mm was observed. There are several millimetric stones in the right kidney. Osteodegenerative changes and osteophyte formations in the vertebral corpus corners were observed in the bone structures in the study area. Thoracic kyphosis has increased and height loss has been observed in the thoracic vertebrae. There are metallic materials secondary to surgery in the sternum. .", "impression": "Mosaic attenuation pattern in both lungs. Consolidations in the lower lobe of the left lung, including pleural-based air bronchograms, and pleural fluid extending to the fissure at this level The appearance was primarily evaluated as secondary to infective pathologies. Post-treatment control is recommended.  Cardiomegaly, dilatation of major vascular structures, and atherosclerosis. Lymph nodes that do not reach mediastinal pathological dimensions.  Osteodegenerative bone disease. Right nephrolithiasis, left angiomyolipoma."}
{"volume_path": "dataset/valid_fixed/valid_63/valid_63_b/valid_63_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_63/valid_63_b/valid_63_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_63_b_1.nii.gz", "findings": "Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Lymph nodes measuring 17x11mm in size were observed in the upper-lower paratracheal, prevascular, aorticopulmonary and paraesophageal areas. No lymph node was detected in mediastinal pathological size and appearance. Metallic suture materials of sternotomy were observed on the anterior thorax wall. In the bilateral retroareolar area, glandular tissue increase of gynecomastia draws attention. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. The diameter of the main pulmonary artery was 36mm, the diameter of the right pulmonary artery was 28mm, and the diameter of the left pulmonary artery was 25mm, showing dilatation. When both lung parenchyma windows are evaluated; Widespread mosaic attenuation areas were observed in both lungs small airway disease? small vessel disease?. In bilateral lungs, interlobular septal thickenings were observed in the upper lobes secondary to cardiac pathology?. A minimal pleural effusion area measuring 6 mm in thickness was observed between the pleural leaves on the right. Subsegmental atelectasis areas in the inferior lingular segment of the left lung are noteworthy. According to the previous examination, stable nonspecific pulmonary nodules in size and number were observed in both lungs, some of which showed calcification. The upper abdominal organs included in the study area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In the lower pole of the left kidney, the lesion compatible with angiomyolipoma in the first place in the fat density observed in the previous examination cannot be characterized because it does not enter the image area in the current examination. Degenerative changes are observed in the bone structures in the study area. No lytic-destructive lesion was detected. Diffuse calcification was observed in the T10-11 intervertebral disc. In the vertebra corpus corners, bridging syndesmophytes are observed in places. No lytic-destructive lesion was detected.", "impression": "Mosaic attenuation areas in both lungs small airway disease?, small vessel disease?.  Bilateral interlobular septal thickenings, secondary to cardiac pathology? . Minimal pleural effusion on the right, newly revealed. Cardiomegaly.  Dilatation of pulmonary arteries. Mediastinal lymph nodes with stable size and number of millimeters.  Thoracic spondylosis."}
{"volume_path": "dataset/valid_fixed/valid_72/valid_72_a/valid_72_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_72/valid_72_a/valid_72_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_72_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. The heart size was markedly increased. The ascending aorta diameter has increased by 42 mm. There are calcific atheromatous plaques in the aorta and coronary arteries. Other mediastinal main vascular structures are normal. There is minimal effusion in the pericardial area. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A few lymph nodes with short axes not reaching 1 cm2 are observed in the mediastinal area. When examined in the lung parenchyma window; Pleural effusion with a diameter of 3.5 cm at its thickest point on the right and approximately 2 cm on the left is observed in both hemithoraxes. In addition, there is effusion in both lung fissures. An anky pleural effusion area is also observed in the posterior part of the left lung upper lobe. There is a mosaic attenuation pattern in both lungs. It is appropriate to evaluate it together with the clinic in terms of small airway and small vessel disease. Interlobar and interlobular septal thickness increases are observed in the lower segments of the upper lobe of both lungs. There was no appearance in favor of active infiltration. No gross pathology was detected in the upper abdominal organs included in the examination. A hypodense appearance, which may be compatible with a cyst, was observed in the right kidney. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is an increased kyphotic appearance in the thoracic vertebrae.", "impression": " Effusions thought to be secondary to heart failure.  Increases in interlobar and interlobular thickness."}
{"volume_path": "dataset/valid_fixed/valid_102/valid_102_a/valid_102_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_102/valid_102_a/valid_102_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_102_a_1.nii.gz", "findings": "A mass measuring 3 cm is observed in the thickest part of the right lung, which completely surrounds the pleura at its apex. Between the pleural leaves on the right, there are effusion areas measuring 53 mm in the thickest part and showing loculation in places. In the upper lobe of the right lung, reticular density increases with irregular borders were observed and were evaluated as compatible with lymphangitic spread. In addition, there is a consolidation area in the middle lobe with air bronchograms and atelectatic changes. There are irregular thickenings in the mediastinal and costal pleura. Soft tissue densities are observed in the lower paratracheal area, approximately 36x30 mm in size, with a central necrotic appearance and conglomerate lymphadenopathy. In addition, there are central necrotic lymphadenopathies in the upper-lower paratracheal, subcarinal paraesophageal and right hilar areas, the largest of which measures 3 cm on the short axis. Emphysematous changes are observed in both lungs. There is parenchymal fibrosis and bulla formation in the upper lobe of the left lung causing volume loss. Millimetric parenchymal nodules are observed in the upper and lower lobes of the left lung. A 5 mm diameter parenchymal nodule was observed in the middle lobe of the right lung. In the upper abdominal organs included in the sections, there are lymphadenopathies measuring 27x17 mm in size at the level of the celiac and superior mesenteric arteries. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Malignant mass surrounding the pleura in the apical region of the upper lobe of the right lung. Millimetric parenchymal nodules in both lungs.  Multiple LAPs conglomerated in the mediastinum, intraabdominal LAPs. Irregular thickening of the right pleura and areas of loculated pleural effusion. Both, emphysematous changes in the lung, consolidation-ateleketasis area in the right lung middle lobe."}
{"volume_path": "dataset/valid_fixed/valid_103/valid_103_a/valid_103_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_103/valid_103_a/valid_103_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_103_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Prosthetic material was observed in the aortic valve. There is post-op suture material on the wall of the ascending aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes measuring 19x11 mm in size were observed in the upper-lower paratracheal, prevascular, precarinal, and subcarinal localizations. When both lung parenchyma windows were evaluated, patchy areas of consolidation extending to the periphery and accompanying ground glass density increases were observed in the perihilar area of both lungs. The appearance suggests an infectious process in the first place. Clinical and laboratory correlation is recommended. In addition, smooth interseptal thickenings were observed in the intersepta, which became prominent in the lower lobes of both lungs secondary to cardiac pathology?. Free fluid was observed between the pleural leaves on the right, with a thickness of 24 mm, and on the left, measuring 5 mm. Both fissures are observed as thick. In both lung parenchyma, no significant mass lesion was detected in the non-enhanced examination limits. Emphysematous changes were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Metallic suture materials of sternotomy were observed in the sternum. No lytic-destructive lesion was detected in bone structures.", "impression": "Cardiomegaly. Patchy areas of consolidation in both lungs extending from the diffuse perihilar area to the periphery and accompanying ground-glass density increases. The appearance was initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended.  Bilateral diffuse uniform interlobular septal thickening secondary to cardiac pathology? . Bilateral pleural effusion . Mild emphysematous changes in both lungs"}
{"volume_path": "dataset/valid_fixed/valid_107/valid_107_a/valid_107_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_107/valid_107_a/valid_107_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_107_a_1.nii.gz", "findings": " The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. The right lower-middle lobe bronchus is obliterated with a mass. The left upper lobe bronchus is markedly narrowed. Mediastinal main vascular structures, heart contour, size are normal. Atherosclerotic wall calcifications were observed in the coronary arteries. A smear-like effusion was observed in the pericardial space. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Numerous lymph nodes were observed in the right upper paratracheal, left lower paratracheal, aortopulmonary, subcranial, and paraaortic area, in front of the right main bronchus, the largest of which was 17 mm in diameter 17 mm in the previous examination. An anky effusion was observed in the right pleural space, reaching a thickness of 22 mm. There is a smear-like effusion in the left pleural space. When examined in the lung parenchyma window; Widespread consolidation areas, irregular interlobular septal thickenings and multiple nodules were observed in both lungs, obliterating the right lung upper and lower lobe bronchi and significantly narrowing the upper lobe bronchus. When the upper abdominal organs included in the sections were evaluated; liver in both lobes, the largest at the level of segment 4B, 41 mm 26 mm in the previous examination, multiple hypodense lesions, some of which tend to merge with each other, were observed and were evaluated in favor of metastasis. Both adrenal gland corpuscles are diffusely thick. No stones were detected in both kidneys. The spleen and pancreas are natural. Extensive sclerotic metastases were observed in the bone structures within the study area.", "impression": "Bilateral smearing pleural effusion . Lymphadenopathies that do not show significant size increase in the mediastinum . Metastases showing increased size in the liver . Diffuse sclerotic metastases in bone structures"}
{"volume_path": "dataset/valid_fixed/valid_114/valid_114_a/valid_114_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_114/valid_114_a/valid_114_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_114_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen: There are catheter images extending to the superior vena cava and a port chamber on the right chest anterior wall. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion - no thickening was detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. There are lymph nodes measuring 7 mm in the short axis of the largest in the mediastinal upper-lower paratracheal, prevascular area in the aortopulmonary window and in the subcarinal localization. When both lung parenchyma windows are evaluated; Widespread pleural effusion reaching 8 cm in thickness was observed between the pleural leaves on the right. On the left, it measures 26 mm at its widest point. Diffuse atelectatic changes were observed in the adjacent lung parenchyma, especially on the right. In addition, diffuse ground glass density increases with interlobular septal thickness increases and crazy paving appearances were observed in both lungs. The described findings may be compatible with the infectious process. Pulmonary edema can be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended. A few millimetric nonspecific parenchymal nodules were observed in both lungs. No significant pathology was detected in the non-contrast examination limits in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures.", "impression": " Mediastinal millimetric lymph nodes.  Significant bilateral diffuse pleural effusion and atelectatic changes on the right.  Widespread ground-glass density increases and crazy paving appearances with interlobular septal thickness increases in both lungs. The described findings may be compatible with the infectious process. Pulmonary edema can be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended.  Several millimetric nonspecific parenchymal nodules in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_118/valid_118_b/valid_118_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_118/valid_118_b/valid_118_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_118_b_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. No occlusive pathology was detected in the trachea and lumen of both main bronchi. An image of a catheter extending superiorly to the vena cava was observed. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable locally conglomerated lymphadenopathies were observed in the mediastinal upper-lower paratracheal, subcarinal area and in the right paratracheal-right hilar area, the short axis of the larger one measuring 18 mm in diameter. When examined in the lung parenchyma window; Bilateral peribronchial thickenings were observed. No significant regression was detected in the size of the nodular consolidation areas observed in both lungs. Again, between the bilateral pleural leaves, there are free pleural effusion areas with a thickness of 35 mm on the right and 18 mm on the left. Again, in the current examination, effusion reaching 9 mm in its widest part is observed in the pericardial area. When the upper abdominal sections were examined, hypodense lesions measuring 19 mm in diameter were observed in liver segments 8 and 7. It was also observed in the previous examination and no significant change was detected. There was no significant change in other findings in the current examination.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_123/valid_123_a/valid_123_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_123/valid_123_a/valid_123_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_123_a_1.nii.gz", "findings": "There is a venous catheter that terminates in the SVC. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are mediastinal conglomerated LAPs in the paratracheal, pretracheal, aortopulmonary, prevascular and hilar areas that cause conglomeration of the upper lobe bronchus, which extend to the hilum surrounding the trachea and bronchus, and cause local narrowing. In the current examination, there is a newly developing pleural effusion measuring 3.7 mm on the right and 6.5 mm on the left. In the central air bronchograms in both hilar regions, areas of soft tissue density with a more intense consolidated appearance and mass-like effect are observed. The appearances are not specific and can be evaluated in favor of the infective process, or they can be evaluated as compatible with the pulmonary involvement of lymphoma in a patient with known primary. In addition, there are irregular interlobular septal thickenings in the lower lobe of the right lung lymphangitic spread?. Apart from these areas, there are multiple, more prominent multiple pulmonary nodules, the largest of which is in the left lower lobe, measuring 11x11mm in the periphery of both lungs, with a stable size and appearance. In the current examination, centriacinar nodular density increases and intense consolidative appearances are observed in the lower lobe of the left lung. In addition, bilateral pleural effusion is newly developed in the current examination. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "LAPs showing extensive congolomeration extending to the hilar regions in the mediastinum are stable. The appearance can be evaluated secondary to the infective process, or it can be evaluated in favor of the parenchymal involvement of lymphoma.  Irregular interlobular septal thickenings in the lower lobe of the right lung, the appearance can be evaluated as secondary to lymphangitic spread. Bilateral pleural effusion; newly developed in current review.  More diffuse centriacinar nodular density increase in the upper lobe and lower lobe of the right lung; it is newly developed in the current examination and can be evaluated as secondary to the infective process."}
{"volume_path": "dataset/valid_fixed/valid_144/valid_144_a/valid_144_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_144/valid_144_a/valid_144_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_144_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 44 mm and showed fusiform dilatation. The diameter of the pulmonary artery was 34 mm and it shows dilatation. Heart size increased. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and densities of the stent material in the coronary arteries were observed. A giant mass lesion extending to the lower lobe of the right lung, which starts from the right upper paratracheal area and extends to the lower paratracheal, precarinal, and subcarinal areas, is observed, surrounding the left main bronchus lumen proximally, involving and narrowing the right main bronchus. The craniocaudal length of the mass was approximately 15 cm. It may belong to the described mass or conglomerated lymphadenopathies. There are atelectatic changes distal to the mass, especially in the lower lobe, and this examination cannot distinguish between mass and atelectasis. In addition, lymph nodes measuring 20x17 mm in size were observed in the anterior mediastinal aorticapulmonary, left hilar localization. When examined in the lung parenchyma window; Interlobular septal thickenings are observed in the middle lobe, upper lobe and lower lobe of the right lung. Again, reticulated nodular opacity increases were observed in the lower lobe of the right lung. Again, ground glass density increases were observed in and around the consolidation area in the peripheral subpleura in the posterior right lung upper lobe. Two calcified parenchymal nodules were observed in the anterior segment of the right lung upper lobe. Millimetric parenchymal nodules were observed in both lungs. An effusion measuring 31 mm in thickness was observed between the pleural leaves on the right. No pleural effusion was detected on the left. Emphysematous changes were observed in both lungs. In the upper abdominal sections within the study area, hypodense lesions measuring 21 mm in diameter were observed in both lobes of the liver cyst?. A 65 mm diameter cortical cyst was observed in the left kidney. Degenerative changes in bone structures, no lytic-destructive lesion was detected.", "impression": "Soft tissue mass starting from the mediastinal upper paratracheal area and extending to the supcarinal area and the right hilar region and extending to the lower lobe of the right lung, narrowing of the lumen of the right main bronchus, mediastinal lymph nodes. Dilatation in the main pulmonary artery and thoracic aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Right pleural effusion.  Nonspecific parenchymal nodules in both lungs. Thickening of interlobular septa and increases in reticulonodular density in the right lung.  Several hypodense lesions cysts? in the liver. Left renal cyst."}
{"volume_path": "dataset/valid_fixed/valid_168/valid_168_b/valid_168_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_168/valid_168_b/valid_168_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_168_b_1.nii.gz", "findings": " Heart contour and size are normal. Pericardial effusion was not detected. The central venous catheter placed from the right ends in the superior vena cava. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the pulmonary trunk was 33 mm, the diameter of the right main pulmonary artery was 33 mm, and the diameter of the left main pulmonary artery was 30 mm and increased. A few millimetric lymph nodes are observed in the mediastinum and bilateral hilar regions, and no significant difference was found between their number and size. No enlarged lymph node was detected in pathological size and appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Minimal bronchiectasis and increased peribronchial thickness are observed. Pleural effusion with a thickness of 2 cm in the right hemithorax and 2.5 cm in the left hemithorax is observed. Minimal fissural effusion is observed on the left. There is a mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?. There are more prominent inter-intralobular septal thickness increases and ground glass areas in the lower lobe posterior segments of both lungs. There are minimal emphysematous changes in both lungs. There are areas of linear atelectasis in both lungs. A few millimetric nonspecific nodules are observed in both lungs and are stable. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. Bridging osteophytes are observed in the anterior corners of the thoracic vertebra corpus within the sections. No lytic-destructive lesion was observed in bone structures.", "impression": " Bilateral pleural effusion, more pronounced inter-intralobular septal thickness increases and ground-glass areas in the lower lobes of both lungs.  Mosaic attenuation pattern in both lungs small airway disease?, small vessel disease?.  Emphysematous changes in both lungs, bilateral minimal bronchiectasis and increased peribronchial thickness.  Several millimetric nonspecific nodules in both lungs.  Calcific atheroma plaques in the aorta and coronary arteries, dilatation in the pulmonary arteries.  Thoracic spondylosis."}
{"volume_path": "dataset/valid_fixed/valid_173/valid_173_a/valid_173_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_173/valid_173_a/valid_173_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_173_a_1.nii.gz", "findings": "The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Loculated pleural effusion reaching 8 mm in thickness was observed in the pericardial space anteriorly. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Dependent density increases were observed in the posterior segments of both lungs. Nonspecific parenchymal nodules, 5 mm in diameter, were observed in the medial and lateral segments of the right lung middle lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. In the upper abdominal organs included in the sections, a focal small area of fat was observed in the liver segment 4B, adjacent to the falciform ligament. A 9 mm diameter calculus was observed in the anterior of the left kidney mid-lower pole junction. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Minimal pericardial effusion to the anterior loculated  Nonspecific dependent density increases in the posterior in both lungs  Millimetric nonspecific parenchymal nodules in the middle lobe of the right lung  Left nephrolithiasis"}
{"volume_path": "dataset/valid_fixed/valid_178/valid_178_a/valid_178_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_178/valid_178_a/valid_178_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_178_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. Minimal calcific atherosclerotic changes are observed in the thoracic aorta and coronary artery walls. Heart contour size is natural. Pericardial thickening was not detected. Minimal effusion is observed in the inferior percardium. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Bilateral peribronchial thickenings are observed. A wide area of pneumonic consolidation is observed in the basal segments of the lower lobe of the left lung. It was evaluated in favor of the infective process. Post-treatment control is recommended. Subsegmental atelectasis areas are noted in the posterobasal segment of the lower lobe of the right lung. Emphysematous changes are present in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.", "impression": "Emphysematous changes in both lungs, peribronchial thickenings. Minimal calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery, minimal pericardial effusion.  Areas of subsegmental atelectasis in the lower lobe of the right lung. Large area of consolidation in the lower lobe of the left lung recommended to evaluate for infectious process."}
{"volume_path": "dataset/valid_fixed/valid_182/valid_182_a/valid_182_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_182/valid_182_a/valid_182_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_182_a_1.nii.gz", "findings": "Mediastinal main vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures, heart contour and size are normal as far as can be observed. The heart and mediastinal structures are deviated to the right. There are calcified atheromatous plaques on the wall of the coronary vascular structures in the thoracic aorta. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was detected in the thoracic esophagus. Bilateral hilus could not be evaluated optimally. In the mediastinum, there are lymphadenopathies that have lost their fusiform configuration, the largest of which is 12 mm in diameter at the precarinal level. No lymph nodes in pathological size and appearance were detected in both axillary regions and bilateral supraclavicular fossa as far as can be observed. There is a large soft tissue density mass that fills the upper lobe of the left lung almost completely and extends to the lower lobe anteromedial segment, whose borders cannot be clearly distinguished from the adjacent atelectic lung parenchyma within the borders of non-contrast CT, and whose borders cannot be distinguished from the left pulmonary artery, aortic arch, and descending aorta. There is no aeration in the left lung. There is free effusion up to 15 cm in the deepest part of the left pleural space. Effusion is not observed in the right pleural space and pericardial space. There is a decrease in the volume of the right lung. The heart and mediastinal vascular structures are deviated to the right, and density increases, which are considered secondary to compressive atelectasis, are observed in the right lung. There was no finding in favor of active infiltration in the right lung. In the pleural-based axial sections of the right lung lower lobe posterobasal segment, a 20x15 mm nodule with a slightly irregular border is observed metastasis?. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; An increase in thickness is observed in the lateral crus and corpus of the left adrenal gland metastasis?. No free fluid-collection was detected. No lytic or destructive lesions were detected in the bone structures within the sections. Vertebral corpus heights are preserved. Degenerative changes are observed.", "impression": " A mass of soft tissue density that almost completely fills the upper lobe of the left lung and extends to the anteromedial segment of the lower lobe and cannot be clearly distinguished from the post-obstructive atelectesis lung parenchyma adjacent to the uncontracted CT borders.  Lymphadenopathies with a short diameter over 1 cm in the mediastinum that lost their fusiform configuration in places  Calcified atheroma plaques on the wall of the thoracic aorta and coronary vascular structures  Left pleural effusion  Nodular lesion metastasis? to the posterobasal segment of the lower lobe of the right lung  Left adrenal gland corpus and lateral thickening of the crus metastasis?"}
{"volume_path": "dataset/valid_fixed/valid_188/valid_188_a/valid_188_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_188/valid_188_a/valid_188_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_188_a_1.nii.gz", "findings": "CTO is within the normal range. The pulmonary trunk is at the maximal physiological limit. Right and left pulmonary arteries are normal. Calibration of the aortic arch is natural. Calibration of other major vascular structures in the mediastinal is natural. Millimetric sized calcific atheroma plaques are observed in the descending aorta in the aortic arch. No lymph node was detected in the mediastinum in pathological size and configuration. No pathological size and configuration lymph nodes were detected at both hilar levels. There is an appearance secondary to tracheostomy. At the tracheostomy level, an increase in adjacent circular density is observed. Metallic circular density is available. Tracheal calibration was markedly increased at the tracheostomy level. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; The left lung is observed as hypovolemic. There are sequelae changes at the apical level. There are findings consistent with emphysema in both lungs. At the apical level of the upper lobe of the right lung, a slightly heterogeneous internal nodule with a diameter of approximately 6 mm is observed in the center. It was not detected in the old CT examination. There is a subpleural 2 mm diameter nodule at the anterior and posterior segment transition in the right upper lobe. It is also observed in the old review. There are focal coarse reticulonodular density increases in the posterior segment of the upper lobe, adjacent to the fissure, which were not observed in the previous examination. In the upper lobe, reitculonodular density increases are observed in the vicinity of the fissure. There are fine reticulonodular density increments at the posterobasal level in the lower lobe. There is bilateral thickening of the peribronchial sheath. There are faint reticulonodular density increments in the left inferior and lingular segments. In the lower lobe of the left lung, increased calibration in the segmental bronchioles and thickening of the peribronchial sheath, mucus impactions at this level are observed in places. Reticulonodular density increases are also observed in the left lung adjacent to the fissure. There is a smear-like pleural effusion in both lungs. It is also partially followed in his previous review. When the upper abdominal organs included in the sections were evaluated; A decrease in density consistent with steatosis is observed in the liver. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The muscle structures in the study area have atrophic appearance, especially in the paraspinal area. Degenerative changes are observed in bone structures.", "impression": "Findings consistent with emphysema in both lungs, fibroatelectatic density increases. Reticulonodular density increases were observed in the upper-middle zones, which were slightly more prominent on the right, but were not detected in the old CT examination. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes.  Calibration increase, peribronchial thickening and mucus impactions in the segmental bronchi in the basal segment in the lower lobe of the left lung were not detected in the previous examination.  A 6 mm slightly heterogeneous internally structured nodule at the apical level of the right lung upper lobe was not detected in the previous examination. Hepatosteatosis."}
{"volume_path": "dataset/valid_fixed/valid_202/valid_202_a/valid_202_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_202/valid_202_a/valid_202_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_202_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was approximately 10 mm. No pathological wall thickness increase was observed in the esophagus within the sections. Bilateral pleural effusion is observed, more prominently on the right. Pleural effusion is locally loculated on the right. No pleural thickening was detected. There is no obstructive pathology in the trachea and both main bronchi. Consolidations and volume loss are observed in the medial sections of both lungs. The described appearances are more prominent especially in the lower lobe. Atelectasis is observed in the lung adjacent to the pleural effusion. The lower lobe of the right lung is almost completely atelectatic. The described appearances were prioritized in favor of sequelae changes. Ground glass appearance and consolidation were observed in the left lung lower lobe superior segment. In this appearance, the sequela may belong to a change or pneumonic infiltration. It is recommended to evaluate the patient together with laboratory findings. There are surgical suture materials adjacent to the medial part of the lower lobe of the right lung and the superior segment of the lower lobe of the left lung. Uniform interlobular septal thickenings and occasional interstitial thickenings and ground-glass appearance are observed in both lungs. It is understood that the described views are just emerging. The appearances described in the presence of primary disease were thought to primarily belong to lymphangitis carcinomatosa. There are nodules with irregular borders in both lungs and were evaluated in favor of metastases. The largest metastatic lesions described are observed in the apical-posterior segment of the upper lobe of the right lung and the apicoposterior segment of the upper lobe of the left lung, and their longest diameters were measured as 20 mm each. A mass in both lungs was not detected in this examination. No upper abdominal collection was detected in the sections. There are nodular density increases in the omentum. These appearances can also be observed in the PET-CT examination of the patient. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Colonic ca, pericardial and pleural effusion in follow-up, interlobular septal and interstitial thickenings in both lungs lymphangitis carcinomatosa?, metastatic nodules in both lungs . Consolidations and volume loss in the medial parts of both lungs sequelae change? . Superior lower lobe of the left lung consolidation and ground glass appearance in the segment pneumonic infiltration? . Thickening and density increases in the omentum"}
{"volume_path": "dataset/valid_fixed/valid_202/valid_202_b/valid_202_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_202/valid_202_b/valid_202_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_202_b_1.nii.gz", "findings": "KT port is observed in the right anterior hemithorax. Trachea and main bronchi are open. The cardiothoracic index is natural. There is a precardial effusion with bilateral smearing, which was also observed in the previous examination. A stable pleural effusion is observed in the left hemithorax in the previous examination, which measured approximately 4 cm at its thickest point on the left. Slight regression is observed in the pleural effusion observed in the previous PET-CT in the right hemithorax. It is approximately 5.5 mm on the right at its thickest point in the previous examination, and 4 cm in the current examination. Atelectasis is observed in the lower lobes of both lungs. Also available in previous reviews. In addition, a large number of lesions thought to be compatible with metastasis with irregular contours are observed in both lung parenchyma, and there is no significant difference in size with the previous examination. In addition, significant thickenings of the interlobular septa are observed in both lung parenchyma, which were also present in previous examinations. Apart from these, crazy paving pattern is observed in the right lung upper lobe posterior segment and middle lobe, which is more pronounced than previous examinations. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands partially entered the examination area. No significant pathology was detected in the abdominal sections. No lytic-destructive lesion is observed in bone structures.", "impression": "Stable mediastinal lymphadenopathies. Stable pericardial and right pleural effusion, left pleural effusion, slightly reduced in thickness from previous examination. Irregularly bordered stable metastatic nodules and stable interlobular septal thickenings, lymphangitis carcinomatosus in both lungs?."}
{"volume_path": "dataset/valid_fixed/valid_243/valid_243_a/valid_243_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_243/valid_243_a/valid_243_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_243_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion measured approximately 40 mm at its thickest point. The effusion continues to the lung apex while the patient is in the supine position. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas and interlobular septal thickenings are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung, especially in the central areas. When the described findings are evaluated together with pleural effusion, it suggests that it primarily belongs to pulmonary edema-cardiac pathology. It is recommended to evaluate the patient together with laboratory findings. There are also nodular appearances with ground glass areas around them in the peripheral areas of both lungs. The presence of the described nodules has cast doubt on Covid-19 pneumonia. It is recommended that the patient be evaluated together with the laboratory findings. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is pericardial effusion measuring 12 mm in its thickest part. Pericardial thickening was not detected. The widths of the mediastinal main vascular structures are normal. There is a central venous catheter on the right. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Pleural and pericardial effusion, ground glass appearance in the central parts of both lungs, and smooth interlobular septal thickenings secondary to cardiac pathology?.  Nodules with ground glass surrounding them in the peripheral parts of both lungs recommended to evaluate for viral pneumonia."}
{"volume_path": "dataset/valid_fixed/valid_249/valid_249_a/valid_249_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_249/valid_249_a/valid_249_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_249_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The diameter of the ascending aorta is 41 mm and shows dilatation. Postoperative changes in the aortic valve were observed. Heart size has increased cardiomegaly. Postoperative air images are observed in the mediastinum. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. An image of a catheter extending superiorly to the vena cava was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; A large area of pneumothorax is observed on the right. Uniform interlobular septal thickenings and patchy ground glass density increases are observed in both lungs. Acinar opacities are observed in the lower lobe of the right lung and the posterior upper lobe. Acinar opacities are observed in the left lung inferior lingular segment. It is recommended to be evaluated together with clinical and laboratory data in terms of infective process. Subsegmental atelectasis areas are observed in both lung lower lobes. There is minimal pleural effusion measuring 1 cm in thickness on the left. In the upper abdominal sections included in the examination area, there are minimal focal postoperative collection areas in the epigastic region on subcutaneous fatty planes and metallic densities of the electrode extending to the mediastinum. There are diffuse calcific atherosclerotic changes in the wall of the abdominal aorta. Diffuse degenerative changes are observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum.", "impression": "Cardiomeali. Pneumothorax right.  Fusiform dilatation of the thoracic aorta, aortic valve replacement, calcified atherosclerotic changes in the thoracic aorta and coronary artery wall. Cardiomegaly. Minimal pericardial effusion. Left mild pleural effusion.  Acinar opacities in the upper lobe of the right lung, the lower lobe and the inferior lingular segment of the left lung, clinical and laboratory correlations are recommended in terms of infectious process. There is an external drainage catheter extending to the right hemithorax. Subsegmental areas of atelectasis in both lungs. Smooth interlobular septal thickenings, patchy ground-glass density increases in both lungs.  Degenerative changes in bone structures."}
{"volume_path": "dataset/valid_fixed/valid_250/valid_250_f/valid_250_f_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_250/valid_250_f/valid_250_f_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_250_f_1.nii.gz", "findings": " The examination was performed on the clinical system without contrast. Mediastinal structures were evaluated as suboptimal. As far as can be observed: Tracheostomy appearance and tracheal cannula were observed in the case. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of mediastinal major vascular structures is natural. Diffuse calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. According to the previous examination, stable multiple calcified lymph nodes were observed in the peribronchial area in the noncalcified left hilar region with a short axis smaller than 1 cm in the upper-lower paratracheal, prevascular, precarinal, and subcarinal localizations. No significant changes were found in the size and number of lymph nodes in the current examination. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination limits. When examined in the lung parenchyma window; In the non-contrast examination, as far as can be distinguished, an irregularly limited soft tissue density was observed in the left hilar localization, extending to the parenchyma spiculate, adjacent to the left main pulmonary artery. As a result, diffuse narrowing of the upper lobe bronchi was observed. With the described lesion, an indistinguishable, large bronchopneumonic consolidation area extending towards the upper lobe is remarkable. The described finding has only recently emerged in the current review. In addition, newly emerged nodular consolidation areas in the left lung upper lobe apicoposterior segment and right lung upper lobe posterior segment are also noteworthy in the current examination. In addition, there are soft tissue densities in the middle lobe of the right lung, the anterior segment of the upper lobe, and the posterobasal segment of the lower lobe of the lung, which are evaluated in favor of stable primarily fibroatelectasis changes according to the previous examination. Liver and spleen sizes increased in the upper abdominal sections included in the study area. In the current intra-abdominal examination, there is newly emerging free fluid. Between the bilateral pleural leaves, there is an effusion measuring 1 cm in thickness on the left and 5 mm on the right. No lytic-destructive lesion was detected in bone structures.", "impression": "In the left hilus localization, adjacent to the left main pulmonary artery, there is a mass lesion with spiculated contours whose borders cannot be clearly defined since the examination is uncontrasted, and a newly emerged large bronchopneumonic infiltration area in the current examination in the distal of the mass. Apart from this, in the current examination in both lungs, there is a newly emerging ground-glass density increase around it. There are areas of nodular consolidation. The appearance suggests fungal pneumonia. Clinical-laboratory correlation and post-treatment control are recommended.  Hepatosplenomegaly.  Free intra-abdominal fluid; has just emerged in the current review."}
{"volume_path": "dataset/valid_fixed/valid_256/valid_256_a/valid_256_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_256/valid_256_a/valid_256_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_256_a_1.nii.gz", "findings": "There are changes secondary to tracheostemia. CTO increased in favor of the heart. Pericardial effusion is present. The heart is observed to be larger than normal in 4 chambers. There is calcific atheroma plaque in the coronary arteries. The aortic arch calibration is 33 mm. It is larger than normal. Calcific atheroma plaques are observed in the aortic arch and descending aorta. Pulmonary trunk calibration is 28 mm. It is at the maximal physiological limit. Other mediastinal major vascular structures are normal. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There is a pleural effusion in both lungs, extending from the basal to the upper lobe, reaching a thickness of 45 mm on the right and 25 mm on the left at its thickest point, with atelectatic lung segments in its vicinity. The patient has a mosaic attenuation pattern small vessel disease?, small airway disease?. Densities compatible with pleuroparenchymal sequelae are observed in the upper lobe and middle lobe of the right lung, and in the anterior segment of the left lung upper lobe. Branches with buds are seen in both lungs at the posterior levels of the upper lobe and in the superior segment of the lower lobe on the right. Densities compatible with pleuroparenchymal sequelae are observed at the level of the cardiophrenic sinus in the anterior segment of the upper lobe on the right. In sections passing through the upper abdomen, there is an increase in density consistent with hepatosteatosis in the liver. Mild effusion is observed in the perihepatic area. Since the pancreatic head is partially included in the image, it cannot be evaluated clearly. However, it looks slightly plump. Degenerative changes are observed in the bone structure. In L1 and L2 vertebrae, there are decreases in corpus height due to large Schmorl nodule impression.", "impression": "Significant effusion in both pleural spaces, adjacent atelectatic lung segments . Cardiomegaly, increased caliber in mediastinal main vascular structures, atelectatic changes, mosaic attenuation appearance in both lungs . There are bud branches in the ventilated lung parenchyma areas. Findings may be consistent with aspiration pneumonia. Although the findings are atypical for Covid pneumonia, clinical-laboratory correlation is recommended."}
{"volume_path": "dataset/valid_fixed/valid_263/valid_263_b/valid_263_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_263/valid_263_b/valid_263_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_263_b_1.nii.gz", "findings": "Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. Calibration of mediastinal main vascular structures as far as can be observed is natural. Heart size increased. A smear-like pericardial effusion was observed. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Right upper-lower paratracheal, subcarinal calcific lymph nodes were observed. There were no enlarged lymph nodes in prevascular, pretracheal, bilateral hilar-axillary pathological dimensions. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; Large ground glass consolidations forming a multilobar, multisegmental, crazy paving pattern extending from the central to the periphery were observed in the lung parenchyma, and the appearance is highly suspicious for Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory. A nonspecific calcific nodule with a diameter of 6 mm was observed in the paramediastinal area in the anterior segment of the right lung upper lobe. Fluid effusion was observed in both hemithorax. As far as can be seen in the sections, cortical irregularities compatible with sequelae in both kidney parenchyma and a 2.8 cm diameter nodular lesion area in the upper pole of the left kidney were observed cyst?. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion was observed in bone structures.", "impression": "Calcific atheromatous plaques in the thoracic aorta and coronary arteries. Cardiomegaly, smear-like pericardial effusion.  Hiatal hernia . Bilateral smear-like pleural effusion, highly suspicious findings for Covid-19 pneumonia in the lung parenchyma.  Millimetric nonspecific calcific nodule in the anterior segment of the upper lobe of the right lung. Sequelae changes in bilateral renal cortical structures, cortical cyst in the left kidney."}
{"volume_path": "dataset/valid_fixed/valid_274/valid_274_a/valid_274_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_274/valid_274_a/valid_274_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_274_a_1.nii.gz", "findings": "Anasarca-like edema is present in all skin and subcutaneous soft tissues within the section. Density increase due to edema is observed in mediastinal fat plans. No contrast agent was given. Under these conditions, no lymph node in pathological size and appearance was observed in the mediastinum. Cardiac pacemaker catheter is monitored. Heart size increased. Biventricular diameter increase is observed. Stent materials are observed in LAD and RCA. Pericardial effusion was not detected. The trachea and both main bronchial air columns are open. There is a pleural effusion reaching 5.5 cm in diameter between the left pleural leaves. There is a pleural effusion reaching 8 cm in diameter between the pleural leaves, adjacent to the lower lobe superior segment, between the right pleural leaves. The lower lobe of the right lung is almost not ventilated. Segmentary atelectasis areas are observed in the upper lobe posterior segment and middle lobe. No pneumonic infiltration was detected in the aerated lung parenchyma. No suspicious mass or nodular space-occupying lesion was observed. In the abdominal sections entering the image area, there is widespread free fluid in the abdomen. No lytic-destructive lesions were detected in bone structures.", "impression": "Anasarca-style edema in all skin and subcutaneous soft tissues. Diffuse intra-abdominal fluid and bilateral pleural effusion.  The lower lobe of the right lung is not ventilated. There are segmental atelectasis areas in the upper and middle lobes. No pneumonia is observed in the ventilated lung parenchyma. Stent and cardiac pacemaker catheter in the coronary arteries."}
{"volume_path": "dataset/valid_fixed/valid_274/valid_274_c/valid_274_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_274/valid_274_c/valid_274_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_274_c_1.nii.gz", "findings": "LVAD is monitored. There is a small amount of periventricular effusion. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Moderate amount of effusion is observed in both hemithorax, more prominent on the right. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are atelectatic changes in both lungs, more prominent in the lower lobe on the right. No nodular or infiltrative lesion was detected in the lung parenchyma. Pleural effusion-thickening was not detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in bone structures and a decrease in density.", "impression": "There was no finding in favor of an infectious process in the visible lung parenchyma. There are atelectasis and volume losses in the lower lobes of both lungs, more prominent on the right. Moderate amount of pleural effusion, more prominent on the right bilaterally. Pericardial effusion in the form of smearing, LVAD is observed.  Degenerative changes in bone structures and decrease in density."}
{"volume_path": "dataset/valid_fixed/valid_275/valid_275_a/valid_275_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_275/valid_275_a/valid_275_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_275_a_1.nii.gz", "findings": "The dimensions of the thyroid gland have increased, and a hypodense nodule of 30x40 mm, extending towards the mediastinum, is observed in the left lobe. The cardiothoracic ratio increased in favor of the heart. The diameter of the ascending aorta was 39 mm and increased. Several lymph nodes with a diameter of 6.5 mm are observed in the mediastinum and bilateral hilar regions, the largest of which is in the aortopulmonary window, and no enlarged lymph nodes in pathological size and appearance were detected. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Pericardial 1 cm thick low-density effusion is observed. Pleural effusion with a thickness of 1.5 cm in the right hemithorax and 1 cm in the left hemithorax is observed. There is minimal effusion in the left major fissure. There is bilateral minimal tubular bronchiectasis and accompanying peribronchial thickness increase. There are increased interlobular septal thickness, accompanying ground glass areas and subsegmental atelectasis in both lower lobes of the lungs secondary to cardiac failure?. Sliding type hiatal hernia is observed at the esophagogastric junction. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. There is an increase in trabeculation in the bone structures within the sections and millimetric osteophytes in the vertebral corpus corners in places. No lytic-destructive lesion was observed.", "impression": " Cardiomegaly, pericardial effusion, bilateral pleural effusion, increased interlobular septal thickness in the lower lobes of both lungs, accompanying ground glass areas and subsegmental atelectasis secondary to cardiac failure?.  Bilateral tubular bronchiectasis, accompanying peribronchial thickening.  Dilatation of the ascending aorta.  Hiatal hernia.  Increased size of the thyroid gland, hypodense nodule extending to the mediastinum in the left lobe."}
{"volume_path": "dataset/valid_fixed/valid_276/valid_276_a/valid_276_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_276/valid_276_a/valid_276_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_276_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures and heart are deviated to the left. Pericardial effusion was not observed. The effusion observed in the left pleural space in the previous examination was not detected in the current examination. Thoracic aorta diameter is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the previous examination of the right lung, total loss of aeration was observed, and in the current examination, minimal aeration is observed in the upper lobes. There are mass lesions that almost completely fill the right lung and right hemithorax, extend to the mediastinum and intercostal spaces, tend to encircle the trachea, completely obliterate the right main bronchus, completely surround the right pulmonary artery, erase the fatty planes between the right atrium and the left atrium, and encircle the aortic arch. . In the current examination of the left lung parenchyma, patchy ground glass densities in crazy paving pattern and new infectious processes are observed, especially in the upper lobe. Multiple mass lesions measuring up to 55 mm are observed on the right anterior chest wall. No significant difference was detected. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Operated RCC  Large nodular metastases, extending to the mediastinum, which almost completely fills the right lung, extending into the intercostal spaces, surrounding some of the mediastinal vascular structures, and tending to encircle some of them.  Metastatic masses in the right anterior chest wall that do not differ significantly  New infectious processes in the left lung parenchyma  The effusion observed in the left hemithorax shows complete resolution.  Slight increases in aeration are observed in the right lung parenchyma. In the previous examination, there was almost complete loss of aeration, and in the current examination, aeration in the upper lobe of the right lung is observed in the right lung parenchyma."}
{"volume_path": "dataset/valid_fixed/valid_277/valid_277_f/valid_277_f_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_277/valid_277_f/valid_277_f_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_277_f_1.nii.gz", "findings": " Apart from this, no significant changes were detected in the size and appearance of the nodules in the apical segment of the upper lobe of the right lung, around which ground glass density increases were observed. A pleural effusion measuring 1 cm in thickness was observed in the current examination between the pleural leaves on the left, and it has recently emerged in the current examination. Sliding type hiatal hernia was observed. Pericardial thickening-effusion was not detected. A millimetric hypodense lesion was observed at the level of segment 2 of the left lobe of the liver cyst?. No significant change was found in the other findings in the current examination.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_277/valid_277_g/valid_277_g_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_277/valid_277_g/valid_277_g_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_277_g_1.nii.gz", "findings": " Because of the streak artifact, the examination is of suboptimal diagnostic quality. There are several nodules with a diameter of 12 mm in the left lobe and isthmus of the thyroid gland, and the largest in the isthmus. It is stable. Heart contour and size are normal. Pleural effusion with a diameter of 1 cm is observed in the pericardial space. It has just emerged. The widths of the mediastinal main vascular structures are normal. The port chamber is observed on the anterior wall of the left thorax, and the catheter tip ends at the superior-right atrium junction of the vena cava. Endotracheal tube is available. No occlusive pathology was detected in the trachea and both main bronchi. There is 4.5 cm thick effusion in the right hemithorax and 4 cm in the left hemithorax. There is an atelectasis-consolidation complex in which air bronchograms are observed in the lower lobe of both lungs and the lingular segment of the left lung upper lobe adjacent to the effusion. There are interlobular septal thickness increases in both upper lobes of the lungs secondary to stasis?. Emphysematous changes are observed in both upper lobe apical segments of both lungs prominent on the right. There are patchy consolidation areas in the upper lobe of the right lung and ground glass areas in the upper lobes of both lungs. The nasogastric tube ending in the stomach is observed. As far as can be evaluated within the limits of non-contrast CT; There is no discernible mass in the upper abdominal organs. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Bilateral pleural effusion, pericardial effusion; has just emerged.  Atelectasis-consolidation complex in both lungs; newly appeared on the right, increased prevalence on the left.  Minimal emphysematous changes in both lungs.  Increases in interlobular septal thickness in both lungs secondary to stasis?.  Several hypodense nodules in the thyroid gland; is stable."}
{"volume_path": "dataset/valid_fixed/valid_278/valid_278_a/valid_278_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_278/valid_278_a/valid_278_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_278_a_1.nii.gz", "findings": "Trachea and both main bronchi were open and no obstructive pathology was detected. Mediastinal vascular structures could not be evaluated optimally because the cardiac examination was without IV contrast. Calibration of vascular structures is natural. There are calcified atheromatous plaques on the walls of the thoracic aorta and coronary vascular structures. There is a plaque-like increase in calcified thickness in the pleura. No pathological increase in wall thickness is observed in the thoracic esophagus. Multiple lymph nodes are observed in the mediastinum, in the prevascular, aorticopulmonary window, paratracheal, precarinal and subcarinal areas, the largest of which reaches 13 mm in diameter at the right upper paratracheal level, and has lost its fusiform configuration in places. In both axillary regions, no lymph nodes are observed in the supraclavicular fossa in pathological size and appearance. In both pleural spaces, there is effusion accompanied by diffuse thickness increase in the pleural leaves, which is evaluated in favor of empyema reaching a depth of 90 mm on the left and 35 mm on the right. Density increase areas compatible with linear atelectasis and pleuroparenchymal sequelae bands are observed in both lung parenchyma adjacent to the effusion, in the left lung superior and inferior lingular segment and in the upper lobe apical segment, in the right lung upper lobe anterior and middle lobe. There are paraseptal emphysematous changes in the apex of both lungs. No active infiltration or mass lesion was detected in both lung parenchyma. There are diffuse mild ectasia and peribronchial thickness increases in the bronchial structures in both lungs. In the upper abdominal sections within the image, as far as can be seen within the borders of non-contrast CT, there are lesions in the upper pole and middle zone of the right kidney with slightly hyperdense cortical localization, the larger of which is considered to be a hemorrhagic cyst measuring 7 mm in diameter in the middle zone. In addition, there are hypodense lesions of cortical localized hypodense fluid density in the middle zone of the right kidney and in the upper pole of the left kidney, which cannot be clearly characterized within the borders of unenhanced CT. First of all, it is thought that it may be a cyst. Intraabdominal free liqu- ulated collection is not observed. A lymph node of approximately 15x13 mm in size, which lost its fusiform configuration, was observed adjacent to the gastric cardia. Apart from this, no lymph node was detected in pathological size and appearance as far as can be seen in the upper abdominal sections within the image. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " Plaque-like calcified thickening of the pericardium.  Calcified atheromatous plaques in the wall of the thoracic aorta and coronary vascular structures.  Multiple lymph nodes, the largest of which is at the right upper paratracheal level in the mediastinum, with a short diameter over 1 cm, some of which have lost their fusiform configuration, and a short nodule over 1 cm in diameter, which has lost its fusiform configuration in the upper abdominal sections within the image, adjacent to the stomach cardia right lateral.  Effusion in both pleural spaces with increased thickness of more prominent pleural leaves on the right; firstly it was evaluated in favor of empyema.  Millimetrically sized hyperdense lesions hemorrhagic cyst? located cortical in the right kidney and lesions of hypodense fluid density in both kidneys with cortical localized exophytic extension cyst?."}
{"volume_path": "dataset/valid_fixed/valid_278/valid_278_b/valid_278_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_278/valid_278_b/valid_278_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_278_b_1.nii.gz", "findings": " Diffuse patchy crazy paving pattern ground glass densities are observed in both lungs. There is fluid localization in the fissure on the right side. There was no significant difference in the dimensions of loculated effusion in the right hemithorax. There is a loculated effusion in the left hemithorax with air-fluid leveling. No significant difference was found in the consolidation area, which includes air bronchogram signs, observed at the basal level of the lower lobe of the left lung. In the previous examination, the large hematoma area observed in the right axillary region was significantly resolved. Pericardial large calcific plaques are present. In the mediastinum, no significant difference was found in the size and number of lymph nodes observed in the previous examination in the pre-paratracheal, subcarinal, and aorticopulmonary window. New contaminations are observed in the current examination of mediastinal fatty planes. It is recommended to monitor the clinical correlation for mediastinitis. There are diffuse crescentic atherosclerotic plaques in vascular structures. Bilateral partial cortical cysts are observed. Cortical cyst in the left kidney. There are findings consistent with liver parenchymal disease. Diffuse density reduction in bone structures and tapering in end plates are observed.", "impression": " Findings compatible with new infectious processes in both lungs, space-occupying lesion in the consolidation areas observed at the level of the described infectious processes and crazy paving patterns cannot be differentiated.  The large hematoma area observed in the right axillary region in the previous examination has significantly resolved and is not observed in the current examination.  Lymph nodes in the mediastinum that do not show significant dimensional and numerical differences in the pre-paratracheal, subcarinal, aorticopulmonary window.  Atelectatic changes in the lower lobes of both lungs.  Mild bronchiectasis.  Fluid loculations, effusions, showing air-fluid leveling on the left in both hemithorax.  Pericardial large calcific plaques.  New loculated effusion within the fissure in the right hemithorax.  Diffuse density reduction in bone structures, tapering in end plates.  Cortical cyst in left kidney.  There are findings consistent with liver parenchymal disease."}
{"volume_path": "dataset/valid_fixed/valid_292/valid_292_a/valid_292_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_292/valid_292_a/valid_292_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_292_a_1.nii.gz", "findings": "CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Calcific atheroma plaques are observed in the coronary arteries in the aortic arch. No lymph node was detected in the mediastinum and in both hilar levels in pathological size and configuration. In both lungs, there is a pleural effusion reaching 30 mm on the right and 25 mm on the left in the thickest part of the area extending from the basal to the apex. There are common consolidative areas in both lungs and some ground glass-like density increases around it. Parenchymal bands are observed. There are sequelae changes at the apical level of the right lung. In the right lung, several 3-4 mm nodules, one of which is calcific, are observed in the upper lobe anterior segment. There is a calcific nodule of approximately 7 mm in diameter in the lower lobe laterobasal segment of the left lung. Both hemithorax are symmetrical. The calibration of the trachea and main bronchi is normal and their lumens are clear. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes are observed in the bone structures in the examination area.", "impression": "Findings consistent with Covid-19 pneumonia. Clinical laboratory correlation is recommended since other viral pneumonias are included in the differential diagnosis.  Bilateral pleural effusion. Slight degenerative changes in bone structure."}
{"volume_path": "dataset/valid_fixed/valid_301/valid_301_a/valid_301_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_301/valid_301_a/valid_301_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_301_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Mediastinal main vascular structures and cardiac examination were evaluated suboptimally. No obvious pathology was detected. Pericardial effusion reaching 1 cm thickness was observed. Aberrant right subclavian artery is observed. The esophagus is in normal calibration. No pathological wall thickening was detected. A sliding type hiatal hernia was observed at the esophagogastric junction. Port chamber is observed in the left hemithorax. The port catheter terminates in the superior vena cava. A few calcified lymph nodes that did not reach the mediastinal pathological dimension were observed. It is stable. When examined in the lung parenchyma window; A pleural effusion was observed in the current examination, which reached approximately 2 cm in the bilateral thickest part. Interlobular septal prominence and ground-glass appearance, which is thought to have lymphajitic spread, were observed in both lungs. In addition, consolidations including pleural-based dense air bronchograms reaching fissural surfaces accompanying fibroatelectatic changes were observed in both lungs. Multiple parenchymal nodules, thought to be primarily metastatic, were observed in both lungs, the largest of which was 8 mm in diameter in the posterior right lung upper lobe. Parenchymal nodules were formed in the current examination. Operation materials were observed in the right breast. In the evaluation of the upper abdominal organs included in the sections, diffuse density reduction consistent with hepatosteatosis was observed in the liver. Apart from this, the upper abdominal organs are natural. Lesions compatible with metastasis were observed in the T6, T10-T12 and L1 vertebrae, and in the right clavicle.", "impression": "Operated breast ca, multiple metastatic masses in both lungs, interlobular septal prominences compatible with lymphajitic spread, ground glass appearances, consolidations including pleural fluid and air bronchograms associated with the pleura formed in the current examination, metastatic disease is thought to be associated with infective pathologies, bilateral pleural mayii. Multiple bone metastases."}
{"volume_path": "dataset/valid_fixed/valid_332/valid_332_b/valid_332_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_332/valid_332_b/valid_332_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_332_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Bilateral breast prosthesis is available. There is a smear-like effusion around the prosthesis on the left. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Aeration of both lung parenchyma is normal and no nodular or infiltrative lesion is detected in the lung parenchyma. Pleural effusion-thickening was not detected. Surgical suture materials secondary to the operation at the perigastric level were observed as far as could be observed within the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Degenerative Schmorl nodule impressions were observed in the middle and lower end plateaus of the thoracic vertebrae.", "impression": "Minimal effusion around the breast prosthesis on the right. There was no finding in favor of pneumonia in the lung parenchyma.  Degenerative Schmorl nodule impressions in thoracic end plateaus."}
{"volume_path": "dataset/valid_fixed/valid_335/valid_335_a/valid_335_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_335/valid_335_a/valid_335_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_335_a_1.nii.gz", "findings": "Trachea, both main bronchi were deviated to the left, and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinum and heart slightly deviated to the left. The diameter of the ascending aorta was 43 mm wider than normal. The diameter of the descending aorta is 30 mm in the upper limits. Heart contour, size is normal. Pericardial effusion-thickening was not observed. There is a stent in the LAD. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. When examined in the lung parenchyma window; More extensive centriacinar-paraseptal emphysema areas were observed in the upper lobes of both lungs. There are pleural irregularities and micro-retractions in both lungs. Right lung volume was minimally decreased. Atelectatic changes were observed in the right lung middle lobe and lower lobe basal areas adjacent to the major fissure, and the nodular form in the right lung lower lobe basal was acquired round atelectasis?. A minimally loculated pleural effusion was observed in the area adjacent to the right lung lower lobe basal. Nonspecific parenchymal nodules with a diameter of 4 mm were observed in the upper lobes of both lungs, the largest of which was in the apicoposterior segment of the upper lobe. Apart from this, no mass lesion-active infiltration with distinguishable borders was detected in both lungs. Pleural effusion-thickening was not observed. Liver, gallbladder, spleen, pancreas, right adrenal gland are normal as far as can be seen on non-contrast images. Diffuse thickening was observed in the left adrenal gland corpus. In the left kidney, hypodense nodular lesion areas with a diameter of 2.5 cm were observed cyst?. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Aneurysmatic dilatation in the ascending aorta . Hiatal hernia . Minimal decrease in the volume of the right lung, deviation to the left in the mediastinum and heart . Diffuse paraseptal-centracinar emphysemetous changes in the upper lobes of both lungs, microretraction in the pleura, and diffuse interlobular septal thickening, sequelae changes-fibrosis . Right Atelectatic changes in the middle and lower lobe of the lung adjacent to the major fissure . Nodular consolidation appearance round atelectasis? in the lower lobe of the right lung basal.  Minimal pleural effusion adjacent to the left lung baseline . Thickening of the left adrenal gland corpus . Hypodense nodular lesion areas cyst? in the left kidney."}
{"volume_path": "dataset/valid_fixed/valid_345/valid_345_a/valid_345_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_345/valid_345_a/valid_345_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_345_a_1.nii.gz", "findings": "In the left hemithorax, at the level of the 2nd-5th ribs, an appearance of soft tissue density is observed, with a clear borderless infiltrative character extending from the intercostal spaces to the outside of the hemithorax. The described view measures 32 mm at its thickest point series 2 section 203. This appearance was evaluated primarily in favor of the mass. No significant destruction was detected in the ribs. There is pleural effusion on the left. The pleural effusion measured 53 mm at the level of the lower lobe of the lung at its thickest point. The described view measured approximately 20 mm at its thickest point. The described appearance could not be characterized because no contrast medium was given. However, when evaluated together with other findings, there may be a soft tissue mass in this appearance. Further investigation is recommended. No pleural effusion or thickening was detected on the right. There are lymphadenopathies in the left axilla and retropectoral region. The shortest diameter of the largest lymphadenopathy described was 19 mm at its widest point series 2 section 76. No pathologically enlarged lymph nodes were detected in the right axilla and retropectoral region. There are millimetric lymph nodes in the left internal mammary artery trace. Lymphadenopathy with a short diameter of 26mm was observed in the subcarinal area. In addition, there are millimetric lymph nodes in the mediastinum and hilar regions. There is no obstructive pathology in the trachea and both main bronchi. In the central part of the lower lobe of the left lung, there is consolidation with an air bronchogram. This appearance was primarily evaluated in favor of infective pathology. However, when evaluated together with other findings, this appearance may also belong to a metastatic mass. This distinction cannot be made in this examination. It is recommended to be evaluated together with previous examinations, if any. Ground glass areas are also present in the lower lobe of both lungs and the upper lobe of the left lung. Ground glass areas are more prominent in the lower lobes. These views are nonspecific. There are emphysematous changes in both lungs. No mass or infiltrative lesion was detected in the right lung. There are millimetric nodules in both lungs. The appearance of the described nodules is also non-specific. The largest of the nodules is observed in the lower lobe of the right lung and its longest diameter is approximately 9 mm. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. There are no lytic-destructive lesions in the bone structures within the sections.", "impression": "Soft tissue density appearance in the left hemithorax at the level of the 2nd-5th ribs and evaluated in favor of a mass, minimally hyperdense appearance whose borders cannot be distinguished from the vertebrae in the posteromedial at the level of the left lung upper lobe apicoposterior segment posterior segment it is thought that there may be a mass in this view, subcarinal lymphadenopathy , lymphadenopathies in the left axilla and retropectoral region.  Pleural effusion on the left.  Nodules metastases? in both lungs. Consolidation in the central part of the lower lobe of the left lung, primarily evaluated in favor of infective pathology.  Nonspecific ground glass areas in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_355/valid_355_b/valid_355_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_355/valid_355_b/valid_355_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_355_b_1.nii.gz", "findings": " Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The pulmonary conus and both pulmonary arteries appear wider than normal. There is an increase in the cardiothoracic ratio in favor of the heart. Calcified atheroma plaques are observed on the walls of the cardioaorta and coronary vascular structures. There is minimal effusion 10 mm deep in the right pleural space. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; Active infiltration or mass lesion is not observed in both lung parenchyma. There are pleuroparenchymal sequelae bands - linear atelectasis density increase areas, which are more prominent in the lower lobes of both lungs. First of all, it was evaluated in favor of the cyst. There are calcified atheromatous plaques on the wall of the abdominal aorta and the main vascular structures arising from the aorta. No free fluid, loculated collection was detected. No lytic-destructive lesion was detected in the bone structures included in the study area.", "impression": "Pulmonary conus and both pulmonary arteries are wider than normal, and there is a slight increase in the cardiothoracic ratio in favor of the heart, . Calcified atheroma plaques on the wall of the aorta and coronary vascular structures .Minimal right pleural effusion. Cortical localized hypodense fluid density nodular lesions in both kidneys that cannot be clearly characterized within unenhanced CT margins; firstly, it was evaluated in favor of the cyst."}
{"volume_path": "dataset/valid_fixed/valid_356/valid_356_a/valid_356_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_356/valid_356_a/valid_356_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_356_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. The examination is suboptimal because of motion artifact. The AP diameter of the descending aorta was 30 mm, the AP diameter of the right pulmonary artery was 30 mm, the AP diameter of the pulmonary conus was 32 mm, and the AP diameter of the aortic arch was 32 mm and increased. An increase in the cardiothoracic ratio in favor of the heart is observed. There are calcified atheromatous plaques on the walls of mediastinal vascular structures and coronary arteries. Abdominal aorta shows a tortuous course. There are calcified atheroma plaques on its wall. Pericardial effusion was not detected. An increase in size is observed in the left thyroid gland and it has a heterogeneous hypodense appearance. USG verification is recommended. No pathological increase in wall thickness is observed in the thoracic esophagus. Trachea and both main bronchi are open and no obstructive pathology is detected. No lymph node in pathological size and appearance was detected in mediastinal lymph node stations. When examined in the lung parenchyma window; An effusion measuring 55 mm in the deepest part in the right pleural area, extending to the apex in the lying position, and measuring 28 mm in the deepest part in the left pleural area is observed. In the lower lobes of both lungs, there are areas of increase in density consistent with consolidation in which air bronchograms are observed. Within the image, hypodense lesions with a size of 25 mm in the upper pole of the left kidney and 77 mm in the upper and middle zones of the right kidney are observed in the abdominal sections cyst?. There is an increase in thoracic kyphosis in the bone structures within the image, and right-facing scoliosis in the thoracic vertebral column. Reticular density increases secondary to osteopenia are observed in the vertebral corpuscles. There is a narrowing and vacuum phenomenon in the lower thoracic intervertebral disc spaces, and there is approximately 60% loss of height in the central part of the L1 vertebral corpus, most prominently.", "impression": "Abdominal aorta has a tortuous course and increased calibration of the descending aorta, right pulmonary artery, pulmonary conus and aortic arch, increased cardiothoracic ratio in favor of the heart, calcified atheroma plaques on the wall of mediastinal vascular structures and coronary arteries . Bilateral pleural effusion . Optimum lung parenchyma due to motion artifact Density increase areas in the lower lobe of both lungs, in the posterior segment of the right lung upper lobe, consistent with the consolidation of air bronchograms, .There are lesions of hypodense fluid density in both kidneys. evaluated in favor of the cyst.  Increase in thoracic kyphosis, right-facing scoliosis in the thoracic vertebral column. Increases in reticular density secondary to osteopenia in the vertebral corpuscles. Decrease in lower thoracic intervertebral disc distances, vacuum phenomenon, and 60% loss of height in the center of the L1 vertebral corpus at its most prominent location . Increase in left thyroid dimensions and each gland Heterogeneous hypodense nodular appearance in both thyroid glands; USG verification is recommended."}
{"volume_path": "dataset/valid_fixed/valid_362/valid_362_b/valid_362_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_362/valid_362_b/valid_362_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_362_b_1.nii.gz", "findings": "There are changes related to sternotomy. Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. The heart size has increased. Calcific plaques are seen in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Interlobular septal thickening and protrusion in the bronchial wall are observed in both lungs. An effusion with a diameter of 16 mm is observed in the left hemithorax. There is a loculated effusion in the upper posterior part of the right hemithorax, reaching a diameter of 21 mm at its widest point. In the upper abdominal sections in the study area; Liver right lobe transplantation is seen. There is an incisional hernia at the epigastric level. Vertebrae are degenerative.", "impression": " Sternotomy.  Cardiomegaly.  Aortic and coronary artery atherosclerosis.  Changes due to volume overload in both lungs.  Bilateral free pleural effusion on the left and loculated on the right.  Newly developed nodular ground glass densities pneumonic foci? in the upper lobe of the right lung."}
{"volume_path": "dataset/valid_fixed/valid_364/valid_364_a/valid_364_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_364/valid_364_a/valid_364_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_364_a_1.nii.gz", "findings": "CTO is normal. Pulmonary trunk calibration is 30 mm. It is wider than normal. Both pulmonary artery calibrations are normal. The aortic arch calibration is 33 mm. It is wider than normal. Calibration of other mediastinal major vascular structures is normal. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. There are lymph nodes in the mediastinum, the largest of which is in the subcarinal area and with dimensions of 23x11 mm, which did not differ significantly according to the previous examination. Pathological size and configuration of lymph nodes are not observed at both hilar levels. When examined in the lung parenchyma window; In the case whose primary was reported as adenoid cystic carcinoma, diffuse nodular lesions consistent with metastasis are observed in both lungs. In this ground, there are frosted glass-style density increments that tend to coalesce and consolidate from place to place. The described findings were not detected in the previous review. It is recommended to evaluate the case with clinical and laboratory findings in terms of Covid pneumonia. Evaluation for metastasis is not optimal because of the defined areas of consolidation. However, there is an increase in size consistent with progression in the nodules observed especially in the lower lobe of the left lung. Band-like fibroatelectatic density increases in both lungs and nodular thickening in the pleural contours are observed. There is a pleural effusion measuring 14 mm on the right and 9 mm on the left in both pleural distances. In the upper abdominal organs included in the sections, there is a hypodense lesion consistent with a cortical cyst with a diameter of 39 mm and a density of 8 Hu, with exophytic appearance in the middle part of the left kidney. There are lesions compatible with adenoma at the right adrenal genu level with a diameter of about 10 mm and a density value of -48 HU, and at the level of the left adrenal genu with a size of 23x15 mm and a density value of approximately -100 HU. There are degenerative changes and findings consistent with metastasis in the bone structure in the study area. It is also observed in the old review.", "impression": " Multiple mass lesion consistent with metastasis in both lungs in a patient with known adenoid cystic carcinoma anamnesis . Widespread consolidation and ground-glass density increases in both lungs. In the pandemic process, the findings suggest Covid pneumonia in the first place. Clinical and laboratory correlation is recommended.  Consolidation areas make it difficult to compare metastases due to superpositions. However, there are increases in size consistent with suspicious progression in places. Degenerative changes in bone structure and metastatic lesions . Adenoma in both adrenals, the largest of which is on the left . Hypodense lesions compatible with cortical cyst are observed in the middle part and inferior pole of the left kidney."}
{"volume_path": "dataset/valid_fixed/valid_381/valid_381_a/valid_381_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_381/valid_381_a/valid_381_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_381_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion measured approximately 33 mm at its thickest point. There is no pleural thickening. There are atelectasis in both lower lobes of the lungs adjacent to the pleural effusion. There is no obstructive pathology in the trachea and both main bronchi. There are minimal emphysematous changes in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is no pericardial effusion. Diffuse atheroma plaques are observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and wider than normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. Dilatation is present in both kidney collecting systems and in both ureters within the sections. The pathology that would explain the dilatation was not detected in this examination. It is recommended that the patient be evaluated together with previous examinations and further examination if indicated. There are sclerotic bone lesions in the bone structures within the sections. If the patient has a primary disease, the described appearances were evaluated primarily in favor of metastases. Thoracic vertebral corpus heights and alignments are normal. Intervertebral disc distances are preserved. The neural foramina are open.", "impression": "Bilateral pleural effusion and atelectasis in both lungs adjacent to pleural effusion . Emphysematous changes in both lungs . Atherosclerotic changes in the aorta and coronary arteries . Dilatation in both kidney collecting systems . Sclerotic bone lesions in the bone structures within the sections primarily evaluated in favor of metastases"}
{"volume_path": "dataset/valid_fixed/valid_382/valid_382_b/valid_382_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_382/valid_382_b/valid_382_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_382_b_1.nii.gz", "findings": "Evaluation of solid organs and mediastinal and vascular structures is suboptimal because the examination is non-contrast. In the midline of the trachea, both main bronchi are open. No obstructive pathology was detected. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No pathological lymphadenopathy was detected in the supraclavicular region, both axillae and retropectoral regions. Skin and subcutaneous structures have a natural appearance. Numerous lymph nodes are observed in the mediastinal area at the upper paratracheal, lower paratracheal, aortopulmonary level, subcarinal area and at the level of both lung hilum. The largest of these lymph nodes is located in the lower paratracheal area, anterior to the carina, and its short axis is measured as 15 mm. Precardiac fat pad is normal. When examined in the lung parenchyma window; A centrally located ground glass opacity is observed in the apical segment of the upper lobe of the right lung. Apart from this, in the right lung upper lobe posterior subpleural area, consolidation areas with ground glass opacities around the subpleural, which were not observed in the previous examination of the patient, newly emerged and evaluated in favor of the infective process are observed. These appearances were primarily evaluated in favor of viral pneumonia. These findings are also frequently observed in Covid-19 pneumonia. In addition, there are linear subsegmental atelectasis in both lungs. Pleural effusion, which is more prominent on the left and reaches approximately 14 mm, is observed in both lungs. Gallstones are observed in the gallbladder. Other upper abdominal organs included in the sections are normal. No fractures, lytic or sclerotic lesions were observed in the bones. Diffuse degenerative changes are observed in the bones.", "impression": "  Calcific atheroma plaques in the aorta and coronary arteries.  Diffuse degenerative changes in bones.  Bilateral minimal pleural effusion.  Linear atelectasis.  Cholelithiasis."}
{"volume_path": "dataset/valid_fixed/valid_413/valid_413_a/valid_413_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_413/valid_413_a/valid_413_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_413_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. The ascending aorta is 40 mm and ectatic. The right pulmonary artery is 30 mm, and the left pulmonary artery is 27 mm, and it is ectatic. Pericardial minimal effusion is present. Diffuse calcific plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, predominantly calcific lymph nodes are seen in the bilateral hilar region. When examined in the lung parenchyma window; There is diffuse emphysematous appearance in both lung parenchyma. Widespread consolidations including air bronchograms with irregular borders are observed, sitting on the pleura in the anterior upper lobe of the right lung, and at the central level in the left upper lobe of the left lung. In both lungs, it has a diffuse thickening of the bronchial walls at the central level, and thickening of the bronchial wall and intrabronchial secretory densities are observed, especially in the left lower lobe. Irregularly limited nodular infiltrations and budding tree views are seen in the peribronchial and subpleural areas in all lobes, more prominently in the upper lobe anterior on the right. There is bilateral minimal pleural effusion. Air densities are seen in the bile ducts or portal traces in the upper abdominal organs included in the sections. Apart from this, a detailed evaluation cannot be made. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Cardiomegaly, aortic and coronary artery ectasia  Lymph nodes, some of them calcific, in the mediastinum and hilar region  Diffuse emphysema in both lungs  Widespread consolidations, ground glass densities, nodular consolidations with irregular borders, bronchial wall thickening, bronchiectasis, and intrabronchial secretory densities, findings are primarily compatible with the infectious process. The mass distinction cannot be made clearly at the level of wide consolidations with irregular borders, including air bronchograms present in the right upper lobe anterior and left upper lobe posterior and central level. A follow-up examination is recommended after treatment.  Air densities in intrahepatic bile ducts and portal trace"}
{"volume_path": "dataset/valid_fixed/valid_416/valid_416_a/valid_416_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_416/valid_416_a/valid_416_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_416_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Tracheal cannula is observed. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and lymph nodes with a short diameter of 13 mm are observed in the mediastinum, the largest of which is at the subcarinal level. Effusion is observed in the bilateral pleural space with a depth of 80 mm on the right and 65 mm on the left. Density increases are observed in both lungs in the upper lobe posterior, lower lobe superior, medial and lateral segments, as well as in the right lung middle lobe lateral segment, consistent with consolidation including diffuse air bronchogram, and the findings were evaluated as secondary to pneumonic infiltration. A stone of 8 mm in size is observed in the middle zone of the left kidney included in the sections. No lytic or destructive lesions were detected in the bone structures in the study area.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_423/valid_423_a/valid_423_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_423/valid_423_a/valid_423_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_423_a_1.nii.gz", "findings": "Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. As far as evaluable: Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Mediastinal main vascular structures, heart contour, size are normal. Significant calcific plaque formations are observed in the ascending aorta, the aortic arch, and the walls of the descending aorta and coronary artery. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Pleural effusion reaching 3.5 cm in its deepest part is observed in the right hemithorax, and atelectatic areas are observed in the right lung lower lobe posterobasal segment adjacent to the effusion. Pleural effusion reaching 18 mm in the deepest part of the left hemithorax and compression atelectasis in the lung parenchyma adjacent to the effusion are observed. When examined in the lung parenchyma window; There is diffuse mosaic perfusion in both lungs. In the upper lobe of the right lung, bronchiectasis in the posterior of the apical segment, and linearly atelectasis areas adjacent to the bronchiectasis, accompanied by minimal ground glass density are observed. In the upper abdominal organs included in the study area; liver, spleen and pancreas are normal. The gallbladder wall is observed as purcalcific porcelain gallbladder?. In both adrenal glands, lesions with 1 and a half cm diameter compatible with adenomas are observed in the body part with areas of fat density. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window; No lytic-destructive lesions were detected in the thoracic vertebral column and other bones forming the thorax.", "impression": "Pleural effusion, more prominent on the right in the bilateral hemithorax, and compression atelectasis in the lower lobe posterobasal segments, especially in the vicinity of pleural effusions. perfusion small vessel disease? small airway disease? . Significant atherosclerotic changes in the walls of the coronary artery in the wall of the descending aorta in the aortic arch . Porcelain gallbladder . Lesions compatible with adenoma in both adrenal glands"}
{"volume_path": "dataset/valid_fixed/valid_423/valid_423_b/valid_423_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_423/valid_423_b/valid_423_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_423_b_1.nii.gz", "findings": " Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of mediastinal major vascular structures is natural. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart contour size is natural. Pericardial thickening-effusion was not detected. Stent material placed in RCA was observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A sliding type hiatal hernia was observed at the lower end of the esophagus. No lymph nodes were detected in prevascular, retroparatracheal, subcarinal, bilateral hilar and pathological dimensions and appearance. When the lung parenchyma was examined in the window, free pleural effusion measuring 8 mm in the widest part on the right and 5 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. There are bronchiectatic changes in the posterior upper lobe of the right lung. Focal ground-glass-like density increases were observed in the lingular segment in the apicoposterior of the left lung upper lobe and in the lower lobes of both lungs. Appearance is nonspecific. Clinical laboratory correlation is recommended for viral pneumonias. In the upper abdominal sections entering the examination area; diffuse thickening of the gallbladder wall porcelain gallbladder?. In the bilateral adrenal gland, nodular lesions were observed in the corpus with a HU value of -5 on the left and 0 on the right, which was evaluated in favor of adenoma in the first plan. Bilateral renal cysts were observed. Degenerative changes were observed in bone structures. Left-facing scoliosis was observed in the thoracic vertebra.", "impression": " Diffuse calcified atherosclerotic changes in the thoracic aorta and coronary artery wall, sliding type hiatal hernia.  Bilateral free pleural effusion and atelectatic changes that decrease from previous examination.  Peribronchial thickenings in both lungs.  Bilateral focal ground glass density increases. It is evident from previous review. Clinical and laboratory correlations are recommended for viral pneumonias.  Porcelain gallbladder?.  Adenoma in both adrenal glands?.  Bilateral renal hypodense lesions cyst?.  Degenerative changes in bone structure and left-facing scoliosis in the thoracic vertebrae."}
{"volume_path": "dataset/valid_fixed/valid_423/valid_423_c/valid_423_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_423/valid_423_c/valid_423_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_423_c_1.nii.gz", "findings": "Trachea, both main bronchi are open. Widespread calcific atheroma plaques are observed in the coronary arteries. Calibration of other mediastinal major vascular structures is normal. Heart contour, size is normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Ground-glass densities and focal consolidation areas showing merging tendencies are observed, especially in the lower lobes of both lungs. Peribronchial thickness increases are present. The appearances were evaluated in favor of pneumonia. In the differential diagnosis, primarily Covid-19 pneumonia was considered. Bilateral pleural effusion is observed, reaching a thickness of approximately 2 cm on the right and approximately 0.5 cm on the left. Upper abdominal organs included in the sections are normal. Simple cysts in both kidneys and gallstones in the gallbladder are observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Consolidation and ground glass densities evaluated primarily in favor of Covid-19.  Calcific plaques in the aorta and coronary arteries.  More pronounced pleural effusion on the right bilateral side."}
{"volume_path": "dataset/valid_fixed/valid_425/valid_425_a/valid_425_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_425/valid_425_a/valid_425_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_425_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Widespread millimetric nodular calcifications consistent with tracheobronchopathic osteochondroplastica were observed in the walls of the trachea, both main bronchi and segmental bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, and the anterior-posterior diameter of the descending aorta is 29 mm, which is larger than normal. The diameter of the pulmonary trunk was 35 mm and wider than normal Pulmonary hypertension?. Heart size increased. Pericardial effusion-thickening was not observed. Diffuse calcified atheroma plaques were observed in the thoracic aorta, its supraaortic branches, coronary arteries, abdominal aorta and visceral branches. Suture materials secondary to surgery were observed in the aortic valve. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In both hemithorax, effusion was observed extending from the apex to the basals and both major fissures, reaching 8.8 in the widest part on the right and 4 cm in the widest part on the left. Atelectatic changes were observed in the basal segments of the lower lobe adjacent to the effusion. Dependent nonspecific ground glass densities were observed in both lungs pulmonary overload findings secondary to heart failure. Focal patchy ground glass densities were observed in the upper lobe of the right lung, and the appearance is nonspecific. Less likely, viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Atelectasis changes that cause volume loss and structural distortion were observed in both lungs. Apart from this, no mass lesion with distinguishable borders was detected in both lungs. Contour, size, parenchymal density of the liver are normal. No space-occupying solid or cystic mass lesion was detected. Hepatic and portal venous systems are normal. Intra and extrahepatic bile ducts, gallbladder are normal. The contour, size, parenchyma density of the spleen is normal. No space-occupying solid or cystic mass lesion was detected. Splenic vein width is normal. The contour, size, parenchyma density of the pancreas is natural. No space-occupying solid or cystic mass lesion is observed. No enlargement was detected in the main pancreatic duct. Contour, size, localization, parenchymal thickness, parenchymal staining, pelvicalyceal structures of both kidneys are normal. No renal solid or cystic mass was detected. Bilateral adrenal glands were normal and no space-occupying lesion was detected. The contour, capacity and wall thickness of the bladder are natural. Paravesical fat planes are preserved. Diffuse arcuate artery calcifications are observed in the subserosal areas of the uterus. No intraabdominal free-loculated fluid was detected. Intraabdominal and bilateral inguinal pathological size and appearance of lymph nodes were not detected. Diffuse calcified atheroma plaques were observed in the abdominal aorta and iliac arteries. In the examination performed without oral contrast, no significant tumoral wall thickening, obstruction-dilatation was detected in the gastrointestinal tract. Diastasis recti is observed, and the muscles of the anterior abdominal wall have a distinctly atrophic appearance. There is protrusion of the transverse colon and ileal loops to the anterior abdominal wall. Thoracic kyphosis is increased. Degenerative changes were observed in the bone structures entering the section area. Subchondral sclerosis and degenerative cysts were observed on the iliac surfaces adjacent to the bilateral sacroiliac joint. Findings are consistent with osteoarthritic changes.", "impression": "Appearance compatible with tracheobronchopathia osteochondroplastica in the walls of the trachea, both main bronchi and segmental bronchi. Ectastic appearance in the ascending and descending aorta, cardiomegaly, aortic valve replacement.  Diffuse calcified atheromatous plaques in the thoracic aorta, its supraaortic branches, abdominal aorta and visceral branches, coronary arteries. Hiatal hernia.  Bilateral pleural effusion, atelectatic changes in lung areas adjacent to the effusion. Dependent nonspecific ground-glass densities in both lungs were evaluated in favor of pulmonary overload findings secondary to cardiac pathologies.  Focal patchy ground-glass areas in the upper lobe of the right lung; the appearance is nonspecific. Less likely, viral pneumonias were considered in the differential diagnosis. It is recommended to be evaluated together with clinical and laboratory. Linear-fibroatelectasis sequelae in both lungs causing volume loss and structural distortion.  Diastasis recti, protrusion of the transverse colon and ileal loops to the anterior abdominal wall. Osteoarthritic changes in the vertebral column and bilateral sacroiliac joint."}
{"volume_path": "dataset/valid_fixed/valid_429/valid_429_b/valid_429_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_429/valid_429_b/valid_429_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_429_b_1.nii.gz", "findings": "Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; The anterior-posterior diameter of the ascending aorta was 41 mm, and the anterior-posterior diameter of the descending aorta was 30 mm, larger than normal. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Minimal pleural effusion was observed in both hemithorax. Multilobar-multisegmental vascular enlargement in both lungs, more diffuse central-peripheral vascular enlargement in the upper lobes and patchy ground glass consolidations with crazy paving pattern are observed, and the oulp appearance is consistent with Covid-19 pneumonia. Pleuroparenchymal fibroatelectasis sequelae changes were observed at the apical levels of both lungs. Some calcific millimetric nonspecific pulmonary nodules were observed in both lungs. Paraseptal emphysematous changes were observed in both apexes. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. In the vertebra corpus end plateau, degenerative osteophytic taperings were observed at the corners.", "impression": " Fusiform aneurysmatic dilatation in the thoracic aorta, atherosclerotic wall calcifications in the thoracic aorta and coronary arteries  Bilateral smearing pleural effusion and findings consistent with Covid-19 pneumonia in the lung parenchyma  Millimetric nonspecific pulmonary nodules in both lungs, reticuloseptic increase in apex, reticulonoidal fibromatous ammoniacal changes  Mild spondylosis at the thoracic level"}
{"volume_path": "dataset/valid_fixed/valid_457/valid_457_a/valid_457_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_457/valid_457_a/valid_457_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_457_a_1.nii.gz", "findings": " The thyroid gland parenchyma is minimally heterogeneous, and there is a hypodense nodule with 7.5 mm diameter peripheral rim calcification in the right lobe. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 40 mm, and the diameter of the pulmonary trunk was 32 mm and increased. A central venous catheter terminating at the superior-right atrium junction of the vena cava is observed. There are several lymph nodes in the mediastinum and bilateral hilar regions, the largest of which is 7 mm in diameter. Within the epicardial fat pad, there are several nodular lesions, the largest of which is 8 mm in diameter lymph node?. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. A 5 cm thick effusion is observed in the right hemithorax. There is compression atelectasis in the lower lobe of the right lung adjacent to the effusion, accompanied by areas of ground glass in which air bronchograms are observed. There are subsegmental atelectasis areas and interlobular septal thickness increases in the left lung upper lobe lingular segment inferior subsegment and lower lobe posterior segment. Consolidation areas observed in the previous examination of the patient are not selected in this examination. Sliding type hiatal hernia is observed at the esophagogastric junction. There is intraabdominal free air in the patient who is a liver right lobe transplant recipient. On the medial section surface of the right lobe, an appearance compatible with the low-density collection of 20x30 mm is observed, adjacent to the segment 5 graft. Drainage catheter ending in the medial part of the right lobe is observed. Several lymph nodes, the largest of which are 7 mm in diameter, are observed in the perigastric area and are stable. Spleen AP diameter measured 140 mm and increased. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Liver right lobe transplant recipient; intraabdominal free air; amount has increased.  Appearance compatible with the collection on the medial section surface of the liver, adjacent to the graft; is stable.  Pleural effusion in the right hemithorax; amount has increased.  Compression atelectasis in the lower lobe of the right lung.  Areas of segmental atelectasis in the left lung and accompanying increases in interlobular septal thickness secondary to stasis?.  Millimetric nodular lesions in mediastinal and perigastric lymph nodes, epicardial fat pad; is stable.  Splenomegaly."}
{"volume_path": "dataset/valid_fixed/valid_457/valid_457_b/valid_457_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_457/valid_457_b/valid_457_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_457_b_1.nii.gz", "findings": "Pleural effusion measuring approximately 60 mm in its thickest part is observed on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The lower lobe of the right lung adjacent to the pleural effusion is total atelectatic. There is also minimal pleural effusion on the left. It is understood that the pleural effusion on the left has just appeared. It is understood that the amount of pleural effusion on the right has increased. Apart from the lower lobe of the right lung, there are occasional linear atelectasis in other parts of the lung that are aerated. Emphysematous changes were observed in both lungs. There is minimal interlobular septal thickening in both lungs, more prominent on the left. The described appearance may be compatible with cardiac pathology. It is recommended that the patient be evaluated together with the physical examination findings. There is minimal pericardial effusion. Pericardial thickening was not detected.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_457/valid_457_c/valid_457_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_457/valid_457_c/valid_457_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_457_c_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific atheroma plaques are observed in the aortic arch and coronary arteries. Other mediastinal major vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. There is a new pericardial effusion measuring up to 22 mm in thickness. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; There are moderately increasing effusions in both hemithorax, which were observed in the previous examination, atelectatic changes in both lung parenchyma, and near-total volume loss, especially in the lower lobe of the right lung. Upper abdominal organs are partially included in the examination and were evaluated as suboptimal. There is a transplanted liver. Segment 8 graft vein is evaluated as suboptimal and there is a filling defect. Diffuse degenerative changes are observed in bone structures.", "impression": " The increase in effusions observed in both hemithorax is moderate in the current examination.  There are atelectatic changes and volume losses in both lung parenchyma.  In the right lung parenchyma, the lower lobe is observed as collapsed and there is significant volume loss.  A new 22 mm thick pericardial effusion is observed.  Atherosclerotic changes are present."}
{"volume_path": "dataset/valid_fixed/valid_459/valid_459_a/valid_459_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_459/valid_459_a/valid_459_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_459_a_1.nii.gz", "findings": " Trachea, both main bronchi are open. The presence of embolism in the pulmonary artery and its branches could not be excluded in the non-contrast examination. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are consolidations in the right lung lower lobe and left lung lower lobe posterobasal segment in which air bronchograms are observed. There are focal ground glass densities around the consolidation on the right, in the lateral segment of the middle lobe and in the mediobasal segment of the lower lobe of the left lung. Millimetric nonspecific pulmonary nodules were observed in both lungs. Effusion was observed to a depth of 20 mm in the right pleural space. The effusion is loculated in the neighborhood of the posterior segment of the upper lobe. No pleural effusion was observed on the left. As far as can be seen within the sections; upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Pulmonary embolism defined in the previous examination could not be distinguished in the current examination in the examination performed without IV contrast.  Right pleural effusion is stable.  Loculated collection adjacent to the posterior segment of the upper lobe of the right lung; new to current review."}
{"volume_path": "dataset/valid_fixed/valid_471/valid_471_a/valid_471_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_471/valid_471_a/valid_471_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_471_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. The widths of the mediastinal main vascular structures are normal. There is minimal pleural effusion on the left. There is no pleural effusion on the right. There are lymph nodes in the mediastinum and hilar regions. The shortest diameter of the largest of the described lymph nodes was 8 mm. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. There are sometimes linear atelectasis in both lungs. Findings in favor of pleuroparenchymal sequelae changes were observed in both lung apexes. Consolidations were observed in the right lung upper lobe anterior segment medial, right lung middle lobe and left lung upper lobe lingular segment. In addition, an irregularly circumscribed nodule in the posterior segment of the upper lobe of the right lung and a ground-glass appearance were observed around it. The described manifestations may be compatible with the pneumonic infiltration indicated in the clinical preliminary diagnosis. However, lung involvement of lymphoma can cause a similar appearance. Therefore, no distinction was made in this examination. Evaluation of the patient with clinical physical examination and laboratory findings and CT control after appropriate treatment are recommended. There are emphysematous changes in both lungs. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Lymphoma in follow-up  Appearances that may belong to pneumonia or lymphoma involvement in both lungs"}
{"volume_path": "dataset/valid_fixed/valid_475/valid_475_a/valid_475_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_475/valid_475_a/valid_475_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_475_a_1.nii.gz", "findings": "CTO is within the normal range. Calibration of the main mediastinal vascular structures is natural. Millimetric sized lymph nodes are observed in the aorticopulmonary window in the upper-lower paratracheal area in the mediastinum. Millimetric-sized calcific atheroma plaques are observed at the level of the aortic arch. No pathological size and configuration lymph nodes were detected at both hilar levels. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Pleural effusion with a thickness of 29 mm on the right and 10 mm on the left and adjacent atelectatic lung segments are observed at both hilar levels. In the evaluation of both lung parenchyma windows; The calibration of the trachea and main bronchi is normal and their lumens are clear. On the left, there are bud branches in both lungs at the level of the upper lobe, middle lobes, and partially in the lower lobe superior segments, with accompanying ground-glass-like density increments, more prominent on the left. It is recommended to evaluate the case in terms of infective processes. Mosaic attenuation pattern is occasionally observed in both lungs small vessel disease? small airway disease?. Sequela parenchymal band is observed in the middle lobe. Pleuroparenchymal densities compatible with sequelae are observed adjacent to the interlobar fissure on both sides. In the sections passing through the upper abdomen without contrast; liver, spleen, pancreas, both adrenals are in natural appearance. The gallbladder wall is slightly edematous. However, the CT resolution is low. It is recommended to be evaluated together with ultrasonography. There is an appearance compatible with ectasia or cyst in the pelvicalyceal system in the left kidney. It is recommended to be evaluated together with sonography. In both hemithorax, the surrounding muscle and soft tissue planes are intensely edematous. Degenerative changes are observed in the bone structure.", "impression": "Diffuse bud landscapes and accompanying ground-glass densities in both lungs favoring infection. Mosaic attenuation pattern in both lungs small vessel disease? small airway disease?. Bilateral mild pleural effusion. Appearances evaluated in favor of ectasia or parapelvic cyst in the pelvicalyceal system in the left kidney and edematous appearance in the gallbladder wall. It is recommended to be evaluated together with sonography."}
{"volume_path": "dataset/valid_fixed/valid_475/valid_475_b/valid_475_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_475/valid_475_b/valid_475_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_475_b_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, more prominently in the upper lobes. Ground glass areas do not retain areas, especially in peripheral subpleural areas. The described appearance was considered to be an infective pathology due to a viral or opportunistic infection. The absence of subpleural involvement suggests more pneumocystis jiroveci pneumonia. No mass was detected in both lungs. There is an increase in the prevalence of ground glass areas when the patient encounters the previous examination. There is bilateral minimal pleural effusion, more prominent on the right.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_475/valid_475_c/valid_475_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_475/valid_475_c/valid_475_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_475_c_1.nii.gz", "findings": "Widespread density increase was observed in subcutaneous adipose tissue. Lymphedema? Hypoalbuminemia? Trachea and main bronchi are open. No pathological lymph node was detected in the mediastinum. The heart and mediastinal vascular structures have a natural appearance. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Ground glass areas are observed in both lungs, especially in the upper lobes and especially in the peripheral subpleural areas. Regression was considered in the lesions at follow-up. No mass was detected in both lungs. There is bilateral pleural effusion, more prominent on the right. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. The appearance of degenerative osteophytes was observed in the vertebra corpus corners.", "impression": "Widespread density increase in subcutaneous adipose tissue. Lymphedema? Hypoalbuminemia? Ground-glass areas in both lungs showing regression on follow-up Stable bilateral pleural effusion on follow-up Degenerative bone changes"}
{"volume_path": "dataset/valid_fixed/valid_475/valid_475_e/valid_475_e_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_475/valid_475_e/valid_475_e_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_475_e_1.nii.gz", "findings": " A catheter image extending to the right atrium was observed. Bilateral gynecomastia was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. In the non-contrast examination, the mediastinum was not evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Minimal calcified atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion was observed in both hemithorax, reaching a diameter of 20 mm at its widest point on the right and 11 mm at its widest part on the left. It is a new finding in the current review. There is significant regression in the current examination in the increase in ground glass densities in the upper and lower lobes in the previous examination in both lungs. However, it persists slightly in places. Mild emphysematous changes are present in both lungs. Two nonspecific parenchymal nodules measuring 8. Subsegmental atelectatic changes were observed in the right lung middle lobe medial and both lung lower lobe basal segments. No nodular or infiltrative lesion was detected in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread density increases consistent with edema were observed in the skin and intra-abdominal fatty planes. Diffuse degenerative changes were observed in the bone structure in the study area. Vertebral corpus heights are preserved.", "impression": " Significant bilateral pleural effusion on the right, which was not observed in the previous examination . Stable parenchymal nodules in the right lung . Widespread density increases compatible with edema in the skin and intra-abdominal fatty planes.  Diffuse degenerative changes in bone structure"}
{"volume_path": "dataset/valid_fixed/valid_482/valid_482_d/valid_482_d_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_482/valid_482_d/valid_482_d_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_482_d_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding hiatal hernia was observed. Mediastinal structures were evaluated as suboptimal since the examination was uncontrasted, and as far as can be observed; The diameter of the ascending aorta is 42 mm and shows fusiform dilatation. Calcified atherosclerotic changes in the thoracic aorta and coronary artery walls and stent materials in the coronary artery were observed. No lymph node was detected in mediastinal pathological size and appearance. The right hemidiaphragm shows elevation. When examined in the lung parenchyma window; Ground-glass density increases with interlobular septal thickenings were observed in both lungs, especially in the upper and lower lobes. Focal subdiaphragmatic areas in the middle lobe of the right lung and consolidation areas in the inferior lingular segment of the left lung were observed. The outlook was evaluated as consistent with imaging features that commonly report Covid-19 pneumonia. It may suggest other viral pneumonias in the differential diagnosis. Clinical and laboratory correlation is recommended. Prominent interlobular septa were observed in both lungs secondary to cardiac pathology?. A parenchymal nodule with a diameter of 8 mm was observed in the anterior segment of the upper lobe of the right lung. A free pleural effusion measuring 12 mm in thickness was observed between the pleural leaves on the left. Mild emphysematous changes were observed in both lungs. The spleen dimensions increased in the upper abdominal sections included in the study area. A faintly circumscribed hyperdense nodular lesion with a diameter of 15 mm was observed in the posterior midzone of the spleen. Liver contours are irregular. The gallbladder was not observed operated. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Hernia defect was observed in the epigastric region. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There are metallic suture materials belonging to sternotomy in the sternum.", "impression": " Mild emphysematous changes in both lungs.  Cardiomegaly.  Atherosclerotic changes.  Fusiform dilatation of the ascending aorta.  Ground-glass density increases and consolidations with septal thickenings in both lungs were evaluated as consistent with the frequently reported imaging features of Covid-19 pneumonia. It may suggest other viral pneumonias in the differential diagnosis. Clinical and laboratory correlation is recommended.  Parenchymal nodule in the upper lobe of the right lung.  Splenomegaly.  Mild pleural effusion and atelectatic changes on the left.  Cholecystectomy.  Epigastric hernia."}
{"volume_path": "dataset/valid_fixed/valid_482/valid_482_f/valid_482_f_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_482/valid_482_f/valid_482_f_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_482_f_1.nii.gz", "findings": "Consolidation areas are also observed in the lingular segment of the left lung upper lobe, which almost completely fills the middle lobe of the right lung, and ground glass opacities are observed around these areas. Air bronchograms are available within the defined consolidation areas. Similarly, there is an area of consolidation in the lower lobe of the right lung. When the described appearances were evaluated together with the previous examination of the patient, they were evaluated in favor of increased areas of pneumonic consolidation. The pleural effusion described in the left lung decreased slightly when evaluated together with the previous examination. Other findings are stable.", "impression": " Areas of pneumonic consolidation in both lungs that increase when evaluated in conjunction with the patients previous examination.  Other findings are stable when evaluated together with the patients previous examination."}
{"volume_path": "dataset/valid_fixed/valid_482/valid_482_h/valid_482_h_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_482/valid_482_h/valid_482_h_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_482_h_1.nii.gz", "findings": " Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Calibration of other thoracic major vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, stable lymph nodes were observed in the mediastinal upper-lower paratracheal area and in the subcarinal area. No newly emerged nodule-infiltration area was observed in the current examination. When both lungs are evaluated in the parenchyma window: Ground-glass density increases are observed in and around peribronchovascular consolidation areas extending to the periphery in the perihilar area, especially in the upper lobes. The appearance may belong to PCP pneumonia. Fungal infections can be considered in the differential diagnosis. Again, alveolar hemorrhage should be considered in the differential diagnosis. Clinical and laboratory correlation and post-treatment control are recommended. There is a significant increase in the consolidation areas observed in the previous examination in the middle lobe of the right lung and the lower lobe of the left lung. In the current examination, a newly emerged free pleural effusion measuring 3 cm in thickness is observed. On the right, there is minimal pleural effusion. Liver and spleen sizes increased hepatosplenomegaly in the upper abdominal sections within the study area. Gallbladder was not observed cholecystectomized. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected. There is a decrease in density compatible with osteopenia in the bone structures in the study area.", "impression": " Cardiomegaly, atherosclerotic changes.  Mediastinal millimetrically stable lymph nodes. Also, viral pneumonia or diffuse alveolar hemorrhage may be considered in the differential diagnosis. Clinical-laboratory correlation and post-treatment control are recommended.  New pleural effusion on the left, minimal pleural effusion on the right.  Hepatosplenomegaly.  Cholecystectomy."}
{"volume_path": "dataset/valid_fixed/valid_490/valid_490_a/valid_490_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_490/valid_490_a/valid_490_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_490_a_1.nii.gz", "findings": "A stent was placed in the right subclavian artery. In the section, no lymph node in pathological size and appearance was observed in the supraclavicular fossa and axilla. Heart dimensions and compartments appear natural. Pericardial effusion was not detected. No lymph node in pathological size and appearance was observed in the mediastinum. When examined in the lung parenchyma window; In the right lung lower lobe posterobasal segment, in the left lung lower lobe posterobasal segment, pneumonic consolidation areas in which air bronchograms are observed and parenchymal ground glass opacity and septal thickenings are observed around the consolidated areas. It is more prominent on the left. It is located peripherally. It is present in adjacent loculated pleural effusions. Differential diagnosis includes both viral and bacterial etiological agents. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "There are more prominent pneumonic infiltration areas on the left in the posterobasal segments of both lungs and a mild focal pleural effusion adjacent to it, viral and bacterial agents in the differential diagnosis. Although the consolidation is evident and the accompanying pleural effusion differs from covid pneumonia, the ground glass pattern involvement areas and septal clarifications cause covid pneumonia. Therefore, no distinction can be made.Correlation with clinical and laboratory is recommended."}
{"volume_path": "dataset/valid_fixed/valid_493/valid_493_a/valid_493_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_493/valid_493_a/valid_493_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_493_a_1.nii.gz", "findings": "CTO is within the normal range. There is pericardial effusion in the case. Pulmonary trunk calibration is at the maximal physiological limit. Both pulmonary artery calibrations are natural. Calibration of the ascending aorta and descending aorta is normal. The aortic arch calibration was measured as 30 mm, slightly above normal. Millimetric sized calcific atheroma plaques are observed in the aortic arch. Multiple lymph nodes are observed in the mediastinum, the largest of which is in the right upper paratracheal area and approximately 29x23 mm in size. Lymph nodes have lost their normal oval configuration. Although the dimensions of both hilar levels cannot be evaluated clearly in the non-contrast examination, there are lymph nodes, the largest of which is 20x18 mm and observed at the right hilar level. When examined in the lung parenchyma window; Both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Peribronchial sheath thickening is observed. Multiple nodular lesions with randomized distribution are observed in both lungs, the largest measuring 30x25 mm at the posterobasal level of the left lung met?. There is a pleural effusion measuring approximately 18 mm in the thickest part of the right lung, extending to the mid-upper zone. Density reduction consistent with emphysema is observed in both lungs. Sequelae changes are observed in the middle lobe of the right lung. In the right lung, there is thickening of the interlobular septa at the posterobasal level, and a ground-glass-like focal density increase. There is thickening of the interlobular septa in the anterior segment of the left lung upper lobe and accompanying focal ground-glass-like density increase. Similar appearances are observed in the periphery of the lower lobe superior segment. In the sections passing through the upper abdomen, there is a slight decrease in density consistent with steatosis in the liver. Post-op changes are observed in the gallbladder bed. The common bile duct calibration is larger than normal secondary to cholecystectomy?. The pancreas appears atrophic with age. It could not be observed in the right kidney lodge. The left kidney is normal as far as can be observed. Mild hiatal hernia is observed. Degenerative changes are observed in the bone structure. Dorsal kyphosis configuration slightly increased.", "impression": " Multiple nodular lesions met? in both lungs. It is recommended to be evaluated together with clinical and laboratory findings.  Focal interlobular septa thickening and accompanying ground-glass-like density increases in both lungs.  Mild hepatosteatosis.  Mild hiatal hernia.  Mediastinal and right hilar lymphadenopathies, pericardial effusion."}
{"volume_path": "dataset/valid_fixed/valid_493/valid_493_b/valid_493_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_493/valid_493_b/valid_493_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_493_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion is slightly increased and its diameter is 28 mm at its widest point. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There was no significant difference in LAPs within the mediastinum and at the right hilar level. When examined in the lung parenchyma window; There were diffuse nodular lesions in both lung parenchyma and no significant difference was observed. The existing pleural effusion in the right hemithorax has increased slightly, and it was measured 35 mm at its widest point in the current examination. Thickening of the interlobular septa and accompanying minimal focal ground-glass densities are seen in both lungs. There are stable ground glass densities and bronchial thickenings in the subpleural area, especially in the anterior lower lobe on the left. In upper abdominal sections; gallbladder is operated. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. In the bone structures within the study area; thoracic vertebrae are degenerate.", "impression": " Lymphadenopathies in the mediastinum and right hilar region that do not differ significantly.  Multiple non-significantly different nodules in both lungs.  Pericardial and right pleural increased effusion.  Thickening of interlobular septa in both lungs, focal ground glass densities no significant difference was detected."}
{"volume_path": "dataset/valid_fixed/valid_493/valid_493_c/valid_493_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_493/valid_493_c/valid_493_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_493_c_1.nii.gz", "findings": "When evaluated together with the patients examination six days ago; Pericardial effusion and pleural effusion in the right lung are stable. No significant difference was found in the number and size of pulmonary nodules. There was no difference in the interlobar and interlobular septal thickenings in both lungs and in the focal ground glass densities observed especially in the lower lobe superior segment of the left lung. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_500/valid_500_a/valid_500_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_500/valid_500_a/valid_500_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_500_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart size increased. The diameter of the ascending aorta is 39 mm, which is above normal. Pulmonary artery diameter is 33 mm and increased. The diameters of the right and left pulmonary arteries are also above normal. Pericardial effusion-thickness increase was not detected. There are calcific atheroma plaques in the thoracic aorta and at the level of the coronary arteries, and the appearance of a stent at the level of the coronary arteries. In addition, there are sutures belonging to pericardial millimetric foreign bodies. In the mediastinum, prevascular, pre-paratracheal, aorticopulmonary window, subcarinal and both hilar multiple lymph nodes with a short axis diameter not exceeding 1 cm were observed. There is one LAP with a diameter of 13 mm in the lower right paratracheal short axis. In addition, millimetric calcific lymph nodes are observed at the right hilar level. When examined in the lung parenchyma window; In the upper lobe of the right lung, increases in interlobular septal thickness-centriacinar nodules and sometimes budding tree views are observed. In addition, there are subsegmental atelectasis and accompanying sequelae pleuroparenchymal bands at the anterior level of the upper lobe Infective process?. It is recommended to be evaluated together with clinical and laboratory findings. Subsegmental atelectasis were observed in the right lung middle lobe lateral and left lung lingular segment inferior. There are minimal bronchiectatic changes in both lungs. Minimal pleural effusion in both hemithorax and compression atelectasis in the left lung lower lobe segments adjacent to the effusion are observed. Abdominal solid organs are normal in sections passing through the upper abdomen. No space-occupying lesion was observed in both adrenal sites. There is left-facing rotoscoliosis in the dorsal vertebrae within the sections. Vertebra corpus heights and alignments are natural. Osteophytic and degenerative changes were observed in the corners of the corpus. There are metallic sutures secondary to previous surgery in the sternum.", "impression": "Cardiomegaly, Ascending aortic aneurysm. Increase in pulmonary artery diameters.  One LAP in right lower paratracheal with mediastinal millimetric lymph nodes.  Minimal pleural effusion in both hemithoraxes, compression atelectasis in the left lung segments adjacent to the effusion. Interlobular septal thickness increases in the right lung upper lobe, centriacinar nodules and budding tree view; It is recommended to evaluate the infective process together with clinical and laboratory findings.  Right lung middle lobe lateral and left lung lingular segment inferior subsegmental atelectasis."}
{"volume_path": "dataset/valid_fixed/valid_500/valid_500_c/valid_500_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_500/valid_500_c/valid_500_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_500_c_1.nii.gz", "findings": " Bilateral gynecomastia is observed. Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Millimetric nodular calcifications were observed in the trachea and the walls of both main bronchi, and the findings were consistent with tracheobronchopathia osteochondroplastica. Clap sizes have increased. Pericardial effusion-thickening was not observed. The diameter of the ascending aorta is 40 mm, which is above normal. Pulmonary artery diameter increased by 30 mm, and right and left pulmonary artery diameters increased by 28 and 27 mm, respectively. Calcific atheroma plaques are observed at the level of the thoracic aorta and coronary arteries, and a stent-like appearance is observed at the level of the coronary arteries. Metallic sutures compatible with ACBG are observed in the sternum and anterior mediastinum. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; AP diameter of both hemithorax increased. Diffuse emphysematous changes are observed in both lungs, more prominently in the upper zones. Pleuroparenchymal sequelae changes in the anterior segment of the upper lobe of the right lung and traction bronchiectasis are observed in the vicinity. Subsegmental atelectatic changes are observed in the right lung middle lobe lateral segment and left lung inferior lingular segment. A nodular lesion of approximately 16x10 mm was observed in the right lung lower lobe laterobasal segment in the area adjacent to the major fissure, which may be compatible with round atelectasis. Interlobular septal thickening was observed in both lower lobe basal segments of both lungs. The findings were evaluated as secondary to heart failure. Minimal bronchiectatic changes are observed in both lungs. Minimal pleural effusion is observed on the right. No pleural effusion was observed on the left. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is left-facing rotoscoliosis at the level of the dorsal vertebrae. Vertebral corpus heights and alignments are normal. Osteophytic degenerative changes are observed in the vertebrae.", "impression": "Cardiomegaly, ascending aortic aneurysm, increased pulmonary artery diameters, pulmonary hypertension?. .  Subpleural nodular lesion in the right lung middle lobe lateral segment, which has just appeared in the current examination and was initially evaluated in favor of round atelectasis. Follow-up is recommended."}
{"volume_path": "dataset/valid_fixed/valid_506/valid_506_a/valid_506_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_506/valid_506_a/valid_506_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_506_a_1.nii.gz", "findings": "Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; Claibration of major mediastinal vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Diffuse atherosclerotic wall calcifications were observed in the aortic arch and coronary arteries. A large number of lymph nodes, some of which reached pathological dimensions, were observed in prevascular, upper-lower paratracheal, subcarinal, bilateral hilar and aortapulmonary sizes, the largest of which was 21x11 mm. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Effusion reaching 2 cm in the thickest part of the right hemithorax was observed on the bilateral hemithorax. When examined in the lung parenchyma window; Ground glass densities and centriacinar nodules with focal faint borders were observed in both lungs. In addition, a focal area of consolidation adjacent to the effusion was observed in the posterobasal segment of the lower lobe of the right lung infective?. Clinic and lab. correlation is recommended. In addition, subpleural nonspecific subpleural nodules less than 4 mm in diameter were observed in both lungs. As far as can be observed in the non-contrast examination; A 14x9 mm hypodense lesion with peripheral subcapsular location was observed in segment 8 at the level of the liver dome. Millimetric calculus was observed in the gallbladder lumen. The contour, size, parenchyma density of the spleen is normal. The contour, size, parenchyma density of the pancreas is natural. Diffuse thickening was observed in the medial crus of both adrenal glands. A 9 mm diameter adenoma was observed in the lateral crus of the right adrenal gland. Bone structures in the study area are natural. Vertebral corpus heights are preserved. At the midthoracic level, bridging spur formations were observed in the right lateral corner of the vertebrae.", "impression": "Multiple lymph nodes in the mediastinum and both hilum, some reaching pathological dimensions . Bilateral pleural effusion, ground-glass densities in both lungs and focal patchy nodules with faint borders, focal consolidation in the posterobasal segment of the lower lobe of the right lung infective?. Correlation with clinic and lab is recommended. Millimetric nonspecific subpelvral nodules in both lungs. Peripheral subcapsular located hypodense lesion in segment 8 at the level of the liver dome, could not be characterized in non-contrast examination cyst?.  Diffuse thickening of both adrenal glands medial crus, milimetric adenoma in right adrenal gland lateral crus . Findings consistent with diffuse idiopathic bone hypoostosis at the middle thoracic level"}
{"volume_path": "dataset/valid_fixed/valid_538/valid_538_a/valid_538_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_538/valid_538_a/valid_538_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_538_a_1.nii.gz", "findings": "At the left suprahilar level; A mass lesion with irregular contours measuring 10x8.6 cm was observed in the upper lobe, centrally located, invading the mediastinum from the inferior aorta of the arch, in the ascending aorta and between the pulmonary conus and the fatty planes were erased. The mass appears to invade the left upper lobe bronchus and is limited posteriorly by the major fissure. Irregularity in the pleura, spiculations extending to the pleura, interlobular septal thickening in the upper lobe, and diffuse centriacinar nodules infiltrates were observed adjacent to the mass. The outlook was evaluated in favor of lymphangitis carcinomatosa. In addition, irregularly circumscribed nodules of the same nature as the primary mass with a diameter of 28x29 mm on the right, the largest on the right, and 16 mm in the superior segment of the lower lobe, the largest on the left, were observed in both lungs considered in favor of intraparenchymal metastasis. Upper lobes of both lungs are emphysematous. No active infiltration was detected in both lungs. A bilateral smear-like pleural effusion was observed. In the ascending aorta, in the left lateral neighborhood and adjacent to the mass at the left upper-lower paratracheal level, pathologically sized lymphadenopathies measuring 38 mm in the short axis of the larger one were observed. Apart from this, lymph nodes reaching 10 mm in the right upper paratracheal, precarinal, and subcarinal short axis and not reaching pathological dimensions were observed. Trachea and both main bronchi were in the midline and no obstructive pathology was detected in the lumen. Sliding type hiatal hernia was observed at the lower end of the esophagus. Anteroposterior diameter of 40 mm in the ascending aorta was observed to be wider than normal. Calcified atheroma plaques were observed in the ascending aorta and LAD. Heart contour, size is normal. Pericardial effusion reaching 1 cm in the pericardial space was observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. As far as can be seen on non-contrast sections, the upper abdominal organs are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. No lytic-destructive lesion in favor of metastasis was detected in the bone structure included in the examination area. Vertebral corpus heights are preserved.", "impression": "Irregularly circumscribed mass lesion in the upper lobe of the left lung, located suprahilar-centrally, invading the mediastinum and left upper lobe bronchus, in the descending aorta and the fatty planes between it and the pulmonary trunk are deleted, lymphangitis carcinomatosa, intraparenchymal metastases in both lungs . Emphysematous changes in the upper lobes of both lungs . Bilateral Placing pleural effusion . Pathologically sized lymph nodes in the left lateral neighborhood of the ascending aorta and at the left upper-lower paratracheal level. Aneurysmatic dilatation in the ascending aorta . Pericardial effusion . Hiatal hernia"}
{"volume_path": "dataset/valid_fixed/valid_541/valid_541_a/valid_541_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_541/valid_541_a/valid_541_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_541_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Pericardial minimal effusion was observed. In both pleural spaces, there is minimal effusion up to 8 mm in depth on the right at its deepest point. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, no lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; There is diffuse mild ectasia in the bronchial structures of both lungs, which is prominent in the center. An area of increase in density consistent with linear atelectasis was observed in the medial segment of the right lung middle lobe. There are sequela parenchymal changes in the apex of both lungs. Millimetrically sized nonspecific nodules were observed in both lungs. There are minimal emphysematous changes in both lungs. No active infiltration or mass lesion was detected in both lungs. As far as it can be observed within the limits of non-contrast CT in the upper abdominal sections within the image; intraabdominal free fluid, loculated collection was not detected. No lymph node was observed in pathological size and appearance. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " Sequela parenchymal changes in the apex of both lungs, right lung middle lobe medial segment and both lung lower lobe posterobasal segments, millimetric nonspecific nodules in both lungs, minimal emphysematous changes, diffuse mild ectasia in the central bronchial structures."}
{"volume_path": "dataset/valid_fixed/valid_548/valid_548_a/valid_548_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_548/valid_548_a/valid_548_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_548_a_1.nii.gz", "findings": "Evaluation of mediastinal structures is suboptimal since the examination is performed without contrast. Trachea, both main bronchi are open. Heart size increased. Mediastinal main vascular structures are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Multiple lymph nodes, some of which have a preparaaortal, pretracheal short diameter reaching 1 cm, are observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Pleural effusion reaching 1 cm in the left hemithorax and 7 mm in the right hemithorax is observed. When examined in the lung parenchyma window; There is mosaic perfusion in both lungs. Diffuse ground glass densities are observed in both lungs, more prominent in the posterobasal and lateral segments of the left lung lower lobe. In addition, there are patches of ground-glass density areas in the upper lobe apical segment of the right lung, in which there are common air bronchograms. A few nonspecific nodules, some of them calcific, are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. When the bone is examined in the window; An increase in thoracic kyphosis and right-weighted syndesmophytes are observed in the thoracic vertebrae.", "impression": "Common ground glass density areas in which air bronchograms are observed, more commonly in the right lung upper lobe anterior segment, left lung lower lobe lateral and posterior segments, were evaluated secondary to infective pathology. Control after treatment is recommended.  Minimal pleural effusion in both hemithorax, effusion adjacent to parenchyma mild ateletatic changes . Mosaic perfusion in both lungs small airway disease? Small vessel disease? . Cardiomegaly . Signs of thoracic spondylosis"}
{"volume_path": "dataset/valid_fixed/valid_554/valid_554_a/valid_554_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_554/valid_554_a/valid_554_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_554_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis not exceeding 1 cm are observed in the mediastinal area. When examined in the lung parenchyma window; Pleural effusion reaching approximately 2 cm in thickness is observed in both lungs. There are patchy ground glass-consolidation areas in both lungs, which are scattered in the subpleural areas and in the central areas of the lung parenchyma. There are septal thickness increases in the interlobar and interlobular areas. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Calcific plaques in the aorta and coronary arteries.  Increases in interseptal and interlobular thickness in both lungs, which may be consistent with pulmonary edema.  Scattered ground-glass-consolidation areas in the subpleural and central areas within the parenchyma of both lungs. It may be compatible with Covid-19 pneumonia. It is recommended to be evaluated together with clinical and laboratory findings.  Bilateral pleural effusion."}
{"volume_path": "dataset/valid_fixed/valid_566/valid_566_a/valid_566_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_566/valid_566_a/valid_566_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_566_a_1.nii.gz", "findings": "Evaluation of solid organs and vascular structures is suboptimal due to the lack of contrast of the examination. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes were detected in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions. When examined in the lung parenchyma window; Effusion reaching approximately 6.5 cm in the thickest part of the left hemithorax and atelectasis in the accompanying parenchyma are observed. Minimal emphysematous changes are observed in both lungs. Consolidation-ground glass areas are observed in the anterior part of the upper lobe of the right lung, the middle lobe and the lower lobe of the right lung. The outlook is compatible with pneumonia. Although these findings are not specific, they are also observed in Covid-19 pneumonia. No nodular lesions were detected in both lung parenchyma. In the bony structures within the study area, multiple sclerotic features compatible with metastases are observed, especially along the vertebral column.", "impression": " Multiple bone metastases  Pneumonic infiltration areas, which are more prominent in the middle and lower lobes of the right lung, are observed.  There are ground glass areas in the anterior part of the upper lobe of the right lung. Although the appearance is not specific, it is also observed in Covid-19 pneumonia.  There is pleural effusion and accompanying compression atelectasis in the left lung."}
{"volume_path": "dataset/valid_fixed/valid_566/valid_566_b/valid_566_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_566/valid_566_b/valid_566_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_566_b_1.nii.gz", "findings": "Trachea and main bronchi are open. The left lower lobe has a total atelectasis appearance. Pleural effusion measuring 6.5 cm in its thickest part is observed in the left hemithorax. Also available in previous reviews. Pleural effusion measuring 16 mm is observed in the thickest part of the right hemithorax entering the fissure. Right upper and bilateral lower paratracheal narrow lymph nodes with a diameter of less than 1 cm are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index is natural. Pericardial effusion in the form of thin smears is observed. In the evaluation of both lung parenchyma; bulla formation and centriacinar emphysematous areas are observed in the apex of both lungs. Minimal ground glass density is observed in the peripheral lung parenchyma in the anterior segment of the right lung upper lobe. In addition, peribronchial wall thickening and subsegmental atelectasis are observed in the basal segments of the lower lobe of the right lung. Infiltrates, which were more obvious in the right lung in previous examinations, have completely regressed. In the right hemithorax, a drainage catheter ending in the major fissure was observed. In the sections passing through the upper part of the abdomen, bilateral surrenal lobes appear natural. Widespread sclerotic metastases are observed in the vertebrae and ribs in the study area.", "impression": " Regression in right lung infiltration, bilateral stable pleural effusion evident on the left.  Drainage catheter that ends in the major fissure in the right hemithorax"}
{"volume_path": "dataset/valid_fixed/valid_571/valid_571_a/valid_571_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_571/valid_571_a/valid_571_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_571_a_1.nii.gz", "findings": "The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The ascending aorta is wider than normal with an anterior-posterior diameter of 40 mm. Anteroposterior diameter of the descending aorta was measured as 26 mm. Calibration of pulmonary arteries is natural. Heart contour, size is normal. Pericardial effusion-thickening was not observed. Calcific atheroma plaques were observed in the thoracic aorta and coronary arteries. Aberrant right subclavian artery variation with retroesophageal course was observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A smear-like effusion was observed in the right hemithorax. Minimal sequelae thickening was observed in the left posterior costal pleura. Both lungs are emphysematous. A small focal ground-glass nodule is observed at the interface of the anterior-posterior segment junction of the upper lobe of the right lung, and the appearance is nonspecific. Ultra-early stage Covid-19 pneumonia could not be excluded due to the pandemic. Suspected for Covid-19 pneumonia due to the pandemic. It is recommended to be evaluated together with clinical and laboratory. No mass lesion-active infiltration with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Left adrenal gland locus is normal and no space-occupying lesion was detected. A high-density nodular mass lesion with a diameter of approximately 9 mm was observed in the right adrenal gland corpus fat-poor adenoma?. A hypodense nodular lesion with a diameter of 24 mm was observed in the upper pole of the left kidney cyst?. Degenerative changes were observed in the bone structures in the study area.", "impression": "Fusiform aneurysmatic dilatation in the ascending aorta, calcific atheromatous plaques in the thoracic aorta and supraaortic branches. Aberrant right subclavian artery variation . Sliding type hiatal hernia . Plastering pleural effusion on the right . It is a millimetrical nonspherical glass nodule at the level of the anterior-posterior segment junction of the right lung upper lobe, Due to the pandemic, it is suspected in terms of ultra-early Covid-19 pneumonia. It is recommended to be evaluated together with the clinic and laboratory.  Emphysematous appearance in both lungs . Nodular thickening in the right adrenal gland corpus . Hypodense nodular lesion area cyst? in the upper pole of the left kidney.  Degenerative changes in bone structure"}
{"volume_path": "dataset/valid_fixed/valid_586/valid_586_a/valid_586_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_586/valid_586_a/valid_586_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_586_a_1.nii.gz", "findings": "The size of the thyroid gland has increased. Its contours are lobulated. Nodules with faint borders are observed in the parenchyma. No lymph node was observed in the supraclavicular fossa and axilla in pathological size and appearance. There are several nonspecific lymph nodes in the right lower paratracheal and subcarinal mediastinum. Heart sizes have increased. Left and ventricle and left atrium diameters have increased. Calcified atherosclerotic plaques are observed in LAD. The ascending aorta diameter slightly increased by 45 mm. Pericardial effusion was not detected. Esophageal calibration was followed naturally. In lung parenchyma evaluation; Between the right pleural leaves, a light pleural effusion is observed, reaching a diameter of 1 cm. Shooting was done in expiration. Mosaic attenuation is present in both lung parenchyma. Mosaic attenuation was thought to belong to the collapsed appearance and sometimes air trapping areas in the airways due to the fact that the attraction takes place in expiration. Linear atelectasis areas are present in the lower lobe basal segments. No pneumonic infiltration was detected in the lung parenchyma. No suspicious mass or nodular space-occupying lesion was detected. The right kidney is atrophic. No loculated or free fluid was detected in the upper abdomen sections. No lytic-destructive lesions were detected in bone structures.", "impression": " Mild effusion between the leaves of the right pleura  Increased heart size, calcified atherosclerotic plaques in the coronary arteries, slight increase in diameter in the ascending aorta  Right atrophic kidney  Mosaic attenuation in the lung parenchyma"}
{"volume_path": "dataset/valid_fixed/valid_591/valid_591_a/valid_591_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_591/valid_591_a/valid_591_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_591_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion was not observed. Diffuse calcific atheroma plaques are observed in the aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion reaching 1.5 cm thickness in the left lung and 0.5 cm in the left right lung is observed. Centrally located centriacinar ground glass density nodules and ground glass opacities are observed in both lungs, especially in the lower lobes. There is minimal thickness increase in the major fissure on the right. The outlook was primarily evaluated in favor of pulmonary edema. In the differential diagnosis, pneumonia is also found due to centriacinar pulmonary nodules located in the upper lobes. Post-treatment follow-up examination is recommended. Linear fibrotic atelectatic areas are observed in the lower lobes of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Nodular opacities of ground glass density observed in the central areas of both lungs and pleural effusion in both lungs were primarily evaluated in favor of pulmonary edema. Pneumonia are also included in the differential diagnosis. It is recommended to be evaluated with follow-up examination after treatment.  Diffuse calcific plaques in the aorta and coronary arteries."}
{"volume_path": "dataset/valid_fixed/valid_593/valid_593_a/valid_593_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_593/valid_593_a/valid_593_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_593_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. CTO increased in favor of the heart. The diameter of the ascending aorta increased by 37mm. Pulmonary trunk diameter increased to 30mm at the upper limit. There are multiple LAPs in the paratracheal, pretracheal, aortopulmonary, prevascular, subcarinal, and both hilar regions, the largest measuring approximately 13x12mm in the prevascular area. Thoracic esophageal calibration was normal, and no significant tumoral wall thickening was detected. There is a hiatal hernia in the esophagus. On the right, there is a pleural effusion measuring 18 mm in its thickest part, which can be seen extending to the major fissure without loculation. There is a pleural effusion approximately 8 mm deep on the left. There is a soft tissue appearance filling the right paraesophageal area at the level of the main bronchus and intermediate bronchus on the right. Contrast control CT is recommended after treatment. Consolidative density increases are observed in the lower lobe of both lungs and are accompanied by peribronchial thickening. In the presence of clinical correlation, it can be evaluated secondary to the infective process. There are pleuroparenchymal fibrotic sequelae bands in the right lung middle lobe medial and left lung lingular segment. Nonspecific nodules less than 3 mm were observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Osteodegenerative changes were observed in the vertebrae and bone structures.", "impression": "Consolidative density increases and peribronchial thickening in the lower lobes of both lungs were evaluated secondary to the infective process in the presence of clinical correlation. Soft tissue density filling the right paraesophageal space at the level of the right main bronchus and intermediate bronchus; Contrast control CT is recommended after treatment.  Nonspecific pulmonary nodules in both lungs.  Bilateral pleural effusion in ankyx on the right. Multiple LAPs in the mediastinum. Cardiomegaly."}
{"volume_path": "dataset/valid_fixed/valid_613/valid_613_a/valid_613_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_613/valid_613_a/valid_613_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_613_a_1.nii.gz", "findings": " In the current examination, it reaches a thickness of about 4 cm at its thickest point. Apart from this, a small amount of stable pleural effusion is also observed in the left lung. In the anterior mediastinum, starting from the substernal area and continuing to the inferior between the heart and the sternum, a mass lesion with the widest dimensions of 95x85 mm at the level of the aortic arch and a craniocaudal length of 20 cm is observed in the axial plane. . An irregularly circumscribed mass lesion with pathological FDG uptake is observed in the previous examination at the level of the major fissure in the superior segment of the right lung lower lobe. The dimensions of this lesion have also decreased in the current examination. The dimensions of the lesion described in the current examination are 30x20 mm 40x30 mm in the previous examination, apart from this, mass lesions in the form of plaques and locally nodular areas are observed, especially in the left lung pleura. Lymphadenopathy was not observed in both axillae and retropectoral areas in pathological size and appearance. In the upper abdominal sections included in the examination, stable lymph nodes with short axes not exceeding 1 cm are observed in the paraaortic area. A stable size increase is observed in both kidneys, more prominently in the right kidney. Linear densities extending from the pleural thickenings in both lungs to the lung parenchyma are observed. Atelectasis or sequelae may be compatible with change and these appearances are stable. Apart from this, no newly developed lesion was observed in both lungs. No fractures, lytic or sclerotic lesions were observed in the bones.", "impression": " No significant dimensional difference was detected in the gross mass in the anterior mediastinum.  In the right lung lower lobe superior segment, adjacent to the major fissure, the size of the mass showing pathological FDG uptake in the previous examination has decreased.  Minimal reduction in the size of lymph nodes in the mediastinal area is observed. The size of one lymph node showing pathological FDG uptake, especially in the subcarinal area, decreased more than the other lymph nodes.  No significant difference was observed in nodular pleural thickening in both lungs, which is more prominent in the left lung.  The rate of pleural effusion in the right lung has increased.  No newly developed lesion was observed."}
{"volume_path": "dataset/valid_fixed/valid_623/valid_623_a/valid_623_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_623/valid_623_a/valid_623_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_623_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with a short axis reaching 13 mm in diameter, the largest of which were located in the right upper paratracheal region, were observed in the mediastinum. When examined in the lung parenchyma window; Central and peripheral diffuse ground glass densities are observed in both lung parenchyma. Aeration of both lung parenchyma is normal and no infiltrative lesion is detected in the lung parenchyma. Pleural effusion reaching 13 mm in diameter was observed on the left. No pleural thickening was detected. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are minimal degenerations in the thoracic vertebrae. Thoracic kyphosis slightly increased.", "impression": " Mediastinal lymph nodes.  Left pleural effusion.  Thoracic kyphosis and spondylosis."}
{"volume_path": "dataset/valid_fixed/valid_635/valid_635_a/valid_635_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_635/valid_635_a/valid_635_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_635_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. Effusion reaching 9 mm thickness was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Effusion was observed in both hemithorax, reaching 2.2 cm in the deepest part on the right and 2.1 cm in the deepest part on the left. Patchy consolidation areas with ground glass areas in the central location were observed in the upper lobe of both lungs, the middle lobe of the right lung, and the lingular segment of the left lung. In addition, there are more diffuse nodular ground glass opacities on the right in the lower lobe basal segments of both lungs. The appearance was evaluated in favor of infective processes, especially atypical pneumonias. It is recommended to be evaluated together with clinical and laboratory. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Pericardial-pleural effusion.  Findings consistent with infective processes, especially atypical pneumonias, in the lung parenchyma."}
{"volume_path": "dataset/valid_fixed/valid_636/valid_636_b/valid_636_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_636/valid_636_b/valid_636_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_636_b_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the main pulmonary artery was 37 mm and showed fusiform. Pericardial effusion was observed. Heart size increased. Minimal calcific atherosclerotic changes were observed in the wall of the thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. In the mediastinum, in the upper-lower paratracheal area, lymph nodes with a short axis of 7 mm are observed in the subcarinal localization. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Widespread patchy consolidation areas, inter-lobular septal thickenings and accompanying ground-glass density increases were observed in the upper lobe of the right lung, the anterior and lingular segments of the left lung, and the lower lobes of both lungs. Bilateral peribronchial thickenings were observed. The outlook was initially evaluated in favor of the infectious process. A free pleural effusion with a thickness of 11 mm on the right and 4 mm on the left was observed. No mass nodule was detected in both lung parenchyma. Liver and spleen sizes increased in the upper abdominal sections included in the study area. Operation material was observed in the inferior vena cava. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": "Dilatation of the pulmonary artery. Diffuse patchy areas of consolidation in both lungs, inter-lobular septal thickening, and accompanying ground-glass density increases. According to the review dated 28.0.1.2020, a significant progression was observed. The appearance suggests an infectious process in the first place. Clinical and laboratory correlation is recommended.  Hepatosplenomegaly."}
{"volume_path": "dataset/valid_fixed/valid_641/valid_641_a/valid_641_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_641/valid_641_a/valid_641_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_641_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. The cardiothoracic index increased in favor of the heart. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Conglomerate lymph nodes measuring up to 27x17 mm are observed in the infraclavicular region of the mediastinum, especially in the aorticopulmonary window and in the right infraclavicular region. When examined in the lung parenchyma window; Less-moderate effusions are observed in both lungs, more prominent on the left. Space-occupying consolidation?, Lesion? is monitored. Hiatal hernia is observed. Both kidneys are partially included in the study and their sizes have decreased. Upper abdominal organs are included in the study partially and evaluated as suboptimal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Density reduction is observed in the bone structures in the study area.", "impression": "Space-occupying consolidation measuring up to 59x31 mm in axial sections, more prominent in the upper lobe anterior in the subpleural area in the left hemithorax? Lesion?. For a better differential diagnosis of a carcinomatous process, it is recommended to compare with previous studies if clinical laboratory cor. follow-up is available. Few-moderate effusions in both lungs, more prominent on the left.  Conglomerated lymph nodes in the mediastinum and supraclavicular regions. Calcific atheroma plaques are observed in the coronary arteries.  Cardiomegaly. Hiatal hernia is observed."}
{"volume_path": "dataset/valid_fixed/valid_658/valid_658_a/valid_658_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_658/valid_658_a/valid_658_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_658_a_1.nii.gz", "findings": "Mediastinal vascular structures and cardiac examination could not be evaluated optimally because of the lack of IV contrast. As far as can be seen; Calibration of vascular structures, heart contour and size are natural. Minimal pericardial effusion was observed. Measured 18mm deep at its deepest point. No pleural effusion or increased thickness was detected. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, as far as can be seen, no lymph node in pathological size and appearance is observed in both hilar regions, bilateral supraclavicular fossae and both axillary regions. When examined in the lung parenchyma window; Diffuse mild ectasia was observed in the bronchial structures in both lung parenchyma, which became prominent in the center. There are sequela parenchymal changes at the apex of both lungs. No active infiltration or mass lesion was detected in both lungs. There are millimetric nodules in both lungs, the largest of which is 6x3 mm in size with a pleural base in the lateral segment of the right lung middle lobe. It is recommended to evaluate or follow-up with old-dated CT examinations, if any. Ventilation of both lungs is natural. Uniform thickness increases in interlobular septa in both lungs, and uniform interlobular septal thickness increases in both lungs were observed. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image.", "impression": " Pericardial effusion.  Diffuse mild ectasia in the bronchial structures of both lungs, evident centrally.  Uniform interlobular septal thickness increases in both lungs.  Millimeter sized nodules in both lungs; If there is, it is recommended to evaluate or follow up with old-dated CT examinations."}
{"volume_path": "dataset/valid_fixed/valid_662/valid_662_a/valid_662_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_662/valid_662_a/valid_662_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_662_a_1.nii.gz", "findings": " Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Heart size increased. Pericardial thickening-effusion was not detected. Diffuse fusiform dilatation was observed in the thoracic aorta. Thoracic aorta calibration was normal and no significant pathological wall thickness increase was detected. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. According to the previous examination, there is a stable lymph node with a short axis measuring 12 mm in the right upper paratracheal area. When evaluated in the lung parenchyma window; A mass lesion with irregular borders measuring 64 mm in long axis was observed in the apical region of the upper lobe of the right lung. There was no significant change in the size and appearance of the described mass lesion. Emphysematous changes were observed in both lungs. Atelectatic changes were observed in both lungs. According to the previous examination, several millimetric parenchymal nodules, some of which were stable, were observed in both lungs. Bilateral adrenal gland calibration is normal. No lytic-destructive lesion was detected in bone structures. Left-facing scoliosis was observed in the thoracic vertebrae.", "impression": " Stable mass lesion in the upper lobe of the right lung, adjacent parenchymal nodules evaluated in favor of multiple metastases, with no significant change in size and number.  Pleural effusion showing increased size on the right.  Cardiomegaly, atherosclerotic changes.  Mediastinal stable lymph nodes.  Emphysematous changes, atelectatic changes in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_667/valid_667_b/valid_667_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_667/valid_667_b/valid_667_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_667_b_1.nii.gz", "findings": "Widespread consolidations and areas of ground glass accompanying consolidations are observed in both lungs. There is minimal pleural effusion on the left. No pleural effusion or pericardial effusion was detected on the right. There is dilatation of the right renal collecting system and right renal pelvis. No dilatation was detected in the ureter within the sections. Further examination of the patient is recommended for a possible obstructive pathology.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_675/valid_675_a/valid_675_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_675/valid_675_a/valid_675_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_675_a_1.nii.gz", "findings": "A port placed on the anterior chest wall on the right and a pacemaker are observed on the anterior chest wall on the left. Trachea, both main bronchi are open. The heart is noticeably larger than normal. Pericardial effusion reaching a diameter of 12 mm is observed. Calcific atheroma plaques are observed in the coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are effusions in the form of smearing in the bilateral hemithorax, thickening of the bronchial wall in the central, subpleural reticular density increases and minimal consolidations in the lower lobes of both lungs. Within the sections, perihepatic minimal fluid and cholecystectomy are observed on the right. There are osteodegenerative changes in the vertebrae.", "impression": "Cardiomegaly and pacemaker. Pericardial effusion, minimal pleural effusion. Changes of heart failure in both lungs. Perihepatic minimal fluid and cholecystectomy."}
{"volume_path": "dataset/valid_fixed/valid_675/valid_675_b/valid_675_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_675/valid_675_b/valid_675_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_675_b_1.nii.gz", "findings": " Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion measuring 14 mm in the widest part of the pericardium. On the left chest wall, there is an electrode that looks like a pacemaker and extends to the floor of the ventricle. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: There is mild regression in the peripheral-subpleural area of both lungs in the consolidation areas observed in the previous examination. Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 35 mm in thickness on the right and 34 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. The liver contours are irregular in the upper abdominal sections in the examination area. At the level of segment 6 of the right lobe of the liver, subcapsular hypodense areas with a diameter of 23 mm and 15 mm with irregular borders were observed. When the examination is without contrast, it cannot be characterized. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in bone structures.", "impression": " Cardiomegaly,pericardial effusion, bilateral pleural effusion.  Atelectatic changes in both lungs, areas of consolidation in both lungs regressing from previous examination.  Free fluid in the abdomen.  Hypodense lesions in the liver; cannot be characterized in this examination.  Emphysematous changes in both lungs.  Sequelae changes in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_675/valid_675_c/valid_675_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_675/valid_675_c/valid_675_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_675_c_1.nii.gz", "findings": " Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Heart size increased. There is an effusion measuring 14 mm in the widest part of the pericardium. On the left chest wall, there is an electrode that looks like a pacemaker and extends to the floor of the ventricle. Port chamber and catheter image extending to the superior vena cava were observed on the right anterior chest wall. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When evaluated in the parenchyma window of both lungs: There is mild regression in the peripheral-subpleural area of both lungs in the consolidation areas observed in the previous examination. Emphysematous changes were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion with a thickness of 59 mm on the right and 49 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. The liver contours are irregular in the upper abdominal sections in the examination area. At the level of segment 6 of the right lobe of the liver, subcapsular hypodense areas with a diameter of 23 mm and 15 mm with irregular borders were observed. When the examination is without contrast, it cannot be characterized. There are suture materials secondary to the operation in the gallbladder lodge. No lytic-destructive lesion was detected in bone structures.", "impression": " Cardiomegaly, pericardial effusion and increasing bilateral pleural effusion.  Atelectasis changes and slight consolidated density increases in both lungs that are not significantly different.  Hypodense lesions in the liver; It cannot be characterized in this examination. Suspicious peritoneal carcinomatosis in the inferior of the liver.  Emphysematous changes in both lungs.  Sequelae changes in both lungs.  No significant difference was found in the findings described above."}
{"volume_path": "dataset/valid_fixed/valid_685/valid_685_a/valid_685_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_685/valid_685_a/valid_685_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_685_a_1.nii.gz", "findings": " The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be observed: No occlusive pathology was detected in the lumen of the trachea and both main bronchi. . Calibration of mediastinal major vascular structures is natural. Heart size increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia is observed at the lower end of the esophagus. Lymph nodes with short axes below 1 cm that did not reach pathological dimensions were observed in the mediastinum and both hilum. Subcentimetric effusion was observed in both pleural spaces. Ground glass densities, peribronchial thickenings in both lungs and low density ground glass consolidation area were observed in the right lung middle lobe lateral segment. Findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with clinical and laboratory. The most prominent pleuroparenchymal fibrotic bands were observed in the upper lobe of the right lung in both lungs. In addition, band atelectatic changes are observed in the right lung lower lobe superior segment and most prominently in the right lung upper lobe in both lungs. A pleural-based nodule measuring 15x11mm was observed in the apicoposterior segment of the upper lobe of the left lung. It has just appeared on current review round pneumonia?. In addition, nonspecific pleural nodules with a diameter of 5.7 mm were observed in both lungs, the largest of which was in the mediobasal segment of the lower lobe of the right lung. Liver, gallbladder, spleen, and both adrenal glands are normal as far as can be seen on non-contrast images. No stones were observed in both kidneys. No intra-abdominal pathological lymph node and free fluid were observed. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Cardiomegaly. Sliding hiatal hernia at the lower end of the esophagus.  Bilateral smear-like pleural effusion, diffuse ground glass densities in both lungs, focal consolidation in the middle lobe of the right lung. The findings were evaluated in favor of pneumonic infiltration. It is recommended to be evaluated together with the clinic and laboratory.  Fibroatelectasis sequelae changes and stable nonspecific parenchymal nodules in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_690/valid_690_a/valid_690_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_690/valid_690_a/valid_690_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_690_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was detected in the lumen. Due to the lack of contrast in the examination, mediastinal main vascular structures and the heart could not be evaluated optimally, and a wider than normal appearance at the level of the pulmonary conus was noted 35 mm. Heart contour and size are natural. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Diffuse calcified atheroma plaques are observed in the wall of the aortic arch, descending aorta and abdominal aorta. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. In mediastinal lymph node stations, lymphadenopathies measuring 14 mm in diameter are observed, the largest of which is in the left hilar region. When examined in the lung parenchyma window; Two nodules, the largest of which is 10x5 mm in size, are observed in the anterior segment of the left lung upper lobe. There are areas of density increase in the right lung lower lobe superior, lower lobe mediobasal segment and middle lobe lateral segment, and left lung lower lobe superior - lower lobe posterobasal segment in the air bronchograms, which are compatible with consolidation. In the etiology, primarily infectious pathologies are considered, and the presence of an underlying mass cannot be excluded. Post-treatment control is recommended. Pleural effusion-thickening was not detected. An effusion measuring 113 mm in the deepest part of the right pleural area when the patient is in the supine position, extending to the apex when the patient is in the supine position, and measuring 22 mm in the deepest part of the left pleural area is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Ectasia in the left kidney pelvicalyceal system and a well-circumscribed nodular lesion of approximately 42x27 mm fat density, located cortical in the lower pole of the left kidney, are observed angiomyolipoma?. Widespread osteodegenerative changes are observed in the bone structures in the study area. There is left-facing scoliosis in the thoracic vertebral column. An increase is observed in thoracic kyphosis.", "impression": "Enlargement of the pulmonary conus, calcified atheroma plaques in the wall of the aortic arch, descending aorta and abdominal aorta . Bilateral pleural effusion, more prominent on the right . Emphysematous change in both lungs, two nodules in the anterior segment of the left lung upper lobe . In the segments described above in both lung parenchyma First of all, areas of increase in density compatible with consolidation, infectious pathologies in etiology are considered first, and post-treatment control is recommended.  Ectasia in the left kidney pelvicalyceal system, hypodense nodular lesion with regular fat density in the lower pole angiomyolipoim?, AML. Diffuse osteodegenerative changes in bone structures, increase in thoracic kyphosis, left-facing deviation in the thoracic vertebral column"}
{"volume_path": "dataset/valid_fixed/valid_691/valid_691_a/valid_691_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_691/valid_691_a/valid_691_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_691_a_1.nii.gz", "findings": "A mass lesion is observed in the right hilar region, obliterating the right main bronchus and extending inferiorly, and which cannot be clearly distinguished from the obstructive atelectasis area in the adjacent lung parenchyma. There is almost complete loss of aeration in the right lung, and there is minimal aeration only in the apical segment of the upper lobe. An effusion measuring 39 mm in size is observed in the deepest part of the right pleural area. In addition, in the dorsal part of the right lower lobe posterobasal segment, measuring approximately 43x62 mm, sitting on the subcostal-paravertebral pleural surface, its borders are from the intercostal muscle planes and 12 . There is a mass lesion indistinguishable from the rib and costal vertebral junction level. In PET CT, the size of the lesion was measured as approximately 33x23 mm. Significant increase in size is observed. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "In the right hilar region, an infiltrative mass lesion is observed in the area extending to the subcrainal level by obliterating the right main bronchus. There are two newly developed nodules in the superior segment of the lower lobe in the current examination, which are observed in the CT examination but show an increase in size. Compression fractures in T8, L1 and L4 vertebral corpuscles."}
{"volume_path": "dataset/valid_fixed/valid_693/valid_693_a/valid_693_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_693/valid_693_a/valid_693_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_693_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral minimal pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. There is minimal interlobular septal thickening in both lungs, especially in the upper lobes. When evaluated together with the findings in the heart and pleural effusion, it was thought that this appearance might be due to cardiac pathology. There are occasional atelectasis in both lungs. Emphysematous changes were observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. Minimal pericardial effusion was observed. There are atheromatous plaques in the aorta and coronary arteries. Lymph nodes are observed in the mediastinum and hilar regions. The shortest diameter of the largest of these lymph nodes was 13 mm. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There are no lytic-destructive lesions in the bone structures within the sections.", "impression": "Cardiomegaly, atherosclerotic changes in the aorta and coronary arteries. Bilateral pleural effusion.  Minimal interlobular septal thickening, more prominent in the upper lobes of both lungs. Mediastinal and hilar lymph nodes. Atelectasis in both lungs. Emphysematous changes in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_699/valid_699_a/valid_699_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_699/valid_699_a/valid_699_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_699_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion continued to the apex of the lung when the patient was lying down and was approximately 9 cm at the level of the lower lobe of the right lung at its widest point. There is atelectasis in the lower lobes of both lungs adjacent to the pleural effusion. The lower lobe of the right lung is total atelectatic. Left lung lower lobe is totally atelectatic except for the superior segment. There is no pleural thickening. No occlusive pathology was detected in the trachea and both main bronchi. Minimal peribronchial thickening is observed in the central parts of both lungs. No mass or infiltrative lesion was detected in both ventilated lungs. Both lungs have a mosaic attenuation pattern small airway disease? Small vessel disease?. There are millimetric nonspecific nodules in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material cannot be given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. Diffuse atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There are pathological lymph nodes in the mediastinum and hilar regions, some of which are calcified. There are no enlarged lymph nodes in pathological size and appearance. No pathological wall thickness increase was observed in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections. No pathologically enlarged lymph nodes were observed. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Bilateral pleural effusion, atelectasis in the lower lobes of both lungs adjacent to the pleural effusion . Mosaic attenuation pattern in both lungs . Atheosclerotic changes in the aorta and coronary . Minimal peribronchial thickening in the central parts of both lungs"}
{"volume_path": "dataset/valid_fixed/valid_703/valid_703_a/valid_703_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_703/valid_703_a/valid_703_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_703_a_1.nii.gz", "findings": "Calcific atheroma plaques were observed on the wall of the thoracic aorta and coronary vascular structures. Calibration of mediastinal vascular structures is natural. An increase in heart size is observed. There is minimal pericardial and right pleural effusion. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a slight sliding type hiatal hernia at the lower end. In the mediastinum, no lymph nodes were observed in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; No active infiltration or mass lesion was detected in both lung parenchyma. There are minimal emphysematous changes in both lungs. Fibrotic bands of 01.17 parenchymal sequelae were observed in both lungs. In the upper abdominal sections within the image, no pathology was detected as far as it can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image. Vertebra corpus heights and alignments are natural. Neural pheromones are clear.", "impression": " No active infiltration or mass lesion was observed in both lungs. Minimal emphysematous changes and pleuroparenchymal sequelae fibrotic bands were observed in both lungs.  Thoracic aorta, calcific atheroma plaques on the wall of coronary vascular structures and increase in heart size  Minimal pericardial and right pleural effusion  Sliding type mild hiatal hernia at the lower end of the esophagus"}
{"volume_path": "dataset/valid_fixed/valid_707/valid_707_a/valid_707_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_707/valid_707_a/valid_707_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_707_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be observed: Trachea, both main bronchial lumens are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. Calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. The ascending aorta measures 39 mm in diameter and shows slight dilatation. Calibration of mediastinal major vascular structures is natural. Heart contour, size is normal. Pericardial effusion-thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickness increase was detected in the non-contrast examination limits. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; There is significant volume loss in the lower lobe of the left lung, and widespread atelectatic changes are observed at this level. Since the examination does not have contrast, a clear mass differentiation cannot be made. Evaluation with contrast-enhanced thoracic CT is recommended. Pleural effusion measuring 18 mm in thickness was observed between the pleural leaves on the left. Peribronchial thickenings were observed on the left. Diffuse subsegmental atelectasis was observed in the lower lobes of both lungs and in the middle lobe of the right lung and the inferior lingular segment of the left lung. A mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. No nodules were detected in both lungs. Pleural effusion-bilateral pleural thickening was not detected on the right. A hypodense lesion with a diameter of 17 mm was observed in the anterior part of the right lobe of the liver entering the section area cyst?. Liver parenchyma density is diffusely decreased, consistent with mild adiposity. Other upper abdominal organs within the examination area are normal. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in bone structures and an appearance compatible with osteopenia. No lytic-destructive lesion was detected.", "impression": " Minimal dilatation, atherosclerotic changes in the thoracic aorta.  Diffuse subsegmental atelectasis in both lungs, mild pleural effusion on the left.  There is significant volume loss in the lower lobe of the left lung, and widespread atelectatic changes are observed at this level. Since the examination does not have contrast, a clear mass differentiation cannot be made. It is recommended to be evaluated together with contrast-enhanced thoracic CT examination.  Hepatosteatosis.  Hypodes lesion cyst? in the liver."}
{"volume_path": "dataset/valid_fixed/valid_718/valid_718_a/valid_718_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_718/valid_718_a/valid_718_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_718_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Diffuse calcific atherosclerotic changes were observed in the thoracic aorta and coronary artery wall. The ascending aorta measures 41 mm in diameter and shows slight dilatation. Calibration of other thoracic major vascular structures is natural. A well-circumscribed cystic lesion measuring 43x40 mm was observed in the anterior mediastinum. Heart contour size is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Emphysematous changes were observed in both lungs. Widespread free pleural effusion reaching 9 cm in its thickest part between the pleural leaves on the right and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. No pleural thickening-effusion was detected on the left. In the upper abdominal sections in the study area; liver contours are irregular. A few lymphadenopathies were observed in the right anterior diaphragmatic localization, the short axis of the largest being 15 mm. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Mild degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": " Atherosclerotic changes.  Slight fusiform dilatation of the ascending aorta.  Widespread pleural effusion on the right.  Uniformly circumscribed cystic lesion in the anterior mediastinum.  Atelectatic changes.  Emphysematous changes in both lungs.  Sequelae changes in both lungs.  Several lymph nodes in the right anterior diaphragmatic localization.  Irregular appearance in liver contours."}
{"volume_path": "dataset/valid_fixed/valid_722/valid_722_b/valid_722_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_722/valid_722_b/valid_722_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_722_b_1.nii.gz", "findings": "CTO is within the normal range. Pulmonary trunk calibration is at the maximal physiological limit. Calibrations of the right and left pulmonary artery, ascending aorta and descending aorta are normal. However, the aortic arch calibration was measured as 37 mm and was wider than normal. Calcific atheroma plaques are observed in the left coronary artery. No lymph node with pathological size and configuration was detected in the mediastinum. When examined in the lung parenchyma window; In the right lung, aeration is observed slightly at the apical level in the upper lobe and in the middle lobe. At other levels, the lung appears collapsed. There is significant pleural effusion in the right lung. No pleural effusion was found in the previous examination of the case. The right lung is observed proximally as distinctly atelectatic, except for the defined aeration. There are thickenings in the middle lobe and peribronchial sheath of the right lung. There are fibroatelectatic linear density increases in the inferior lingular segment and lower lobe level in the left lung. Upper abdominal organs included in the sections are normal. There are operative changes in the contours of the right lobe of the liver entering the cross-sectional area. In the intrahepatic biliary tract, the appearance of a catheter extending from the right hemithorax is observed and continues until the common bile duct. No space-occupying lesion was detected in other organs. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are millimetric lymph nodes at the right perigastric level and at the hepatic hilar level. There is gynecomastia appearance on both sides. Degenerative changes are observed in the bone structures in the study area. There is a 50% loss of height in the D8 vertebra, especially in the anterior part, and there is kyphotic angulation, especially in the center of the D8 vertebra. Fracture appearances are observed in D9 and D10 elevations on the left and D11 elevations on the right.", "impression": "  Widespread pleural effusion is observed in the right lung, and there is partial aeration in the upper lobe and middle lobe. In other parts, the lung parenchyma is partially collapsed in the central part, as can be seen in air bronchograms.  There are sequelae changes and pleuroparenchymal density increases in the left lung and the right lung sections. No pleural effusion was detected in the previous examination."}
{"volume_path": "dataset/valid_fixed/valid_732/valid_732_a/valid_732_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_732/valid_732_a/valid_732_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_732_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. There is a pacemaker placed on the left chest wall. Calcific atheroma plaques are observed in the aorta and coronary arteries. Other mediastinal main vascular structures are normal. The heart size has increased. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are effusions of 78 mm on the right and 65 mm on the left in the bilateral hemithorax. The lower lobes of the lung adjacent to the effusion are atelectasis. Minimal focal ground-glass densities and linear atelectasis are seen in both upper lobes of the ventilated lung parenchyma. In the upper abdominal sections, the liver contours are corrugated, the right lobe is smaller than normal, and minimal perihepatic fluid densities are seen. There are calcific plaques in the aorta and its branches. Bone structures are osteoporotic and vertebrae are degenerative.", "impression": " Cardiomegaly, cardiac pacemaker  Aortic and coronary artery atherosclerosis.  Bilateral massive pleural effusion and atelectasis, bronchial wall thickening in the lung parenchyma, linear atelectasis and focal nonspecific ground glass densities.  Findings consistent with liver parenchymal disease.  Thoracic spondylosis."}
{"volume_path": "dataset/valid_fixed/valid_747/valid_747_a/valid_747_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_747/valid_747_a/valid_747_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_747_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickening was observed in the right lung. Consolidation and ground-glass appearance are observed in the lower lobe of the right lung, especially in the superior segment. In addition, there are centriacinar nodules adjacent to the described findings. Similar appearances can be observed in the central part of the middle lobe of the right lung. Since the presence of an underlying mass cannot be completely excluded, appropriate post-treatment control is recommended. There was no mass in both lungs and no appearance compatible with pneumonic infiltration in the left lung. There are appearances compatible with pleuroparenchymal sequelae change in both lung apexes. There are millimetric nonspecific nodules in both lungs. There is minimal pleural effusion on the right. There is no pleural effusion on the left. Mediastinal structures could not be evaluated optimally because no contrast agent was given. As far as can be observed: Heart contour and size are normal. The widths of the mediastinal main vascular structures are normal. Pericardial effusion was not detected. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the described lymphadenopathies is observed in the subcarinal region and its short diameter is 28 mm. No pathological wall thickness increase was detected in the esophagus within the sections. No upper abdominal free fluid-collection was detected in the sections.", "impression": " Findings evaluated primarily in favor of pneumonic infiltration in the right lung, mediastinal and hilar lymphadenopathies  Pleural effusion in the right  Millimetric nodules in both lungs"}
{"volume_path": "dataset/valid_fixed/valid_777/valid_777_a/valid_777_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_777/valid_777_a/valid_777_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_777_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-bilateral lower paratracheal, prevascular, aortopulmonary large, a few of them narrow diameter exceeding 1 cm, others millimetric mediastinal lymphadenomegaly and lymph nodes are observed. Calcific atherosclerotic plaques are observed in the walls of the coronary artery in the aortic arch. There are metallic sutures secondary to bypass surgery in the sternum. Cardothoracic index increased in favor of the heart. Cardiac cavities appear enlarged. Bilateral pleural effusion is observed, reaching 5.5 cm in the right hemithorax and 2.5 cm in the left hemithorax, extending to fissures on the mountain. In the evaluation of both lung parenchyma; In both lung parenchyma, interstitial pattern prominence and interlobular septal thickening are observed in peripheral lung parenchyma. Paraseptal-centriacinar emphysemato areas are observed in both lungs. Nonspecific ground-glass appearances are observed in the lower lobe of the right lung. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Degenerative changes are observed in bone structures.", "impression": "Cardiomegaly . Mediastinal LAP . Bilateral pleural effusion entering the fissure on the right . Passive atelectasis adjacent to the effusion in the lower lobe of the right lung . Cardiac edema in both lungs and early stage lung fibrosis developed on this background"}
{"volume_path": "dataset/valid_fixed/valid_784/valid_784_a/valid_784_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_784/valid_784_a/valid_784_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_784_a_1.nii.gz", "findings": "Air images are observed in the heart-sternum in the anterior mediastinum. There are air images in the anterior sternum in subcutaneous fatty tissues. Trachea, both main bronchi are open. There are calcific atheromatous plaques in the aorta and coronary arteries. Minimal pericardial effusion is observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion is observed in both lungs, reaching a thickness of approximately 3 cm on the right and approximately 2.5 cm on the left. There is atelectasis in the accompanying lung parenchyma. Atelectasis areas are observed in the right lung lower lobe superior segment in the lingular segment. There is a mosaic attenuation pattern in the apicoposterior segment of the left lung upper lobe. The upper abdominal organs included in the examination have a natural appearance. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the examination.", "impression": " Heart sizes have increased.  Air images in the precardiac area and anterior to the sternum may be compatible with post-op change.  Pleural effusion and accompanying parenchyma atelectasis and pericardial effusion are observed in both lungs.  Linear atelectasis in both lungs and mosaic attenuation pattern in the apicoposterior segment of the left lung upper lobe."}
{"volume_path": "dataset/valid_fixed/valid_804/valid_804_a/valid_804_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_804/valid_804_a/valid_804_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_804_a_1.nii.gz", "findings": "Bilateral pleural effusion is observed. The pleural effusion measured 30 mm at its thickest point. There is no pleural thickening. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There is atelectasis adjacent to pleural effusion in both lung lower lobes. A mosaic attenuation pattern was observed in both lungs small airway disease? small vessel disease?. In addition, ground glass areas and consolidations are observed in both lungs, more prominently in the upper lobes. The described findings are mostly centrally located. The findings are not typical for Covid-19 pneumonia. When evaluated together with other findings, it was thought to belong to cardiac pathology. However, during the pandemic process, Covid-19 pneumonia could not be completely excluded. It is recommended to be evaluated together with laboratory findings. No mass was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There are atheromatous plaques in the aorta and coronary arteries. Stents were observed in the coronary arteries. The widths of the mediastinal main vascular structures are normal. There is a stent appearance in the localization of the ascending aorta. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. No fractures or lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Atherosclerotic changes in the aorta and coronary arteries, stent appearance in the ascending aorta, bilateral pleural effusion.  Ground glass areas in both lungs and occasional consolidations in both lungs due to cardiac pathology? Covid-19 pneumonia??."}
{"volume_path": "dataset/valid_fixed/valid_804/valid_804_b/valid_804_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_804/valid_804_b/valid_804_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_804_b_1.nii.gz", "findings": " Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calcified atherosclerotic changes were observed in the aorta and coronary arteries. Calibration of mediastinal major vascular structures is natural. There is a view of the stent line in the ascending aorta. Heart contour size is natural. Pericardial thickening-effusion was not detected. No significant pathological wall thickness increase was detected in the esophagus in the non-contrast examination limits. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. A mosaic attenuation pattern was observed in both lungs small airway disease?, small vessel disease?. In both lungs, prominent areas of consolidation in the upper lobes observed in the previous examination showed regression in the current examination, but there are newly developed areas of consolidation in the left lung lower lobe and upper lobe lingular segment secondary to cardiac pathology?. During the pandemic process, Covid-19 pneumonia cannot be completely excluded. Clinical and laboratory correlation is recommended. No significant pathology was detected in the upper abdominal sections that entered the examination area. No lytic-destructive lesion was detected in bone structures.", "impression": " Atherosclerotic changes in the aorta and coronary arteries, stent appearance in the ascending aorta.  Bilateral pleural effusion, the amount of effusion observed on the left has decreased significantly.  Ground glass areas and consolidations in both lungs; shows marked regression from previous examination secondary to cardiac pathology?. Covid-19 pneumonia cannot be completely ruled out. Clinical and laboratory correlation is recommended."}
{"volume_path": "dataset/valid_fixed/valid_815/valid_815_a/valid_815_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_815/valid_815_a/valid_815_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_815_a_1.nii.gz", "findings": "A port catheter is observed on the right anterior wall of the chest, and a catheter extending into the right atrium is observed. Evaluation of solid organs and vascular structures is suboptimal because the examination is non-contrast. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. A few fusiform lymph nodes are observed, the largest of which is at the level of the carina, in the pretracheal area, with a short axis of 8 mm in diameter. When examined in the lung parenchyma window; Peribronchial wall thickness increases in both lungs and linear subsegmental atelectasis areas extending to the lung hilum are observed. Apart from this, consolidation areas involving the lower lobes of both lungs and especially the posterobasal segments and evaluated in favor of atelectasis are observed. Pleural effusion reaching approximately 2 cm in the thickest part of the left lung is observed. There is an effusion appearance in the left lung fissure. Consolidation areas in the lower lobes of both lungs were primarily evaluated in favor of atelectasis. The differential diagnosis includes pneumonic infiltration with a low probability. Apart from this, there are calcific atheroma plaques in the coronary arteries. Upper abdominal organs included in the sections are normal. No fractures, lytic or sclerotic lesions were detected in the bone structures included in the study area.", "impression": " Pleural effusion in both lungs, more prominent on the left, reaches 2 cm in thickness on the left, and approximately 7 mm on the right, and there are areas of consolidation in the lower lobes of both lungs that are primarily evaluated in favor of atelectasis. Pneumonic infiltrates are also included in the differential diagnosis with a low probability. Apart from this, no mass or pulmonary nodule was observed in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_815/valid_815_b/valid_815_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_815/valid_815_b/valid_815_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_815_b_1.nii.gz", "findings": "A port catheter extending from the right anterior chest wall to the right atrium is observed. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Pleural effusion is observed in both lungs. Pleural effusion with a thickness of about 3 cm in the widest part of the left lung and compression atelectasis in the accompanying lung parenchyma are observed. Pleural effusion reaching approximately 8 mm in the thickest part of the right lung and consolidation compatible with atelectasis in the adjacent parenchyma are observed. A prominent fissure is observed in the left lung. Again, in the superior and middle parts of the lower lobe of the left lung, a consolidation area, which is primarily evaluated in favor of pneumonic infiltration and contains air bronchograms, is observed. Ground glass densities and linear subsegmental atelectasis are observed in the lower lobes of both lungs. There are fibroatelectatic changes in the upper lobes of both lungs, more pronounced on the right. Minimal contamination is observed in the mesenteric fatty planes included in the examination. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Pleural effusion in both lungs  Atelectasis in the areas adjacent to the effusion in both lungs  Pneumonic consolidation areas in the lower lobe superior section and upper lobe inferior lingular section of the left lung  Ground-glass densities evaluated in favor of pneumonia are observed in the lower lobe superior segment of the right lung. When evaluated together with the previous examination of the patient, no significant difference was found in the findings."}
{"volume_path": "dataset/valid_fixed/valid_828/valid_828_a/valid_828_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_828/valid_828_a/valid_828_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_828_a_1.nii.gz", "findings": "Evaluation is suboptimal because of respiratory artifacts. The patient has situs inversus appearance. It is recommended to evaluate the patient together with the clinic and to question the patient in terms of organ location. The heart is located in the right hemithorax and has an enlarged appearance. Cardiomegaly is observed. Pleural effusion reaching 2 cm in thickness and accompanying compression atelectasis are observed in the left hemithorax. Trachea, both main bronchi are open. Mediastinal main vascular structures are natural. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; diffusely localized, interlobular septal thickness increases and minimal prominence in fissures are observed in both lungs. Findings may be compatible with pulmonary edema secondary to cardiac causes. No typical findings suggestive of Covid-19 pneumonia were detected in the patient. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Cardiomegaly, effusion in the left hemithorax. Thickening of the interlobular septa pulmonary edema?. It is appropriate to evaluate it together with clinical and laboratory.  It is recommended to question the patients clinic in terms of situs inversus."}
{"volume_path": "dataset/valid_fixed/valid_829/valid_829_a/valid_829_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_829/valid_829_a/valid_829_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_829_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; lower lobe of the left lung is operated. Effusion is observed in the retrosternal area. There is a pleural effusion reaching 9 cm at its widest point in the left lung. Minimal effusion is observed in the pericardial area. Areas of atelectasis and interlobar and interlobular septal thickness increases are observed in the posterior parenchyma of the left lung. Centrally located ground glass density is observed in the superior segment of the lower lobe of the right lung pneumonia?. Diffuse emphysematous changes, mosaic attenuation pattern and linear sequelae are observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Pleural effusion in the left lung.  Surgery on the lower lobe of the left lung.  Minimal pericardial effusion.  Effusion in the retrosternal area.  Centrally located ground glass densities in the right lung lower lobe superior segment viral pneumonia? Covid-19 pneumonia?.  Diffuse emphysema and mosaic attenuation pattern in both lungs.  Sequelae changes in both lungs.  Calcific plaques in the aorta and coronary arteries."}
{"volume_path": "dataset/valid_fixed/valid_829/valid_829_b/valid_829_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_829/valid_829_b/valid_829_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_829_b_1.nii.gz", "findings": "Trachea, heart and mediastinum are deviated to the left. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 39 mm, and the anterior-posterior diameter of the descending aorta is 30 mm, larger than normal. Right and left pulmonary artery diameters increased. Heart size increased. Pericardial effusion measuring 7.5 mm in its thickest part was observed. Atherosclerotic wall calcifications were observed in the thoracic aorta and coronary arteries. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. It was learned that the patient had undergone left lower lobectomy for lung cancer. The left lower lobe bronchus ends in a stump. An effusion was observed in the left hemithorax, measuring 75 mm in its thickest part, with a thick wall and free air images in it. In the previous examination, it was measured 121 mm at its thickest point and decreased. No pleural effusion was observed on the right. Minimal sequela thickening was observed in the posterior costal pleura in the right hemithorax. Interlobular-intralobar septal thickenings are observed in the upper lobe of the left lung, especially in the lingular segment. The described appearance was also present in the previous examination of the patient and decreased. Emphysematous changes were observed in both lungs. Diffuse linear atelectasis is observed in both lungs. A few millimetric nonspecific nodules were observed in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. As far as can be seen in non-contrast sections; The left lobe of the liver is minimally hypertrophic. There is lobulation in the liver contours. It is recommended that the patient be evaluated for liver parenchymal disease. Spleen size increased. Atherosclerotic wall calcifications were observed in the abdominal aorta and visceral branches. There are osteophytes in the vertebral corpus corners. Intervertebral disc distances are narrowed. The neural foramina are open.", "impression": " Operated lung ca, left lower lobectomized in follow-up;  Regressed anxic effusion empyema? in the left hemithorax.  Linear atelectasis in both lungs, emphysematous appearance, a few millimetric nonspecific parenchymal nodules.  Findings consistent with chronic liver parenchymal disease."}
{"volume_path": "dataset/valid_fixed/valid_838/valid_838_a/valid_838_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_838/valid_838_a/valid_838_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_838_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; The ascending aorta measures 45 mm in diameter and shows fusiform dilatation. Calibration of other mediastinal major vascular structures is natural. Heart contour size is natural. Pericardial effusion is present. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Lymph nodes with a short axis smaller than 1 cm were observed in the upper-lower paratracheal and subcarinal areas. Findings compatible with bilateral gynecomastia were observed. When examined in the lung parenchyma window; There are emphysematous changes in both lungs. Peripheral subpleural lines, contour irregularities in the pleura and thickening of the interlobular septa were observed in both lungs. Honeycomb appearances were observed in the lower lobes of both lungs. It is recommended to be evaluated for interstitial lung disease. There is minimal pleural effusion measuring 1 cm in thickness on the left. No mass-infiltration was detected in both lungs. In the upper abdominal sections that entered the examination area, millimetric calculus was observed in the upper pole of the right kidney. A hypodense lesion with a diameter of 3 cm was observed in the lower pole cyst?. Calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": "It is recommended to be evaluated in terms of pleural contour irregularities, subpleural striations, honeycomb appearance in the lower lobes, interstitial lung disease in both lungs. Fusiform aneurysmatic dilatation in the thoracic aorta.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Pericardial effusion. Bilateral gynecomastia. Right nephrolithiasis. Right renal hypodense lesion cyst?.  Left minimal pleural effusion."}
{"volume_path": "dataset/valid_fixed/valid_841/valid_841_a/valid_841_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_841/valid_841_a/valid_841_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_841_a_1.nii.gz", "findings": " The trachea was in the midline of both main bronchi and no obstructive pathology was detected in the lumen. On the right, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall is observed. In the non-contrast examination, the mediastinum and heart could not be evaluated optimally. As far as can be seen; Mediastinal main vascular structures, heart contour, size are normal. Pericardial effusion-thickening is not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Type 1 hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. An asymmetrical density increase was observed in the lower outer quadrant of the left breast, a mass lesion with irregular contours, measuring 17x14 mm, which did not differ significantly from the previous examination. No effusion was observed in the right pleural space. When examined in the lung parenchyma window; Mosaic attenuation pattern was observed in both lungs. It is recommended to be evaluated together with clinical and laboratory in terms of small airway-vascular diseases. Liver craniocaudal length increased by 181 mm. Liver parenchyma has a heterogeneous appearance. Widespread hypodense areas were observed in the parenchyma. In the current examination, hypodense areas in the liver have increased diffuse metastatic disease?. Pancreas, both kidneys are natural. A stone is observed in the gallbladder lumen. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread sclerotic foci were observed in the bone structures in the study area.", "impression": "Stable solid lesion with irregular borders in the lower outer quadrant of the left breast . Mosaic attenuation pattern in both lungs is recommended to be evaluated together with clinical and laboratory in terms of small air-vascular tract diseases.  Decreased pleural effusion in the left pleural space . Increased intra-abdominal free fluid"}
{"volume_path": "dataset/valid_fixed/valid_842/valid_842_a/valid_842_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_842/valid_842_a/valid_842_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_842_a_1.nii.gz", "findings": "Suture materials of sterntomies are observed on the anterior chest wall. The mass described in the previous examination of the patient in the anterior mediastinal localization is not present in the current examination. In the localization of the mass, an appearance that may be compatible with residual-recurrence was not detected. Heart size and contours are normal. Minimal pericardial effusion is observed. Evaluation of vascular structures and solid organs is suboptimal because the examination is non-contrast. Calcific millimetric plaques are observed in the coronary arteries. Lymph nodes with short axes not reaching 1 cm are observed in the mediastinal area. In the midline of the trachea, both main bronchi are open. Calibrations of mediastinal major vascular structures appear natural. When examined in the lung parenchyma window; Sequelae pleuroparenchymal bands are observed in the upper lobes of both lungs. Subpleural nodular ground glass density is observed in the apical segment of the left lung upper lobe. Consolidation areas containing air bronchograms are observed in the medial segment of the right lung middle lobe. These appearances were evaluated primarily in favor of post-op change, and linear atelectasis is observed in this area. In the left hemithorax, there is a pleural effusion reaching approximately 4.5 cm in thickness at its thickest point. There are minimal emphysematous changes in both lung parenchyma. When the upper abdominal organs included in the examination are evaluated, a stable increase in thickness is observed in both adrenal glands, more prominently on the left. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " The mass observed in the anterior mediastinum in the previous examination in the patient who was operated for thymoma is not present in the current examination. Post-op changes are observed in this area and sternum.  Consolidation areas containing air bronchograms were observed in the medial segment of the right lung middle lobe, and these were thought to be areas of post-op atelectasis.  Ground glass opacities are observed in several areas in the upper lobe of the left lung. It was evaluated in favor of the infective process. It is appropriate to evaluate it together with clinical and examination findings.  Pleural effusion in left hemithorax  Minimal pericardial effusion  Stable increase in thickness in both adrenal glands"}
{"volume_path": "dataset/valid_fixed/valid_843/valid_843_a/valid_843_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_843/valid_843_a/valid_843_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_843_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. The mediastinum is deviated to the right from the midline. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with a short axis in the mediastinum, especially in the carina measuring up to 16 mm. When examined in the lung parenchyma window; In the right lung, there are large areas of consolidation in a patchy manner in which air bronchogram signs are observed in the areas extending to the inferior, being more prominent in the lower lobe. There is calcification in the parenchyma in the basal segment of the lower lobe of the right lung. Thickening is observed in the interlobular septa. There is a small amount of effusion in the right hemithorax. The findings were primarily evaluated in favor of the infectious process, and in terms of clinical laboratory correlation, differential diagnosis of a space-occupying lesion within the described consolidations, exclusion of infection and follow-up after treatment are recommended. No nodular lesions were detected in both lung parenchyma. Upper abdominal organs included in the sections are partially included in the images and were evaluated as suboptimal. There is a small cortical cyst in the left kidney that is partially visible. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Diffuse density reduction and osteopenic appearance are present in the bone structures in the examination area.", "impression": "Wide areas of consolidation in the right lung, more prominent in the lower lobe, and extending to the inferior, in a patchy manner with air bronchogram signs in it.  A small amount of effusion in the right hemithorax. The findings were primarily evaluated in favor of the infectious process and clinical laboratory correlation is recommended.  The findings were primarily evaluated in favor of the infectious process, and clinical laboratory correlation, infection exclusion and post-treatment follow-up in terms of differential diagnosis of a space-occupying lesion within the described consolidations recommended."}
{"volume_path": "dataset/valid_fixed/valid_852/valid_852_a/valid_852_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_852/valid_852_a/valid_852_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_852_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. The mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and the main vascular structures, heart contour and size were normal. Thoracic aorta diameter is normal. Pericardial effusion-thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. Diffuse ground glass densities are observed in all lobes of both lungs, and the appearance was primarily evaluated as secondary to viral pneumonia, clinical and laboratory evaluation is recommended in terms of covid-19 pneumonia. Minimal effusion is observed in the bilateral pleural area. Upper abdominal organs included in the sections are normal. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Ground-glass densities and bilateral minimal pleural effusion evaluated in favor of viral pneumonia in both lungs"}
{"volume_path": "dataset/valid_fixed/valid_887/valid_887_a/valid_887_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_887/valid_887_a/valid_887_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_887_a_1.nii.gz", "findings": "There is an 8 mm diameter hypodense nodule in the right lobe of the thyroid gland. The cardiothoracic ratio increased in favor of the heart. Calcific atheroma plaques are observed in the aorta and coronary arteries. The diameter of the ascending aorta was 39 mm and increased. There are several lymphadenopathies in the mediastinum and bilateral hilar regions, the largest of which is 14 mm in diameter in the right paratracheal area. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Peribronchial thickness increase is observed. There is a 9 cm thick pleural effusion in the right hemithorax and 6 cm in the left hemithorax. Compression atelectasis and ground glass areas are observed adjacent to the effusion. There are occasional increases in interlobular septal thickness in both lungs secondary to cardiac stasis?. Linear atelectasis areas are observed in both lungs. No mass was detected in both lungs. No pathological increase in wall thickness was observed in the esophagus. As far as it can be evaluated within the limits of non-contrast CT; There is a 1.5 cm diameter hyperdense stone in the gallbladder lumen. Several lymph nodes, the largest of which are 1 cm in diameter, are observed in the periportal, paracaval area. There are cerclage suture materials in the sternum. No lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Cardiomegaly, increased diameter of the ascending aorta.  Bilateral pleural effusion, compression atelectasis adjacent to the effusion, and nonspecific ground glass areas.  Interlobular septal thickness increases in both lungs secondary to cardiac stasis?.  Mediastinal and periportal-paracaval lymph nodes.  Cholelithiasis.  Millimetric hypodense nodule in the thyroid gland."}
{"volume_path": "dataset/valid_fixed/valid_927/valid_927_a/valid_927_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_927/valid_927_a/valid_927_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_927_a_1.nii.gz", "findings": "Pleural effusion is observed on the left. The left lung is total atelectatic. It was learned that the patient was followed up for pulmonary Ca. However, an appearance that can be evaluated in favor of a mass in the left lung due to atelectasis was not detected in this examination. There is minimal pleural effusion on the right. No pleural thickening was detected. Heart contour and size are normal. There is no pericardial effusion. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. It is understood that the patient underwent coronary bypass surgery. There are lymphadenopathies in the mediastinum and hilar regions. The largest of the lymphadenopathies is observed in the paratracheal region and is approximately 30x25 mm in size. Trachea and both main bronchi are open. There is no obstructive pathology in the trachea and both main bronchi. There are millimetric multiple nodules in the right lung. The largest of these nodules is observed in the lower lobe of the lung and its longest diameter is approximately 5 mm. There is no mass or infiltrative lesion in the right lung. No upper abdominal free fluid-collection was detected in the sections. Lymphadenopathies are observed in the upper abdomen. The shortest diameter of the largest of these lymphadenopathies measured approximately 13 mm. No fracture or lytic-destructive lesion was detected in the bone structures within the sections.", "impression": " Lung Ca, left pleural effusion, left total atelectasis, mediastinal and hilar lymphadenopathies, intraabdominal lymphadenopathies in follow-up.  Minimal pleural effusion on the right.  Millimetric nodules in the right lung."}
{"volume_path": "dataset/valid_fixed/valid_930/valid_930_a/valid_930_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_930/valid_930_a/valid_930_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_930_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. Millimetric calcific plaques are observed in the aortic arch, ascending and descending aorta. Millimetric calcific lymph nodes are observed in the left hilar localization. There are also calcific plaques in the coronary arteries. The heart and mediastinal vascular structures have a natural appearance. A smear-like effusion is observed in both hemithorax. In the evaluation of both lung parenchyma; Dependent density increases are observed in the posterior sections of both upper lobes of the lungs. In addition, there are central acinar and paraseptal emphysematous areas in the upper lobes of both lungs. In the middle lobe of the right lung, a focal ground-glass area with fissure-based nonspecific appearance is observed. In addition, mild peribronchial thickening is observed in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. In the non-contrast examination, no obvious pathology was detected in the abdominal sections.", "impression": " More pronounced dependency increases posteriorly in the upper lobes of both lungs  More prominent central acinar emphysematous areas in the upper lobes  More pronounced bilateral effusion in the left bilateral effusion"}
{"volume_path": "dataset/valid_fixed/valid_940/valid_940_a/valid_940_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_940/valid_940_a/valid_940_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_940_a_1.nii.gz", "findings": "Mediastinal main vascular structures could not be evaluated optimally due to the lack of contrast in the examination, and as far as can be observed; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta was 42 mm and showed fusiform dilatation. The diameter of the main pulmonary artery was 33 mm and increased. Calcified atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Heart size increased. Minimal effusion is observed in the anterior pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Mediastinal millimetric lymph nodes are observed. No lymph node was detected in pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal density increases are observed, which is compatible with sequelae, which causes mild structural distortion with calcification in the upper lobes of both lungs. Micronodular opacities and accompanying ground glass density increases are observed at the level of the left lung upper lobe lingular segments and lower lobe. In addition, several millimeter-sized ground-glass nodules are observed in the upper lobe of the right lung. the described findings were initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended. Bilateral peribronchial thickenings are observed. A free pleural effusion measuring 1 cm in thickness is observed on the left. Bilateral pleural thickening was not detected. In the upper abdominal sections in the study area; Several calculi in different localizations are observed in the right kidney. 1 cm in diameter hypodense lesion is observed in the middle zone cyst?. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. In bone structures; Thoracic kyphosis has increased. Tapering and osteophytic changes are observed in the vertebral corpus corners. No lytic-destructive lesion was detected.", "impression": "Fusiform dilatation of the ascending aorta. Calcified atherosclerotic changes in the wall of the thoracic aorta-coronary artery.  Cardiomegaly, minimal pericardial effusion. Demicronodular opacities in the left lung and accompanying ground-glass density increases, ground-glass nodules in the right lung the findings described were initially evaluated in favor of the infectious process. Clinical and laboratory correlation is recommended.  Locally calcified sequelae changes in both lungs. Right nephrolithiasis, right renal hypodense lesion cyst?."}
{"volume_path": "dataset/valid_fixed/valid_948/valid_948_a/valid_948_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_948/valid_948_a/valid_948_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_948_a_1.nii.gz", "findings": "CTO increased in favor of the heart. Pulmonary trunk calibration is 32 mm. It is wider than normal. Right pulmonary artery calibration is normal. The right pulmonary artery is at the maximal physiological limit. Left pulmonary artery calibration is greater than normal at 29 mm. Arch aortic calibration is within the normal range. Millimetric-sized calcific atheroma plaques are observed in the descending and ascending aorta in the aortic arch, and in the coronary arteries. Several lymph nodes are observed in the upper paratracheal area, the largest of which is the short axis of 11 mm. No lymph node with pathological size and configuration was detected at the hilar level. When examined in the lung parenchyma window; In the right lung, pleural effusion reaching 6 cm at its widest part extending from basal to apex and a thin atelectative lung segment adjacent to it are observed. There is also effusion at the level of the interlobar fissure on the right. Focal consolidative parenchyma areas are observed in the middle lobe on the right and the lingular segment on the left. There are faint ground-glass-like density increases in the upper lobe, middle lobe on the right, and at the level of the lower lobe, in the lower lobe on the left, and at the level of the lingular segment. A nodule with a diameter of approximately 5 mm is observed in the middle lobe of the right lung. Perihepatic and perisplenic effusions are present in the upper abdominal organs included in the sections. Degenerative changes are observed in the bone structures in the study area.", "impression": "Cardiomegaly, increased calibration in the main vascular structures in the mediastinum . Prominent pleural effusion on the right and a thin atelectatic lung segment adjacent . Clear ground glass densities in both lungs. The appearance is atypical for Covid pneumonia. It is recommended to be evaluated together with clinical and laboratory findings."}
{"volume_path": "dataset/valid_fixed/valid_968/valid_968_a/valid_968_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_968/valid_968_a/valid_968_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_968_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. A catheter image extending to the vena cava was observed in the right inferior of the neck. Calibration of mediastinal major vascular structures is natural. Heart contour size is natural. An effusion measuring 7.5 mm in its widest part was observed in the pericardial area. Pericardial thickening was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the non-contrast examination margins. A few millimetric calcified lymph nodes were observed in the right hilar localization. Right upper-lower paratracheal, prevascular pretracheal-subcarinal multiple lymph nodes measuring 10x5 mm in size were observed. There are contaminations in the mediastinal fatty planes around it. Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. When examined in the lung parenchyma window; Areas of free pleural effusion measuring 42 mm in the thickest part on the right and 25 mm in the thickest part on the left, and passive atelectasis in the adjacent lung parenchyma were observed. Pleuroparenchymal sequelae density increases were observed at the level of bilateral lung apical segments. The middle lobe of the right lung was observed as total atelectasis. Peripheral consolidation areas including air bronchograms were observed in both lung upper lobes anterior, left lung lingular segment and bilateral lung lower lobes. In addition, nodular ground glass densities and bud branch appearances were observed in the bilateral lower lobes of the lung, more prominent in the right lung. The described findings were initially evaluated as compatible with the infectious process. Clinical and laboratory correlation and post-treatment control are recommended. At the level of the posteriobasal segment of the lower lobe of the right lung, density increases were observed on the costal pleural face, consistent with calcification in places. The area of subcutaneous emphysema in the right lateral wall of the chest, which was observed in the previous examination, has been total regression in the current examination. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. Degenerative changes were observed in the bone structures in the study area. No lytic-destructive lesion was detected.", "impression": "Compared to the previous thorax CT scan, no additional findings were detected except for the new paradular consolidation area in the posterior segment of the upper lobe of the right lung."}
{"volume_path": "dataset/valid_fixed/valid_968/valid_968_b/valid_968_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_968/valid_968_b/valid_968_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_968_b_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. There is an effusion about 10 mm in diameter in the pericardium. Thoracic aorta diameter is normal. Pericardial thickening was not observed. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. On the right, there is a venous catheter that ends in the SVC. There are several calcific lymph nodes in the right hilar region. Apart from this, there are millimetric lymph nodes in the paratracheal, subcarinal, prevascular and aortopulmonary areas, the largest of which is 10x5 mm in size in the paratracheal area. Density increases are observed in mediastinal fatty planes. When examined in the lung parenchyma window; Bilateral pleural effusion measuring 19 mm in the thickest part on the right 44 mm in the old examination and 5 mm in the deepest part on the left 15 mm in the former examination and passive atelectasis in both lower lobes of the lungs are observed. The pleural effusion on the right extends to the major fissure. Pleuroparenchymal fibrotic sequelae bands are observed in both lung apical segments. Total atelectasis in the middle lobe of the right lung is observed and has a stable appearance. Consolidation areas containing air bronchograms in the anterior upper lobes of both lungs, left lung lingular segment and bilateral lung lower lobes, more prominent nodular ground glass densities and budding branch appearances were observed in the lower lobes of both lungs. In addition, there is a stable size of nodular consolidation area with air bronchograms in approximately 15 mm diameter in the posterior of the right lung upper lobe. There are coarse calcifications in the pleura in the posterobasal region of the lower lobe of the right lung. Diffuse pleural thickening is observed in both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Multiple lymph nodes in the mediastinum . Pericardial effusion; amount increased minimally. Bilateral pleural effusion, decreased in amount."}
{"volume_path": "dataset/valid_fixed/valid_968/valid_968_c/valid_968_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_968/valid_968_c/valid_968_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_968_c_1.nii.gz", "findings": " Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. An increase in favor of the heart is observed in the cardiothoracic ratio and there is a pericardial effusion measured at 10 mm in the current examination in its thickest part. measured as 12 mm in the old CT examination. Thoracic aorta diameter is normal. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. There is an effusion measuring 30 mm in the deepest part on the right and 9 mm in the deepest part on the left, and there are increases in density consistent with atelectasis in the adjacent lung parenchyma. Lymph nodes without pathological size and appearance were observed in mediastinal lymph node stations. When the lung parenchyma is examined in the window, there are areas of consolidation in the left lung upper lobe anterior and lingular segment, and in the right lung upper lobe anterior and middle lobe, in which air bronchograms are observed. In addition, there are nodular density increases in the centriacinar ground glass density, which is more evident in the lower lobes of both lungs, which looks like a tree with buds in places. Infectious pathologies are considered in its etiology. There are hyperdense appearances secondary to pleurodesis on the pleural surfaces of the lower lobe of the right lung.", "impression": "There is no change in the size and appearance of the consolidations described above in both lungs, and the centriacinar budding tree appearance, which is more clearly observed in the lower lobes of both lungs, There is an increase in nodular ground glass density areas. Infectious pathology is considered in the etiology of the described findings. Clinical evaluation and radiological follow-up are recommended"}
{"volume_path": "dataset/valid_fixed/valid_968/valid_968_d/valid_968_d_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_968/valid_968_d/valid_968_d_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_968_d_1.nii.gz", "findings": "Trachea and mediastinum are slightly displaced to the right. No occlusive pathology was detected in the trachea and lumen of both main bronchi. In the non-contrast examination, the mediastinal could not be evaluated optimally. As far as can be seen; The ascending aorta has an ectatic appearance with an anterior-posterior diameter of 37 mm. Calibration of other vascular structures of the mediastinum is natural. Heart size increased. An effusion measuring 8.5 mm was observed in the thickest part of the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Multiple lymph nodes with prevascular, right upper-bilateral lower paratracheal, aortopulmonary, subcarinal short axes less than 1 cm were observed. Right hilar calcified lymph nodes were observed. When examined in the lung parenchyma window; There is an effusion measuring 33 mm in the deepest part on the right and 12 mm in the deepest part on the left, and density increases consistent with atelectasis were observed in the adjacent lung parenchyma. Pleuroparenchymal sequelae density increases were observed in bilateral upper lobe apicoposterior segments of the lung. Atelectasis areas accompanied by tubular bronchiectasis that cause volume loss and structural distortion in which air bronchograms are observed in both upper lobe anterior segments of both lungs, middle lobe of left lung and inferior lingular segment of left lung upper lobe were observed. Segmentary-subsegmental tubular bronchiectasis and minimal peribronchial thickening, centriacinar nodular infiltrates around the bronchus-budding tree view and mucous plugs in the lumens of bronchiectasis were observed in both lungs. The described findings were evaluated in favor of bronchopneumonia. It is recommended to be evaluated together with clinical and laboratory. Hyperdense appearances were observed on the pleural faces in the lower lobe of the right lung. Hyperdense appearances consistent with calcification were observed secondary to pleurodesis?. As far as can be seen within the sections; the left kidney was not observed operated. Other upper abdominal organs are normal. Trabeculation increase secondary to osteoporosis, irregularity in the end plateaus and degenerative osteophytes were observed in the bone structures within the study area.", "impression": " Fusiform ectasia, pericardial effusion in the thoracic aorta.  Significant bilateral pleural effusion on the right, hyperdense appearances on the right pleural faces secondary to pleurodesis.  Diffuse atelectatic changes in both lungs.  Segmentary-subsegmental tubular bronchiectasis in both lungs, peribronchial thickening, centriacinar nodular infiltrates-budding tree view in lower lobe basal segments; It is recommended to be evaluated together with clinical and laboratory in terms of bronchopneumonia.  Osteoporosis, degenerative changes in bone structures."}
{"volume_path": "dataset/valid_fixed/valid_985/valid_985_a/valid_985_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_985/valid_985_a/valid_985_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_985_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Calibration of thoracic main vascular structures is natural. No dilatation was detected in the thoracic aorta. Heart size increased. There are densities of stent material in coronary arteries. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Widespread ground-glass-like density increases accompanied by smooth interlobular septal thickenings in the perihilar area in both lung parenchyma and consolidation areas in the lower lobes of both lungs are noteworthy. In addition, free pleural effusion with a thickness of 24 mm on the right and 12 mm on the left was observed between the bilateral pleural leaves. Density increases consistent with edema-inflammation were observed in the right perirenal fatty planes in the upper abdominal sections in the examination area. Degenerative changes were observed in bone structures. No lytic-destructive lesion was detected.", "impression": "Increases in ground glass density accompanied by interlobular septal thickening in the bilateral perihilar area and areas of consolidation in the lower lobes, bilateral pleural effusion. The appearance was initially thought to be due to pulmonary edema. However, viral pneumonia developing in the background cannot be excluded. Clinical and laboratory data in terms of Covid-19 pneumonia It is recommended that they be evaluated together."}
{"volume_path": "dataset/valid_fixed/valid_1002/valid_1002_a/valid_1002_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1002/valid_1002_a/valid_1002_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1002_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; On the left chest wall, there are electrodes showing the appearance of a pacemaker and extending to the floor of the ventricle. Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The ascending aorta measures 38 mm in diameter and shows slight dilatation. The diameter of the main pulmonary artery was 38 mm and it shows dilatation. Calcified atherosclerotic changes were observed in the thoracic aorta and coronary artery walls. Heart sizes were significantly increased. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Mild emphysematous changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Between the bilateral pleural leaves, there is a slight free pleural effusion measuring 17 mm thick on the right and 13 mm on the left. It extends to the fissure on the right. In the upper abdominal sections in the study area; liver contours are irregular. It is recommended to be evaluated for liver parenchymal disease. Abdominal aorta diameter is 32 mm and it shows fusiform dilatation. Calcified athertosclerotic changes were observed in the wall of the abdominal aorta. Degenerative changes were observed in the bone structure. No lytic-destructive lesion was detected.", "impression": " Massive cardiomegaly, mild dilatation of the ascending aorta, significant dilatation of the pulmonary artery.  Bilateral, free pleural effusion extending to the right fissure.  Bilateral peribronchial thickenings.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery.  Irregular appearance in liver contours; Clinical evaluation is recommended for liver parenchymal disease.  Calcified atherosclerotic changes in the wall of the abdominal aorta.  Degenerative changes in bone structure."}
{"volume_path": "dataset/valid_fixed/valid_1005/valid_1005_a/valid_1005_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1005/valid_1005_a/valid_1005_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1005_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were evaluated as suboptimal because the examination was unenhanced. As far as can be observed: Multiple lymph nodes were observed in the upper-lower paratracheal prevascular, subcarinal area, the largest of which was 7 mm in the short axis. Diffuse calcifications were observed in the pericardium, and the calcification area was measured 11 mm in its widest part. It is recommended to be evaluated for chronic constrictive pericarditis. Heart contour size is natural. Calibration of thoracic main vascular structures is natural. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. When examined in the lung parenchyma window; There are pleural effusion and atelectatic changes measuring 26 mm in thickness on the right. Subsegmental atelectatic changes were observed in both lungs. Bilateral peribronchial thickenings were observed. Minimal emphysematous changes were observed in both lungs. Upper abdominal sections entering the examination area are natural. Bilateral adrenal gland calibration was normal and no space-occupying lesion was detected. No lytic-destructive lesion was detected in bone structures.", "impression": "Diffuse calcifications in the pericardium are recommended to be evaluated in terms of constructive pericarditis.  Pleural effusion and atelectatic changes on the right.  Bilateral subsegmentary atelectasis, mild emphysematous changes."}
{"volume_path": "dataset/valid_fixed/valid_1005/valid_1005_b/valid_1005_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1005/valid_1005_b/valid_1005_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1005_b_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. There is pericardial effusion measuring approximately 55 mm in its thickest part. Pericardial effusion is observed as hyperdense and was considered to be hemorrhagic. There are also calcifications in the pericardium. Surgical materials are observed in the sternum. Air is observed in the retrosternal region and mediastinum and is thought to be compatible with the postoperative change. Bilateral minimal pleural effusion, more prominent on the right, is observed. The pleural effusion measured approximately 20 mm at its thickest point. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. No mass or infiltrative lesion was detected in both lungs. No upper abdominal free fluid-collection was observed in the sections. In the retrosternal region, there is a collection with an anterior-posterior diameter of 22 mm at its widest point, extending towards the subcutaneous fat tissue at the level of the xiphoid process. The collection was considered to be hemorrhagic. This collection appears to be associated with pericardial effusion. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Pericardial effusion thought to be of hemorrhagic content. Calcifications in the pericardium. Bilateral minimal pleural effusion."}
{"volume_path": "dataset/valid_fixed/valid_1006/valid_1006_a/valid_1006_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1006/valid_1006_a/valid_1006_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1006_a_1.nii.gz", "findings": "Millimetric calcific foci are observed in the thyroid parenchyma. Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. A venous catheter is observed in the superior vena cava. There is a smear-like pericardial effusion. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; There are fibrotic sequelae changes and bronchiectatic findings in the upper lobe of the left lung. At the basal level of the lower lobe of the left lung, atelectasis in the form of thick bands are observed. A smear-like effusion is observed in both hemithorax. No gross pathology was detected in favor of the infectious process. At the level of the sternal junction of the 2nd and 3rd ribs, immediately adjacent to the right lateral of the sternum, the size is 18x11 mm, and the dimensions of the paracardiac subdiaphragmatic area in the upper abdomen are up to 15 mm, 12 mm and 29 mm, which is also observed in more than one previous PET-CT, which is significant numerical and There are findings evaluated in favor of infiltrative tumors that do not differ in size. Effusion is observed in the upper abdomen and perihepatic area. Diffuse density reduction and degenerative changes in bone structures, and tapering in end plates are present.", "impression": " Space-occupying lesions in the upper abdomen, in the subdiaphragmatic area, on the right side, at the level of the 2nd and 3rd ribs and anteriorly, at the level of the sternal junctions.  Millimetric calcific foci in the thyroid parenchyma.  Diffuse degenerative changes in bone structures.  In the lung parenchyma, fibrotic sequela changes in the left lung lower lobe basal segment and upper lobe, atelectasis in the form of thick bands, and no gross pathology evaluated in favor of an infectious process were detected."}
{"volume_path": "dataset/valid_fixed/valid_1006/valid_1006_b/valid_1006_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1006/valid_1006_b/valid_1006_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1006_b_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There are atheromatous plaques in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. There is minimal pericardial effusion. No significant pericardial thickening was detected. No enlarged lymph nodes in pathological size and appearance were observed in the mediastinum and hilar regions. There is bilateral minimal pleural effusion, more prominent on the right. The pleural effusion measured 30 mm at its thickest point. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal atelectasis adjacent to the effusion in both lung lower lobes. In addition, linear atelectasis were also observed in other parts of the lung. Bronchiectasis, structural distortion and volume loss are observed in the apicoposterior segment of the left upper lobe of the lung. There are emphysematous changes in both lungs. No mass or appearance compatible with pneumonic infiltration was detected in both lungs. In the upper abdomen, there is a collection of approximately 105x220 mm in anteroposterior and transverse length at its widest point between the stomach and the liver. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Lymphoma on follow-up  Minimal pericardial effusion  Bilateral minimal pleural effusion  Atelectasis in both lungs  Bronchiectasis, structural distortion and volume loss in the left upper lobe of the lung  Emphysematous changes in both lungs  Intraabdominal collection"}
{"volume_path": "dataset/valid_fixed/valid_1006/valid_1006_c/valid_1006_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1006/valid_1006_c/valid_1006_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1006_c_1.nii.gz", "findings": "Heart size increased. There are biventricular and biartrial diameter increases. Slight free fluid is observed between pericardial leaves. Pleural effusion is observed with a diameter of 3 cm between the leaves of the right pleura and 1.5 cm between the leaves of the left pleura. Anasarca-like edema is observed in all subcutaneous soft tissues within the section. Cystic bronchiectasis foci are observed in the apicoposterior segment of the left lung upper lobe. A slight deviation to the left is observed in the mediastinum. No pneumonic consolidation or infiltration area was observed in the lung parenchyma. There are mild interlobular septal thickenings that are more prominent on the left in both lung lower lobe basal segments. It is compatible with mild interstitial edema. Subsegmental atelectasis is observed in the posterobasal segment of the lower lobes of both lungs, adjacent to the effusion. In the upper abdomen sections, no significant difference was found in the size of the collection area in the epigastrium.", "impression": " Increase in heart size.  Slight increase in the amount of pericardial effusion.  Intra-abdominal collection  Slight decrease in the amount of right pleural effusion.  Diffuse soft tissue edema persists."}
{"volume_path": "dataset/valid_fixed/valid_1013/valid_1013_a/valid_1013_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1013/valid_1013_a/valid_1013_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1013_a_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal structures were observed suboptimally since the examination was unenhanced. As far as can be observed: Calibration of thoracic main vascular structures is natural. Heart size increased. Pericardial thickening-effusion was not detected. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Patchy ground glass density increases were observed in both lungs. Between the bilateral pleural leaves, free pleural effusion with a thickness of 49 mm on the right and 36 mm on the left and atelectatic changes in the adjacent lung parenchyma were observed. Bilateral peribronchial thickenings were observed. No mass-infiltration was detected in both lung parenchyma. Hypodense lesions were observed in both kidneys in the upper abdominal sections included in the examination area. Diffuse calcified atherosclerotic changes were observed in the wall of the abdominal aorta. Millimetric calculus was observed in the middle zone of the right kidney. Mild dilatation was observed in the pelvicalyceal structures of both kidneys. Fixation screws extending from posterior to vertebral corpus were observed at the level of lower thoracic and lumbar vertebrae. There are artifacts of the fixation materials, and the examination in the abdominal sections was evaluated as suboptimal. No lytic-destructive lesion was detected in bone structures.", "impression": "Patchy ground-glass density increases, peribronchial thickenings, bilateral pleural effusion and atelectatic changes in both lungs. Right nephrolithiasis and bilateral renal cysts. Cardiomegaly."}
{"volume_path": "dataset/valid_fixed/valid_1016/valid_1016_b/valid_1016_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1016/valid_1016_b/valid_1016_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1016_b_1.nii.gz", "findings": " Minimal effusion was observed in both pleural spaces. Measured 20 mm on the right at its deepest point. In both lungs, there are areas of increase in density consistent with newly developed consolidation, which is evaluated in favor of compressive atelectasis adjacent to the effusion. In the mediastinum, a lesion of soft tissue density is observed in the prevascular area, which is evaluated primarily in favor of lymphadenopathy, in which calcified foci in millimeter sizes are also observed. Although no change was found in the craniocaudal dimension in the current examination, an increase in the mediolateral dimension was noted. It was measured as 25 mm in the previous CT examination, and it was measured as 31 mm in the current examination. In addition, there are lymph nodes in the mediastinum that are stable in number and size, short in diameter less than 1 cm, have a fusiform configuration, and are not pathological in size and appearance. There are nodules in both lungs, the largest of which is in the posterobasal segment of the left lung lower lobe, some with irregular borders and some with a ground-glass halo in the periphery. No change was detected in their number and size. In addition, thickening in the peribronchovascular area and smooth interlobular septal thickness increases are observed in the anterior segment of the left lung upper lobe. The findings were also observed in the previous CT examination and no change was detected.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_1016/valid_1016_c/valid_1016_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1016/valid_1016_c/valid_1016_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1016_c_1.nii.gz", "findings": " Mediastinal vascular structures and cardiac examination were not evaluated optimally due to the lack of IV contrast, and as far as can be observed; Calibration of vascular structures, heart contour and size are natural. No pericardial, pleural effusion or thickness increase was observed. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the neighborhood of the mass described in the posterior upper lobe of the left lung, nodular interlobular septal thickness increases are sometimes accompanied. The findings were evaluated as compatible with alveolar carcinomatosis. There are nodular lesions in both lungs, the largest measuring approximately 16x12 mm in the posterobasal segment of the left lung lower lobe, some with irregular borders. When evaluated together with the primary mass in the left lung, it was evaluated in favor of metastasis. Apart from this, in the current examination of both lungs, there are centriacinar nodular density increases in the appearance of a newly developed multilobar indeterminately limited tree with buds. Although the findings were nonspecific, infection was considered in its etiology. In both pleural spaces, an effusion up to 30 mm in depth was observed on the right at its deepest point. In both lungs, adjacent to the effusion, there are areas of increase in density consistent with consolidation, which is evaluated in favor of compressive atelectasis and in which air bronchograms are also observed. In the upper abdominal sections within the image, no pathology was detected as far as can be observed within the borders of non-contrast CT. No lytic or destructive lesions were observed in the bone structures within the image.", "impression": " In the anterior and posterior segment of the left lung upper lobe, adjacent to the mediastinum, a soft tissue density mass extending towards the aorticopulmonary window, the borders of which cannot be distinguished from the right lung upper lobe bronchus, and findings evaluated in favor of alveolar carcinomatosis in the vicinity of the mass described in the left lung upper lobe posterior. nodular lesions with irregular borders in the posterobasal segment of the lower lobe metastatic nodule?.  In the current examination, centriacinar nodular density increases in both lungs with the appearance of a newly developed tree with buds; Although the findings are nonspecific, infection was considered in the etiology beforehand.  Bilateral pleural effusion and areas of increased density in the adjacent lung parenchyma, evaluated in favor of compressive atelectasis, and lymph nodes with a fusiform configuration in the mediastinum showing an increase in size"}
{"volume_path": "dataset/valid_fixed/valid_1016/valid_1016_d/valid_1016_d_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1016/valid_1016_d/valid_1016_d_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1016_d_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the right hilar region and its short diameter is 9 mm. An irregularly circumscribed mass is observed adjacent to the prevascular region in the medial of the upper lobe of the left lung. The longest diameter of the mass was 48 mm. There is no pathological wall thickness increase in the esophagus within the sections. No occlusive pathology was detected in the trachea and both main bronchi. Emphysematous changes and occasional atelectasis and minimal pleuroparenchymal sequelae were observed in both lungs. There are multiple nodules in both lungs. The largest of these nodules is observed in the lower lobe of the left lung and the longest diameter was 12 mm. No appearance that can be evaluated in favor of pneumonic infiltration was observed in both lungs. There is no upper abdominal free fluid-collection within the sections. There are no fractures or lytic-destructive lesions in the bone structures within the sections.", "impression": " Mass in the medial part of the upper lobe of the left lung, multiple nodules in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_1016/valid_1016_e/valid_1016_e_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1016/valid_1016_e/valid_1016_e_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1016_e_1.nii.gz", "findings": " Trachea and both main bronchi were evaluated as open. Mediastinal vascular structures and heart could not be evaluated optimally because contrast agent was not given. Calibration of vascular structures, heart contour and size are normal as far as can be observed. Pericardial effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. In the mediastinum, lymph nodes measuring 11 mm in diameter were observed, the largest of which was at the precarinal level. The short diameter of the lymph node described in the previous CT examination was measured as 9 mm, and there is an increase in the size of the lymph nodes observed in the mediastinum and in both hilar regions. No newly developed lymph node was detected. An irregularly circumscribed mass extending towards the prevascular area is observed in the medial side of the left lung upper lobe. The dimensions of the mass have increased in the current examination, and there is an indistinct limited consolidation that cannot be distinguished from the defined mass in the peribronchial areas in the left lung upper lobe anterior-posterior, lingular segments, and there is an increase in density in the ground glass density. The etiology may be viral pneumonias or fungal infections. It is recommended to be evaluated with clinical and laboratory findings. Effusion in each pleural space has been followed. It measures 15 mm on the right at its deepest point. In the comparative evaluation made with the previous CT examination, an increase in the size of the pleural effusion was observed on the right, and the left pleural effusion has just developed. Other findings are stable.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_1016/valid_1016_f/valid_1016_f_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1016/valid_1016_f/valid_1016_f_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1016_f_1.nii.gz", "findings": " An irregularly circumscribed mass extending towards the prevascular area is observed in the medial of the left lung upper lobe. In the current examination, areas of increase in density consistent with consolidation are observed in the upper lobe of the left lung adjacent to the mass, in the upper lobe of the left lung, in the lingular segment and in the lower lobe superior, and in all segments of the right lung, with an indistinct marginal tendency to merge with each other and areas of density increase consistent with consolidation. Pneumonic infiltration is considered in the etiology of the findings. There is also an increase in the size of nodular lesions with irregular borders with a ground-glass halo in the periphery observed in the previous CT examination, and the nodules described in the previous CT examination were primarily evaluated in favor of areas of consolidation secondary to pneumonic infiltration. In the current examination, an effusion showing an increase in size is observed in both pleural spaces and was measured at its deepest point at a depth of approximately 20 mm on the right.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_1019/valid_1019_c/valid_1019_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1019/valid_1019_c/valid_1019_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1019_c_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper-lower paratracheal, aortopulmonary millimetric lymph nodes are observed. No pathological LAP was detected in the mediastinum. The cardiothoracic index increased in favor of the heart. Pleural effusions in the form of minimal thin smears are observed in both hemithorax. Pericardial effusion is present in the form of minimal smearing. In the evaluation of both lung parenchyma; Motion artifacts are present in both lungs. Pleuroparenchymal sequelae are observed in the middle lobe of the right lung and in the lower lobes of both lungs. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections. Destruction showing exit to the soft tissue is observed in the 4th rib on the left. On the right, there is a fractured appearance in the 4th rib. A height loss of 50-60% is observed in the T4.vertebra corpus, and it has recently developed according to the previous examination. When evaluated together with MRI examination, there is metastatic soft tissue extending to anterior epidural space and pre-paravertebral distance in this localization.", "impression": "Pathological partial compression causing 50-60% loss of height in the T4.vertebra. Destruction showing up to the soft tissue in the 4th rib on the left, fracture in the 4th rib on the right"}
{"volume_path": "dataset/valid_fixed/valid_1019/valid_1019_d/valid_1019_d_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1019/valid_1019_d/valid_1019_d_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1019_d_1.nii.gz", "findings": "KTO is in normal calibration. The aortic arch calibration is 30 mm, slightly wider than normal. Other major vascular structures are normal. Pericardial thickening is observed. According to the previous review, there is a clearing. Thoracic esophageal calibration was normal and no significant tumoral wall thickening was detected. Aberrant right subclavian artery is present. Millimetric sized calcific atheroma plaques are observed in the aortic arch and descending aorta. In the case, there is a lymph node of approximately 24x16 mm on the right in the central cervical central group. In the old review it is 18x12 mm. There is an approximate 33% increase in size on the short axle. There are millimetric lymph nodes in the mediastinum. No lymph node with pathological size and configuration was detected at the hilar level. Most of them have lost their oval configuration at both axillary levels prominent on the right and the largest one is on the right with an increase in size by approximately 21%. However, there is an increase in size of approximately 40% in the smaller lymph node adjacent to it. It looks progressive. Trachea, both main bronchi are open. When examined in the lung parenchyma window; Sequela changes are observed in the middle lobe of the right lung. Also available in old review. There is a slight pleural thickening-pushing type pleural effusion at the base of the lower lobe. Again at this level, there are fibroatelectatic linear densities. Mild sequelae changes are observed in the upper lobe. There are pleuroparenchymal band appearances in the inferior lingular segment. Slight thickening and pleuroparenchymal sequelae changes are observed in the pleura at the posterobasal level of the lower lobe, which are also observed in the previous examination. Significant pneumonia and pneumothorax were not detected in both lungs. In the upper abdominal organs included in the sections, the spleen is full. The AP size is approximately 125 mm. . No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There are degenerative changes in the bone structures in the examination area and there is a progression of the destructive lesion observed in the right scapula in the case with lymphoma anamnesis. A sequel fracture is observed at the 4th rib on the right. At the 4th rib on the left, there are destructive changes in the cortex, showing invasion into soft tissues both into the thorax and towards the chest wall. There is also progression at this level. There is bone involvement in the D6 vertebra, which causes approximately 75% loss of height and causes destruction in the bone structure, and it is observed that the destruction extends towards both peduncles and towards the posterior elements, and there is spread to the anterior epidural area in the vicinity of the surrounding posterior elements, and there is also progression at this level according to the previous examination. Invasion of lymphoma is also observed in both paravertebral areas and the level of involvement slightly extends in the craniocaudal axis.", "impression": " There is thickening of the pleura at posterobasal levels in both lungs, a slight smear-like pleural effusion on the right and fibroatelectatic density increases are observed.  There are pathological lymph nodes in both axillary loci in the mediastinum that have progressed according to the previous examination.  Diffuse jutulum with progressive features is observed in the bone structure according to the previous examination."}
{"volume_path": "dataset/valid_fixed/valid_1028/valid_1028_a/valid_1028_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1028/valid_1028_a/valid_1028_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1028_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal examination is suboptimal due to lack of contrast. Calcific plaques are present in the aorta and coronary arteries. The main pulmonary artery is 42 mm and is ectatic. Right and left pulmonary arteries are ectatic. The ascending aorta is 41 mm and is ectatic. Although the borders of the mediastinum and hilar region cannot be clearly distinguished, lymph nodes reaching up to 15 mm in the short axis of the larger ones are seen. There are bilateral pleural effusions reaching 40 mm on the right and 30 mm on the left. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. When examined in the lung parenchyma window; There are diffuse mosaic density differences in both lungs. Band-like soft tissue densities are observed in the peribronchial and subpleural areas of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. There are cortical hypodense lesions in the right kidney. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are degenerative.", "impression": " Ectasia in the ascending aorta and pulmonary arteries finding in favor of pulmonary HT  Aortic and coronary artery atherosclerosis  Mediastinal and hilar lymph nodes  Bilateral pleural effusion  Mosaic density differences in both lungs airway disease?, perfusion defect?  In both lungs Density increases in the form of peribronchial patches starting from the central and extending to the pleura bronchopneumonia?, pulmonary edema?  Bilateral pleural effusion  Right renal hypodense lesions cyst?  Degenerative changes in bone structures"}
{"volume_path": "dataset/valid_fixed/valid_1031/valid_1031_a/valid_1031_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1031/valid_1031_a/valid_1031_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1031_a_1.nii.gz", "findings": "A pacemaker is observed on the anterior chest wall on the left. The heart is larger than normal. The ascending aorta is 37 mm and slightly ectatic. The right pulmonary artery is 28 mm and slightly ectatic. Diffuse calcific plaques are present in the aorta and coronary arteries. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. There are lymph nodes with short axes reaching 11 mm in diameter in the mediastinum. When examined in the lung parenchyma window; In the bilateral hemithorax, effusions measuring 49 mm on the right and 45 mm on the left and atelectasis adjacent to the effusion are observed in the widest part. Mosaic density differences, interlobular septal thickenings and peribronchial thickenings are seen in both lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures are degenerative. Thoracic kyphosis has increased.", "impression": " Pacemaker, cardiomegaly.  Aortic and coronary artery atherosclerosis.  Mild ectasia in the ascending aorta and pulmonary artery.  Bilateral pleural effusion, atelectasis, mosaic density differences, interlobular septal and peribronchial thickenings; findings were evaluated as secondary to pulmonary edema.  Degenerative changes in bone structures."}
{"volume_path": "dataset/valid_fixed/valid_1036/valid_1036_a/valid_1036_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1036/valid_1036_a/valid_1036_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1036_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper, bilateral lower paratracheal millimetric lymph node is observed. No pathological LAP was detected in the mediastinum. Calcific plaques are observed in the wall of the coronary artery and in the descending aorta. Pericardial effusion in the form of minimal smearing is observed. Pleural effusion-thickening was not detected in both hemithorax. The heart and mediastinal vascular structures have a natural appearance. In the evaluation of both lung parenchyma; There are consolidations, the largest of which are in the upper lobes of both lungs, extending to the subpleural distance, in which air bronchogram and air bubble signs are observed. Ground glass densities are observed in the lingular segment and lower lobe of the left lung. It is accompanied by minimal pleural effusion in the right hemithorax. In the sections passing through the upper part of the abdomen, the left kidney partially entered the examination area. It has an atrophic appearance and its renal pelvis is grade II ectatic. Bilateral adrenal glands appear natural. No lytic-destructive lesion was detected in bone structures.", "impression": "Consolidations in the upper lobes of both lungs and ground-glass densities in the left lung, typical imaging findings for Covid-19 pneumonia,. Right minimal pleural effusion."}
{"volume_path": "dataset/valid_fixed/valid_1041/valid_1041_b/valid_1041_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1041/valid_1041_b/valid_1041_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1041_b_1.nii.gz", "findings": "Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Calibration of thoracic main vascular structures is natural. Heart contour size is natural. Pericardial thickening-effusion was not detected. Calcific atheroma plaques are observed in the coronary arteries and thoracic aorta. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No lymph node was detected in mediastinal and bilateral hilar pathological size and appearance. When examined in the lung parenchyma window; Fibrotic sequela changes and bronchiectatic findings are observed at the apical level of the right lung. Atelectatic changes are observed at the basal level of the left lung lower lobe. A few millimetric nodules were observed in both lungs. Upper abdominal organs are included in the study partially and evaluated as suboptimal. There is a small amount of effusion in the perihepatic and perisplenic area. Diffuse degenerative changes are observed in bone structures.", "impression": " Right lung upper lobe apical fibrotic sequela changes, mild bronchiectatic appearances, millimetric nonspecific nodules in both lungs.  Atherosclerosis.  Perihepatic, perisplenic area effusion.  Diffuse degenerative changes in bone structures."}
{"volume_path": "dataset/valid_fixed/valid_1041/valid_1041_c/valid_1041_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1041/valid_1041_c/valid_1041_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1041_c_1.nii.gz", "findings": " CTO is within the normal range. In the thyroid gland, hypertrophy and mild parenchymal heterogeneity are observed in both lobes. The pulmonary arterial system calibration of the ascending-descending aorta in the mediastinum is normal. The arcus aorta calibration was measured as 29 mm and it was in the maximal physiological limit. Atherosclerotic changes are observed in mediastinal vascular structures. Multiple millimetric lymph nodes are observed in the mediastinum. The largest of the lymph nodes in the mediastinum is in the paraesophageal-subcarinal area, with dimensions of approximately 25x11 mm, although it cannot be clearly distinguished from the esophagus on non-contrast examination. According to his previous review, a progression is observed in his dimensions. When examined in the lung parenchyma window; both hemithorax are symmetrical. Calibration of the trachea and main bronchi is normal. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Thickening of the peribronchial sheath is more prominent, especially in the mid-lower zones. It is also observed in his previous review. On the right, sequela pleuroparenchymal density increases and tractional bronchiectasis are observed at the apical level. Amorphous calcification is observed in the anterior segment caudal of the upper lobe of the right lung, and it has a stable appearance according to the previous examination. In the right lung, there is a pleural effusion reaching 20 mm in its thickest part at the base and mild atelectasis adjacent to it. It was not detected in the previous review. Sequelae changes in both lungs and thickening of peripheral interlobular septa are present at this level, and there are slight ground-glass-like density increases at this level. It is recommended to be evaluated together with the clinic in terms of interstitial fibrosis. In the evaluation of upper abdominal sections in the study area; The left lobe of the liver and the caudate lobe are prominent. Sequelae changes in the liver especially at the apical level of the right lung are observed and there is an accompanying tractional bronchiectasis appearance. Perihepatic level effusion is present. Millimetric calculus is observed at the neck level of the gallbladder. It was not clearly identified in the previous review. The spleen is larger than normal. The pancreas is natural. Right and left adrenals are normal. Both kidneys are reduced in size and their contours are lobulated CVI?. Mesenteric fatty planes are contaminated. At the anterior diaphragmatic level, there are lymph nodes on both sides, the largest on the right and measuring 21x13 mm. Surrounding soft tissue plans are natural. Dorsal kyphosis was evident in the evaluation of the bone structure. Square vertebra appearance and thickening of the paravertebral longitudinal ligaments and increases in density are observed spondyloarthropathy?.", "impression": " Thickening of the peribronchial sheath, thickening of the interlobular and subpleural septa, occasional accompanying faint ground-glass-like density increases. It is recommended to be evaluated together with clinical and laboratory findings in terms of interstitial fibrosis.  Effusion in the right pleural space and a thin atelectatic lung segment adjacent to it were not observed in the previous examination.  It is recommended to evaluate the liver in terms of prominence in the left lobe and caudate lobe, full appearance in the spleen, perisplenic effusion, chronic liver parenchyma disease. Perihepatic effusion was evident according to his previous examination.  Reduction in the size of both kidneys, lobulation in the contours CRF?.  There are findings suggestive of spondyloarthropathy in the bone structure."}
{"volume_path": "dataset/valid_fixed/valid_1067/valid_1067_a/valid_1067_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1067/valid_1067_a/valid_1067_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1067_a_1.nii.gz", "findings": "Massive pleural effusion is observed on the right. The pleural effusion continues to the apex of the lung when the patient is in the supine position. The anterior-posterior diameter of the effusion was 85 mm at its widest point. There is atelectasis in the right lung adjacent to the effusion. Right lung lower lobe and right lung upper lobe posterior segment are total atelectatic. Atelectasis is also observed in the right lung middle lobe lateral segment. There is also minimal pleural effusion on the left. At the level of the lower lobe of the right lung, there are appearances of nodular soft tissue density in the posterior part of the effusion. The described appearances could not be characterized in this examination. These may belong to debris and/or hemorrhage, or less likely a soft tissue lesion may have caused this appearance. It is recommended that the patient be evaluated together with previous examinations, if any, and further examination if indicated. There is no obstructive pathology in the trachea and both main bronchi. There is a ground-glass appearance in a small area in the anterior segment of the left upper lobe of the lung. Differential diagnosis could not be made because the described ground glass appearance was observed in a very small area. There are minimal emphysematous changes in both ventilated lungs. No mass was detected in both ventilated lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. There is minimal pericardial effusion. Atheroma plaques are observed in the aorta and coronary arteries. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were detected in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. There is no upper abdominal free fluid-collection within the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Massive pleural effusion on the right, prominent atelectasis in the lung adjacent to the effusion.  Minimal pleural effusion on the left, minimal pericardial effusion.  Appearances of nodular soft tissue density within the pleural effusion on the right debris-hemorrhage? soft tissue lesion??.  Atherosclerotic changes in the aorta and coronary arteries.  Minimal emphysematous changes in both lungs.  Ground glass appearance in a small area in the anterior segment of the left lung upper lobe"}
{"volume_path": "dataset/valid_fixed/valid_1067/valid_1067_b/valid_1067_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1067/valid_1067_b/valid_1067_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1067_b_1.nii.gz", "findings": "CTO is normal. Pulmonary trunk calibration is slightly larger than normal at 30 mm. The left pulmonary artery is at the maximal physiological limit. The right pulmonary artery is at the maximal physiological limit. The aortic arch calibration was measured as 36 mm and was larger than normal. Calcific atheroma plaques are observed in the aortic arch, coronary arteries, and descending aorta. There is a hypodense nodule in the left lobe of the thyroid gland. Sonographic evaluation is recommended if necessary. There are millimetric lymph nodes in the mediastinum. There was no pathological size and configuration of lymph nodes at the bilateral hilar level. When examined in the lung parenchyma window; There is a significant pleural effusion of the right lung extending from the basal to the apex, which did not differ significantly according to the previous examination. Empyema discrimination cannot be made optimally in non-contrast examination. However, no significant thick-walled collection appearance was detected in pleural effusion. There is a consolidated parenchyma area in the adjacent lower lobe segments, partially air bronchograms. Mosaic atteniation pattern is observed in both lungs. Also available in old review. There are linear densities compatible with pleuroparenchymal sequelae or band atelectasis at the middle lobe level, which was also observed in the previous examination. Pleural effusion in the left lung, whose thickness reached 12 mm in the previous examination, regressed significantly in the current examination. There are ground glass-style density increments at the posterobasal level. It was not detected in the previous review. Thickening of the internodular septa observed in the peripheral areas and ground glass-like density increases are also present in the old examination on the left. Upper abdominal organs included in the sections are normal. There is a decrease in density consistent with steatosis in the liver entering the cross-sectional area. No space occupying lesion was detected in the liver. The spleen, both kidneys and bilateral adrenal glands were normal, and no space-occupying lesion was detected. Surrounding soft tissue plans are natural. Mild degenerative changes are observed in the bone structure.", "impression": "Although the evaluation of empyema could not be made optimally in the non-contrast examination, no obvious thick-walled collection appearance was detected in the fluid. Therefore, it was not evaluated in favor of the first pleural empyema.  It is suggestive of interstitial lung disease in both lungs, thickening of the interlobular septa and mild irregularity in the pleural surfaces are observed.  There are consolidated areas in the right lung, including air bronchograms at the lower lobe and middle lobe level, which did not differ significantly from previous examination."}
{"volume_path": "dataset/valid_fixed/valid_1067/valid_1067_c/valid_1067_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1067/valid_1067_c/valid_1067_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1067_c_1.nii.gz", "findings": " Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The pulmonary conus calibration is slightly larger than normal at 30 mm. The diameters of the right and left pulmonary arteries are at the physiological upper limit. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. A smear-like effusion was observed in the pericardial space. There is a hypodense nodule in the left lobe of the thyroid gland. It is recommended to be evaluated together with US. In the right upper-lower paratracheal area, pathological lymph nodes with a size of 13 mm on the short axis of the largest were observed. In the previous examination, the short axis of the largest was measured as 8.5 mm, and there is an increase in the size of the lymph nodes. In other sections of the mediastinum, smaller lymph nodes with short axes less than 1 cm are also present. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Sliding type hiatal hernia was observed at the lower end of the esophagus. Effusion was observed in the right hemithorax, reaching a thickness of 3.5 cm in its thickest part and entering into fissures showing loculation from place to place and forming a phantom tumor. An effusion reaching 4.6 cm in thickness was observed in the thickest part of the left hemithorax. In his previous examination, the effusion was in the form of smearing, and in the current examination, the amount of left pleural effusion has increased. The effusion entered the major fissure and formed a phantom tumor in the major fissure. The consolidated parenchyma area, in which air bronchograms were observed in the right lung lower lobe segments in the previous examination, showed significant regression in the current examination. There are segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening in both lungs. The outlook was evaluated in favor of cardiac stasis. In the upper zones of both lungs, there is interlobular septal thickening in the subpleural areas and thickening in the interstitial scars accompanied by recessions in the pleura. In the current examination, ground glass densities were observed at these levels. Appearance is nonspecific. The sequela may be consistent with the interstitial pattern and superimposed viral pneumonias. It is recommended to be evaluated together with clinical and laboratory. Band atelectatic changes were observed in the right lung middle lobe and both lung lower lobe basal segments. No mass lesion with distinguishable borders was detected in both lungs. Upper abdominal organs are normal as far as can be seen in the sections. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Mild degenerative changes were observed in the bone structure.", "impression": " Fusiform aneurysmatic dilatation in the thoracic aorta, calcific atheroma plaques in the thoracic aorta and coronary arteries, cardiomegaly, swarming pericardial effusion, increase in the diameter of the pulmonary conus.  Hiatal hernia.  Pleural effusion, which decreases in the right hemithorax, increases in the left hemithorax and enters the loculating fissures and forms a phantom tumor.  Cardiac stasis in the lung parenchyma.  Ground-glass densities accompanied by interlobular septal thickening and pleural irregularities in newly emerged peripheral subpleural areas on current examination in both lungs; appearance is nonspecific. It may be compatible with viral infections. It is recommended to be evaluated together with clinical and laboratory."}
{"volume_path": "dataset/valid_fixed/valid_1067/valid_1067_d/valid_1067_d_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1067/valid_1067_d/valid_1067_d_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1067_d_1.nii.gz", "findings": "A catheter image extending from the right internal jugular vein to the superior-right atrium junction of the vena cava was observed. Trachea and both main bronchi were in the midline and no obstructive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; The anterior-posterior diameter of the ascending aorta is 41 mm, and the anterior-posterior diameter of the descending aorta is 31 mm, which is above normal. The pulmonary conus calibration is slightly larger than normal at 30 mm. The diameters of the right and left pulmonary arteries are at the physiological upper limit. Calcific atheroma plaques were observed in the aortic arch and coronary arteries. Heart size increased. A smear-like effusion was observed in the pericardial space. Thyroid gland sizes are increased and heterogeneous. Millimetric hypodense nodules were observed in the thyroid parenchyma. It is recommended to be evaluated together with USG. Right upper-lower paratracheal, subcarinal aortopulmonary lymph nodes measuring 9 mm in the short axis of the right upper paratracheal were observed. In the previous examination, the short axis of the largest was measured as 15 mm, and there is a decrease in the size of the lymph nodes. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. A pleural effusion reaching 3.5 cm in thickness was observed in the thickest part of the right hemithorax. The left pleural effusion observed in the previous examination is completely regressed. Sequelae thickening was observed in the posterior costal pleura on the left. Passive atelectatic changes were observed in the area adjacent to the effusion in the basal segment of the lower lobe of the right lung. Segmental-subsegmental peribronchial thickening and interlobular-intralobar septal thickening were observed in both lungs. The outlook was evaluated in favor of cardiac stasis. There are prominent interstitial scars accompanied by interlobular septal thickening in the subpleural areas and recessions in the pleura in the upper zones of both lungs. Appearance is nonspecific. Linear atelectasis is observed in the right lung middle lobe and both lung lower lobe basal segments. No mass lesion-active infiltration was detected in both lungs. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a hyperdense appearance that gives a level in the gallbladder lumen. It is recommended to be evaluated together with US for possible mud-stone. Sequelae linear calcification was observed in the spleen capsule. No intraabdominal free-loculated fluid was detected. Mild degenerative changes were observed in the bone structure.", "impression": " Right upper-lower paratracheal lymph nodes with reduced dimensions.  Cardiac stasis in the lung parenchyma.  Hyperdense appearance giving level in the gallbladder lumen; It is recommended to evaluate it together with US in terms of possible mud-stone."}
{"volume_path": "dataset/valid_fixed/valid_1069/valid_1069_a/valid_1069_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1069/valid_1069_a/valid_1069_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1069_a_1.nii.gz", "findings": " Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen; Trachea and lumen of both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. The diameter of the ascending aorta is 41 mm and shows dilatation. The diameter of the main pulmonary artery was 31 mm and it shows mild dilatation. Heart size increased. There is an effusion reaching 1 cm in the widest part of the pericardium. Calcified atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. In mediastinal, upper-lower paratracheal, prevascular, subcarinal and precarinal localization, lymph nodes measuring 1 cm in the short axis of the largest were observed. Thoracic esophagus calibration was normal, and no significant pathological wall thickness increase was detected in the non-contrast examination. When examined in the lung parenchyma window; Atelectatic changes were observed in the lower lobes of both lungs. Between the bilateral pleural leaves, free pleural effusion measuring 38 mm in thickness on the right and 10 mm on the left, and atelectatic changes in the adjacent lung parenchyma were observed. No mass-infiltration was detected in both lung parenchyma. In the upper abdominal sections in the study area; In both adrenal glands, there are nodular lesions compatible with adrenal adenoma with a diameter of 33 mm in the right adrenal gland and 30 mm in the left, containing fat densities. Parapelvic cysts were observed in both kidneys. No lytic-destructive lesion was detected in bone structures.", "impression": "Mild dilatation of the ascending aorta, calcified atherosclerotic changes in the wall of the thoracic aorta and coronary artery. Cardiomegaly, pericardial effusion.  Bilateral pleural effusion and atelectatic changes.  Bilateral adrenal adenoma, bilateral renal parapelvic cyst."}
{"volume_path": "dataset/valid_fixed/valid_1074/valid_1074_a/valid_1074_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1074/valid_1074_a/valid_1074_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1074_a_1.nii.gz", "findings": " Trachea was in the midline of both main bronchi and no obstructive pathology was observed in the lumen. Although the mediastinum cannot be evaluated optimally in the examination performed without contrast, the calibration of the mediastinal main vascular structures and the heart contour-size are normal. Pericardial effusion-thickening was not observed. Metallic sutures consistent with ACBG were observed in the sternum and anterior mediastinum. There is a stent in the LAD. Widespread atheromatous plaques were detected in the coronary arteries and thoracic aorta. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. A minimal sliding type hiatal hernia was observed at the lower end of the esophagus. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the patient with a history of pulmonary Ca, extensive consolidation with air bronchograms extending from the left lung hilus to the upper and lower lobes was observed. No mass was detected at this level whose borders can be distinguished from consolidation. A smear-like effusion was observed in the left pleural space. No mass and effusion with discernible borders were observed in the right lung. Ground glass densities in the aerated left lung lower lobe basal segment and consolidations in the periphery were observed. Findings may be compatible with atypical pneumonia. Correlation with clinical and laboratory is recommended. The upper lobes of both lungs are emphysematous, and a mosaic attenuation pattern is observed in both lungs clinical correlation is recommended for small air-vascular diseases. In the non-contrast examination, the liver is normal. Multiple millimetric calculi were observed in the gallbladder lumen. Cystic lesions measuring 120x106 mm were observed in both kidneys, the largest of which was in the upper pole of the left kidney. A slightly hyperdense lesion with a diameter of 14 mm was observed in the middle zone of the left kidney hemorrhagic cyst?. Linear calcification was observed throughout the spleen capsule. Degenerative changes are observed in the bone structures entering the cross-sectional area. No lytic-destructive lesion was detected.", "impression": "Metallic sutures compatible with ACBG in the sternum and mediastinum, minimal sliding type hiatal hernia at the lower end of the esophagus .  Focal patchy ground-glass densities in the basal segment of the left lung lower lobe and focal consolidations in the periphery, the appearance is nonspecific. Correlation with clinical and laboratory is recommended for atypical pneumonia.  Cholelithiasis . Bilateral renal multiple cysts, mild hyperdense cortical nodular lesion in the left kidney midzone hemorrhagic cyst ? . Linear calcifications in the spleen capsule"}
{"volume_path": "dataset/valid_fixed/valid_1078/valid_1078_a/valid_1078_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1078/valid_1078_a/valid_1078_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1078_a_1.nii.gz", "findings": "Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is minimally larger than normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. Atheroma plaques were observed in the aorta and coronary arteries. Pleural effusion is observed on the left. The pleural effusion measured 70 mm at its thickest point. There is no pleural effusion on the right. There are no pathologically enlarged lymph nodes in the mediastinum and hilar regions. No pathological increase in wall thickness was detected in the esophagus within the sections. Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Consolidation and ground-glass appearances were observed in the posterior part of the lower lobe of the right lung, the lower lobe of the left lung, and the apicoposterior segment of the upper lobe. The described manifestations were primarily evaluated in favor of pneumonic infiltration. There are emphysematous changes in both aerated lungs. There are several millimeric nonspecific nodules in both lungs. No mass or infiltrative lesion was detected in both lungs. No fractures or lytic-destructive lesions were observed in the bone structures within the sections.", "impression": " Follow-up over ca.  Left pleural effusion.  Findings evaluated primarily in favor of pneumonic infiltration in both lungs.  Emphysematous changes in both lungs.  Millimetric nonspecific nodules in both lungs.  Atherosclerotic changes in the aorta and coronary arteries."}
{"volume_path": "dataset/valid_fixed/valid_1082/valid_1082_a/valid_1082_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1082/valid_1082_a/valid_1082_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1082_a_1.nii.gz", "findings": "Evaluation of solid organs and major vascular structures is suboptimal because the examination is non-contrast. As far as can be seen; Heart size increased. Minimal effusion is observed in the pericardial area. The diameter of the main pulmonary artery has increased, reaching a diameter of 40 mm at its widest point. The diameters of the right and left pulmonary arteries were measured as 27 mm and 23 mm, respectively. There is a stent appearance in the left coronary artery localization. Trachea, both main bronchi are open. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Several lymphadenopathies are observed in the mediastinal area, the largest in the lower paratracheal area, with a short axis of 12 mm in diameter. No lymph nodes were detected in pathological size and appearance in both axillary regions. When examined in the lung parenchyma window; In both lungs, pleural effusions reaching a thickness of 67 mm on the left and 35 mm on the right are observed in the thickest part with an anky-like appearance. Fissures in both lungs are evident secondary to effusion. Effusion is also observed in the paracardiac areas of both lungs. Interseptal and interlobular thickness increases are also observed in the lung parenchyma adjacent to the effusion. A few focal ground-glass densities are observed scattered in both lungs. There is a mosaic attenuation pattern in both lung parenchyma. In the upper abdominal organs, including sections; The inferior vena cava is prominent. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Minimal density increases, which are thought to be secondary to edema-inflammation, are observed in the skin and subcutaneous fatty tissues. No fractures, lytic or sclerotic lesions were observed in the bone structures included in the study area.", "impression": " Pleural effusion, which is more prominent on the left in both lungs, which is thought to be secondary to heart failure, minimal effusion in the pericardial space, increase in heart dimensions.  Clarity in fissures evaluated in favor of heart failure in both lungs, increase in interseptal and interlobular thickness.  Non-specific ground-glass densities in the apicoposterior segment of the upper lobe of the right lung; Covid-19 pneumonia was considered unlikely.  Increase in main pulmonary artery diameter."}
{"volume_path": "dataset/valid_fixed/valid_1082/valid_1082_b/valid_1082_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1082/valid_1082_b/valid_1082_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1082_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal examination is subopathic due to lack of contrast. A pacemaker placed on the anterior chest wall is seen on the left. The heart is larger than normal. Pulmonary artery is 41 mm and ectatic. There is a stent appearance in the coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; In the bilateral hemithorax, pleural effusion of 42 mm on the right and 11 mm on the left was observed in its widest part. Mosaic density difference in all lobes, thickening of interlobular septa, peribronchial prominence and subpleural band atelectasis are observed in both lung parenchyma The findings were evaluated secondary to pulmonary edema. There are centrally weighted peribronchial ground-glass density increases in both lungs, more prominent in the upper lobes. Perihepatic minimal free fluid was observed in upper abdominal sections. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Cardiomegaly, coronary stents  Ectasia in the pulmonary artery  Findings of pulmonary edema in both lungs  Bilateral pleural effusion  Center-weighted ground glass densities in both lungs bronchopneumonic infiltrates?  Perihepatic free fluid"}
{"volume_path": "dataset/valid_fixed/valid_1084/valid_1084_a/valid_1084_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1084/valid_1084_a/valid_1084_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1084_a_1.nii.gz", "findings": "Mediastinal main vascular structures and cardiac examination could not be evaluated optimally due to the lack of IV contrast and as far as can be observed; There is an increase in heart size. Calcified atheroma plaques are observed on the walls of the thoracic aorta and coronary vascular structures. Pericardial effusion was not detected. There is an effusion up to 35 mm on the right in the deepest part of the bilateral pleural space. Trachea, both main bronchi are open and no occlusive pathology is detected. No pathological increase in thoracic esophagus wall thickness is observed. There is a sliding type hiatal hernia at the lower end. Although the bilateral hilus could not be evaluated optimally, multiple lymphadenopathies that lost their fusiform configuration were observed in the bilateral hilus, the larger one in the mediastinum, the shortest diameter at the right paratracheal level, and the 18 mm diameter. When examined in the lung parenchyma window; more prominent on the right, there are areas of consolidation and ground-glass density increase in both lungs consistent with pneumonic infiltration in ground glass density. Centracinar emphysematous changes are observed in both lungs. Sequela parenchymal changes, structural distortion and volume loss were noted in the lower lobes of both lungs and the apical segment of the upper lobe. There is an appearance in the apicoposterior segment of the left lung upper lobe, accompanied by sequela parenchymal changes, in which maxrocalcified foci are also observed in the central part, measured in approximately 20x10 mm, and evaluated primarily in favor of fibrotic nodular formation. Follow-up is recommended. Diffuse mild ectasia is observed in bilateral bronchial structures. As far as it can be seen within the limits of non-contrast CT in the upper abdominal sections within the image; there are chronic atrophic changes in the left kidney. No solid mass was detected. No free fluid or loculated collection is observed. No lytic-destructive lesion is observed in the bone structures within the image, and vertebral corpus heights are preserved.", "impression": " Increased heart size, calcified atheroma plaques in the wall of the thoracic aorta and coronary vascular structures.  Lymphadenopathies that have lost their fusiform configuration in the mediastinum, the largest of which is measured at the right paratracheal level, with a short diameter of more than 1 cm.  Centracinar amphimatous changes in both lungs, sequela parenchymal changes accompanying structural distortion and volume loss in both lung apks and lower lobes, left lung upper lobe inferior lingular segment, and nodular lesion evaluated in favor of fibrotic nodular formation in left lung upper lobe apicoposterior segment follow-up is recommended .  Diffuse mild ectasia in bilateral bronchial structures.  Consolidation-ground glass density increase areas compatible with pneumonic infiltration in both lung parenchyma, more prominent on the right; Clinical and laboratory evaluation is recommended for Covid-19 pneumonia.  Chronic atrophic changes in the left kidney.  Increase in thoracic kyphosis, osteophytic degenerative changes that tend to coalesce at the vertebral corpus corners."}
{"volume_path": "dataset/valid_fixed/valid_1095/valid_1095_a/valid_1095_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1095/valid_1095_a/valid_1095_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1095_a_1.nii.gz", "findings": "CTO increased in favor of the heart. The aortic arch calibration is 30 mm. It is wider than normal. Pulmonary trunk calibration is 27 mm. It is at the maximal physiological limit. Right pulmonary artery calibration is 30 mm, left pulmonary artery calibration is 25 mm. Right pulmonary artery calibration increased from normal. Dense calcific atheroma plaques are observed in the aortic arch, coronary arteries and descending aorta. There are millimetric lymph nodes in the upper-lower paratracheal area. No contrast-free examination of pathologically sized lymph nodes at both hilar levels was detected. When examined in the lung parenchyma window; Both hemithorax are symmetrical. There is bilateral pleural effusion in both lungs extending from the baseline to the upper zone on the right and the middle zone on the left. Its thickness reaches 33 mm on the right and 20 mm on the left. Atelectatic lung segments are observed adjacent to both sides. The effusion also extends to the interlobar fissure on the right. In the left lung, the upper lobe apicoposterior segment, bilateral lower lobe superior segment, right lung upper lobe posterior segment partially and partially in the middle lobes, there are consolidative areas accompanied by bud branch landscapes that continue along the bronchovascular sheath and occasionally aerial brocograms. It is recommended to be evaluated together with clinical and laboratory findings in terms of infective processes. On the left, there is a pleural effusion in the form of a phantom tumor at the level of the interlobar fissure. There are pleural thin plate-like calcifications at the level of the lower lobe superior segment in the left lung. In the sections passing through the upper abdomen, there are pranchymal calcifications in the liver. There is effusion in the perihepatic and splenic areas. Local examination is suboptimal due to motion artifacts. In the middle part of the left kidney, a hypodense formation with a diameter of approximately 16 mm is observed that partially enters the image. Degenerative changes are observed in the bone structure.", "impression": "It is recommended to evaluate the case together with clinical and laboratory findings in terms of infective processes, with widespread consolidative densities in both lungs, and bud branch views in places."}
{"volume_path": "dataset/valid_fixed/valid_1098/valid_1098_a/valid_1098_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1098/valid_1098_a/valid_1098_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1098_a_1.nii.gz", "findings": "Trachea and both main bronchi are open. No occlusive pathology was detected in the trachea and both main bronchi. Bilateral pleural effusion is observed. The pleural effusion is more prominent on the right and continues on both sides to the apex of the lung when the patient is in the supine position. Pleural effusion was measured at its thickest point at a thickness of 50 mm. Atelectasis is present in both lower lobes of the lungs adjacent to the pleural effusion. No mass or infiltrative lesion was detected in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: Heart contour and size are normal. Pericardial effusion was not detected. The widths of the mediastinal main vascular structures are normal. No pathologically enlarged lymph nodes were observed in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were detected in the sections. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Bilateral pleural effusion and atelectasis in the adjacent lung"}
{"volume_path": "dataset/valid_fixed/valid_1105/valid_1105_a/valid_1105_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1105/valid_1105_a/valid_1105_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1105_a_1.nii.gz", "findings": "Trachea and main bronchi are open. Right upper, bilateral lower paratracheal, mediastinal lymphadenomegaly with a narrow diameter of 11 mm in the larger aortopulmonary is observed. The patterned aorta is 33 mm and has a slightly ectatic appearance. Millimetric sized calcific atherosclerotic plaques are observed in the aortic arch. The cardiothoracic index is natural. The size of the right lobe of the thyroid gland has increased and it extends towards the thoracic inlet. There are nodules containing calcifications in the thyroid gland. Pleural thickening and effusion are observed in the right hemithorax with a thickness of up to 1.5 cm. In the evaluation of both lung parenchyma; In the current examination of the left lung, which was also observed in previous films, the nodules observed in the left lung upper lobe anterior segment and left lower lobe superior segment, which have decreased density and appear as ground glass, slightly decrease in size, decrease in density, and turn to ground glass rather than solid appearance in their pattern. There was no significant difference in the sizes of the two nodules observed in the anterior segment of the right lung upper lobe and the middle lobe. In previous films, there were regressions in several nodules in the right lung middle lobe. The outlook suggests regression secondary to treatment. No obvious pathology was detected in bone structures.", "impression": "Solid nodules with a stable decrease in size in the right lung"}
{"volume_path": "dataset/valid_fixed/valid_1111/valid_1111_a/valid_1111_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1111/valid_1111_a/valid_1111_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1111_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. In the aortic arch, prominent calcific atheroma plaques are observed in the descending aorta. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; Consolidation areas, including air bronchogram signs, are observed in the basal segment of the lower lobe of the left lung, the most prominently observed in the central part, which is located more peripherally in both lungs. There are atelectatic changes observed in the left lung inferior lingula, more prominently in the basal segments of both lower lobes. There are smear-like effusions in both lungs, more prominent on the right. The upper abdominal organs are partially included in the examination, and the oval-shaped finding observed in fluid attenuation with a dimension of 37 mm at the pancreas head body level is in the differential diagnosis of IPMN in favor of pseudocyst in the first place. If clinical correlation and follow-up are in doubt, further examination is recommended. Upper Abdomen MRI. More than one parapelvic cyst measuring up to 32 mm on the right is observed in both kidneys. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is a diffuse decrease in dabsite in the bone structures, and there are findings secondary to previous fractures in the ribs. There are sclerotic hyperdense appearances on the laterals of the 5th and 6th ribs on the right.", "impression": " The findings described in both lung parenchyma were initially evaluated in favor of the infectious process and were evaluated in terms of Covid-19 due to the current pandemic. It is in the differential diagnosis of other infectious processes. Clinical laboratory correlation is recommended.  Atherosclerosis.  There are small lymph nodes in the mediastinum and paracardiac area.  37 mm oval cystic finding at the level of the pancreatic head and body; It was initially evaluated in favor of pseudocyst and is in the differential diagnosis of IPMN. Upper Abdomen MRI with advanced contrast contrast is recommended for better differential diagnosis.  Bilateral corticoplevic cysts.  There is a diffuse decrease in dabsite in the bone structures, findings secondary to previous fractures in the ribs, sclerotic hyperdense appearances in the laterals of the 5th and 6th ribs on the right side."}
{"volume_path": "dataset/valid_fixed/valid_1126/valid_1126_b/valid_1126_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1126/valid_1126_b/valid_1126_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1126_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. Calcific plaques are observed in the aorta and coronary arteries. Calibrations of mediastinal vascular structures are normal. Mild smear-like effusion is observed in the pericardial area. Lymph nodes are observed in the mediastinum, in the aortopulmonary region and in the hilum of both lungs. The largest of these, the aortopulmonary window is adjacent to the pulmonary artery on the left, and its short axis is 12 mm. Apart from this, there is pleural effusion in both lungs. In the right lung, it reaches 8.5 cm in thickness at its widest point. In the left lung, there is a pleural effusion reaching approximately 1.5 cm in thickness. The wall thickness of the thoracic esophagus is normal. When examined in the lung parenchyma window; both lung volumes decreased. There are sequelae fibrotic linear densities in both lung parenchyma. According to the previous examination, there are pulmonary nodules in both lungs, some of which are not distinguishable, but more prominent in the right lung, and no difference was detected. There are atelectasis adjacent to the effusion in both lungs. Nodular thickness increases are observed in both adrenal glands included in the examination. Other upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Other findings are stable."}
{"volume_path": "dataset/valid_fixed/valid_1126/valid_1126_c/valid_1126_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1126/valid_1126_c/valid_1126_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1126_c_1.nii.gz", "findings": "CTO is at the maximal physiological limit. Pulmonary trunk calibration is 35 mm, larger than normal. The right pulmonary artery measures approximately 28 mm, wider than normal. Left pulmonary artery calibration is normal. The aortic arch calibration is 31 mm, wider than normal. There are millimetric-sized calcific atheroma plaques in the aortic arch and descending aorta. Calibration of major vascular structures in the mediastinum is natural. No lymph node with pathological size and configuration was detected in the mediastinum. No lymph node with pathological size and configuration was detected at the left hilar level. The right hilar level cannot be evaluated. . Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. In the evaluation of both lungs in the parenchyma window; Both hemithorax are symmetrical. Calibration of trachea and main bronchi is normal, their lumens are clear. Pleural effusion is observed in both lungs. Its thickness reaches approximately 12 cm in the right lung at its most prominent location, and it was 8 cm in the previous examination. There is progression. There is a plaster-style effusion on the left. Focal faint ground-glass-like density increases are observed at the apical level in the left lung and were not detected in the previous examination. There are thickenings of the interlobular septa in the lingular segment, increases in pleuroparenchymal linear density, and mild effusion in the interlobar fissure. Pleuroparenchymal sequelae changes are also observed at the basal level. The findings are also followed in the previous review. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Both adrenals are full. It cannot be evaluated because it is partially included in the image. However, it has a full-nodular appearance in the old examination. Surrounding soft tissue planes are normal. Degenerative changes in bone structure and lesions compatible with metastasis are observed.", "impression": "Prominent on the right, smear-like pleural effusion on the left on the right there is a progression according to the previous examination. \u00b7 Thickening of interlobular septa in the left lung, increase in pleuroparenchymal density and appearance of interlobar fluid; also observed in the previous review. \u00b7 Degenerative changes in bone structure are also present in the previous examination. \u00b7 Fullness and nodular appearance in both adrenals cannot be evaluated optimally because they do not enter the field of view. Also available in old review. Degenerative changes in bone structure and lesions compatible with metastasis are also observed in the previous examination. ."}
{"volume_path": "dataset/valid_fixed/valid_1127/valid_1127_a/valid_1127_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1127/valid_1127_a/valid_1127_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1127_a_1.nii.gz", "findings": "The examination was evaluated as non-contrast, and the mediastinal structures were evaluated as suboptimal in the non-contrast examination margins. As far as can be seen; Trachea, both main bronchi are open. No occlusive pathology was detected in the trachea and lumen of both main bronchi. Mediastinal main vascular structures are normal. Heart sizes increased  cardiomegaly. Pericardial effusion-thickening was not observed. Calcific atherosclerotic changes are observed in the wall of the thoracic aorta and coronary artery. Thoracic esophageal calibration was normal and no significant pathological wall thickening was detected. Millimetric sized lymph nodes are observed in upper-lower paratracheal, prevascular and subcarinal localization. No lymph node was detected in mediastinal pathological size and appearance. When examined in the lung parenchyma window; Pleuroparenchymal sequelae density increases are observed in the middle lobe of the right lung and the inferior lingular segment of the left lung. Subsegmental atelectasis areas in the mediobasal segment of the lower lobe of the left lung are noteworthy. No mass-nodule-infiltration was detected in both lung parenchyma. A minimal free pleural effusion measuring 5 mm at its thickest point is observed between the pleural leaves on the left. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 12 mm is observed adjacent to the spleen hilus. Calcific atherosclerotic changes are observed in the wall of the abdominal aorta. A hypodense lesion with a diameter of 16 mm is observed in the middle zone posterior cortex of the right kidney cortical cyst?. Thoracic kyphosis has increased. Bridging osteophyte formations are observed in the right anterolateral aspect of the thoracic vertebrae. It is recommended to be evaluated in terms of DISH disease. L1 vertebra large hemangioma is observed.", "impression": "Cardiomegaly. Calcified atherosclerotic changes in the thoracic aorta and coronary wall.  Left minimal pleural effusion. Sequelae changes in both lungs, mild emphysematous changes. Right renal cyst. Findings consistent with DISH disease."}
{"volume_path": "dataset/valid_fixed/valid_1140/valid_1140_a/valid_1140_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1140/valid_1140_a/valid_1140_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1140_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. No occlusive pathology was observed in the lumen. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; mediastinal main vascular structures, heart contour, size are normal. A smear-like effusion was observed in the pericardial space. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A smear-like effusion was observed in both hemithorax. The major fissure on the right is thickened. Passive atelectatic changes were observed in the dependent parts of the lower lobe basal segment of both lungs. Minimal thickening was observed in the peribronchovascular interstitium in both lungs. No mass lesion-active infiltration with distinguishable borders was detected in the lung parenchyma. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Placing pericardial-pleural effusion.  Subsegmental atelectatic changes in the dependent segments of the lower lobe basal segment of both lungs.  Slight thickening of the peribronchovascular interstitium in both lungs."}
{"volume_path": "dataset/valid_fixed/valid_1147/valid_1147_b/valid_1147_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1147/valid_1147_b/valid_1147_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1147_b_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. A smear-like pericardial effusion is observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. A small amount of pleural effusion is observed in the left hemithorax. There is a mosaic attenuation pattern in the basal segment of the lower lobe of the left lung. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved. In the TH5 vertebral corpus, there is a finding consistent with a hemangioma in the first plan, measuring 7 mm in size.", "impression": "A small amount of pleural effusion is observed in the left hemithorax. There is a mosaic attenuation pattern in the basal segment of the lower lobe of the left lung.  Pericardial effusion in the form of smearing."}
{"volume_path": "dataset/valid_fixed/valid_1167/valid_1167_a/valid_1167_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1167/valid_1167_a/valid_1167_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1167_a_1.nii.gz", "findings": "No occlusive pathology was detected in the trachea and both main bronchi. A large mass extending from the superior segment to the posterobasal segment is observed in the lower lobe of the right lung. The mass is irregularly circumscribed and contains calcifications. The longest diameter of the mass was 51 mm at its widest point in the axial plane series 2 section 185. There is structural distortion and volume loss in the lower lobe of the lung around the described mass. Peribronchial thickening is observed in both lungs, especially in the central parts. There are increases in density, structural distortion and volume loss, which are evaluated in favor of pleuroranchymal sequelae changes in both lung apexes. In addition, there are many millimetric nodules, most of which are calcific, in both lungs and are thought to be sequelae changes. Emphysematous changes in both lungs and air trapping areas evaluated in favor of pneumothorax or blep formations in the right lung are observed. Apart from the nodules described and evaluated in favor of sequelae changes, there is another nodule measuring 5 mm in diameter in the laterobasal segment of the lower lobe of the left lung. It is recommended to follow this nodule as well. Heart contour and size are normal. No pleural effusion was detected. The widths of the mediastinal main vascular structures are normal. There are atheromatous plaques in the aorta and coronary arteries. There are lymph nodes in the mediastinum and hilar regions. The largest of these lymph nodes is observed in the subcarinal region and its short diameter is 9 mm. No enlarged lymph nodes in pathological size and appearance were detected in the mediastinum and hilar regions. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. No pathological increase in wall thickness was detected in the esophagus within the sections. No upper abdominal free fluid-collection or pathologically enlarged lymph nodes were observed in the sections. There is a lytic bone lesion on the T11 vertebra superior end plate. Although the described lesion cannot be characterized in this examination, it may metastasize in the presence of primary disease. It is recommended to evaluate the patient together with his previous examinations and to be examined if there is an indication. Apart from this, no lytic-destructive lesions were detected in the bone structures within the sections.", "impression": " Malignant mass in the lower lobe of the right lung  Lytic bone lesion metastasis? in the T11 vertebra superior end plate  Findings evaluated in favor of sequelae changes in both lungs  Millimetric nodules, most of which are calcified, in both lungs  Minimal pleural effusion on the right  Atheroma in the aorta and coronary arteries plaques"}
{"volume_path": "dataset/valid_fixed/valid_1192/valid_1192_a/valid_1192_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1192/valid_1192_a/valid_1192_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1192_a_1.nii.gz", "findings": " An area of increase in density evaluated in favor of atelectasis is observed in the lung parenchyma adjacent to the effusion. Solid-semisolid nodules were observed in a case with primary RCC in both lungs, the size of which was 13 mm in the lower lobe posterobasal segment on the right, and approximately 10 mm in the left upper lobe in the upper lobe inferior lingular segment. It was evaluated in favor of metastasis. Mediastinal vascular structures and heart examination IV. It could not be evaluated optimally due to lack of contrast. Calibration of vascular structures, heart contour and size are natural. Pericardial, right pleural effusion was not detected. No pathological increase in wall thickness was observed in the thoracic esophagus. There is a sliding type hiatal hernia at the lower end. Trachea, both main bronchi are open and no occlusive pathology is detected. No lymph node in pathological size and appearance was observed in the mediastinum. No lytic-destructive lesion was observed in the bone structures within the image. There are degenerative changes.", "impression": "In the lung parenchyma adjacent to the effusion, there is an area of increased density in the lung parenchyma evaluated in favor of compressive atelectasis. No change was detected in their numbers."}
{"volume_path": "dataset/valid_fixed/valid_1192/valid_1192_b/valid_1192_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1192/valid_1192_b/valid_1192_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1192_b_1.nii.gz", "findings": " Massive effusion was observed in the left pleural space. There are air densities in the effusion. Air densities may be secondary to the intervention or may belong to a bronchopleural fistula. In addition, 20 mm deep free effusion is observed in the right pleural space. In the right lung, there are areas of increased density consistent with ground-glass-consolidation accompanied by diffuse interlobular septal thickness increases in all segments. As the findings can be seen in Covid-19 pneumonia, other viral pneumonias cannot be excluded. It is recommended to be evaluated together with clinical and laboratory findings. A hypodense appearance is observed in the right main bronchus, which is evaluated in favor of mucus plug. Lymphadenopathies with pathological dimensions and appearance were observed in the mediastinum, in the left supraclavicular region, in the right-lower paratracheal region, in the aorticopulmonary window, in the prevascular level, in the subcarinal area and in the right part of the T11-T12 vertebra within the image, in the retrocrural area. There are hypodense lesions that cannot be characterized in this examination, which is observed to increase in number and size according to the previous PET-CT examination. No lytic or destructive lesions were detected in the bone structures within the image.", "impression": " Massive effusion with air densities in the left pleural space; secondary to the intervention?, pleuroparenchymal fistula?  Right pleural effusion.  Indicated limited consolidation with newly developed interlobular septal thickness increases in all segments of the right lung and density increases in ground glass density on current examination; As it can be seen in Covid-19 pneumonia, other viral pneumonias cannot be excluded.  Hypodense appearance evaluated in favor of mucus plug in the right main bronchus.  Lymphadenopathies of pathological size and appearance in the mediastinum, left supraclavicular region and right retrocrural region.  Hypodense lesions metastasis? of the liver that cannot be characterized within the borders of unenhanced CT."}
{"volume_path": "dataset/valid_fixed/valid_1209/valid_1209_a/valid_1209_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1209/valid_1209_a/valid_1209_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1209_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. There is a significant increase in mediastinal main vascular structures and heart sizes. Diffuse atheroma plaques are observed in the coronary arteries in the aortic arch. Pericardial thickening was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Lymph nodes with more than one short axis measuring up to 11 mm are observed in the mediastinum, the largest of which is observed in the carina. When examined in the lung parenchyma window; There are thickenings in the interlobular septa, more prominent in the inferiors, in both lungs. On the right side, fluid localization is observed in the main fissure, measuring up to 44 mm in size. There is a small amount of bilateral smear-like effusion. Diffuse prominent calcification is observed in the pleura on both sides. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Calcific foci are present in both kidneys. It was evaluated in favor of atherosclerotic changes in vascular structures. The oval structure with fluid attenuation measuring 41 mm in the left kidney was evaluated in favor of a cyst. There is a diffuse osteopenic appearance in the bone structures in the examination area, and there are hypertrophic osteophytic taperings in the end plates.", "impression": "Changes secondary to cardiac stasis, locating fluid in fissure on the right side. Bilateral thickened diffuse calcific pleura. Bilateral small smear-like effusion. Cardiomegaly. Atherosclerosis. Diffuse density reduction in bone structures. Osteopenic appearance, hypertrophic osteophytic tapering in end plates, bridging tendencies.  Small lymph nodes in mediastinum. Cortical cyst in left kidney."}
{"volume_path": "dataset/valid_fixed/valid_1209/valid_1209_b/valid_1209_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1209/valid_1209_b/valid_1209_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1209_b_1.nii.gz", "findings": "Trachea and main bronchi are open. Millimetric calcifications are observed in the walls of the trachea and main bronchus tracheobronkopatia osteochondroplastica. The cardiothoracic index increased in favor of the heart. Calcific plaques are observed in the descending aortic arch, ascending aorta and coronary artery walls. Widespread pleural calcification and concomitant pleural thickening are observed in both costals. Stable pleural loculations are observed in the right lung lower lobe superior segment, which were also observed in the previous examination, and also extending to the fistula in the lower lobe anterobasal segment. However, according to previous studies, there is a clear increase in interlobular septal thickening. There are bulla formations in the posterobasal segment of the lower lobe of the right lung, which were also selected in previous examinations. Suture materials secondary to surgery in the sternum are observed. Significant degenerative changes are observed in bone structures. In the sections passing through the upper part of the abdomen, the bilateral adrenal glands appear natural. No significant pathology was detected in the abdominal sections.", "impression": " Cardiomegaly  Bilateral diffuse plaque-shaped pleural calcifications asbestosis?  Millimetric calcifications in the walls of the trachea and main bronchus tracheobronkopatia osteochondroplastica"}
{"volume_path": "dataset/valid_fixed/valid_1211/valid_1211_a/valid_1211_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1211/valid_1211_a/valid_1211_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1211_a_1.nii.gz", "findings": "Mediastinal structures were evaluated as suboptimal since the examination was unenhanced. As far as can be seen: The image of a catheter with the port chamber extending superiorly to both vena cava was observed on the right anterior chest wall. A pacemaker and an electrode extending to the floor of the ventricle were observed on the anterior left chest wall. Trachea, lumen of both main bronchi are open. No obstructive pathology was detected in the lumen of the trachea and both main bronchi. In the tracheal lumen, there is an appearance that may be compatible with inflammatory secretion. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected in the examination borders. Calcific atherosclerotic changes were observed in the wall of the thoracic aorta and coronary artery. Pulmonary artery calibration was 29mm and fusiform dilatation is observed. Heart size has increased cardiomegaly. Free air images were observed in the right ventricular atrium. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When both lung parenchyma windows are evaluated; Diffuse mosaic attenuation areas were observed in both lungs small airway disease? small vessel disease?. Bilateral interlobular septa are prominent secondary to cardiac pathology?. Band-like sequela fibrotic density increases were observed in the left lung inferior lingular segment and both lung lower lobes. Bilateral pleural effusion was observed. Densities that may be compatible with consolidation were observed in both lung lower lobe posterobasal segments. Between the bilateral pleural leaves, a free pleural effusion measuring 32 mm in thickness on the left and 19 mm on the right was observed. In the upper abdominal organs included in the sections, an accessory spleen with a diameter of 12 mm was observed at the level of the spleen hilus. Diffuse thickening was observed in both adrenal glands. It was evaluated in favor of hyperplasia rather than adenoma. Sternal suture materials were observed on the anterior thorax wall. No lytic-destructive lesion was detected in bone structures.", "impression": "Dilatation of the pulmonary artery. Cardiomegaly.  Calcified atherosclerotic changes in the wall of the thoracic aorta and coronary arteries. Mosaic attenuation areas in both lungs small airway disease? small vessel disease?.  Sequelae changes in both lungs.  Prominence of interlobular septa in both lungs secondary to cardiac pathology?. Bilateral pleural effusion. Minimal consolidations in the lower lobes of both lungs infectious process?. Correlation with clinical and laboratory is recommended.  Diffuse thickening of the bilateral adrenal gland was evaluated in favor of hyperplasia rather than adenoma."}
{"volume_path": "dataset/valid_fixed/valid_1233/valid_1233_a/valid_1233_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1233/valid_1233_a/valid_1233_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1233_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Heart sizes increased. Calcific atheroma plaques are observed in the aorta and coronary arteries. Pericardial effusion-thickening was not observed. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. No enlarged lymph nodes in prevascular, pre-paratracheal, subcarinal or bilateral hilar-axillary pathological dimensions were detected. When examined in the lung parenchyma window; A small amount of pleural effusion is observed in both lungs and atelectasis is observed in the accompanying lung parenchyma. Mosaic lung pattern is observed in both lungs. There are interlobular septal thickenings, especially in the lower lobes. Densities whose ground glass-mosaic attenuation pattern cannot be clearly distinguished are observed in the posterior segment of the upper lobe of the left lung. Soft tissue densities evaluated in favor of sequelae changes are observed in the upper lobe apical segments of both lungs. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Widespread degenerative changes are observed in the bone structures in the study area.", "impression": " Increased heart size, pleural effusion in both lungs, interlobular septal thickening in the lower lobes. When the findings are evaluated together, it may be secondary to loading.  Densities that cannot be clearly differentiated between ground glass and mosaic attenuation are observed in the apicoposterior segment of the left lung upper lobe. It is recommended to be evaluated together with clinical and laboratory findings in terms of pneumonia."}
{"volume_path": "dataset/valid_fixed/valid_1240/valid_1240_b/valid_1240_b_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1240/valid_1240_b/valid_1240_b_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1240_b_1.nii.gz", "findings": "Consolidation is observed in the apicoposterior segment of the left lung upper lobe. There is also a frosted glass area around the described consolidation. This appearance is absent in the previous examination of the patient. Although the presence of the described underlying mass cannot be completely excluded, the described appearance was primarily evaluated in favor of pneumonic infiltration. Apart from this, ground glass areas are observed in the upper and lower lobes of both lungs and in the middle lobe of the right lung. Ground glass areas are more prominent in peripheral areas. The manifestations described are of the type often observed in Covid-19 pneumonia. Pleural and pericardial effusion and left pleural effusion were observed. A minimal increase in the amount of pericardial effusion was also observed. There are no upper abdominal free fluid-collections or pathologically enlarged lymph nodes in the sections.", "impression": ""}
{"volume_path": "dataset/valid_fixed/valid_1266/valid_1266_a/valid_1266_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1266/valid_1266_a/valid_1266_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1266_a_1.nii.gz", "findings": " Mediastinal examination is suboptimal due to lack of contrast. In the bilateral hemithorax, 39 mm effusion on the right and 45 mm on the left and atelectasis adjacent to this effusion are observed. When examined in the lung parenchyma window; Multiple nodules are observed in both lung parenchyma, the largest of which is 11 mm in diameter in the anterior upper lobe of the left lung. There are also 11 mm diameter nodules that sit on the pleura at the level of the left lingula. Upper abdominal organs partially enter the field of view. As far as can be evaluated, there are two newly emerging lymph nodes with a short axis of 8 mm located in the perihepatic area. Metastatic lesions with undetectable borders are observed in the liver. The mass at the level of the tail of the pancreas partially enters the cross-sectional area. No significant size difference was observed in the measurement made from the same level as the previous examination of the mass.", "impression": " Patient followed up for pancreatic malignant neoplasm;  Bilateral pleural effusion and atelectasis due to effusion in the lower lobes, accompanying consolidations aspiration?.  Metastatic nodules in both lungs.  Primary mass partially penetrating the section located in the tail of the pancreas, metastatic lesions in the liver.  Newly developed nodular lesions located in the prehepatic area."}
{"volume_path": "dataset/valid_fixed/valid_1267/valid_1267_c/valid_1267_c_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1267/valid_1267_c/valid_1267_c_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1267_c_1.nii.gz", "findings": " There is a hypodense nodule of approximately 24x22 mm in the left thyroid gland. USG verification is recommended. Mediastinal vascular structures and cardiac examination could not be evaluated optimally due to the lack of contrast. There is a catheter in the superior vena cava. Calibration of mediastinal vascular structures is natural. There is an increase in the cardiothoracic ratio in favor of the heart, and an effusion measuring 9 mm in the deepest part of the pericardial area is observed. Trachea and both main bronchi are open and no obstructive pathology is detected. No pathological increase in wall thickness was observed in the esophagus. Multiple lymph nodes are observed in the mediastinal area at the bilateral hilus level, the largest of which is 8 mm in diameter. There are lymph nodes in both axillary regions with a fatty hilus and no prominent fatty hilum in the left axillary region, but with a fusiform configuration. Minimal effusion in subcentimetric dimensions is observed in the bilateral pleural area. In the posterobasal segment of the lower lobe of the left lung, a significant regression is observed in the size of the nodule with a peripheral halo around it, which was observed in the old CT scan, and the size of the nodule was measured as approximately 7x6 mm. No gross pathology was detected in the upper abdominal organs included in the sections, and there was a significant increase in spleen size. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": "Significant regression is observed in bilateral pleural effusion.  Multiple lymph nodes in the mediastinal area and bilateral hilus level that are not in pathological size and appearance.  Fully appearance in the spleen in the abdominal sections within the image.  Hypodense nodule in the left thyroid gland; USG verification is recommended."}
{"volume_path": "dataset/valid_fixed/valid_1275/valid_1275_a/valid_1275_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1275/valid_1275_a/valid_1275_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1275_a_1.nii.gz", "findings": "Trachea and both main bronchi are normal. No occlusive pathology was detected in the trachea and both main bronchi. There is minimal pleural effusion on the right. No pleural effusion was detected on the left. There are linear atelectasis in the middle lobe of the right lung, the upper lobe lingular segment of the left lung, and the lower lobe of both lungs. Emphysematous changes are observed in both lungs. No mass or infiltrative lesion was detected in both lungs. Millimetric nonspecific nodules, some of which are calcific, are observed in both lungs. Mediastinal structures cannot be evaluated optimally because contrast material is not given. As far as can be observed: The heart is larger than normal. In particular, both atria are observed to be larger than normal. The vena cava is wider than normal in the inferior and hepatic veins. There are calcifications in the mitral valve. Calcific atheroma plaques are also observed in the aorta and coronary arteries. Aorta diameter is normal. The main pulmonary artery diameter was 30 mm and it was minimally wider than normal. There are millimetric lymph nodes in the mediastinum and hilar regions. There is no pathological wall thickness increase in the esophagus within the sections. Sliding type hiatal hernia is observed at the lower end of the esophagus. The caudate lobe and left lobe are hypertrophic, and the liver contours are irregular. It is recommended that the patient be evaluated for chronic liver parenchymal disease. No upper abdominal free fluid-collection was detected in the sections. In the upper abdominal organs within the sections, there is no mass with distinguishable borders as far as it can be observed within the borders of non-enhanced CT. No lytic-destructive lesions were detected in the bone structures within the sections.", "impression": "Pleural effusion on the right . Emphysematous changes in both lungs . Localized ateletasis in both lungs . Nodules in both lungs . Cardiomegaly, atherosclerotic changes in aorta and coronary arteries, increase in main pulmonary artery diameter, increase in vena cava inferior diameter . Liver in left lobe and caudate lobe hypertrophy, irregularity in liver contours recommended to evaluate for chronic liver parenchymal disease"}
{"volume_path": "dataset/valid_fixed/valid_1281/valid_1281_a/valid_1281_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1281/valid_1281_a/valid_1281_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1281_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. Mediastinal main vascular structures are normal. Heart size increased. There are calcific atheroma plaques in the coronary arteries and aortic arch. Pericardial effusion-thickening was not observed. The thyroid parenchyma is smaller than normal and a 12 mm suspicious nodule is observed on the left side. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Multiple lymph nodes measuring up to 29x18 mm are observed in the upper mediastinum, pratarakeal area and carina. There is an effusion measuring 34 mm in thickness in the right hemithorax. When examined in the lung parenchyma window; There is volume loss in the lower lobe of the right lung, and there is a consolidation area accompanied by air bronchogram signs at the described level. Thickening is observed in the interlobular septa. The right thoracic wall is partially observed, and the subcutaneous fatty tissues are hyperemic, voluminous and edematous. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. There is diffuse density reduction in bone structures. Hypertrophic-osteophytic taperings are observed in the end plates.", "impression": " Findings consistent with an infectious process accompanied by cardiac stasis; clinical laboratory correlation is recommended.  More than one lymph nodes in the mediastinum with a long axis measuring up to 29 mm and a short axis up to 18 mm.  Cardiomegaly.  Atherosclerosis.  Effusion measuring up to 34 mm in the right hemithorax. The right thoracic wall is partially observed, subcutaneous fatty tissues are hyperemic, voluminous and edematous, clinical correlation is recommended in terms of subcutaneous effusion.  Thyroid parenchyma is smaller than normal and 12 mm suspicious nodule on the left side.  Diffuse density reduction in bone structures, hypertrophic-osteophytic tapering in end plates"}
{"volume_path": "dataset/valid_fixed/valid_1284/valid_1284_a/valid_1284_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1284/valid_1284_a/valid_1284_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1284_a_1.nii.gz", "findings": "On the right, a catheter image extending to the port chamber and superior-right atrium junction of the vena cava and anterior chest wall is observed. Round-shaped lymph nodes are observed in the left cervical chain, submandibular and submental regions, and supraclavicular regions. Lymph nodes measuring 8.3 mm in the short axis of the largest 11.6 mm in the previous examination were observed in the left retropectoral region. In the left axilla, there are lymph nodes less than 1 cm in short axes with nodular configuration. Asymmetric cortical thickening was observed in one of the lymph nodes. It is recommended to be evaluated together with US. No lymph node was observed in the left retropectoral region and left axilla in pathological size and appearance. No occlusive pathology was observed in the lumen of the trachea and both main bronchi. In the mediastinal intrusion, several nodular lymph nodes with short axes less than 1 cm were observed in the right upper paratracheal area. No lymph node in pathological size and appearance was observed in other mediastinal regions. The mediastinum could not be evaluated optimally in the non-contrast examination. As far as can be seen; Heart contour, size is normal. A loculated pericardial effusion was observed in the anterior of the pericardium. Thoracic esophagus calibration was normal and no significant pathological wall thickening was detected. Pleural effusion reaching 16 mm in thickness was observed in the left hemithorax. It is new in current review. No pleural effusion was observed on the right. There are minimal emphysematous changes in both lungs. Passive atelectatic changes were observed in the right lung middle and lower lobe basal segments of both lungs. In the right lower lobe mediobasal, left lung apicoposterior segment, and lower lobe superior segment, centrally located peribronchial budded tree view was observed, and the current study is new. It was thought to be compatible with infective processes-bronchiolitis. It is recommended to be evaluated together with clinical and laboratory. A stable nodule was observed in the apicoposterior segment of the upper lobe of the left lung. A slightly irregular bordered nodule, which was observed in the left lung lower lobe laterobasal segment in the previous examination, could not be observed in the current examination secondary to atelectasis. In the current examination, no newly emerged nodule-mass was observed in the lung parenchyma. As far as can be seen in non-contrast sections; liver, spleen, pancreas are normal. The right adrenal gland is normal. Diffuse thickening was observed in the medial crus of the left adrenal gland. It is stable. A stone was observed in the gallbladder lumen. The most prominent free fluid was observed in the perihepatic area in the abdomen. Thickening of the omentum and increases in reticulondular density in the left upper quadrant and minimal thickening of the parietal peritoneum were observed. Findings were new in the current review and were initially thought to be compatible with peritoneal carcinomatosis. It is recommended to be evaluated together with clinical and laboratory. No lytic-destructive lesion in favor of metastasis was observed in bone structures. Degenerative changes were observed in bone structures.", "impression": " Significantly reduced lymph nodes in the left cervical chain, submandibular, submental and supraclavicular regions, left axilla and retropectoral region.  Lymph node with mild asymmetric cortical thickening in the left axilla; It is recommended to be evaluated together with US.  Stable nodule, passive atelectatic changes in the apicoposterior segment of the left lung upper lobe.  Infective processes in the right lung middle lobe mediobasal and left lung upper lobe apicoposterior and lower lobe superior segment-appearance that may be compatible with bronchiolitis; It is recommended to be evaluated together with clinical and laboratory.  Left pleural effusion; new to current review.  Free intra-abdominal fluid, thickening and density increases in the left upper quadrant omentum; new to current review. It was thought to be compatible with peritoneal carcinomatosis. It is recommended to be evaluated together with clinical and laboratory and further examination.  Other findings are stable. "}
{"volume_path": "dataset/valid_fixed/valid_1294/valid_1294_a/valid_1294_a_1.nii.gz", "organ_mask": "organ_mask_whole/valid_fixed/valid_1294/valid_1294_a/valid_1294_a_1.nii.gz", "effusion_mask": "effusion_mask/valid_fixed/valid_1294_a_1.nii.gz", "findings": "Trachea, both main bronchi are open. There are calcific atheromatous plaques in the aorta and coronary arteries. The ascending aorta has an ectatic appearance. Measured at 40mm. Other mediastinal main vascular structures, heart contour, size are normal. Thoracic aorta diameter is normal. Pericardial effusion was not observed. Thoracic esophagus calibration was normal and no significant tumoral wall thickening was detected. Calcific lymph nodes, some of which do not exceed 1 cm in short axis, are observed in the mediastinum and hilar levels. A few reactive lymph nodes with a short axis not exceeding 5 mm are observed in the mediastinal area. No lymph nodes in pathological size and appearance were observed in either axilla. When examined in the lung parenchyma window; In the right hemithorax, there are sequelae calcific plaques in the pleura. There is pleural effusion reaching 3.5 cm at its widest point in the right lung and compression atelectasis in the parenchyma accompanying it. Sequelae thickness increases are observed in the inferior-posterior part of the left lung and in the pleura adjacent to the mediastinal area. There is a mosaic attenuation pattern in both lungs, which may be compatible with small airway-small vessel disease, which is more prominent on the right. Peribronchial thickness increases are observed in the right lung. There are areas of linear atelectasis in the upper and middle lobe segments of the right lung. The right diaphragm is elevated, and the bronchi to the lower lobe of the right lung are narrowed secondary to diaphragmatic compression. Upper abdominal organs included in the sections are normal. No space-occupying lesion was detected in the liver that entered the cross-sectional area. Bilateral adrenal glands were normal and no space-occupying lesion was detected. Bone structures in the study area are natural. Vertebral corpus heights are preserved.", "impression": " Increased heart size, calcific plaques in the aorta and coronary arteries.  Linear subsegmental atelectasis areas in both lungs, especially in the right lung, pleural effusion in the right lung, nonspecific sequelae thickening in the pleura of both lungs, calcific in the right lung, compression secondary to diaphragm elevation in the lower lobe bronchi of the right lung, an appearance in favor of active infiltration or consolidation not detected."}